While most gynecological conditions are managed by obstetricians and gynecologists, certain complex gynecological disorders require the expertise of both gynecologists and general surgeons, particularly when disease involves the bowel, bladder, abdominal wall, diaphragm, or major blood vessels. At International Modern Hospital (IMH), these conditions are managed through a collaborative, multidisciplinary surgical approach, ensuring safety, completeness of treatment, and preservation of organ function.

Common gynecological conditions requiring general surgical involvement include large uterine fibroids, severe or deep infiltrating endometriosis, advanced pelvic tumors, complex ovarian masses, adhesions involving the bowel, pelvic abscesses, and gynecological cancers with abdominal spread. These conditions often present with chronic pelvic pain, heavy menstrual bleeding, infertility, bowel or urinary symptoms, abdominal distension, or unexplained anemia.

Endometriosis, particularly deep infiltrating endometriosis, is one of the most complex conditions requiring combined surgical expertise. In advanced cases, endometrial tissue may involve the bowel, rectum, bladder, ureters, or diaphragm, causing severe pain, bowel obstruction, urinary complications, or infertility. Surgical management often requires advanced laparoscopic techniques, bowel resection, adhesiolysis, or reconstruction, performed jointly by gynecologists and general surgeons.

Large or multiple uterine fibroids may also require general surgical support, especially when fibroids distort anatomy, involve surrounding organs, or require extensive dissection. Procedures such as laparoscopic or open myomectomy, total hysterectomy, or debulking surgery may involve bowel or abdominal wall expertise to ensure complete and safe removal.

In cases of gynecological cancers, general surgeons play a critical role in staging and debulking procedures when cancer spreads to the omentum, bowel, lymph nodes, or abdominal organs. Surgical planning focuses on achieving optimal oncological clearance while minimizing complications and preserving quality of life.

IMH emphasizes the use of minimally invasive laparoscopic and advanced energy-based techniques wherever possible, resulting in reduced blood loss, less post-operative pain, shorter hospital stay, and faster recovery. Open surgery is reserved for extensive disease or emergencies where patient safety is paramount.

Pre-operative planning involves detailed imaging, multidisciplinary case discussions, and individualized surgical strategies. Post-operative care includes pain management, early mobilization, bowel rehabilitation, and coordinated oncology or fertility follow-up when required.

The goal of managing gynecological conditions requiring general surgery at IMH is to deliver safe, precise, and comprehensive surgical care, ensuring complete disease treatment while preserving organ function, fertility when possible, and long-term well-being.