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Interventional Radiology has brought a lot of advancements in the field of Obstetrics and Gynaecology (OBG) interventions. Maintaining women’s health during pregnancy, childbirth, and postpartum is of utmost importance. Women undergo a lot of complications and gynaecological issues throughout their lives, making advanced techniques like minimally invasive treatment options crucial for a faster recovery. Interventional Radiology employs imaging techniques like ultrasound, CT, or MRI scans to guide procedures for the accurate diagnosis and treatment of various gynaecological and obstetric conditions. These procedures involve small incisions and are thus preferred over other complex interventions and open surgeries.
Obstetrics and Gynaecological Intervention in Bhubaneswar using Interventional Radiology can be used for managing and treating various conditions related to women’s reproductive health. These interventions are less invasive, require a shorter recovery time, and lead to less pain and fewer complications. Interventional Radiology techniques can also help in fertility treatments, enhancing patients' quality of life. The obstetrics and gynaecological experts at Manipal Hospitals, Bhubaneswar, are experts in using the integration of image-guided procedures in Obstetrics and Gynaecological Interventions, to provide patent-friendly medical solutions. We ensure comprehensive results and improved patient outcomes using our cutting-edge facilities and techniques.
Interventional Radiology techniques can help in treating many women-related disorders, such as:
Ectopic pregnancy
Uterine fibroids
Pelvic venous congestion syndrome
Gestational trophoblastic neoplasia
Gynaecological malignancy
Blocked fallopian tubes
Adenomyosis
Placenta accreta spectrum
Abnormal uterine bleeding
Pelvic tumours and vascular malformations
Various minimally invasive techniques can be performed under imaging guidance, which includes vascular and non-vascular interventions. The most common procedures are:
Fallopian Tube Recanalisation: Used for opening blocked fallopian tubes in women experiencing infertility.
Pelvic Arterial Embolisation: Helps in controlling bleeding due to severe postpartum haemorrhage.
Ovarian Vein Embolisation: For treating pelvic venous congestion syndrome.
Treatment and Management of Ectopic Pregnancy
Drainage procedures for tubo-ovarian abscesses, postoperative complications, and ascites.
Thermal Ablation for gynaecological malignancy
Image-guided Biopsies to collect tissue samples from reproductive organs for diagnostic purposes.
A Biopsy procedure is recommended in the following cases:
To determine conditions like infections or inflammatory diseases
Investigate any abnormal findings from other simple diagnostic tests
Accurate diagnosis of the location of the tumour with imaging guidance
Evaluating the effectiveness of ongoing cancer or other treatments
Obtain detailed information regarding the cells under investigation
The Drainage procedure is carried out under the following circumstances.
As part of an additional procedure before Sclerotherapy
To confirm the presence of infection by detailed analysis
Managing chronic conditions that lead to fluid buildup, such as liver or kidney diseases
Alleviate symptoms like swelling, pain, or pressure caused by fluid accumulation in the body
Radiology-guided OBG interventions offer various benefits, such as:
Carry fewer risks and complications
Reduced recovery time
Less pain
Fewer hospital stays, as most of them are done on an outpatient basis
Treat multiple conditions affecting women’s health
Though these OBG procedures are safe and effective with low risks, they still pose potential risks like:
Bleeding
Allergic reaction
Unintended damage to non-target areas
Post-procedural pain and discomfort
Bruising and swelling at the insertion site
Interventional Radiology helps in diagnosing and treating various medical conditions using imaging techniques that guide the radiologist to the appropriate location without the need for major surgeries, as these can be done using catheters or wires from outside the body. Imaging techniques play a significant role as they provide real-time visualisation and guidance during the procedure, resulting in precise results. These techniques also help in minimising risks and improving overall patient outcomes.
Common imaging techniques used in OBG interventions include:
Magnetic Resonance Imaging (MRI): This helps in providing high-resolution images and is most often used for planning procedures and assessing treatment outcomes.
Computed Tomography (CT): This offers cross-sectional images for complex procedures and helps in finding precise locations for treatment.
Fluoroscopy: This technique is most commonly used for providing continuous X-ray imaging for guiding small procedures using the catheter.
Interventional radiologists are specialists trained in using imaging techniques for minimally invasive and targeted treatments. They work in collaboration with obstetricians and gynaecologists.
Everyone cannot be the right candidate for an OBG intervention procedure using Interventional Radiology. The doctor will determine whether this procedure is right for your condition. You will need to undergo a thorough medical evaluation by an obstetrician-gynaecologist and interventional radiologist who will review your medical history, perform necessary tests and imaging studies, and discuss your symptoms. Other factors will also be considered, such as the severity of the condition, the specific condition you are suffering from, your overall health, and your preference. Before proceeding with the procedure, your doctor will make you understand its benefits and risks, which will help you and your doctor make an informed and appropriate decision.
The recovery after an Interventional radiology OBG procedure will depend on the specific procedure performed and your overall health. The recovery is generally quicker with these procedures compared to traditional methods. Since they are typically performed as outpatient procedures, you can return home the same day. To manage pain, you will be given pain medications after the procedure. For a faster recovery, you will be advised to avoid strenuous activities for a few days but can continue light activities within a day or two. Our doctors ensure you recover well by providing specific post-operative guidelines and follow-up appointment details.
Interventional Radiology has significantly improved the effectiveness of OBG interventions for treating various obstetrics and gynaecological conditions. These show high success rates in reducing fibroid size, alleviating symptoms, controlling postpartum haemorrhage, improving fertility, and resolving ectopic pregnancy. The effectiveness of these OBG procedures will depend on various factors, such as your overall health, your specific medical condition, and the skill and expertise of an interventional radiologist.
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