At Zoi we don’t just provide treatment for women’s gynecological issues and reproductive health, we ensure that your health and that of your future is safeguarded.
In the Gynecology and Obstetrics department at Zoi, each of our doctors is an expert in a specific area, which means that you will always receive specialized care and treatment in both general and specialty care. The department is strengthened by its allied branches Prenatal Education and Yoga, Nutrition, Neonatal ICU, Pediatric Care, Critical care ICU, Radiology and Urology. Since our inception we developed by listening to our patients and making available what all they are in need of.
While the needs of our patients are addressed, we ensure that their families are provided with the best support from treatment to recovery.
We perform a variety of challenging procedures including all laparoscopic gynaec surgeries/minimally invasive laparoscopic surgery for any gynaecological surgical conditions; and pain management for labour and delivery.We are available 24 x 7. Some of the best obstetricians and gynecologists in Hyderabad are teamed up at Zoi.
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“what Hysteroscopy
A hysteroscopy is a procedure that allows doctors to look inside the uterus to diagnose and treat the causes of abnormal bleeding and uterine causes of infertility. A thin telescope with a light and camera, called a hysteroscope is used to examine the cervix and the inside of the uterus.
A hysteroscopy can be either diagnostic or operative. A diagnostic hysteroscopy is used to diagnose problems of the uterus, while operative hysteroscopy is done to correct an abnormal condition detected during the diagnostic hysteroscopy.
This procedure is usually scheduled in the first week after your menstrual period. This will allow your gynecologist to view the inside of uterus more clearly.
Why get a hysteroscopy?
Your doctor may recommend this procedure to correct the following uterine conditions:
1.Preoperative Preparation
You will be required to fast for at least 6 to 8 hours before the hysteroscopy whether it is diagnostic or operative. A blood and pre-operative anaesthetic check up will be done before the procedure. Admission to the hospital will be done at 6am on the day of the surgery.
what to expert
or the hysteroscopy, you will be positioned on an operating table on your back. A 2.9 mm or 4 mm hysteroscope will be inserted into your uterus through the cervix (this requires no surgical incision). The walls of the uterus will then be examined for problems.
If an operative hysteroscopy is required, small instruments used to correct a condition will be inserted through the hysteroscope and the relevant procedure is completed. Findings of the procedure will be documented in the case summary and relevant operative pictures are saved for future reference.
Physiotherapy Requirement
Post-operative physiotherapy is commenced immediately after the procedure and will be done in about 3 to 4 sessions.
Post Op care
IV fluids, painkillers an antacid and antibiotic medication will be given until 4 to 6 hours following the procedure. Thereafter which, oral liquids will be given to you followed by a diet of soft food.
Post op follow up
After completion of the hysteroscopy, you will be sent home with advice on pain relief and antibiotics, antacids. One week after the procedure an OPD visit with the consultant ObGyn is a must, during which your histopathology report will be reviewed in relevant cases. Further treatment of the diagnosed condition will also be decided upon.
Implant option
An IUD may be placed at the same time as the hysteroscopy if needed.
What is laparoscopy
laparoscopy is a surgical procedure used by doctors to view a woman’s reproductive organs. A laparoscope (a thin viewing tube with a video camera) is passed through a small incision in the abdomen to look at the outside of the uterus, ovaries, fallopian tubes and surrounding organs. This is a minimally invasive procedure, requiring minimal hospital stay with a faster recovery time than open surgery.
There are different types of laparoscopic treatment, which includes:
1.Preoperative Preparation
You will be required to fast for at least 8 hours before the procedure. Admission to the hospital will be done at in the morning on the day of surgery.Oral pre-medication is given the night before to clean the bowel contents to facilitate the surgery
what to expert
You will be given general anesthesia to relax your muscles and prevent pain. A 10 mm umbilical surgical incision for the telescope and 2.5 mm surgical incisions for laparoscopic instruments will be made on the left side/ right side of the abdomen for the surgery.
A laparoscope will be inserted and the abdomen inflated to view your organs. The view is magnified 10 times and hence gives scope for a precise surgery.The laparoscopic instruments are used to perform the surgical steps.The relevant tissue is removed piecemeal after placing the tissue in a sterile endobag through the 10mm incision.A single or no stitch is placed at the entry points. All important surgical steps are documented for future reference.
Post Op care
IV fluids, antibiotics, antacids and pain relief medications are given during the first 24 hours after the surgery. Around 6 to 8 hours after surgery, oral liquids will be given followed by a diet of soft food. You will be able to walk around 12 after surgery.
Post op follow up
After 1 to 2 days, you will be sent home with pain relief medication, antibiotics, antacid medication and advice on diet. After the procedure, you may do regular minor household chores, bathing, climbing steps, and walking around in the house.
One week after the procedure an OPD visit with the consultant ObGyn is a must, during which your histopathology report will be reviewed in relevant cases. Further treatment of the diagnosed condition will also be decided upon.
Before the advent of modern medicine, women could not deliver a baby without pain. But now, they have the choice of delivering with minimal or no pain. Epidural analgesia is offered to women in labour to help mothers-to-be cope with pain better.Before the advent of modern medicine, women could not deliver a baby without pain. But now, they have the choice of delivering with minimal or no pain. Epidural analgesia is offered to women in labour to help mothers-to-be cope with pain better.
Epidural anesthesia is given by injecting the medicine into the epidural space of the spinal column (the space in the spine which lies above the superficial-most covering of the spinal cord). The epidural catheter will remain in place until the delivery is done and until the woman is relieved of the labour process.”
“Why get pain management?
Epidurals block the nerve impulses from the lower spinal segments so that there is decreased pain sensitivity in the lower half of the body. Fear of pain may influence a mother’s wish to have a normal delivery. Hence normal delivery rates increase with pain management”
1.Preoperative Preparation
Since labour is a natural procedure, you will be able to walk around and eat as you would normally. No specific preoperative preparation is required.
what to expert
A fine catheter will be introduced in to your lower back (lumbar spine) through which pain relief medication will be injected, which greatly reduce labour pains. The dose will be adjusted according to the requirements and patient comfort by a pump. You will continuously be monitored by both the anaesthetist and obstetrician. Uterine contractions will still be felt but without much pain.ts.All important surgical steps are documented for future reference.
Post Op care
After delivery, the epidural catheter will be removed. You will be shifted out of the labour room and into an observation room where you will be monitored for 4 hours. Afterwards, you will be moved to a private room along with your baby.
Here, you will be able to walk around and have normal food. A few women may experience numbness in their legs for a few hours after delivery and may need help with walking.
Post op follow up
A week after your delivery, you will be required to follow up with your gynecologist.
Papers
Fellowships
What is Dilation and Curettage (D&C)?
Dilation and Curettage, commonly referred to as D&C, is a minor surgical procedure performed to empty the uterine cavity. It involves dilating the cervix and removing tissue from the uterus. This procedure is typically done under anesthesia for the patient’s comfort.
Why is Dilation and Curettage Done?
D&C is performed for various medical reasons, including:
Managing miscarriages.
Investigating or treating abnormal uterine bleeding.
Removing tissue for diagnostic purposes.
Depending on the case, D&C can be done as a daycare procedure or may require a short hospital stay of one day. It provides both diagnostic and therapeutic benefits, helping manage uterine conditions effectively.”
Pre-operative Preparation;
Pre-operative preparation is individualized to each patient and would be explained by the doctor before the admission.
What to expect;
Patients need to keep in mind that any surgical procedure would be associated with pain, and to alleviate that, necessary pain medication would be given.
Some procedures might require urinary catheterization for 24–48 hours.
Follow up;
A detailed summary would be given to the patient at the time of discharge, explaining the diet, necessary medication, and personal care to be taken.”
Cesarean
What is a Cesarean ?
A Cesarean section, commonly known as a C-section, is a surgical procedure used to deliver a baby. It involves making an incision in the mother’s abdomen and uterus to safely extract the baby. This procedure is typically performed under anesthesia to ensure the comfort and safety of the mother.
Why is a Cesarean Section Done?
A C-section is recommended when a vaginal delivery poses risks to the mother or the baby. Some common reasons include complications during labor, health issues in the mother, or concerns about the baby’s well-being. It is a safer alternative when natural delivery is not feasible.
After the procedure, mothers usually require a hospital stay of 2–3 days to recover. Supportive care and medications are provided throughout this period to aid recovery and ensure the health of both the mother and baby.”
Pre-operative Preparation;
Pre-operative preparation is individualized to each patient and would be explained by the doctor before the admission.
What to expect
Patients need to keep in mind that any surgical procedure would be associated with pain, and to alleviate that, necessary pain medication would be given.
Some procedures might require urinary catheterization for 24–48 hours.
Follow up
A detailed summary would be given to the patient at the time of discharge, explaining the diet, necessary medication, and personal care to be taken.”
Medical Evaluation: Health history, medications, and allergies assessment.
Fasting Guidelines:Instructions on when to stop eating or drinking. Anesthesia Discussion: Overview of options, benefits, and risks.
During the Procedure
Personalized Care: Anesthesia plans tailored to your unique profile.
Advanced Monitoring: State-of-the-art equipment for vital signs and safety.
Expertise in Techniques : Proficiency in General, Regional, and Local methods.
Immediate Post-Op Care
Monitoring Recovery: Close watch on vital signs and immediate effects.
Pain Management: Effective strategies (medications or alternatives) to manage pain.
Patient Guidance: Clear instructions for home care, activity, and medication.
Recovery Assessment: Evaluating progress and addressing concerns.
Adjustment of Treatment: Modifying pain management based on feedback.
Support and Resources: Continued support for a successful recovery journey.
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