Introduction of Our

Obstetrics, Gynaecology, Laparoscopy & Hysteroscopy

​

​

Laparoscopy

• Diagnostic Hysterolaparoscopy (for infertility) for couples suffering from infertility, hysteroscopy and laparoscopy is done and fertility enhancing surgery is done to help them conceive

• Laparoscopic Hysterectomy (uterus removal) – removal of uterus and cervix by laparoscopy. Largest done by Dr Vimee Bindra is 32 weeks uterus weighing 2.5kg (2500gm)

• Laparoscopic Myomectomy (fibroid removal) – removal of most common tumor of uterus by laparoscopyLaparoscopic Cystectomy- removal of cysts of ovaries such as dermoid, mucinous cyst

• Laparoscopic management of Endometriosis- presence of lining of uterus outside is endometriosis , pain relieving surgery for adhesiolysis, chocolate cyst removal is done

• Laparoscopic management of Ectopic Pregnancy , when pregnancy is outside the uterine cavity such as in tubes, ovaries or somewhere else.

• Laparoscopic Sterilization/ Tubectomy – permamnent method of family planning

• Laparoscopy Management of Pelvic Organ prolapse

• Laparoscopic Tubal Recanalization for women who have undergone tubectomy, but desire to have more children, laparoscopic tubal recanalisation is possible

• Laparoscopic Colpopexy – fixation of vault in cases of vault prolapsed

• Laparoscopic Sling Operation – for women who have prolapsed and want to save uterus as weel such as nulliparous prolapsed

• Laparoscopic Metroplasty – for congenital abnormalities of uterus such as bicornuate uterus unification of two uterine cavities is done to help women conceive and deliver a baby.

 

Emergency Laparoscopy there are few conditions which may require emergency laparoscopy

• Laparoscopic Management of ruptured ectopic – sometimes pregnancy implants outside the uterus, most commonly in tube and gets ruptured also, this needs emergency management by laparoscopy and it’s a life saving surgery.

• Twisted Ovarian cyst – sometimes ovarian cysts undergo torsion or twist which needs emergency intervention

• Ruptured Chocolate Cyst

• Cervical cerclage for recurrent miscarriage.

 

Hysteroscopy

• Hysteroscopic Polypectomy polyp removal is done in people suffering from heavy bleeding due to polyp or miscarriage due to polyps

• Hysteroscopic Myomectomy (Submucous fibroid) – when a fibroid is inside the uterine cavity, it can be removed with hysteroscopically without giving a cut on tummy

• Hysteroscopic Tubal Cannulation (for proximal tubal block) for women who are suffering from infertility because of tubal block, it can be corrected hysteroscopically if block is near the proximal end

• Hysteroscopic Endometrial ablation (TCRE)(for abnormal uterine bleeding) – complete ablation or resection of endometrium in women suffering from heavy bleeding. Should be done only once the family is completed

• Hysteroscopic sterilization (Assure)- the tubal openings in the uterus are blocked from the vagina using hysteroscope

• Hysteroscopic Metroplasty (for congenital uterine anomaly) or Asherman’s syndrome

• Hysteroscopic Septoplasty for uterine septa

• Hysteroscopic removal of foreign body such as lost copper -T

 

Colposcopy is a procedure to find out whether there are abnormal cells on or in a woman’s cervix or vagina. The cervix is the part of the womb that sits in the vagina.

 

Obstetrics

• Pregnancy Counselling

• Know your pregnancy

• Confirming pregnancy

• Antenatal fetal surveillance

• Antenatal Classes

• Labour and Delivery

• Painless Labour

• Cesarean Section

• Tips for Father to be

• Ectopic pregnancy

• Molar pregnancy

• Recurrent pregnancy loss

 

High Risk Pregnancy pregnancy with complications and any deviation from a normal pregnancy such as

• Multiple pregnancy, twins, triplets

• Mediacl disorders in pregnancy such as Hypertension,Diabetes, Renal Disorder, Thyroid Disorder, Autoimmune Disorder

• Rh Incompatibility

• Fibroid complicating pregnancy

• Ovarian cyst with Pregnancy

• Hypertension with pregnancy

• Obstetric Emergencies such as cerclage, APH, PPH, Eclampsia

 

Gynaecology
Adolescent Care and Reproductive Health – early evaluation fo hormonal disorders common in adolescents precocious puberty, late onset puberty.

Adolescent vaccination such as cervical cancer vaccine, rubella vaccination
Menstrual disorders such as irregular periods, heavy periods, scanty periods, premature menopause

PCOS/PCOD  Polycystic ovary syndrome is a condition in which a woman has an imbalance of female sex hormones. This may lead to changes in the menstrual cycle, cysts in the ovaries, trouble getting pregnant, and other health problems

• PCOS and Acne

• PCOS and Infertility

• PCOS and Obesity

• PCOS and Miscarriage

• PCOS and Hirsutism

• PCOS and hairloss

• PCOS and diet

​

Infertility (difficulty to conceive)

• Evaluation of male and female

• Ovulation Induction With Timed Intercourse

• IUI Intra Uterine Insemination

• Fertility enhancing surgery

• In Vitro Fertilization (IVF)

• ICSI – Intra Cytoplasmic Sperm Injection

 

Abnormal Uterine Bleeding – Bleeding in any of the following situations is abnormal:

• Bleeding between periods

• Bleeding after sex

• Spotting anytime in the menstrual cycle

• Bleeding heavier or for more days than normal

• Bleeding after menopause

• Menstrual cycles that are longer than 35 days or shorter than 21 days are abnormal.The lack of periods for 3–6 Months (amenorrhea) also is abnormal.

​

Pre-Conceptional Counselling for couples who are planning for pregnancy, tests before planning, medicines and precautions and also counseling regarding genetic and familial disorders

 

Contraceptive Counselling for prevention of unwanted pregnancy. Education about different methods and their risks and benefits. Condoms, OCPs, Copper – T, Mirena, Injectable Contraceptives, Tubectomy and Vasectomy

​

Urogynaecology – women suffering from urinary problems and pelvic floor problems such as stress and urge incontinence, prolapse uterus, vault prolapsed, nulliparous prolapsed

Surgeries for Stress Incontinece TVT –O (Transvaginal Tape – Obturator) and pelvic floor surgeries

 

Menopause Clinic for evaluation of women who have permanently stopped their periods. Evaluation is done regarding their overall bone health, cardiac health, ultrasound, mammogram, DEXA (Bone Scan). Hormone Replacement Therapy (HRT)