Is a complicated pregnancy the end of the road?

Kim Kardashian has been in the news the past few weeks. She’s been very vocal about her desire to have a third child. However, there have been ongoing debates in the media, should she have another child? Is it safe to have another child after a high-risk pregnancy?
For those who came in late, Kim underwent a harrowing time at her previous pregnancy. She was diagnosed with Pre-eclampsia, a condition marked by a sudden increase in the blood pressure of a pregnant woman and delivered prematurely at 34 weeks. To add to that, she was also diagnosed with a Placenta Accreta, a condition where the placenta grows so deeply into the uterus that it cannot be separated after delivery. Read
We’ve been flooded with inquiries by prospective mothers, can a high-risk pregnancy lead to difficulties in future pregnancies? What should women who have had a miscarriage, an abortion or a complicated pregnancy expect in their next attempt at motherhood?
The SurgeryXchange experts advise that women who have recently confirmed that they are pregnant and those who are planning to start a family must undergo a risk evaluation. These risk factors can determine the outcome of your next pregnancy. So, what are these risk factors?
Age of the mother: If you are 35 years old and older, then you are classified as a high-risk pregnancy. Similarly, young teenage mothers whose bodies are yet not ready for motherhood are also considered high risk.
Lifestyle choices: Smoking cigarettes, drinking alcohol and other recreational drugs can create a risk
Previous Obstetric History: A previously complicated pregnancy, a previous Caesarean Section can also impact the current pregnancy
Existing medical conditions: Pre-existing diseases and chronic conditions such as diabetes, high blood pressure, kidney disease, and epilepsy also increase pregnancy risks.
Pregnancy complications: Conditions such as pre-eclampsia (which Kim Kardashian was diagnosed with, Eclampsia, a severe form of pre-eclampsia which may lead to seizures, Multiple pregnancies i.e. pregnancy with twins, triplets or more is definitely marked as high risk.
Do you recognize any of these risk factors? Relax, timely identification of these risk factors is the first step. Under the guidance of a qualified doctor, even the most complicated pregnancies can have successful outcomes. In addition, your Obstetrician ensures that sure you undergo a complete check-up and answer any other apprehensions you may have.
While Kim might have access to the best doctors, do you feel confused about who is the right doctor for you? Head to SurgeryXchange and book an appointment with our experts who will guide you through your journey.

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Should you get a mammogram and if so when?

Worldwide, breast cancer is the most common cancer (other than skin cancers) and the second most common cause of cancer deaths among women.

Screening with mammography is recommended based on age, risk factors and overall benefit to the patient. Large Trials conducted in the Western population have shown about a 20% reduction in the likelihood of dying from breast cancer with annual screening mammography. 

Typically, this is recommended starting at age 50, every other year for women at average risk. Between 40-50 years of age, the recommendations are individualized based on the risk factors for the patient. A baseline at age 40 and then every 2-3 years until age 50 may be a reasonable option. The age of cut off for mammography is not clear. It is not so much the numerical age as the physiologic age of the patient that matters. However, there is no clear-cut benefit beyond age 75.

This does not apply to high-risk patients such as patients with a gene e.g., BRCA mutation who may need MRI screening yearly along with mammography starting at earlier ages. Patents with the 2-4 fold increased the risk of breast cancer should also consider yearly mammogram between ages of 50-75 and every other year starting at age 40.

Risk factors typically include genetic mutations such as BRCA, early onset of menstrual cycles, late onset of menopause, late or no childbirths etc. 

So, why the controversy regarding screening when studies have shown a decrease in mortality? Some of this comes from the potential complications with all screening, such as false positive mammogram possibly leading to anxiety, more frequent imaging, unnecessary biopsies etc. there is a small radiation exposure associated with mammography which in itself can lead to a small risk of breast cancer over a number of years

When routine mammographic screening was first introduced in the US, there was an increase in the incidence of breast cancer, more cancers were diagnosed which has led to the concept of “overdiagnosis”. Are we diagnosing small cancers, which may never truly cause any problems during the lifespan of a woman? Currently, there are no methods available to determine which early cancers may progress to actually cause life-threatening problems in a woman.

This is of major concern as it may lead to treatments such as surgery, radiation etc which may result in harm.

Mortality from breast cancer has been declining over the last few years; some of this has been attributed to screening, but also to the major advances in treatment. The argument is made that patients diagnosed without screening will also likely survive breast cancer with modern day treatments.

However, this generalization does not take into account that without awareness of screening and education as well as a close relationship with a family physician or gynecologist many of these cancers may be diagnosed at a late stage leading to increased mortality once again from breast cancer. We have made too much progress to return to Ground zero. There should be a well thought out, an individualized plan for each woman in conjunction with her Primary provider taking into account her risk and preferences. Mammography guidelines serve as a good template for such a tailored plan.

For more details visit- Surgeryxchange

Hymenoplasty

What is it all about?

As straightforward as you’d think this is, to correctly answer this question we first have to elaborate what a “hymen” is? Fundamentally, the hymen is a membrane that partially covers the opening of the vagina. For some women, the specifics can get a little bit tricky as there is no correct or standard size and there are also a few women who are born without a hymen. If there has been a rupture, what hymenoplasty surgery does is it helps in allowing the hymen to be restored back to the intact state. Just like in its initial state. What are the benefits? Many people get it done to restore the sense of Virginity. Whatever is the reason, the benefits are to restore the hymen if you want it back.

What Are Your Options?

If restoration of the hymen is something that you’re really interested, you may log on to the SurgeryXchange platform, click on the link Get SurgeryQuote for Hymenoplasty surgery in India. There would be three specific procedures you may be asked to choose from: Basic stitching of hymen that was recently torn. A more extensive procedure that creates a new hymen altogether from the lining of the vagina. This has comparatively a longer recovery period than other methods although it does include an authentic blood supply. Typically a procedure performed days ahead of the wedding night and there’s the option of creating a bloodless membrane without or with the addition of artificial blood. Chances are that you’ll be selecting any one of the latter two procedures from the hospitals in India with best options that match your needs

What Can You Expect?

BEFORE

Once you log on to the SurgeryXchange platform and raise a hymenoplasty surgery request, from your perspective, everything starts with the initial private and confidential consultation. During the consultation, SurgeryXchange network Hospital in India and their doctors will be in touch with you. You will be informed of your best options and the doctor will work with you to ensure that you’re choosing the best option for your surgery in India.

DURING

If you are local to India, you will be in touch with our doctors on the platform. If you are not from India and decide to come to India for hymenoplasty surgery through SurgeryXchange you’re in good hands from the word go. You’ll be placed under anesthesia to make sure that you remain painless from start to the finish Once doctor feels you’re ready, he or she will most likely use lasers to perform the procedure.

AFTER

The good news for women who have busy schedules to manage is that this is a day surgery. Which means is that you don’t have to spend the night at the clinic once you are through your surgery we will coordinate the logistics back to your hometown/city. The hospital on our network would be available for any of your queries post procedure. You may also reach to us through any of our instant messenger, or helpline listed on the SurgeryXchange website.

Hymenoplasty cost in India

Once you put in a request on SurgeryXchange platform, we will get back with the best options for your request including cost that is not only affordable but also lower in cost compared to other developed countries. Currently, the services are available in Bangalore and we would get you the cost of hymenoplasty in Bangalore.

For more details visit- https://surgeryxchange.com/

Nuss Procedure Pectus Excavatum in India

Some people have a sunken chest. This is because the Sternum and Rib cage do not grow normally.

A surgical procedure used to correct this is called the Nuss Procedure. It is usually carried out by CardioThoracic Surgeons. More recently Plastic Surgeons seem to perform this surgery. Sometimes a Cardiothoracic surgeon and a Plastic surgeon may do this together.

This is a Minimally invasive procedure originally used in children. It is now used in teens and Adults in their twenties.

Nuss Procedure uses the technique of pushing in concave steel bars under the sternum. It is then flipped to push outward on the sternum. This corrects the deformity. The steel bars are left in there for 2-5 years.

The patient will need another surgery to have the steel bars removed.

Nuss Procedure can be done in India and costs a lot lower compared to some other countries.

Bariatric Surgery

Weight loss surgery is another name for Bariatric Surgery. Reducing the stomach size is a means to weight loss.  Weight reduction can have significant proven benefits such as recovery from diabetes, lessening the mortality by a significant percentage and enhanced cardiovascular activities.

Treatment of Obesity in India

Rapidly changing eating habits and access to fatty foods has caused an increase in obesity. Obesity leads to diabetes, Cardiovascular diseases, some cancers like endometrial, breast and colon and musculoskeletal disorders. Weight loss surgery in India is cost effective and of high standards.

Cost of Bariatric / Obesity Surgery in India

India is favored for Bariatric Surgery procedures. Weight loss operation is low cost in India are affordable & just a fraction of the expenses in western countries. India is fast becoming the place of choice for Bariatric or Obesity Surgery.

Obesity

Most common associated conditions in obese people are Type II Diabetes, High Blood Pressure, Osteoarthritis, Sleep Apnea, Heart Disease, Respiratory Problems, Depression GERD, Heartburn, X Infertility, Menstrual Irregularities, Extremity Venous Stasis Urinary Stress Incontinence, Skin Breakdown, Swollen Legs, Skin Ulcers, Dyslipidemia (Lipid Metabolism Abnormalities) & Pulmonary Embolus.

Types of Surgeries done in India

Laparoscopic Adjustable Gastric Band Surgery

This Solution to the weight-loss problem is very effective. This is typically performed under general anesthesia. Here a band is placed around the upper part of the stomach. This creates a small pouch which can hold food. The band is to limit the amount of food consumed so one feels full with smaller amounts of food. Thereafter the band is adjusted to make food pass through the stomach.

Gastric Bypass Surgery

This involves adjustments to the way in which stomach & small intestine handle food. There are different ways to reconnect with the intestine. This leads to a modified physiological response to food and also reduces the functional volume of the stomach. A Gastric Bypass Surgery will cause your stomach to be smaller because of the alterations made leading to lesser absorption. This surgery also results in feeling full with lesser food consumption.

Biliopancreatic Diversion Surgery

Biliopancreatic Diversion is yet another way to reduce the size of the functional Stomach. This helps in bypassing of parts of the small intestine which leads to a reduction in absorption of calories. This procedure involves risk and this is therefore advised only when a person is BMI 50 & above & and is unable to reduce weight through other methods. Patients have advised a healthy lifestyle which means keeping physically active, some exercise and healthy food eating habits.

Gastric Reduction Duodenal Switch Surgery

GRDS is a procedure for weight loss that deals with restrictive & mal-absorptive aspects of digestion. About 70% of the stomach along greater curvature to treat the restrictive aspect. Lengthy portions of the small intestine are routed by creating two pathways & single common channel to deal with the Mal-absorptive aspect of surgery. GRDS surgery gets about 20% of fat intake to be absorbed into the system.

Basic Eligibility for Bariatric / Obesity Surgery in India

1. 45 Kg Or More Above Ideal Body Weight.

2. BMI 35 Or More With One Or More Obesity-Related Health Condition.

Ophthalmology

Ophthalmologists are physicians with a college degree who have completed medical school and residency. Ophthalmology training provides eye specialists with a complete spectrum of eye care including medical treatment, prescription contact lenses and glasses alongside complex microsurgery. A vast multitude of conditions and diseases associated with the eye can be treated under Ophthalmology.

What is Ophthalmology?

Ophthalmology is a practice and study that deals with medical procedure, anatomy physiology, and disease. A recent report indicates that 285 million people are visually damaged all around the globe. Among them 80% visual impairment problems can be effectively cured. Most eye diseases don’t inevitably cause symptoms for longer a longer duration of time. An Early diagnosis and proper treatment can avoid loss of sight which may even result in blindness. Hence  Timely due care must be especially given to eye disorders like diabetic eye disease, macular degeneration, glaucoma, etc. At SurgeryXchange we ensure you get the best options for all your ophthalmology treatments at a cost that offers you best and affordable treatment.

Corrective Laser Eye Surgery:

CLE or Corrective Laser Eye Surgery is also called Refractive Eye Surgery or Vision Correction Surgery. Laser in Situ Keratomileusis ( i.e. LASIK) is the most popular eye procedure of the famous three. LASEK – Laser Epithelial Keratomileusis and Photorefractive Keratectomy (PRK) are the other two. Total results of these eye surgical procedures are long-lasting over a seven-year follow-up. These are not one-size-fits-all procedures and therefore each one must be evaluated and treated as individual cases. The cost of each of these procedures also varies depending on the type of procedure and patient evaluation.

LASIK Eye Surgery:

Laser In-Situ Keratomileusis surgery is a well-known eye procedure that is used for vision correction in people who are either nearsighted, farsighted or having astigmatism. Generally, vision-correction surgical procedures work by re-shaping cornea ( that lies in the front portion of the eye) such that light passing through is focused on the retina located within the back side portion. Worldwide LASIK is one of the top surgical techniques utilized to reshape the cornea. It is known to be associated with very little pain and generally corrected vision is immediately available.

IntraLase:

In IntraLase surgery, the eye surgeon utilizes an extra laser regardless of utilizing a blade to create the flap in the outer layers. Intralase ophthalmology eye surgery is pretty similar to LASIK.

Photorefractive Keratectomy (PRK):

It is a  laser eye surgery which is used to treat, mild or moderate short sightedness, long sightedness or astigmatism. In this procedure to correct vision, the outer layer of the cornea is reshaped using an excimer laser. This type of vision correction surgery, which lasts for not more than a minute may also comprise removal of the corneal flap as part of the technique.

Glaucoma:

Glaucoma is a term which broadly describes a group of ocular disorders which results in optic nerve damage and Intraocular Pressure (IOP). It is further branched into Closed-Angle and Open-Angle Glaucoma. Usually, Open-Angle Glaucoma develops slowly over long periods of time. This is, however, a painless process. It often does not display any visible symptoms until the disease has progressed significantly. However, Closed-Angle Glaucoma is characterized by redness & sudden eye pain, vomiting and nausea. A sudden spike in intraocular pressure results in symptoms. This is absolutely a case of medical emergency. In certain cases, it can permanently damage vision. Treatments aim to prevent further loss as vision once lost cannot be recovered. Hence it is important to get the diagnosis done early which not only helps in getting best options including the cost of  Glaucoma. According to a report, the second leading cause of blindness,  in the world is Glaucoma.

Opthalmology cost in India

Once you submit a request on SurgeryXchange platform, we will reply to you with best options for your request including cost that is not only affordable but also low in cost as compared to other developed countries. As of now, we are servicing Bangalore and we will get you the cost of Opthalmology treatments and procedures in Bangalore.

Obstetrics & Gynecology Surgery in India

Treatment for Open Hysterectomy and Laparoscopic Hysterectomy in India

Hysterectomy is a surgical procedure where the uterus is removed through an incision in the area of the lower abdomen. The baby would grow during pregnancy in this area. The cervix and uterus are removed in total abdominal hysterectomy whereas just the uterus is removed in a partial hysterectomy. In case of total abdominal hysterectomy, one or both ovaries along with fallopian tubes are removed if the need arises. In case of vaginal hysterectomy, an incision in the vagina is made.

Robotic or Laparoscopic surgical approaches are also performed where incisions made in the abdomen for hysterectomy where long & thin instruments are passed through it. Abdominal hysterectomy is generally the preferred surgical procedure or if the surgeon would like to probe other pelvic organs or you have a large uterus.

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Tubal Ligation in India

Tubal Ligation is also known as Tubectomy. It is procedure involving sterilization in which a woman’s fallopian tubes are severed or blocked and clamped and sealed. The purpose of this method is to prevent eggs from reaching the uterus. Though occurrence of fertilization within fallopian tubes cannot be ruled out. Tubal Ligation is largely considered a permanent method of birth control and female sterilization. This surgical procedure requires patients to undergo spinal anesthesia. Setting Tubal Ligation procedure is considered as 99 percent effective in the first year and usually performed in hospital Operation Theater. Tubal implants in India are a low-cost procedure to serve your need for birth control. In case the minimally invasive approach is your requirement, affordable treatment through Laparoscopic Tubal Ligation done in India can be your perfect match.

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Tubal Ligation Reversal

Tubal ligation reversal is done to reverse it and to restore fertility. The results are highly successful on a tube that is healthy. The blocked segments are reconnected allowing sperms & eggs to once again move through the tube. Post reversal the probability of success in pregnancy is between 80 to 85% in the cases surveyed.

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Tubal Recanalization procedure.

Tuboplasty is another name for procedure of Tubal recanalization. In this procedure, fallopian tubes are reopened by clearing of the blockages. Any pelvic inflammatory disease like chlamydia or gonorrhea can cause blockages. mucus, debris and scar tissue are cleared so as to restore normal functions of uterus. It is non-surgical painless procedure.

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Laparoscopic Myomectomy

This procedure depending upon the size & number of fibroids takes only 3-4 hours. This is an outpatient procedure. A minimally invasive procedure, where a laparoscope is inserted at area where a small incision is made near area of belly button. The fibroids are removed and the place is stitched back again with the help of surgical instruments. This is done only by a skilled surgeon as it is a tough procedure.When traditional surgery is compared to Laparoscopic Myomectomy which has extremely low failure rates in procedures.

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Uterine Fibroid Embolization

Uterine Fibroid Embolization is also known by the name Uterine Artery Embolization. This procedure is specific to women who are not interested in planning future pregnancy. In this procedure blood flow to the fibroids are being blocked by making a small incision in the femoral artery area. This procedure is typically done by a radiologist. This procedure serves as best replacement to hysterectomy procedure.

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Prolapsed Bladder

Bladder relaxes & contracts to control the movement of urine. When there is an urge to urinate, pressure is built. In female anatomy, the front wall of vagina supports the bladder. Loosening or Weakening of bladder can lead to problems like urinary incontinence, difficulty in passing urine and intercourse that is painful. With prolapsed bladder surgery conditions like urethrocele & Cystocele are successfully treated at an affordable cost in India.

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Abnormal Cervical Cell Changes through LEEP

LEEP or Loop Electrosurgical Excision Procedure where an abnormal cervical tissue detected during colposcopy is cut using thin, low voltage electrified wire loop. This can also be used to remove high abnormal tissue which is present inside cervical canal. LEEP is also known as LLETZ that is, Large Loop Excision of Transformation Zone and is considered to be an great alternative to cone biopsy procedure. The LEEP procedure involves using acetic acid or iodine solution application to cervix before the procedure so as to make abnormal cells more visible. Normal activities can be pursued in 1 to 3 days after LEEP procedure. Most Common post procedure after LEEP surgery include dark-brown vaginal discharge in first week, mild cramping, & spotting which may occur for a duration of about 3 weeks. Associated precautionary instructions patients need to ensure douching should be avoided, that pads should be used in place of tampons, and to abstain from sexual intercourse for a period of 3 weeks. LEEP is an effective and excellent surgical procedure in cases like that of abnormal cervical cell changes.

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Infertility and Reproductive Endocrinology

The Reproductive Endocrinology or REI and Infertility is an Obstetrics & Gynecology surgical subspecialty addressing hormonal functioning pertaining to issues of infertility and reproduction. It looks forward to evaluating dysfunctions in male and female reproductive systems, where treatment of infertility is in focus. An Reproductive Endocrinologists specializes in In Vitro Fertilization (IVF), Hypothalamic Pituitary Dysfunction Polycystic Ovarian Syndrome (PCOS), Tubal Factor Infertility, Congenital Adrenal Hyperplasia, Endometriosis, Congenital Uterine Anomalies alongside various other occurring disorders of female reproductive system and Techniques of Fertility-Preservation. Along with surgical & medical treatment of these and its associated disorders, Reproductive Endocrinologists are also experts in taking good care of pregnant women which includes delivering babies.

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Gynecological Oncology in India

In Gynecological Oncology focuses is on cancers of a female reproductive system comprising, ovarian cancer, uterine cancer cervical cancer, vulvar cancer & vaginal cancer. Time plays a vital factor in administering treatments for gynecological oncology. Proper Diagnosis is critical and crucial while determining appropriate treatment plans not only for the effectiveness of the treatment but also to ensure low cost of treatment. It is not only important to consider the seriousness and nature of the problem to be treated together along with the patient’s general medical history but also her expectations of the treatment. Healthcare & patient team are required to evaluate collectively numerous gynecological cancer treatment options to come to logical decisions.

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Female Reconstructive Surgery

Age & childbirth cause women to develop disorders of the pelvic floor which affect the uterus vagina, uterus, rectum and bladder. In the beginning, there may be symptoms of pressure or heaviness in the pelvic area or finding it difficult to keep a tampon in vagina. Some women may experience involuntary urine loss during activities like, laughing, sneezing vigorous or coughing or exercising while others feel tissue falling outside of vagina.As a matter of fact very few women go-ahead for the treatment despite half of the women experience some of these symptoms in a lifetime. Most often women often hesitate to discuss these with the physician and are embarrassed by such symptoms. These conditions need not be endured as they are not a normal part of aging. There are many ways to manage and correct these symptoms warning signals. A choice of treatment options from surgery and drug to physical therapies are available, at a fraction of treatment cost as compared to other developed countries which include robotic reconstructive procedures and laparoscopy along with comprehensive diagnostic evaluation and examination of conditions related to the surgery.

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Pregnancy Termination

Pregnancy Termination is generally called Abortion. This is a medical procedure to end the pregnancy so that it does not culminate in the birth of a child. The pregnancy is ended by surgical procedure depending upon the number of weeks after conceiving or through medication. However, miscarriage is not the same as Pregnancy Termination which abruptly ends a pregnancy without any medical intervention. Women facing pregnancy complications or unwanted pregnancy can consider this option. Suction Curette is the most common type of Pregnancy Termination.This procedure involves removing the contents & lining of the uterus where gentle suction with a small plastic tube is applied. This is a low-risk procedure and is normally employed between 7 to 12 weeks of pregnancy. The duration of the procedure is 15 minutes and requires about 4 hours stay at the hospital. The abortion pill which is effective in cases earlier than 1 to 9 weeks of pregnancy is also another low-risk medical alternative to surgery.

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Treatments in India for Other Obstetrics & Gynecology

Obstetrics & Gynecology hospitals in India are considered to be some of the best in the world and that too at the cost that is very low compared to the other developed countries.  The hospitals are Capable of treating almost any and every medical condition related to the female reproductive system, some other general female healthcare solutions include, Myomectomy for Fibroids treatment, Laparoscopic Ovarian Cystectomy treatment, Diagnostic Laparoscopic treatment procedures for gynecologic purposes & Ectopic Pregnancy Evacuation treatment.

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Menopause Gynecology

Menopause is a natural transition in women’s life typically occurring between the ages of 45 and 55. This h could last for a duration of about 5 years or even more. ‘Cessation of monthly cycles’ is what ‘Menopause’ literally means. There would be a permanent stoppage of monthly menstruation periods which indicates the end of the fertile period in the female sex. This is primarily because ovaries have functionally reduced leading in decreased levels of estrogen & progesterone. This decrease in hormone levels are symptoms of Menopause. Nevertheless, their significance and specific symptoms vary from one individual to the other. If a woman misses periods for 12 successive months in absence of any sure symptoms, Menopause can be confirmed.

Obstetrics and Gynecology cost in India

Once you log on a request on SurgeryXchange platform, we will revert with best options for your request including cost that is not only affordable but also lower in cost when compared to other developed nations. Currently, our services are available in Bangalore and we will get you the cost of Obstetrics and  Gynecology treatments and procedures in Bangalore.

For more details visit: https://surgeryxchange.com/