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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
After the eggs are collected and fertilised in the laboratory, the embryo transfer takes place. Usually and this entirely depends on your situation, about one or three embryos of the best quality are selected to be transferred to the womb. After introduction to the uterus, the egg attaches itself to the wall of the uterus for the pregnancy to come into effect. Embryo transfer is the last step in the IVF cycle.
The procedure chosen for transferring embryos usually depends on the clinic chosen. But most of them involve the following steps:
- The eggs take two or three days to fertilise. When they are ready, the embryos with the best quality are selected. These are then transferred to your uterus.
- A speculum is inserted into your vagina by the doctor. Then using ultrasound for guidance, a catheter is passed through the cervix. This catheter is used to pass down the embryos into the uterus.
- Your lifestyle after the transfer should be docile and cause you minimum stress.
- A pregnancy blood test will be given to you two weeks after the transfer. If the test comes out as positive, an ultrasound is scheduled after another two weeks.
In the process of transferring the embryo, there are no significant risks involved. There might be problems during passing the embryos through the catheter, if you never have had a baby before or your cervix was not assessed before the IVF cycle was initiated.
Chances of Successful Pregnancy:
With age, female fertility declines. It helps if you are younger when using your own eggs. After a survey it was found that women:
- aged below 35 have 40.6% chance of success
- aged between 36-37 have 35.5% chance of success
- aged between 38-39 have 28.1% chance of success
- aged between 40-42 have 21.2% chance of success
- aged between 43-44 have 11.2% chance of success
- aged 45 and over have 3.4% chance of success
I am pregnant and its 9th month. I take a scan and there is mention single loop of cord is seen around the neck. What does it mean? Is everything okay? child is safe na. And I want to take normal delivery not cesarean. So is there any chance of normal delivery ?
Ideally, surgical incisions are primarily designed to allow easy access to the desired areas in addition to possibilities of extension, if required. Further, they should be designed to split muscles rather than cut them, with minimal scarring along with the aim of boosting regenerative and healing qualities.
Incisions can be classified under these three groups; Vertical, Transverse and Oblique incisions.
- Vertical incision
1. Midline incision: Almost all abdominal incisions can be performed using this technique. Starting from the midline of the abdomen, it can extend all the way down to the umbilicus.
a) Minimal blood loss
b) Minimal nerve injury
c) Minimal muscle injury
a) Midline scar
2. Paramedian incision: This technique provides more laterality to midline incisions, allowing access to such lateral organs such as spleen, kidney and adrenals.
a) Easy access to lateral structures
b) Closure between incisions in anterior and posterior sheath is more secure
c) Rectus muscle remains undivided
a) More time consuming
b) Difficulty in extension
c) Can result in atrophy of the muscle
3. Mayo-Robson incision: This incision is typically a paramedian incision, but which bend towards the xiphoid process and consequently allows for a larger and wider opening.
- Transverse incision
1. Transverse incision: This type of incision is made just above the umbilicus, and can dissect either one of the rectal muscles.
a) Least amount of pain and damage
b) Muscular segments can be reattached
c) Easier access to upper GI structures
a) Limited lateral access
b) Higher risk of wound infections
2. Subcostal incision: Also referred to as the Kocher subcostal incision, this type of incision starts from the midline and runs parallel to the costal margin. A double Kocher incision is known as a rooftop of Chevron incision and allows for access to the esophagus, kidney, stomach and liver. The Mercedes incision is yet another variant, characterized by a vertical incision from the rooftop incision to form the shape of a Mercedes sign.
a) Heals faster
b) Less risk of post-operative complications
a) Lengthy and time-consuming
- Oblique incisions
They are also known as Thoracoabdominal incisions, these incisions may either be situated in the RUQ or LUQ. They provide entry to the liver, lungs and spleen, as well as to the stomach and esophagus.
- Laparoscopic incision
This technique comprises of tiny cuts in the skin that allow laparoscopic tools and instrument access into the abdominal cavity
Related Tip: "Caring For Your Incision After Surgery?"