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Gynaecology

gynaecology

Curettage of the uterus (womb) is the scraping of the lining of the uterus – this procedure is commonly referred to as D&C or dilation and curettage. There are two main reasons why a D&C is performed:

  • 1) An evacuation D&C is performed in a recently pregnant woman to remove residual tissue in the womb

  • 2) If a woman is experiencing heavy or irregular periods or vaginal bleeding after menopause, D&C forms part of the main investigation.

Hysterectomy is the total or partial surgical removal of the uterus, normally done by a gynecologist. Hysterectomy may be total removing the body and cervix of the uterus or partial removal. In many cases, surgical removal of the ovaries is performed concurrent with a hysterectomy. The surgery is then called "total abdominal hysterectomy with bilateral salpingo-oophorectomy"

Tubectomy litereally means cutting of tubes, which in this case are fallopian tubes which are situated in the lower part of the abdomen. These tubes are attached on one end to uterus and the other end opens in the abdomen. When the ova are released from the ovary, it is picked up by Fallopian tube and is transmitted to the uterus. If sperms are present in the Fallopian tubes, ova is fertilised and then that is embedded in the uterus. Hence, the fallopian tubes are responsible for transmitting ova from ovaries to uterus. In Tubectomy operation the tubes are divided by cutting the tubes so that ova are not transmitted to uterus.


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