Best Doctors in India for Vulvectomy

Profile Highlights:

  • Dr. Harmeet Malhotra is one of the best gynecologists in India to consult all major and complex gynecological surgeries, uterine bleeding, and cervical cerclage; in addition to the women’s general health checkups.
  • Dr. Malhotra specializes in vaginal, abdominal, and Laparoscopic surgeries, as well as Hysteroscopy. She had her first Hysteroscopic surgery at Apollo Hospitals in New Delhi.

Profile Highlights:

  • Dr. Shakti Bhan Khanna is a well-known obstetrician and gynecologist in New Delhi. She has over five decades of work expertise in academics and this arena.
  • A specialized ‘Khanna’s Sling Operation’ technique for Vault Prolapse developed from her Obstetrics and Gynecology experience has received immense success.
  • Dr. Khanna is working as a senior consultant at Indraprastha Apollo Hospital and Apollo Cradle & Children’s Hospital since December 1995.
  • Dr. Khanna specializes in complex reproductive treatments, gynecological laparoscopy, gyne-endocrinological treatment, infertility and high-risk pregnancies, and pelvic reconstructive surgery.
  • Dr. Khanna has delivered many orations and received various felicitations.

Profile Highlights:

  • Dr. Sonia Malik is a renowned gynecologist and obstetrician in India specializing in IVF and ART.
  • Dr. Sonia Malik founded the Southend Fertility and IVF Center with the motive of helping infertile couples have a family, and the clinic is considered one of the best in India.
  • She holds an extensive experience of 30+ years in Gynecology, Obstetrics, and Infertility and specializes in various types of ARTs including IVF, ICSI, and IMSI. Dr. Malik has performed over 8000 fertility procedures with around 25 IVF cycles and 20 IUI cycles every month.

Profile Highlights:

  • Dr. Mukta Kapita has attained expertise in managing high-risk pregnancies, as well as laparoscopic and hysteroscopic surgeries. She also excels in urogynaecological procedures with more than 20 years of experience in this field.
  • She has traveled all over the country, and the world, and has been exposed to some of the best equipment and hospitals in this field.

Profile Highlights:

  • Dr. Sohani Verma is a well-known Gynecologist and Obstetrician in India, with approximately 22 years of experience in numerous treatments in these disciplines. Dr. Verma serves as a senior consultant at Indraprastha Apollo Hospitals.
  • She specializes in infertility and IVF treatments, and she also founded a sperm bank in the hospital in 2002. She has 22 years of IVF and infertility experience in the UK and India.
  • Dr. Sohani Verma worked as the Academic Coordinator for the Department of Obstetrics and Gynaecology at Indraprastha Apollo Hospitals in New Delhi.

Profile Highlights:

  • Dr. Sushma Prasad Sinha is one of the top Gynaecologists and Obstetricians in India, having over 35 years of experience. She is primarily a well-known name in infertility & IVF with an unrivalled success rate.
  • Dr. Sinha specialises in the ovarian cyst, fibroid, endometriosis, and ablation laparoscopic procedures; hysteroscopic surgeries, vaginal surgeries, tubal reconstruction, Colposcopy, loop cone cervical biopsies, and fertility preservation surgeries.
  • She works in Indraprastha Apollo Hospital as an obstetrician and gynaecologist.
  • Dr. Sushma Prasad Sinha has also written articles for many medical publications and a book chapter titled “Effective Approach to Basic Evaluation of Subfertile Couples.”

Profile Highlights:

  • Dr. Saroja Koppala is an expert Gynecologist and Obstetrician who is highly trained and experienced in all forms of ART and has helped in achieving a large number of successful pregnancies.
  • She received most of her trainings in infertility and reproductive medicine from prestigious fertility clinics in the UK and has also spent a considerable amount of time in practicing at several renowned hospitals.
  • Dr. Koppala finds interest in the management of women with recurrent miscarriage, repetitive implantation failure, failed IVF cycles, endometriosis, adenomyosis and low ovarian reserve.

Profile Highlights:

  • Dr. Anuradha Kapur is a gynecologist with the experience of around 30 years, who is the director and head of the obstetrics and gynecology department at Max Super Specialty Hospital, New Delhi.
  • She is known as one of the best gynecologists, obstetricians, and infertility specialists in Delhi treating patients who have even suffered repeated IVF failures.
  • Max Hospital has awarded Dr. Kapur with the Physician Appreciation Award for her efficiency, precision, dedication, and compassion.

Profile Highlights:

  • With an experience of 20 years, Dr. Buchun Mishra is a practicing gynecologist, who is proficient in performing gynae surgeries for ovarian cancer, uterine cancer, and cervical cancer.
  • She finished her MBBS in 1999 from Veer Surendra Sai Institute of Medical Sciences and Research, Sambalpur, Odisha. She later completed her DNB in 2011 from Army Base Hospital, in New Delhi. In 2013, she completed her fellowship from Rajiv Gandhi Cancer Institute and Research Center, Delhi.

Best Hospitals in India for Vulvectomy

Indraprastha Apollo Hospital, New Delhi

Hospital Highlights:

  • Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
  • There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
  • The hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
  • The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Fortis Memorial Research Institute, Gurugram

Hospital Highlights:

  • Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
  • It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
  • The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.

Apollo Hospital, Chennai

Hospital Highlights:

  • Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
  • India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
  • Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
  • The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.

Medanta-The Medicity, Gurgaon

Hospital Highlights:

  • One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
  • Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
  • The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.

Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
  • The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
  • Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.

Artemis Hospital, Gurugram

Hospital Highlights:

  • One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
  • With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
  • The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
  • The hospital has won several awards as well, since its inception.

BLK Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • Equipped with 650 beds, BLK Superspecialty Hospital is the largest stand-alone private sector hospital in Delhi.
  • With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest Bone Marrow Transplant Centres. The hospital is known for having some of the best cancer doctors in the country.
  • The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru.

Gleneagles Global Hospitals, Chennai

Hospital Highlights:

  • Established in 1999, Gleneagles Global Hospital, Chennai, is one of the top healthcare facilities in Southern India. It is part of the Gleneagles Hospital Chain, which is the fourth largest healthcare chain in the country. The hospital specializes in multi-organ transplants of kidneys, liver, lungs, heart, etc.
  • The hospital has an excellent infrastructure and state-of-the-art lab and equipment set-up. The hospital boasts cutting-edge technologies, a highly skilled team of doctors and surgeons, and trained support staff. Located in Perumbakam, Chennai, it is one of India’s premier health care destinations. The hospital has performed some of the most complex surgical and clinical procedures in India including multi-organ transplantations.
  • The hospital’s lung transplantation program is one of the best in the country. The hospital is known for having performed India’s first single lung transplant and first minimal invasive lung transplant. It is also the only Indian hospital to be associated with King’s College Hospital, London, United Kingdom for liver transplantations.

Fortis Hospital, Mulund, Mumbai

Hospital Highlights:

  • Fortis Hospital in Mulund is a 315-bed multi-speciality tertiary care hospital with five JCI accreditations that offers a wide variety of diagnostic and therapeutic services. The Fortis Hospital in Mulund delivers patient-centred treatment with cutting-edge technology, highly skilled and experienced surgeons, and paramedical staff.
  • This institution houses Maharashtra’s largest multi-organ transplant centre. It is also the first heart transplant centre in western India to conduct 100 or more consecutive heart transplants in under four years. It is the only hospital in the city to have multi-organ transplants and has handled the youngest patient for angioplasty. Fortis Hospital Mulund now boasts the first advanced surgical robot in central Mumbai.
  • Cardiology and heart surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency and critical care, and maternity care are among the services provided by the hospital.

Kokilaben Dhirubhai Ambani Hospital, Mumbai

Hospital Highlights:

  • Kokilaben Dhirubhai Ambani Hospital, Named after the wife of Indian industrialist Dhirubhai Ambani, the founder of Reliance Industries, this is one of the top hospitals in Mumbai. This 750-bed multi-specialty hospital became operational in 2009. Known as one of India’s most advanced tertiary care facilities, the hospital is designed to raise India’s global standing as a healthcare hub, with an emphasis on excellence in clinical services.
  • Kokilaben Dhirubhai Ambani Hospital uses Protocol and Care Pathway based treatment models to ensure the best outcomes for patients.
  • The hospital represents a confluence of top-notch talent, cutting-edge technology, state-of-the-art infrastructure, and, most importantly commitment.
  • The hospital also holds the accreditation of the NABH, NABL, CAP, and JCI.
  • The hospital has been recognized as the No. 1 Multispecialty Hospital in Mumbai and the West Zone for the fifth year in a row in 2020 by The Week.

Vulvectomy

Vulvectomy is a surgical procedure for removing some or all parts of the vulva. The outer portion of a woman’s genitals is known as the vulva. The surgery is performed to remove any diseased areas which might be cancerous, precancerous or be suffering from lichen sclerosus.

A vulva has several parts including the inner and outer labia and the clitoris. The vulva area includes the opening of the vagina as well as the opening of the urinary tract. In some rare cases, radical vulvectomy is also required which removes a large area of tissue including parts of the inside of the upper thighs, lower belly as well as the area located between the anus and the vagina.

The surgeon might also need to remove small glands which are known as lymph nodes in the groin.

Purpose

A vulvectomy is generally done to treat conditions such as:

  • Precancer of the vulva
  • Cancer of the vulva
  • Skin cancer on the vulva
  • Severe skin disease, like lichen sclerosis
  • Severe disease of sweat glands in the groin

The surgery is generally considered when other treatment options such as ablation, fail to cure the problem.

Preparation

It is important for you to let your doctor know about any kind of medication that you take including herbal supplements. If you have any kind of allergy to anesthesia, you need to let him/her know as well. He/she might also recommend that you stop smoking, at least for the days prior to the surgery, as this can affect your recovery.

If you have gone through menopause, your doctor might have you use estrogen cream for some weeks prior to your surgery. This is for making the skin in the area healthier for surgery.

Procedure

During the surgery, you will first lie on the surgery table, after which you will receive the sedatives that will make you unconscious or numb the surgery area.

The surgeon will cut away an area of the diseased tissue. He/she will also remove a small amount of additional tissue around the area. This helps to ensure that all the diseased tissue is gone. The surgeon will then remove layers of tissue, which may include fat under your skin.

Next, your surgeon might bring together edges of the skin, and close them with stitches or sutures. The surgeon might use flaps of skin for closing some areas. Small patches of healthy skin might be left for creating new tissue. In some cases, the surgeon might also use a skin graft. In this method, an area of healthy skin is taken from a different part of your body. Then the skin graft is stitched back in place over parts of your vulva that need removal.

The surgeon will next cover the area with a dressing so that it can be protected. If a skin graft was done, then he/she might also require to cover the donor site.

A thin, flexible tube known as a catheter, might be required in your urethra and bladder for a week. This will help you drain urine from the bladder while you recover.

Aftercare & recovery

Sometimes you might need to stay in the hospital, for some days, after the procedure. You will need to learn how to clean your genitals and how to dry them carefully. You should receive specific instructions from your doctor. If any dressings are present, they will be looked at daily and removed when it is appropriate.

Next, your medical team will discuss with you what kind of medications you need to take, including ones for pain, blood clots, infection or prevention of constipation.

It is important to have the following items at home:

  • Soft, clean towels for cleaning as well as drying yourself
  • Sitz bath and a squirt bottle for vulvar hygiene, which you should receive when you leave the hospital
  • Hairdryer with a cool setting or a circulating fan for drying the surgical areas
  • Thermometer to check for fever, as this can be a sign of infection
  • Loose clothing preferably of cotton

 

You might need a friend or family member to help you with your daily tasks till you feel better and are able to take care of yourself. It will take some time before your team tells you that it is okay to resume any normal activity.

Make sure to take your prescribed medications as directed so that you can prevent any pain, infection and/or constipation. If you see any new or worsening symptoms, let your doctor known immediately.

Taking deep breaths and resting well can also help you in pain management, as well as keep your lungs healthy.

Risks and side effects

Few risks as well as side effects are associated with a vulvectomy which includes the following:

  • Bleeding, infection, or blood clots.
  • Urinary tract infections
  • Wound issues such as delayed healing, infections, and/or graft site failure, fluid-filled cyst formation.
  • Swelling of the legs.
  • Change in the appearance of your vulva
  • Genital numbness
  • Narrowed vaginal opening which can lead to a decrease in sexual pleasure and/or painful intercourse
  • Discomfort and fatigue.
  • Change in urine stream.

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