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Big Fibroid operation refused in U.K & Was done successfully laparoscopically in India


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Instructions before Laparoscopic Surgeries

Before Laproscopy:

Because you have been scheduled for ambulatory-or out patient surgery/Day Care Surgery, you are responsible for taking certain precautions before you arrive. Specially….

  • You must not have anything to eat or drink after midnight/10 pm on the night before you arrive at the hospital.
  • You have to eat light diet on the previous day evening
  • In some major laproscopy surgeries you have to take Pegelac powder with one litre of water in the early morning on date_____ on the day of surgery. I.e. six hours prior to surgery.
  • Do not take any aspirin or other anti-inflammatory medicine for 10 days before surgery or you must tell to your doctors about all medicines that you are taking. Occasionally these drugs can interfere with the blood’s ability to clot & can actually increase the amount of bleeding during and after surgery.
  • If you are on any medications- including over the counter drugs- be sure to ask your doctor whether or not you can continue taking that medication and if not, how far in advance of surgery you should stop.
  • Finally, you must also arrange for transportation to and from the place you are arriving and our Hospital Different patients reacts differently to even simple surgical procedure and there is no way you can predict how you will be feeling after the procedure .So don’t forget, following surgery, you will not be allowed to drive.
  • Remember; don’t hesitate to ask any questions about any of the information that they’ve just provided. Mention all about all the drugs for which you have noticed drug reaction in the past.
  • You must have to come on_____time on date _____at hospital.


Brief about surgery:

    • On the day of your operation, you will be asked to put on a surgical gown. You relatives should remain present for the consent for the operation.
    • An intravenous line may be put in.
    • You will then be transferred to the operating table.
    • Your doctor will scrub thoroughly & will apply an antiseptic solution to the skin around the area where the incision will be made & place a sterile drape around the operative site.
    • The anaesthetist will begin to administer anaesthesia –most probably general anaesthesia.
    • After a few minutes of anaesthesia, a small incision is made in the umbilicus.
    • Then a hollow needle will be inserted through the abdominal wall, and the abdomen will be inflated with carbon dioxide. An umbilical port is created for the laproscope. Doctor visualizes the internal picture on special medical Monitor (T.V.). One or more incisions will be made, with care taken to keep the openings as small as possible. During the procedure, the surgeon will use the laproscope to find and identify the areas of your inside body of interest as well as to guide any other instruments required for the completion of the procedure. The whole surgical procedure is recorded in computer for offering DVD to all patients. Then the instruments are withdrawn, the carbon dioxide is allowed to escape. Most of the times no need to take any stitch at umbilical port. Sometimes stitch is necessary to take on other incisions. Finally one or more sterile dressings are applied.

Before Hysteroscopy

  • You must not have to eat or drink 4-6 hours before the surgery.
  • You must have to come at_____time ondate______on____day at hospital.


Brief about procedure:
On the day of your operation, you will be asked to put on a surgical gown. You must have to give consent for operation. An intravenous line may be put in. Patient is then transferred to operating table. Your doctor will scrub thoroughly & apply an anti-septic solution to the skin around the vulva. And place a sterile drape around the operative site. The anaesthetist will begin to administer anaesthesia-most probably general anaesthesia. After that vagina is cleaned with anti-septic solution. Then surgeon will insert a Hysteroscope in endometrial canal through vagina and cervical canal. After visualization of cavity if it is normal then doctor will withdrawn the hysteroscope.


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