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How Complicated Is Cervical Adhesion Removal Surgery?

Posted on Mon, 21 Dec 2015

Question: Today my wife had to undergo polyp removal surgery i.e hysteroscopic polypectomy. However, after anaesthesia, the surgery could not be done because doctor said that uterus wall is cemented and since it is fibrous, they could not insert to remove the polyp. She said that first the blockage between vagina and uterus need to be removed by some expert who has experience in this field as it require specialisation. I would like to ask that how complicated the operation is, as we are desperate to have a child. Our marriage is 21 months old and my wife is of 37 years. Second, we conducted so many ultrasound in the last 21 months but no one detected it. Is it possible? Third, which are the good centres for such specialised surgery? Fourth, after the operation, we would have child as our other reports are good. Kindly reply.

Answered by Dr. Mahesh Koregol (30 minutes later)

Brief Answer:
Details required

Detailed Answer:
Hi,

I wish to know more details about surgery exactly as in discharge summary of hospital. I don't understand completely.Please request the procedure summary or discharge card and upload it with question so that I can see it.

I am expert in this field and want to see what exactly happened.

Let me know the details to help you more.

Also let me know which city and doctor performed the procedure ?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (15 minutes later)

1) there was some polyps found in tvs ultrasound. So doctor at fortis XXXXXXX advised for minor surgery today for polyp removal.but she said that some polyp could not be removed as uterine wall is fibrous.
2) she said there is blockage between vagina and uterus due to this.so laparoscopy need to b done by making fine incision which can b done by someone who is an expert. After this only we can have baby.
3) I want to know why such things were not detected in ultrasound?
4) I wanted to know expert who can do such laproscopic surgery which would involve fine incision. How complicated r such surgeries?
5) she will be discharged tomorrow.

Answered by Dr. Mahesh Koregol (17 minutes later)

Brief Answer:
This can be operated. Not complicated

Detailed Answer:
Hi,

This is not a complicated surgery. It is possible that there was adhesions in cervix which prevented the Hysteroscope from advancing forward.

This cannot be identified by ultrasound scan. Such adhesions are encountered during surgery only.

This can be operated by a Laparoscopic surgeon. This is not a difficult surgery in trained hands.

This will be solved and you can try for pregnancy after the polypectomy.

Let me know if you need anymore help.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (13 hours later)

Discharge summary says: An attempt to negotiate internal os with dilator no. 2 made, but it was not possible as cervical canal was fibrosed. Hence, decision to abandon the procedure taken as patient needs laparoscopy guided hysteroscopic cervical adhesiolysis.
I want to know who are the best doctors in XXXXXXX to perform this surgery? How complicated the operation is, as we desperately need baby.

Answered by Dr. Mahesh Koregol (10 minutes later)

Brief Answer:
There are many experts available to get this test done

Detailed Answer:
Hi,

There are many doctors who can perform this surgery in XXXXXXX This is not a complicated operation.

In XXXXXXX you can approach Dr. XXXXXXX XXXXXXX who is an expert in field of reproductive medicine. You can say my name for reference. I am in XXXXXXX
Her number is : 0000.

She will definitely help you in best way for conceiving successfully.

Let me know if you need anymore help.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (44 hours later)

One doctor has suggested Dr XXXXXXX Manchanda name for endoscopy gynae surgery, saying he is among the best in the country. Kindly suggest if you have any idea about him as we want to complete the procedure ASAP. Dr Manchanda has his clinic in XXXXXXX

Answered by Dr. Mahesh Koregol (2 hours later)

Brief Answer:
You can consult him

Detailed Answer:
Hi,

I am not sure about h in but must be good as you have collected information.

You can go ahead and consult him. Any good laparoscopic surgeon can do it as this is not an extremely complicated procedure.

Consult him and let me know what happens if there are further difficulties.

Regards

Above answer was peer-reviewed by : Dr. Yogesh D