by Dr Neelima Mantri | Jun 22, 2023 | Blog, Laparoscopic Surgery
A tubo ovarian abscess is a condition characterised by a serious inflammation of the fallopian tubes and ovaries, which can result in pain and discomfort. It is essential to have profound knowledge and awareness about symptoms, causes, and available courses of treatment to act promptly. This article examines the essential elements of tubo-ovarian abscess, elucidating this ailment and its treatment.
The Primary Symptoms:
One must consult with gynecologists in Mumbai or another tier 1 city having the best medical facilities which can identify the disease through proper symptoms. Some of the common symptoms are:
Chronic and intense pelvic discomfort represents the primary indication of TOA. The discomfort can be confined to a specific pelvis areaand may intensify during physical activity or sexual intercourse.
Systemic symptoms such as fever and chills are frequently caused by infections. These signs could suggest the existence of a tubo-ovarian abscess.
Abnormal vaginal discharge can be experienced by certain women, the odourof which is unpleasant and the colour
Suffering from TOA may result in unpleasant sensations or discomfort during sexual intercourse due toswelling and infection in the reproductive organs.
Certain women may undergo urinary symptoms, including recurrent urination or discomfort during urination.
The Fundamental Causes:
Usually triggered by sexually transmitted infections like gonorrhoea or chlamydia, pelvic inflammatory disease (PID) frequently leads to the development of tubo ovarian abscess as a complication. If the infection is not taken care of, it can advance and result in the development of a pus-filled pocket.
Some other factors that can increase the likelihood of developing a tubo ovarian abscess are a record of pelvic infections, engaging in sexual activities with multiple partners, relying on intrauterine devices, and having experienced TOA or PID before. Consult female gynecologists in Mumbai or other cities to ensure the exact reason behind the cause of the abnormality.
Treatment:
Consulting the best gynecologist in Mumbai or other well-reputed hospitals to ensure the best treatment is a must and to be followed by all. Some of the basic treatments are:
- In the case of an infection, it is common to prescribe broad-spectrum antibiotics to target the bacteria responsible specifically. In severe circumstances, intravenous administration of antibiotics may be provided, and a particular period of oral antibiotics may follow.
- Sophisticated abscesses of significant size may necessitate drainage to remove the infection efficiently.
- Effectively managing pain is a crucial aspect of treating tubo ovarian abscesses. NSAIDs or other analgesics may be prescribed to relieve any discomfort.
- It is essential to have regular follow-up visits post-treatment to keep track of the development of the infection and guarantee its full recovery. Additional imaging tests may be conducted to verify that there is no reappearance of abscess.
To sum it up, timely identification and appropriate handling of tubo ovarian abscess hold great significance in achieving a positive outcome and averting potential complications. It is crucial to seek immediate medical care, receive a precise analysis, and undergo proper therapy such as antibiotic administration and drainage techniques.
It is advisable to seek advice from the best laparoscopic surgeon in Mumbai or other reputed medical facilities, as they offer expert attention and advanced surgical methods to guarantee optimal care for tubo-ovarian abscesses. Dr. Neelima Mantri, an acclaimed surgeon adept in laparoscopic procedures, has expertise in effectively addressing tubo ovarian abscesses. She combines her exceptional medical knowledge with compassionate care to provide excellent patient care.
by Dr Neelima Mantri | Jan 24, 2023 | Blog, Laparoscopic Surgery
Adnexal Torsion is a complex and uncommon reproductive problem where the ovaries or even fallopian tubes happen to get twisted. This unintended twisting of these reproductive organs cuts off the arterial blood supply to these organs and may even result in the death of the tissue and, permanent infertility.
“Prompt treatment is necessary to stop the death of the tissue and stop the serious problems it can trigger. However, Adnexal Torsion symptoms are mostly non-specific like other reproductive problems”, says the best gynaecologist in Mumbai, Dr Neelima Mantri.
So how is Adnexal Torsion identified and treated to prevent further problems? With the inputs from a female gynaecologist in Mumbai Dr Neelima Mantri, we tried to answer these questions here. Read on to know:
What is Adnexal Torsion?
Twisting of the ovaries along with fallopian tubes is called Adnexal Torsion as mentioned above. Ovarian Torsion is when only ovaries get twisted and fallopian tubes are spared. Both conditions can block the blood flow to damage the tissues of these reproductive organs and hence they are considered surgical emergencies.
Adnexal Torsion is mostly experienced in women of reproductive age. But it also can happen in infants, adolescents, post-menopausal women and even during pregnancy”, warns female gynaecologist in Mumbai Dr Neelima Mantri.
Adnexal Torsion Causes:
The causes of Adnexal Torsion are not exactly known. The smaller relative size of the uterus or looser ligaments that connect the adnexa to the pelvic wall or uterus are some of the hypothesized reasons for Adnexal Torsion. But there are certain risk factors which may increase the risk of Adnexal Torsion:
- Increased use of hormones that trigger ovulation
- Enlargement of ovary due to cancerous or non-cancerous tumours
- Pregnancy (yes, sometimes pregnancy may also trigger Adnexal Torsion)
Adnexal Torsion Symptoms:
The sudden onset of several abdominal or pelvic pain is the common symptom of Adnexal Torsion. This pain may or may not be accompanied by vomiting, nausea, and illness.
Diagnosis & Adnexal Torsion Treatment in Mumbai:
The symptoms of Adnexal Torsion also occur due to a variety of reproductive problems and this makes it tough to diagnose without an extensive process.
An individual blood test or imaging study may not be sufficient to diagnose this condition. Diagnostic laparoscopy is the only trusted way to identify this condition. The laparoscopy along with all other types of diagnostic studies is performed before confirming Adnexal Torsion.
Upon identifying an emergency surgical treatment is prescribed to unblock the blood supply, fix the twist and prevent further damage – the entire procedure can be done laparoscopically. Sometimes, the mass that is causing the torsion is removed at the time of the surgery and a second procedure is followed up to ensure the mass is completely removed the problem is fixed once and for all”
If you are in Mumbai and are looking for Adnexal Torsion Treatment in Mumbai, Dr Neelima Mantri is the best gynaecologist in Mumbai with a specialization in laparoscopic surgery you can contact her here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Jan 21, 2022 | Blog, Laparoscopic Surgery
For germ cell tumors, the survival rate up to 5 years is around 90 per cent for teens. Tumors are a major problem all over the world. One important country struck by these tumors is India. One major tumor is the Ovarian Germ Cell Tumor, which can be effectively removed with the help of ovarian cyst laparoscopic surgery India performed by expert surgeons such as Dr. Neelima Mantri.
Meaning of Ovarian Germ Cell Tumor
Ovarian Germ Cell tumors is a disease caused in the reproductive organ in females. It is caused by the formation of harmful or cancerous cells in the ovary. These form around the egg cells. They affect the ovaries and reproductive cells and move further to other parts of the body.
This disease usually affects girls and women.
This disease can sometimes be not very serious, but sometimes it can turn into cancer. So, it is best to get it tested and avail treatment options as soon as possible. The ailment can be treated with surgery. Being the best laparoscopic surgeon in India, Dr. Neelima Mantri has helped multiple individuals suffering from this ailment effectively.
Types
Type 1 – Dysgerminoma
Type 2 – Mature Teratoma
Type 3 – Immature Ovarian Teratoma
Type 4 – Endodermal Sinus Tumors
What are the Causes of Ovarian Germ Cell tumors?
There is no specific known cause. Some birth defects may lead to it. Usually, young women are affected by this tumor. Any person with ovaries can get affected by an Ovarian Germ Cell Tumor.
What are the Symptoms?
The symptoms of Ovarian Germ Cell Tumors include:
> Pain in the pelvic region
> Swelling of the abdomen
> Eating becomes difficult
> You feel nauseated
> Constipation
> Vagina starts bleeding
> Bleeding even after menopause
What are the Treatment options available for Ovarian Germ Cell Tumors?
When the Ovarian germ cell Tumor becomes cancerous the treatment used is chemotherapy. Chemotherapy and drugs try to kill the cancer cells or stop them from increasing.
Another treatment that can be used is surgery. In surgery, the affected part or ovary or fallopian tube is removed so as to prevent it from spreading. Such surgeries can be performed using methods like laparoscopic surgery. These are best performed by a professional laparoscopic surgeon Mumbai like Dr Neelima Mantri.
Prevention of Ovarian Germ Cell Tumors
To prevent being affected by such tumors, regular checkups are essential. They will inform you of any wrong activity in the body and will help you treat it in the early stages and prevent further complications.
Usually, after treatment, this tumor doesn’t grow back. Fertility-saving treatments can also enable the woman to become pregnant after the treatment of the tumor.
Dr. Neelima Mantri is a gynaecologist, obstetrician and laparoscopic surgeon mumbai. She has immense experience and is highly trained.
Services provided by her include: antenatal care, high-risk pregnancy, normal delivery, painless labour, postpartum services, screening tests, complex obstetrics etc.
She is one of the best ovarian cyst surgeons in Mumbai. Be sure to get in touch with such experts to avail more information about this topic.
by Dr Neelima Mantri | Oct 26, 2021 | Blog, Laparoscopic Surgery
Prolapse is when something slips out or falls out of its normal position in our body. Rectal prolapse is when the rectum or the last portion of the large intestine drops out of the anus. Although this sounds like a grave medical condition, it is not life-threatening. However, ignoring the condition of rectal prolapse is not wise. Rectal prolapse may affect your life and may be a cause of embarrassment in many cases.
There can be three types of rectal prolapse. The three kinds of rectal prolapse are as follows:
- Mucosal prolapse: This is a kind of rectal prolapse in which the rectal lining slips out of the anus.
- External prolapse: This is a kind of rectal prolapse in which the entirety of the rectum sticks out of the anus.
- Internal prolapse: This is the kind of rectal prolapse in which the rectum starts to slip off from its original position but does not stick out of the anus yet.
Symptoms of rectal prolapse:
Rectal prolapse can have the following symptoms:
- Feeling like something has slipped out of the body during bowel movements.
- Visibility of red mass outside the anus.
- Pain in the anal region.
- Leakage of blood, mucus and stool from the anal region.
Diagnosis of rectal prolapse:
Rectal prolapse can be diagnosed in a patient in the following ways:
- The doctor may conduct a rectal exam.
- Anal electromyography maybe is recommended by the doctor to check the possibility of nerve damage.
- Anal ultrasound may be recommended by the doctor to examine the muscles and tissues of the anal region.
- Manometry can be suggested by the doctor to check the strength of the anus.
- Proctosigmoidoscopy is a test that is ordered by the doctor to check the instances of scarring and inflammation in the intestines.
- Proctography investigates with the help of X-rays how well the rectum functions while bowel movements take place
- A pudendal nerve terminal motor latency test can be performed to check the pudendal nerves; which are responsible for the bowel movements in the human body.
Rectal prolapse surgery
There can be two kinds of rectal prolapse surgery. These are:
- Abdominal; which can be done using the conventional large incision or by using the method of laparoscopy. In laparoscopy, the doctor makes a small cut in the abdominal region to insert an instrument to which a camera is attached.
- Perineal; which involves the lining of the rectum or the portion of the anus that is hanging out of the anus. This kind of surgery is usually done on older people who have other medical complications.
Your options in Mumbai
If you suspect that you have rectal prolapse by going through the symptoms in the article, you must immediately consult a doctor. And if you are looking for the best laparoscopic surgeon in India, you must immediately go to Dr Neelima Mantri. Dr Neelima Mantri is considered to be the best gynaecologist and laparoscopic surgeon in Mumbai. So, without any doubt in mind, you must go get yourself checked to get a quick and careful diagnosis from the best gynaecologist and best laparoscopic surgeon in India!
by Dr Neelima Mantri | Jun 9, 2021 | Blog, Laparoscopic Surgery
Hysterectomy is the surgery of removing a woman’s uterus. It may also include the removal of other organs which surround the uterus.
Various factors may lead to hysterectomy surgery. It includes:
- > Cancer in the uterus or other surrounding organs.
- > The abnormal bleeding in the vagina.
- > Fibroids, the tumors which develop inside the uterus.
- > Infection in the uterus and its surrounding organs.
Types of hysterectomy:
Depending on the removal of the partial or total uterus, there are three different types of hysterectomy:
1. Partial hysterectomy:
In partial hysterectomy, the surgeon only removes the uterus, but the cervix remains intact. However, keeping the cervix retained increases the chance of cervical cancer. It is why this hysterectomy is not generally performed.
2. Total hysterectomy:
In a total hysterectomy, the surgeon removes the whole uterus, including the cervix, from the woman’s body. Since the cervix is removed too in total hysterectomy, there is no chance of cervical cancer. It is why it’s preferred over partial hysterectomy.
3. Radical hysterectomy:
In a radical hysterectomy, the surgeon removes the uterus along with fallopian tubes, cervix, and one or both ovaries from the woman’s body. A hormone replacement therapy is required if both the ovaries get removed in radical hysterectomy. Radical hysterectomy is performed when all the methods fail to treat cancer of the reproductive organs.
Different procedures of performing the hysterectomy surgery:
The surgeons adopt different procedures to perform the hysterectomy surgery. It depends on the kind of disease and the overall health of the patient.
Here are the different procedures of hysterectomy used by the surgeons:
1. Laparoscopic hysterectomy surgery:
Laparoscopic hysterectomy surgery is the preferred procedure to remove the uterus and other surrounding reproductive organs. It is also known as keyhole surgery. In this procedure, a tiny tube, called the laparoscope, having a small camera, is inserted through the small cut made in the abdomen.
The small camera allows the surgeons to see the internal organs. Once they see the uterus, they cut it into small pieces with the help of their instruments. In this way, the uterus gets removed from the woman’s body.
2. Abdominal hysterectomy surgery:
An abdominal hysterectomy procedure is followed by the surgeons when the patient suffers from a pelvic tumor, and it’s not possible to remove it through the vagina. In this procedure, the incision is made on the tummy to remove the womb.
3. Vaginal hysterectomy surgery:
In a vaginal hysterectomy, an incision is made on the top of the vagina. The surgical instruments are inserted inside the vagina to remove the womb and cervix from the woman’s body. Vaginal hysterectomy is preferred over abdominal hysterectomy because it completes in a short time, and the recovery rate is also fast.
Before the hysterectomy, the patient must ensure that he is in good health and can cope with the surgery. It reduces the risks and increases the recovery rate.
Dr Neelima Mantri is the best laparoscopic surgeon. She has received her training in laparoscopic hysterectomy from South Korea. Visit Dr Neelima Mantri to get the best treatment in hysterectomy Mumbai.
by Dr Neelima Mantri | Jun 9, 2021 | Blog, Laparoscopic Surgery
Ovarian cyst laparoscopic surgery is used to remove cysts from either of the ovaries from a woman’s body. It is also called ovarian cystectomy. A cyst is an abnormal growth in the ovary which is filled with liquid. The normal cysts do not cause any pain, but if they do, they need to be removed from the uterus with the help of laparoscopy.
The cysts usually disappear from the uterus, and there is no need for an ovarian cyst laparoscopic surgery. The patient needs to remain watchful. She does not need to go for immediate treatment. If the cyst does not disappear even after four months, the woman needs to undergo an ovarian cyst laparoscopic surgery.
If the cyst does not disappear, the patient undergoes surgery.
However, the treatment depends on several factors. These are:
- > The size of the cyst.
- > The cyst is causing pain in the uterus.
- > There is a possibility that the cyst will cause cancer in the uterus.
Procedures for the cyst removal from the ovary:
There are two procedures for the removal of a cyst from the ovary.
1. Laparoscopy:
In a laparoscopic procedure, many small incisions are made on the abdomen of a woman’s body. Special surgical equipment, with a small camera, is inserted through this incision. A gas, usually carbon dioxide, is blown into the pelvis. It allows the doctors to look at the reproductive organs of the body.
Once laparoscopic surgeons locate the cyst, they cut it into smaller pieces. After doing it, they remove it from the uterus. A dissolvable stitch is used to cover the incisions made on the woman’s abdomen. Laparoscopy is preferred by the patients because it takes less time to operate. It is also a less painful method for cyst removal from ovaries.
2. Laparotomy:
In laparotomy, a single big incision is made on the woman’s body. It is because laparotomy is performed when the cyst size is quite sizable, and there are chances of cancer. In this procedure, the whole ovary is removed and sent to the laboratory for diagnosis. If cancer is found in the ovary, doctors prescribe further treatment to the patient.
What happens after surgery:
The naval area and abdomen become sore after the surgery. Patients also feel pain in their back due to the gas placed during the procedure. The stitches dissolve on their own. Also, some discharge is released from the patient’s vagina. The above problems are usual, and they disappear after a few days.
The surgeons of ovarian cyst Mumbai advise to not soak the incisions in the water. It creates the risk of infection in the incisions.
However, the patient should immediately call the doctor if she:
- > has a fever greater than the normal threshold.
- > feels severe vomiting.
- > sees redness or irritation on the incisions.
- > is suffering from acute abdominal pain.
Dr Neelima Mantri is a well-known laparoscopic surgeon in Mumbai. She performs minimal access surgeries on the patients. Visit Dr Neelima Mantri, the best doctor for ovarian cyst in India, to get the best treatment.
