Labiaplasty Surgery

What is labiaplasty?

Labiaplasty is a surgical procedure to reduce or increase the size of your labia. The surgery is done to improve the appearance of your labia, to reduce physical discomfort or as part of gender-affirming surgery.

Your labia are the folds of skin around your vagina opening. You have two folds of skin. The outer folds are called the labia majora, which means large lips. These folds are the larger fleshy folds that protect your external genital organs and are covered with pubic hair after puberty. The inner folds are called the labia minora, which means small lips. These skin folds protect the opening of your urethra (where your pee leaves your body) and vagina.

During a labiaplasty and depending on why it’s being done, your surgeon either:

• Removes some tissue from the labia to reduce its size.
• Injects a filler material or fat into the labia to enlarge it.
• Reconstructs a labia from other tissue.

Labiaplasty procedures

Initially, there was a single procedure for labiaplasty, and it was very popular as well. With the change of time and advancement in techniques, several techniques have evolved. Some of them are as follows:

Trim procedure

It is the original technique and is most natural to perform. It is also the most widely used technique used by surgeons. In this procedure, the excess part of labia minora is removed and sutured so that it is symmetrical with the labia majora.

Wedge procedure

In this procedure, a partial thickness wedge is removed from the thickest part of the labia minora. The submucosa (layer tissue beneath a mucous membrane) must be left intact by removing only a partial thickness. This procedure gives the vagina a natural look after the surgery as well, preserving the wrinkled edges.

There are several other techniques for reducing the labia minora, and all these techniques have certain advantages and disadvantages. If you are considering a labiaplasty, the key to ensure appropriate outcomes is to make sure you are going to a board-certified plastic surgeon that specializes in this procedure.

Benefits of labiaplasty

Reduced Discomfort

Discomfort from excessively large or uneven labia can be physical or psychological. Labiaplasty eliminates chafing, tugging and twisting, but also reduces embarrassment and self-consciousness, making daily activities more enjoyable on several levels.

Improved Sexual Pleasure

Labiaplasty can reduce instances of the vaginal lips getting caught, stretched or otherwise interfering with sexual intercourse. Pleasure may also be made more accessible by reducing excess skin around the clitoral hood.

Greater Comfort While Exercising

Large or uneven labia can interfere with running, cycling and other physical activities. Exposed tissue can get chaffed, pinched, pulled and twisted. Labiaplasty makes exercise more comfortable, which can lead to improvements in health and happiness.

Improved Clothing Fit

Embarrassment or physical discomfort can make wearing swimsuits, yoga pants and other tight-fitting bottoms stressful. Labiaplasty can reduce chafing and uncomfortable pressure that occurs when wearing tight clothing.

Improved Hygiene

Excess tissue can make hygiene more cumbersome than it needs to be.

More Youthful Appearance

Hormonal changes may cause the labia to sag, even before the rest of the body shows the signs of aging. Labiaplasty is an excellent rejuvenating procedure that creates a youthful appearance.

Advin product use in labiaplasty surgery

• Adson Tissue Forceps
• Allis Clamp
• Needle Holders
• Iris Scissor
• Scalpel Handle
• Scalpel Blades
• Adson Forceps TC
• Needle Holder TC

Overview

Vaginal hysterectomy is a surgical procedure to remove the uterus through the vagina.

During a vaginal hysterectomy, the surgeon detaches the uterus from the ovaries, fallopian tubes and upper vagina, as well as from the blood vessels and connective tissue that support it, before removing the uterus.

Vaginal hysterectomy involves a shorter time in the hospital, lower cost and faster recovery than an abdominal hysterectomy, which requires an incision in your lower abdomen. However, depending on the size and shape of your uterus or the reason for the surgery, vaginal hysterectomy might not be possible. Your doctor will talk to you about other surgical options, such as an abdominal hysterectomy.

Hysterectomy often includes removal of the cervix as well as the uterus. When the surgeon also removes one or both ovaries and fallopian tubes, it’s called a total hysterectomy with salpingo-oophorectomy. All of these organs are part of your reproductive system and are situated in your pelvis.

Types of hysterectomy

There are various types of hysterectomy. The type you have depends on why you need the operation and how much of your womb and surrounding reproductive system can safely be left in place

The main types of hysterectomy are:

total hysterectomy – the womb and cervix (neck of the womb) are removed; this is the most commonly performed operation

subtotal hysterectomy – the main body of the womb is removed, leaving the cervix in place.

total hysterectomy with bilateral salpingo-oophorectomy – the womb, cervix, fallopian tubes (salpingectomy) and ovaries (oophorectomy) are removed.

radical hysterectomy – the womb and surrounding tissues are removed, including the fallopian tubes, part of the vagina, ovaries, lymph glands and fatty tissue.

Why it’s done

Vaginal hysterectomy treats various gynaecological problems, including:

• Fibroids: Many hysterectomies are done to permanently treat these benign tumors in your uterus that can cause persistent bleeding, anemia, pelvic pain, pain during intercourse and bladder pressure. For large fibroids, you might need surgery that removes your uterus through an incision in your lower abdomen (abdominal hysterectomy).
• Endometriosis: This occurs when the tissue lining your uterus (endometrium) grows outside the uterus, involving the ovaries, fallopian tubes or other organs. Most women with endometriosis have a laparoscopic or robotic hysterectomy or abdominal hysterectomy, but sometimes a vaginal hysterectomy is possible.
• Adenomyosis: This occurs when the tissue that normally lines the uterus grows into the uterine wall. An enlarged uterus and painful, heavy periods result.
• Gynaecological cancer: If you have cancer of the uterus, cervix, endometrium or ovaries, or precancerous changes, your doctor might recommend a hysterectomy. Most often, treatment for ovarian cancer involves an abdominal hysterectomy, but sometimes vaginal hysterectomy is appropriate for women with cervical or endometrial cancer.
• Uterine prolapse: When pelvic supporting tissues and ligaments weaken or stretch out, the uterus can sag into the vagina, causing urine leakage, pelvic pressure or difficulty with bowel movements. Removing the uterus and repairing supportive tissues might relieve those symptoms.
• Abnormal uterine bleeding: When medication or a less invasive surgical procedure doesn’t control irregular, heavy or very long periods, hysterectomy may be needed.
• Chronic pelvic pain: If your pain is clearly caused by a uterine condition, hysterectomy might help, but only as a last resort. Chronic pelvic pain can have several causes, so an accurate diagnosis of the cause is critical before having a hysterectomy.

Laparoscopic or robotic hysterectomy

You might be a candidate for a laparoscopically assisted vaginal hysterectomy (LAVH) or robotic hysterectomy. Both procedures allow your surgeon to remove the uterus vaginally while being able to see your pelvic organs through a slender viewing instrument called a laparoscope.

Your surgeon performs most of the procedure through small abdominal incisions aided by long, thin surgical instruments inserted through the incisions. Your surgeon then removes the uterus through an incision made in your vagina.

Your surgeon might recommend LAVH or robotic hysterectomy if you have scar tissue on your pelvic organs from prior surgeries or from endometriosis.

Advantages of Vaginal hysterectomy Surgery

Minimally invasive laparoscopic hysterectomy produces excellent patient outcomes and offers many advantages over a traditional hysterectomy, including:

• Shorter hospital stays. In most cases, LH patients are discharged the same day or require an overnight stay, versus a three-to-four-day stay for traditional hysterectomy patients.
• Little to no blood loss as a result of smaller, shallower incisions.
• Lower risk of abdominal infection and other complications.
• Less pain. Patients generally can use a non-narcotic pain reliever if one is needed, as opposed to IV morphine or other prescription painkillers often given to patients who have a traditional hysterectomy.
• Faster recovery time. LH patients typically return to normal activities within one to two weeks, compared to four to six weeks for traditional hysterectomy.
• Minimal scarring. In many patients the scars become virtually unnoticeable.

Laparoscopic Vaginal Hysterectomy Products

• Laparoscopic Grasper
• Vessel Sealer Cutter
• Multifunction Trocar
• Laparoscope
• Monopolar scissor
• Veress Needle
• Uterine Manipulator
• Monopolar Electrodes
• Bissinger Bipolar Grasper
• Suction Irrigation Set
• Laparoscopy Trolley
• Endoscope Camera System
• Co2 Insufflator
• Electrosurgical Unit
• LED Light Source
• Video Recorder

What is a hysteroscopy?

Hysteroscopy is a procedure that can be used to both diagnose and treat causes of abnormal bleeding. The procedure allows your doctor to look inside your uterus with a tool called a hysteroscope. This is a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. Hysteroscopy can be a part of the diagnosis process or an operative procedure.

What is diagnostic hysteroscopy?

Diagnostic hysteroscopy is used to diagnose problems of the uterus. Diagnostic hysteroscopy is also used to confirm results of other tests, such as hysterosalpingography (HSG). HSG is an X-ray dye test used to check the uterus and fallopian tubes. Diagnostic hysteroscopy can often be done in an office setting.

Additionally, hysteroscopy can be used with other procedures, such as laparoscopy, or before procedures such as dilation and curettage (D&C). In laparoscopy, your doctor will insert an endoscope (a slender tube fitted with a fiber optic camera) into your abdomen to view the outside of your uterus, ovaries and fallopian tubes. The endoscope is inserted through an incision made through or below your navel.

What is operative hysteroscopy?

Operative hysteroscopy is used to correct an abnormal condition that has been detected during a diagnostic hysteroscopy. If an abnormal condition was detected during the diagnostic hysteroscopy, an operative hysteroscopy can be performed at the same time, avoiding the need for a second surgery. During operative hysteroscopy, small instruments used to correct the condition are inserted through the hysteroscope.

When is operative hysteroscopy used?

Doctor may perform hysteroscopy to correct the following uterine conditions:

Polyps and fibroids: Hysteroscopy is used to remove these non-cancerous growths found in the uterus.

Adhesions: Also known as Asherman’s Syndrome, uterine adhesions are bands of scar tissue that can form in the uterus and may lead to changes in menstrual flow as well as infertility. Hysteroscopy can help your doctor locate and remove the adhesions.

Septum: Hysteroscopy can help determine whether you have a uterine septum, a malformation (defect) of the uterus that is present from birth.

Abnormal bleeding: Hysteroscopy can help identify the cause of heavy or lengthy menstrual flow, as well as bleeding between periods or after menopause. Endometrial ablation is one procedure in which the hysteroscope, along with other instruments, is used to destroy the uterine lining in order to treat some causes of heavy bleeding.

How is hysteroscopy performed?

Prior to the procedure, Doctor may prescribe a sedative to help you relax. You will then be prepared for anaesthesia. The procedure itself takes place in the following order:

The doctor will dilate (widen) your cervix to allow the hysteroscope to be inserted.

The hysteroscope is inserted through your vagina and cervix into the uterus.

Carbon dioxide gas or a liquid solution is then inserted into the uterus, through the hysteroscope, to expand it and to clear away any blood or mucus.

Next, a light shone through the hysteroscope allows your doctor to see your uterus and the openings of the fallopian tubes into the uterine cavity.

Finally, if surgery needs to be performed, small instruments are inserted into the uterus through the hysteroscope.

The time it takes to perform hysteroscopy can range from less than five minutes to more than an hour. The length of the procedure depends on whether it is diagnostic or operative and whether an additional procedure, such as laparoscopy, is done at the same time. In general, however, diagnostic hysteroscopy takes less time than operative.

What are the benefits of hysteroscopy?

Compared with other, more invasive procedures, hysteroscopy may provide the following advantages:

• Shorter hospital stays.
• Shorter recovery time.
• Less pain medication needed after surgery.
• Avoidance of hysterectomy.
• Possible avoidance of “open” abdominal surgery.

Advin Hysteroscopy Instrument set

• Hysteroscope
• Hysteroscopy Diagnostic sheath
• Hysteroscopy Operative sheath
• Hysteroscopy Flexible scissor
• TURP Resectoscope Sheath
• TURP Working Element Monopolar / Bipolar
• TURP electrodes
• TURP Cable Monopolar / Bipolar
• Electrosurgical Unit
• LED Light Source
• Endoscopy Camera system

Laparoscopic Surgery

Laparoscopy is just one of the many new and innovative approaches in a new era of surgery encompassing minimal intervention. Simply put, many complicated problems required large incisions to gain access to a very focal area. Minimally invasive surgery gains access to that same area without a large incision. Laparoscopic surgery refers to procedures in minimally invasive surgery isolated to the abdomen.

Early experience in laparoscopy was gained by gynecologists performing tubal ligation by looking through a small telescope inserted through the umbilicus (belly button). In the late 1980s, technology evolved to a point where the images could be projected onto TV screens.

Laparoscopic surgery has evolved tremendously over the last 10 to 20 years. A variety of complicated procedures are now able to be performed laparoscopically with less post-operative pain, faster recovery, and smaller scars than traditional open operations.

Benefits of Laparoscopic Surgery

The advent of laparoscopic procedures revolutionized surgery in many ways. Procedures that required weeks to recover from were dramatically reduced in many ways.

A few of the benefits are:

• reduced bleeding
• smaller incisions
• faster healing
• reduced pain and scarring

Laparoscopic surgery takes more time than the traditional open surgery, but the benefits are undeniable. Recovery time can be reduced from several weeks to several days.

Laparoscopy Techniques

During laparoscopy, the surgeon makes a small cut (incision) of around 1 to 1.5cm (0.4 to 0.6 inches), usually near your belly button.

A tube is inserted through the incision, and carbon dioxide gas is pumped through the tube to inflate your tummy (abdomen). Inflating your abdomen allows the surgeon to see your organs more clearly and gives them more room to work. A laparoscope is then inserted through this tube. The laparoscope relays images to a television monitor in the operating theatre, giving the surgeon a clear view of the whole area.

If the laparoscopy is used to carry out a surgical treatment, such as removing your appendix, further incisions will be made in your abdomen. Small, surgical instruments can be inserted through these incisions, and the surgeon can guide them to the right place using the view from the laparoscope. Once in place, the instruments can be used to carry out the required treatment.

After the procedure, the carbon dioxide is let out of your abdomen, the incisions are closed using stitches or clips and a dressing is applied.

When laparoscopy is used to diagnose a condition, the procedure usually takes 30-60 minutes. It will take longer if the surgeon is treating a condition, depending on the type of surgery being carried out.

Laparoscopy Products

Laparoscopy Equipment’s

• Laparoscopy Trolley
• Endoscopy Camera System
• Electrosurgical Unit
• Co2 Insufflator
• Morcellator

Laparoscopy Instruments

• Grasper
• Trocar
• Clip Applicator
• Nathanson Liver Retractor
• Veress Needle
• Port Closer
• Suction Irrigation Set
• Fan Retractor
• Monopolar Electrodes
• Bipolar Electrodes
• Knot Pusher
• Bipolar Clamp
• Vessel Sealer with cutter

Uroflowmetry

Uroflowmetry procedure measure of the quantity of urine excreted in a specified period of time which is also called as Urine flow rate.

Uroflowmetry is a simple, non invasive diagnostic screening procedure used to calculate the amount of urine (volume), flow rate in seconds, and length of time until completion of the void.

Continuous recording of urine flow by means of a device consisting of a cylinder placed on a transducer that weighs the urine entering thecylinder during voiding and plots the flow rate on a time scale.

Common periods of time used include “minute” and “seconds.”

TURP (Trans Urethral Resection of the Prostate)

Transurethral resection of the prostate (TURP) is a urological process operated to treat benign prostatic hyperplasia (BPH). TURP surgery is also known as resectoscope procedure.

During TURP Procedure, an instrument is inserted up the urethra to remove the section of the prostate that’s blocking urine inflow. It’s frequently used to treat prostate blowup ( benign prostate hyperplasia).

Reasons for TURP procedure

• Problems with starting urination.
• Having to urinate more frequently at night.
• Hesitancy.
• slow or diminished force of stream.
• Having an urgent need to urinate.
• Dribbling after you finish urinating.
• sensation of incomplete emptying.
• Blood in the urine.

TURP Procedure (TURP Surgery)

A TURP is prosecuted under general or spinal anesthesia, therefore you won’t feel any pain during the procedure.
Resectoscope is passed into the urethra. It cuts out pieces of towel from the prostate that are bulging or blocking the urethra. An electric current is passed to loop and induce heat, and the heated wire is used to cut away the section of prostate.

The doctor will fit a catheter into the bladder to empty urine.
TURP procedure time depending on how much of prostate needs to be removed.

Recovery Period

Patient can leave hospital two to three days after surgery.

Resume most normal activities within one week.

Advantages of TURP Procedure

• No longer problem of starting urination.
• stronger force of stream.
• decreased need to push.
• More in control of holding your urine in.
• No need to get up in the night to urinate as much as you used to.
• Stronger stream of urine.

Advin TURP SET / Resectoscope SET

We, Advin Healthcare, provide international quality standard products for TURP / Resectoscope Procedure.

• Monopolar TURP Resectoscope SET
• Bipolar TURP Resectoscope SET
• TURP Monopolar Working Element
• TURP Bipolar Working Element
• TURP Resectoscope Sheath
• Monopolar TURP Loop
• Bipolar TURP Loops
• TURP Visual Obturator