Dr. Ashish Kale

14/08/2025

28-Week Ovarian Cystectomy: Fertility-Preserving Laparoscopic Masterclass by Dr. Ashish Kale

https://www.youtube.com/watch?v=cSxe09gmBaQ&feature=youtu.be

Watch this unedited surgical walkthrough by Dr. Ashish Kale (Ashakiran Hospital, Pune) as he performs a challenging fertility-preserving laparoscopic cystectomy on a massive 28-week-sized multiloculated benign ovarian cyst—all while safeguarding the patient’s future fertility.

This video dives deep into retroperitoneal dissection, ureteral protection, cortex preservation, and advanced suturing techniques—essential skills for gynecologists, endometriosis surgeons, and laparoscopic specialists managing complex adnexal masses.

📌 What You’ll Learn:
‣ Pre-op assessment: AOSTA classification & tumor markers
‣ 3-port laparoscopy for large cysts – no extra ports added
‣ Controlled cyst drainage & volume reduction
‣ Retroperitoneal approach to safeguard ureter & vessels
‣ Sharp dissection vs. coagulation for cortex preservation
‣ Layer-by-layer cyst wall removal without damaging ovarian tissue
‣ Avoiding post-op adhesions through anatomical remodeling
‣ Step-by-step ovarian cortex suturing to restore tubo-ovarian anatomy
‣ Preventing AMH loss & maintaining natural conception potential
‣ When to advise natural conception post-surgery

✅ Ideal for: Surgeons managing advanced ovarian cysts, recurrent endometriosis, pelvic adhesions, and fertility-preserving cases.

🔬 Key Surgical Principles: Minimal energy use | Anatomical precision | Adhesion prevention | Early fertility recovery

📲 Join our Surgical Learning Groups:
👉 WhatsApp: https://chat.whatsapp.com/HXBk8j2BQb1DaEwujECDN7
👉 Facebook: https://www.facebook.com/groups/AshakiranHospitalPune

🔔 Subscribe for weekly surgical walkthroughs & infertility case insights
🌐 Learn more or book a consultation: https://drashishkale.com
📞 Call: 083083 06660

Watch this unedited surgical walkthrough by Dr. Ashish Kale (Ashakiran Hospital, Pune) as he performs a challenging fertility-preserving laparoscopic cystect...

31/07/2025

Bowel-on-Bowel Syndrome in Endometriosis: Advanced Laparoscopic Dissection by Dr. Ashish Kale

In this surgical video, Dr. Ashish Kale (Ashakiran Hospital, Pune) showcases the step-by-step laparoscopic management of a rare and complex case of bowel-on-bowel syndrome caused by severe endometriosis. This was a grade IV case with prior failed surgeries and dense pelvic adhesions.

The dissection emphasizes fertility preservation, meticulous anatomical identification, and safe adhesiolysis using bipolar shearer technology — all performed without the need for bowel resection or general surgical backup.

📌 What You'll Learn:
‣ How to identify and manage bowel-on-bowel adhesions in severe endometriosis
‣ Stepwise sigmoid & retrorectal space mobilization
‣ Role of bipolar shearer in precision dissection and coagulation
‣ Visual and haptic cues to avoid bowel injury
‣ Importance of anatomical knowledge in advanced gynec laparoscopic surgery
‣ When to switch between energy sources and scissors
‣ Preserving fertility and avoiding complications in repeat endometriotic surgeries

🩺 Perfect for: Gynae laparoscopic surgeons, fertility specialists, and advanced endometriosis surgeons.

🧪 No General Surgery Support Needed | Full Bowel Mobilization | Precision Anatomy-Based Dissection

📲 Join our WhatsApp & FB Group for surgical education & live case discussions

What's App: https://chat.whatsapp.com/HXBk8j2BQb1DaEwujECDN7

FB Group: https://www.facebook.com/groups/AshakiranHospitalPune

📹 https://youtu.be/kZluiVF--hA?si=Vt5ydA-xm787WfiM

In this surgical video, Dr. Ashish Kale (Ashakiran Hospital, Pune) showcases the step-by-step laparoscopic management of a rare and complex case of bowel-on-...

24/07/2025

Evaluation of the tubes by hysteroscopy! Magic unfolds - by Dr. Ashish Kale

In this educational video, Dr. Ashish Kale (Ashakiran Hospital, Pune) demonstrates multiple advanced techniques to assess tubal patency and function using office hysteroscopy, bubble test, methylene blue dye test, fimbrioscopy, and falloposcopy—without general anesthesia or laparoscopy.

This method provides visual confirmation of tubal functionality and structure for fertility evaluations, especially in IVF or recurrent infertility cases.

📌 What You'll Learn:

‣ Dynamicity of tubal Ostia via pressure modulation
‣ Bubble Test for tubal patency using hysteroscopy
‣ Methylene Blue Dye test for visual confirmation
‣ Performing fimbrioscopy via abdominal port
‣ Assessing fimbrial health & mucosal architecture
‣ Understanding falloposcopy to visualize inner tubal lining
‣ When tubal patency ≠ tubal functionality

🔍 Perfect for fertility specialists, gynec endoscopy surgeons, and clinicians seeking non-invasive alternatives for tubal evaluation.

🧪 No General Anesthesia | Office Hysteroscopy | In-Depth Tubal Functionality Assessment

📲 Join our WhatsApp Group for more surgical education & live cases:
👉 https://chat.whatsapp.com/HXBk8j2BQb1DaEwujECDN7
📲 FB Group: https://www.facebook.com/groups/AshakiranHospitalPune

🎥 YouTube Video: https://youtu.be/S10rhMIjo5E?si=Ffojlbw2HCH6g1-K

In this educational video, Dr. Ashish Kale (Ashakiran Hospital, Pune) demonstrates multiple advanced techniques to assess tubal patency and function using of...

17/07/2025

Redo Laparoscopic Surgery for Severe Ureteric Endometriosis – Bilateral Ureter Tunnel Dissection

In this complex redo case, Dr. Ashish Kale performs ureteric dissection in a patient suffering from chronic pain, dyspareunia, and bilateral hydronephrosis.
After an earlier peritonectomy and retroperitoneal dissection, she returned with worsening symptoms due to deep periureteric endometriosis.

This surgery is a masterclass in handling redo endometriosis cases, focusing on ureter preservation, tunnel dissection, and cold instrument technique — all while avoiding ischemic damage and stenting.

🔍 What You’ll Learn in This Video:
✅ Sharp dissection & cold scissors technique for ureter preservation
✅ Step-by-step ureter tunnel dissection
✅ Gauze tamponade for microvascular bleeding
✅ Avoiding thermal damage to prevent ureteric fistula
✅ Use of Maryland and bipolar sharer for precise handling
✅ 3D laparoscopy enhancing depth and anatomical navigation
✅ Completion of surgery without ureteric stent placement

📌 Key Takeaway:
Understanding the ureter course and vascular plane is vital in managing redo cases of ureteric endometriosis — especially when previous surgeries have altered normal anatomy.

This is a must-watch for gynecologists, laparoscopic surgeons, and IVF specialists seeking to elevate their surgical finesse in minimally invasive ureteric dissection.

📍 Ashakiran IVF Hospital, Pune
📲 Join our WhatsApp group for exclusive surgical training content:
📲 What's App Group: https://chat.whatsapp.com/HXBk8j2BQb1DaEwujECDN7
📲 FB Group: https://www.facebook.com/groups/AshakiranHospitalPune

YouTube Link: https://youtu.be/6lfc95Bm7v8

In this complex redo case, Dr. Ashish Kale performs fertility-preserving ureteric dissection in a patient suffering from chronic pain, dyspareunia, and bilat...

14/07/2025

Empowering the Next Generation of Surgeons

At MIMER Medical College, I had the incredible privilege of teaching hands-on laparoscopic surgery to the bright and dedicated postgraduate students, as part of the EAGLE IAGE Training Project.

Laparoscopy is not just a skill—it's a mindset of precision, care, and innovation. Through structured training and live demonstrations, we focused on building their confidence and capabilities in minimal access surgery. These are the moments where classroom theory meets surgical reality.

The EAGLE (Endoscopy and Advanced Gynaecological Learning & Education) initiative by IAGE is transforming how postgraduate OBGYNs approach surgery—making them not only technically proficient but also future-ready professionals.

I'm deeply grateful to be part of this movement—where knowledge meets mentorship, and where every session plants the seed for surgical excellence in tomorrow’s specialists.

To all the students who participated — your curiosity, dedication, and respect for learning inspire me.

📍 MIMER, Talegaon

10/07/2025

Knowing the retroperitoneal anatomy for severe endometriosis and fertility preservation surgery | Advanced Laparoscopic Fertility Preserving Surgery Dr. Ashish Kale

Watch Dr. Ashish Kale perform a high-complexity laparoscopic surgery for a patient with severe endometriosis, subserosal fibroid (myoma), and two failed IVF cycles. This surgery demonstrates expert dissection principles in distorted pelvic anatomy—aimed at restoring fertility and enabling successful embryo transfer.

In this video:
✅ Sigmoid mobilization to improve bowel visibility
✅ Precise ureterolysis to prevent ureteric injury
✅ Retroperitoneal dissection & uterine artery skeletonization
✅ Bloodless myomectomy with bipolar energy
✅ Dissection of bowel adhesions and pararectal space
✅ Fertility-focused surgical corrections for IVF success

This is a must-watch for gynec laparoscopic surgeons, fertility specialists, and OBGYNs looking to master deep pelvic dissection techniques in complex endometriosis and fibroid cases.

📍 Ashakiran IVF Hospital, Pune
📲 Join our WhatsApp group for more surgical training content:
👉 https://chat.whatsapp.com/HXBk8j2BQb1DaEwujECDN7
📲 https://www.facebook.com/share/g/14GLbNz2Rdb/

📹 https://youtu.be/7SQiE4_vzJE?si=vZ-FgJt5IZjk8G8e

Watch Dr. Ashish Kale perform a high-complexity laparoscopic surgery for a patient with severe endometriosis, subserosal fibroid (myoma), and two failed IVF ...

07/07/2025

🎙 A Story of Science, Strength & Survival

Presenting a deeply moving and powerful podcast episode featuring two inspiring voices

Dr. Ashish Kale, IVF & Endometriosis Specialist,
Dr. Anuthi Priya, Anesthesiologist, Endometriosis Survivor, and a true voice of resilience.

In this exclusive episode, Dr. Anuthi opens up like never before — about her personal battle with endometriosis, multiple surgeries, the emotional trauma, medical confusion, and how — even as a doctor — she had to fight for clarity, choice, and control over her own body.

From unbearable pain to public advocacy, from being a patient to becoming a voice for thousands — this isn’t just a podcast, it’s a reality check for the medical community and a lifeline for every woman suffering in silence.

✨ Highlights:
• What it's really like to live with endometriosis
• Patient rights vs. medical decisions — a perspective from both sides
• Egg freezing, mental health, marriage pressure — what no one talks about
• Why empathy in medicine is more important than ever
• The message every young woman & every doctor needs to hear

🩺 Whether you're a gynecologist, medical student, patient, or family member — this episode will change the way you look at endometriosis forever.

🎧 Watch now, share with someone who needs this.

💬 “I’m unique only because of my choices.” – Dr. Anuthi Priya

03/07/2025

Brush Technique in Endometrioma | Dr. Ashish Kale |

Watch this live surgical demonstration by Dr. Ashish Kale (Ashakiran Hospital, Pune), showcasing the innovative Brush Technique used during o**m pickup (OPU) in patients with endometrioma—without puncturing or contaminating the cyst wall.

This technique is especially valuable in preserving oocyte quality and preventing complications like abscess formation during IVF in patients with low AMH and ovarian endometriosis.

📌 What You'll Learn:
‣ Safe follicular aspiration around endometrioma
‣ Avoiding fluid contamination during OPU
‣ Real-time hand movements & needle alignment
‣ Brush technique: precise motion at the cyst wall
‣ Prevention of endometrioma rupture & infection
‣ How to handle poor follicle accessibility cases
‣ Insights for low AMH and dual stimulation IVF protocols

This video is ideal for gynecologists, fertility specialists, and embryologists seeking safe OPU methods in complex endometriosis cases.

🧪 Technique Validated in 1000+ Cases | No Endometrioma Aspiration | Ideal for IVF in Endometriosis

📲 What's app Edu: https://chat.whatsapp.com/HXBk8j2BQb1DaEwujECDN7
📲 Facebook Group: https://www.facebook.com/share/g/19Jp2wmVdq/

🎥 https://youtu.be/DeaZlPDWoqs?si=5rU4qPBhAReedvl6

Watch this live surgical demonstration by Dr. Ashish Kale (Ashakiran Hospital, Pune), showcasing the innovative Brush Technique used during o**m pickup (OPU)...

27/06/2025

Myomectomy Surgery | Cervical & Fundal Fibroids

Performed by Dr. Ashish Kale at Ashakiran Hospital, Pune — WITHOUT vasopressin or uterine artery ligation!

📌 What You'll Learn:

✅ Live demonstration of contralateral & ipsilateral laparoscopic suturing
✅ Blood loss control without vasopressin
✅ Barbed suture technique for optimal healing
✅ Tissue handling in myomectomy cases
✅ 2D angulation of the needle to the tissue surface for effective pe*******on and glide
✅ Obliteration of myoma bed using layered barbed suturing
✅ Myoma extraction and minimal instrumentation approach

🌐 Visit: www.drashishkale.com
📞 Call: 083083 06660

📺 Watch full surgery now: https://youtu.be/vc5HgCpPpxU?si=JMvs0IwoNAkdGUbU

Watch this unedited surgical walkthrough by Dr. Ashish Kale (Ashakiran Hospital, Pune), demonstrating a complex cervical and fundal fibroid removal with expe...

26/06/2025

*Myomectomy Surgery | Cervical & Fundal Fibroids*

Performed by *Dr. Ashish Kale* at Ashakiran Hospital, Pune — WITHOUT vasopressin or uterine artery ligation!

📌 What You'll Learn:

✅ Live demonstration of contralateral & ipsilateral laparoscopic suturing
✅ Blood loss control without vasopressin
✅ Barbed suture technique for optimal healing
✅ Tissue handling in myomectomy cases
✅ 2D angulation of the needle to the tissue surface for effective pe*******on and glide
✅ Obliteration of myoma bed using layered barbed suturing
✅ Myoma extraction and minimal instrumentation approach

🌐 Visit: www.drashishkale.com
📞 Call: 083083 06660

📺 Watch full surgery now: https://youtu.be/vc5HgCpPpxU?si=JMvs0IwoNAkdGUbU

Best IVF Centre in Pune has the best team of infertility specialists and experienced doctor who offers solutions for IVF and IUI for male/female infertility issues. For Booking Appointments, call us +91 8308306660.

19/06/2025

𝐀𝐝𝐯𝐚𝐧𝐜𝐞𝐝 𝐓𝐋𝐇 𝐰𝐢𝐭𝐡 𝐈𝐧𝐜𝐢𝐬𝐢𝐨𝐧𝐚𝐥 𝐇𝐞𝐫𝐧𝐢𝐚 𝐑𝐞𝐩𝐚𝐢𝐫 | 𝐑𝐞𝐭𝐫𝐨𝐩𝐞𝐫𝐢𝐭𝐨𝐧𝐞𝐚𝐥 𝐃𝐢𝐬𝐬𝐞𝐜𝐭𝐢𝐨𝐧 & 𝐔𝐫𝐞𝐭𝐞𝐫𝐨𝐥𝐲𝐬𝐢𝐬 𝐛𝐲 𝐃𝐫. 𝐀𝐬𝐡𝐢𝐬𝐡 𝐊𝐚𝐥𝐞

In this detailed, unedited surgical case, Dr. Ashish Kale demonstrates a Total Laparoscopic Hysterectomy (TLH) combined with incisional hernia repair in a patient with a prior myomectomy and bowel entrapment at the lateral port site.

Performed at Ashakiran Hospital, Pune, this surgery showcases critical anatomical considerations and advanced techniques, particularly in cases with prior uterine artery ligation at its origin.

𝐊𝐞𝐲 𝐋𝐞𝐚𝐫𝐧𝐢𝐧𝐠 𝐏𝐨𝐢𝐧𝐭𝐬:
* Complete dissection of bowel adhesions
* Retroperitoneal approach and ureterolysis
* TLH without uterine manipulator using bipolar shearer
* Onlay mesh technique for hernia repair
* Vault fixation with uterosacral ligaments

💡 This educational video is ideal for gynecologists, laparoscopic surgeons, IVF specialists, and trainees who want to master advanced myomectomy techniques.

In this detailed, unedited surgical case, Dr. Ashish Kale demonstrates a Total Laparoscopic Hysterectomy (TLH) combined with incisional hernia repair in a pa...

19/06/2025

A proud moment to be part of the Comprehensive Initiative for Women’s Health – Sampoorna, held today at JW Marriott, New Delhi.

Honored to speak on Hormonal Contraception: Challenges and Technical Aspects among some of the most respected voices in women’s health.

Grateful to Dr. Sunita Tandulwadkar, President FOGSI, CIFF, and Jhpiego for this prestigious platform.

Privileged to interact with:
• Shri Pawan Kumar, Addl. Commissioner, MOHFW
• Dr. Hemang Shah, CIFF
• Dr. Amit Shah, Jhpiego
• Former FOGSI Presidents – Dr. Hrishikesh Pai, Dr. Rishma Pai, Dr. Nandita Palshetkar, Dr. Jaideep Tank, Dr. Hema Divakar, and Dr. Suchitra Pandit

Together, let’s take women’s health initiatives forward — holistically, comprehensively, and impactfully.