Dr Jasdev Singh
Emergency Gynaecological Laparotomy
In a gynaecological emergency, such as heavy internal bleeding or a twisted ovary, open surgery may be needed quickly to keep you safe.
Open Gynaecological Surgery
Urgent surgery when your safety comes first
A laparotomy is an operation through a cut in the tummy. In gynaecology, it may be needed urgently for a ruptured ectopic pregnancy with heavy bleeding, a twisted or burst ovarian cyst, severe infection or bleeding after surgery. Keyhole surgery is used when it is safe, but open surgery is sometimes quicker and safer.
Emergencies are frightening for you and your family. Clear, calm communication matters even when time is short.
Dr Jasdev explains what is happening and why surgery is needed, and protects your fertility where it is safe to do so.
Careful assessment before surgery
Scans, symptoms and past operations are reviewed, so surgery is only suggested when it is likely to help.
Fertility kept in mind
If you hope to conceive in future, surgery is planned to protect your womb, tubes and ovaries as far as possible.
Clear recovery guidance
You will know what recovery involves, when to return to normal activities and when your review is due.
What emergency care gives you
- Prompt surgery to control bleeding or infection
- Care to protect fertility where it is safe
- Clear updates for you and your family
How your care is planned
Each stage is explained so you know why surgery is being considered, what it involves and how recovery will go. You can take time to decide.
Rapid assessment with examination, scan and blood tests
Urgent surgery under general anaesthetic
Recovery care and a review of what happened
What the surgery involves
Under general anaesthetic, the tummy is opened to find and treat the cause. Bleeding is controlled, a twisted ovary may be untwisted or removed, and infection is drained. A blood transfusion may be needed. The aim is always to treat the emergency and protect your health.
Who may need it
Women with severe pelvic bleeding, a suspected ruptured ectopic pregnancy, a twisted ovary, a burst cyst or severe pelvic infection who are unwell.
What to expect
You will usually stay in hospital for several days. Recovery takes around six weeks. Once you are well, you will have time to discuss what happened and what it means for the future, including any future pregnancy.
How Dr Jasdev works with you
He combines surgical and fertility experience, and he explains each option plainly, including when surgery may not be needed. Plans follow current evidence and your hopes for the future. You will have time to ask questions before anything is decided. Women see him from Kuala Lumpur and across Malaysia, and some travel from neighbouring countries.
What to bring to your appointment
These records help Dr Jasdev plan surgery safely and answer your questions fully. If you cannot find everything, bring what you have.
- If possible, a list of your medicines and allergies
- Details of any pregnancy or recent surgery
- A family member’s contact number
What women and families often ask
Surgery brings natural worries about safety, recovery and fertility. These common questions can help you prepare.
Why was open surgery needed?
Will this affect my fertility?
How long will recovery take?
Could this happen again?
Your questions about emergency laparotomy
What is an emergency gynaecological laparotomy?
It is urgent open surgery to treat a serious problem in the pelvis, such as heavy bleeding or a twisted ovary.
Who needs it?
Women who are unwell with severe bleeding, pain or infection, where urgent surgery is needed to keep them safe.
What tests are done first?
An examination, an ultrasound and blood tests, done as quickly as possible.
Is it painful or risky?
Pain afterwards is managed with medicine. Risks include bleeding, infection, blood clots and injury to nearby organs. In an emergency, the risks of not operating are usually greater.
How does Dr Jasdev approach emergency surgery?
He acts quickly, keeps you and your family informed, and considers your fertility wherever it is safe to do so.
What should I do in an emergency?
If you have sudden severe pain, heavy bleeding, dizziness or fainting, go to the nearest emergency department straight away. Contact the clinic once you are safe.
This page is general information and does not replace a consultation. Whether surgery suits you, and its risks, recovery and alternatives, should be discussed with Dr Jasdev based on your own history.
Know when to seek urgent care
For advice after emergency surgery, contact the clinic to arrange a review.