Gynaecology

Gynaecology

Definition: Gynaecology is the specialty, which deals with the medical and surgical treatment of illnesses/problems relating to:

  • Complete female reproductive system (vulva, vagina, cervix, uterus, ovaries, fallopian tubes)
  • Lower female urinary system
  • Lower female bowel system

from a baby girl age 0 to a woman in her old age.

INTRODUCTION OF DR SALMA KAYANI –GYNAECOLOGY SKILLS

  • Dr (Mrs) Salma Kayani is a Consultant Obstetrician and Gynaecologist who is a ‘Certified’ Advanced Minimal Access Surgeon in Excisional Benign Gynaecology with a Master’s degree in Advanced Gynaecological Endoscopy with ‘Merit’ from the University of Surrey Post Graduate Medical School (UK). She has undergone 13 years of continuous, structured, hands-on Royal College of Obstetricians and Gynaecologists (RCOG) certified/approved training. All this training is latest and was undertaken in the top tertiary referral centres of England.
  • In addition to the above training, Dr Salma is also the author of ‘Standards for Laparoscopic Surgery UK’, in the textbook ‘Models of Care in Women’s Health’ commissioned and published by the Royal College of Obstetricians and Gynaecologists (RCOG). (2009)
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Difference between Open Gynaecology Surgery and Advanced Gynaecological Laparoscopic/Keyhole Surgery

Open Surgery

  • 8-12 inches cut
  • Big scar on abdomen
  • Severe trauma and pain
  • Requires a lot of pain killers for weeks
  • High risk of infection
  • Discharge from hospital: 5-7 days
  • Recovery: 3-6 months
  • More blood loss (1/2 litre to 2 litres)
  • Long term risk of severe abdominal adhesions with long-term complications
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Laparoscopic Surgery

  • Two or three 5 mm cuts
  • Virtually no scar
  • Very little pain
  • Requires very few pain killers, for 1-2 days
  • Negligible risk of infection
  • Discharge from hospital: same day or next day
  • Recovery: 1-4 weeks
  • Less blood loss (5ml -10 ml)
  • Almost no adhesions, therefore no long-term complications
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Remarks

Imagine an ugly 8-12 inches permanent scar on your belly compared to 3 almost invisible cuts which will vanish after a few months.

(TRANSVERSE ABDOMINAL CUT) (VERTICAL ABDOMINAL CUT)

At present 99.5% of Gynaecologists in the world perform ‘open abdominal surgery’ in Gynaecology.
Dr Salma Kayani is among the very few (0.5%) Advanced Minimal Access Gynaecological Surgeons who performs all her gynaecological procedures through keyhole surgery.

As a Gynaecologist, Dr Salma Kayani is member of the following prestigious International Societies/Organisations:

  • American Association of Laparoscopic Gynaecologists (AAGL)
  • European Society of Gynaecological Endoscopy (ESGE)
  • British Society of Gynaecological Endoscopy (BSGE)
  • Society of Endometriosis and Uterine Disorders (SEUD)

She is also an invited international speaker and international trainer in Advanced Minimal Access Surgery.
Dr Salma Kayani performs live surgical demonstrations of complex advanced minimal access (key hole) procedures in international conferences and seminars.

Dr (Mrs) Salma Kayani’s advanced gynaecological key-hole surgical skills are backed by the following research papers published in reputable international journals.

PUBLISHED PAPERS IN INTERNATIONAL JOURNALS:

  • CHAPTER – ON STANDARDS OF LAPAROSCOPIC SURGERY

    S I Kayani, G Pandis, A Cutner. Standards for Laparoscopic Surgery, Chapter 13, for the book ‘Standards in Gynaecology’, Published by RCOG Press at Royal College of Obstetricians and Gynaecologists, 2009,UK

  • RESEARCH PAPERS ON IMPROVING SAFETY OF LAPAROSCOPIC SURGERY

    S I Kayani, D J Rowlands. Gasless optical entry at Palmer’s Point in high-risk patient. Gynaecological Surgery, vol 3, Suppl 1, V-36, page S12, Sept 2006

    T Aust, S I Kayani, D J Rowlands. Direct optical entry through Palmer’s point: a new technique for those at risk of entry-related trauma at laparoscopy, Gynaecological Surgery, DOI 10.1007/s10397-009-0500-8, June 2009

  • RESEARCH PAPER ON IMPROVED PATIENT CARE IN THEATRE IN MULTIDISCIPLINARY SETTING

    Salma I Kayani, Fayez N, Al Rassassy Z. The Buddha Position. Regional Anaesthesia and Pain Medicine, Volume 39, Number 5, Supplement 1, Page E261, ESRA1-0434, Sept-Oct 2014

    Salma I Kayani, Al Rassassy Z. The Gravity Slip (G-Slip) – The Ergonomic Way to Positioning of the Unconsious or Semi conscious Patient in Theatre. Journal of Minimally Invasive Gynaecology, 20, S23, Nov 2013

    Salma I Kayani I, Al Rassasy Z. Effect of intraoperative peritoneal irrigation of xylocaine on small and large bowel activity. Journal of Minimally Invasive Gynaecology, 22, S1-S253, Nov 2015

SERVICES

LIST OF IMPORTANT GYNAECOLOGICAL PROBLEMS FACED BY WOMEN

Some Important Gynaecological Conditions are as below: