Obstetrics and Gynaecology (O&G)

Obstetrics and gynaecology are two surgical medical specialties dealing with female reproductive health and organs in pregnant (obstetrics) and non-pregnant (gynaecology) women. O&G specialists cover both areas of specialties including childbirth and delivery, as well as women’s general health of the female reproductive system.

Prenatal and maternity services

- Pre-conception care and pregnancy diagnosis

- Routine antenatal screening programme

- External cephalic version

- Specialised investigations

- Cardiotocography

- Ultrasound scanning/Fetal medicine

- Epidural anaesthesia

- Parentcraft classes

- Antenatal care

For expectant mothers and their developing babies, antenatal care consists of medical and midwifery attention. Good antenatal care allows for the mother to care for herself as well as her unborn or newborn child. Medical advice, good nutrition as well as exercise, res and avoiding unwanted risks advocate for a successful pregnancy.

Other specialised services

Vaginal surgery and urogynaecology

- Fenton's procedure

- Anterior and posterior colporrhaphy (repair)

- Vaginal hysterectomy

- Sacrospinous fixation for vault prolapse

- Tension-free vaginal tape

- obturator (TVT-o) for stress incontinence

- Colposuspension

- Cosmetic vaginal surgery including labial reduction

- Fistula repair

Laparascopy

- Diagnostic laparoscopy

- Level 2 and 3 laparoscopy including removal of ovarian cysts, ectopic pregnancy, removal of ovarian masses, division of adhesions, treatment of endometriosis

- Laparoscopic myomectomy

- Laparoscopic hysterectomy

- Laparoscopic Excision of rectovaginal nodules for endometriosis

Colposcopy and Vulvoscopy

- Basic Colposcopy

- Colposcopy and biopsy

- Large loop excision of transformation zone (LLETZ / LEEP) under local or general anaesthetic

Hysteroscopy

- Diagnostic hysteroscopy and currettage

- Endometrial ablation for heavy bleeding

- Hysteroscopic resection of the endometrium for heavy bleeding

- Hysteroscopic resection of fibroids

- Hysteroscopic resection/division of uterine septum

Minor and open Gynacological services and procedures

- Difibulation (correction of FGM)

- Surgical management of vulval and vaginal cysts/lesions

- Bartholin's abscess/cysts

- Cervical cerclage

- Abdominal Hysterectomy +/- removal of ovaries

- Ovarian cystectomy

Clinical Excellence: Value-Driven Outcome (VDO)

Hysterectomy

Hysterectomy, a surgical intervention for uterine removal, constitutes a pivotal decision in women's health. At Gleneagles Hospital Kuala Lumpur, we comprehend the gravity of this choice and provide tailored care for conditions like uterine fibroids, endometriosis, abnormal uterine bleeding, and gynaecologic cancer.

Our dedication to excellence is underscored by our 2022 and 2023 statistics, showcasing minimal complication rates, successful laparoscopic procedures, and unwavering adherence to international safety benchmarks.

Inclusion factors for hysterectomy are as follow:

Total Abdominal Hysterectomy
Subtotal Abdominal Hysterectomy
Hysterectomy and removal of adnexa
Vaginal Hysterectomy including laparoscopically assisted
Robotic Hysterectomy
3D Laparoscopic Hysterectomy
Laparoscopic Hysterectomy/Laparoscopic Hysterectomy + or +/- salpingo-oophorectomy
Laparoscopy and Therapeutic procedures including laser, diathermy and destruction e.g., endometriosis, adhesiolysis, tubal surgery and non- cancerous solid tumours

Hysterectomy Outcomes: Insights from 2022 and 2023 Data Analysis

Hysterectomy International Benchmark Reference:

Blood Transfusion given: https://www.hindawi.com/journals/ogi/2018/3802532/

Conversion to laparotomy: https://www.jmig.org/article/S1553-4650(15)01667-2/fulltext, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5772131/

Complications: https://www.ajog.org/article/S0002-9378(16)30437-9/fulltext#secsectitle0075

Ontario – Quality-based Procedures Clinical Handbook for Hysterectomy by Ministry of Health & Long-Term Care