Fothergill's Operation: A Lifeline for Uterine Prolapse

 

Understanding Uterine Prolapse

Uterine prolapse occurs when the uterus descends from its normal position into the vaginal canal due to weakened pelvic floor muscles and ligaments. This condition can lead to a range of symptoms, including pelvic pressure, discomfort, urinary incontinence, and difficulty with bowel movements. It often affects women who have had multiple pregnancies, undergone menopause, or experienced chronic straining.

Dr. Sankar Mahapatra


What is Fothergill's Operation?

Fothergill's operation, also known as Manchester operation, is a surgical procedure designed to correct uterine prolapse while preserving the uterus. It is named after Dr. William Fothergill, who developed the technique in the early 20th century. The procedure involves shortening and reinforcing the ligaments that support the uterus, effectively restoring its normal position and function.

Indications for Fothergill's Operation

Fothergill's operation is indicated for women who:

  • Experience symptomatic uterine prolapse
  • Wish to preserve their uterus
  • Are not suitable candidates for more extensive surgeries
  • Desire a less invasive option with a quicker recovery time

The Surgical Procedure

The Fothergill’s operation is typically performed under general or regional anesthesia. Here are the key steps involved:

  1. Preparation: The patient is placed in a lithotomy position, and the surgical area is cleaned and prepped.

  2. Accessing the Uterus: An incision is made in the vaginal wall to expose the prolapsed uterus and its supporting ligaments.

  3. Reinforcing the Ligaments: The cardinal and uterosacral ligaments are identified, shortened, and sutured to provide better support to the uterus. This effectively lifts the uterus back into its normal position.

  4. Removing Excess Tissue: If there is excess vaginal tissue due to the prolapse, it is trimmed to ensure a better anatomical fit and prevent future prolapse.

  5. Closure: The vaginal incision is closed with absorbable sutures. The entire procedure usually takes about one to two hours.

Benefits of Fothergill's Operation

Fothergill's operation offers several benefits:

  • Uterus Preservation: Unlike hysterectomy, this procedure preserves the uterus, which can be important for women who wish to maintain their reproductive organs.
  • Minimally Invasive: The procedure is less invasive compared to abdominal surgeries, resulting in less postoperative pain and faster recovery.
  • Symptom Relief: Patients experience significant relief from prolapse symptoms, improving their quality of life.
  • Short Hospital Stay: Most patients can go home within a few days of the surgery.

Recovery and Aftercare

Postoperative care is crucial for a smooth recovery:

  • Rest and Avoidance of Strain: Patients are advised to rest and avoid heavy lifting and strenuous activities for several weeks.
  • Pain Management: Mild pain and discomfort can be managed with prescribed medications.
  • Pelvic Floor Exercises: Engaging in pelvic floor exercises as recommended by the doctor can help strengthen the muscles and prevent recurrence.
  • Follow-Up Visits: Regular follow-up appointments are necessary to monitor healing and ensure the success of the procedure.

Potential Risks and Complications

As with any surgical procedure, Fothergill’s operation carries some risks, including:

  • Infection
  • Bleeding
  • Injury to surrounding organs
  • Recurrence of prolapse
  • Pain or discomfort during sexual intercourse

Discussing these risks with a qualified surgeon can help patients make informed decisions.

Choosing the Right Specialist

For optimal outcomes, it is crucial to select an experienced and skilled surgeon. Dr. Sankar Dasmahapatra, a highly esteemed gynecologist in Kolkata, specializes in Fothergill’s operation and other pelvic floor surgeries. Dr. Dasmahapatra’s extensive expertise and compassionate care ensure that each patient receives the highest quality treatment tailored to their specific needs.

By opting for Fothergill's operation, women suffering from uterine prolapse can achieve significant relief from symptoms and improve their overall quality of life while preserving their uterus. With the guidance and expertise of Dr. Sankar Dasmahapatra, patients can trust they are in capable hands for their surgical needs.

Location: Kolkata, West Bengal, India

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