amayrahealthcare

13/05/2025

One of the countless successful stories after our fertility enhancing laparoscopic and hysteroscopic surgeries.. Feedback that keeps us motivated all time..

01/01/2025

06/11/2024

*Conquering Heavy Bleeding: Submucosal Fibroid Resection*

As a gynaecologist, we have seen many women struggle with heavy menstrual bleeding due to submucosal fibroids. Today, we want to share insights on this common issue and its effective treatment.

*What are Submucosal Fibroids?*

Non-cancerous growths in the uterus lining, causing:

- Heavy menstrual bleeding
- Prolonged periods
- Pelvic pressure
- Anemia

Usg images showing submucosal fibroid highlighted :
1. Red colour (3D image)
2. Yellow colour (2D image)
3. ⁠Yellow colour (2D image with colour Doppler)

*Treatment Success: Resectoscope*

We recently performed a successful resection using a resectoscope, a minimally invasive procedure that:

- Removes the fibroid
- Reduces bleeding
- Improves quality of life

*Benefits of Resectoscope:*

- Minimally invasive
- Quick recovery
- High success rate

*Don’t Suffer in Silence!*

If you’re experiencing heavy bleeding or pelvic issues, consult your gynecologist.

*Let’s Break the Silence!*

Share your experiences or questions in the comments below!

02/12/2023

Just finished Third case of the day- laparoscopic myomectomy of fibroid reaching till the level of umbilicus.. today’ list of cases-
1. Hysteroscopic polypectomy. 2.Hysteroscopic septal resection 3.laparoscopic myomectomy 4.laparoscopic ectopic salpingectomy 5.laparoscopic endometriotic cystectomy of previously operated case by laparotomy

01/12/2023

What is ISTHMOCELE?

ISTHMOCELE occurs when a small pocket or pouch forms in this isthmus part of uterus, usually after a woman has had a cesarean section or other uterine surgeries.

Signs and Symptoms:

- Lower Abdominal Pain, especially during menstruation.
- Abnormal menstrual Bleeding or post menstrual spotting
- Chronic Pelvic pain (A feeling of pressure or discomfort in pelvis )
- Infertility (one of the very common symptom after previous caesarean section)

Complications

- Infertility
- placenta accrete or praevia
- scar dehiscence
- uterine rupture
- cesarean scar ectopic pregnancy

Transvaginal ultrasound and saline infusion sonohysterography are effective tools to diagnose isthmocele.

Management is decided on the basis of size of the defect, the presence of symptoms or secondary infertility.

Surgical management includes laparotomy, minimally invasive approaches (hysteroscopy and laparoscopy) and transvaginal approach.

Early detection and appropriate management can significantly improve the quality of life for individuals dealing with ISTHMOCELE. Regular check-ups and open communication with your doctor are key to ensuring optimal reproductive health.

Here is link to video of hysteroscopic management of isthmocele.

https://youtu.be/jNvMgMptneQ?si=K3ArgUAnWH8U4v6a

01/12/2023

Isthmocele is also known as Caesarean scar defect or Niche.

Symptoms of isthmocele- secondary infertility, abnormal uterine bleeding, post menstrual spotting, chronic pelvic pain.

Management includes medical and surgical management.

Surgical management- different options are there- hysteroscopy, laparoscopy, vaginal, laparotomy.

This video is focused on hysteroscopic management of isthmocele which is done for infertility and abnormal uterine bleeding with good clinical outcome considering positive pregnancy rate and relief of symptoms.

Isthmocele is also known as Caesarean scar defect or Niche. Symptoms of isthmocele- secondary infertility, abnormal uterine bleeding, post menstrual spotting...

01/12/2023

Laproscopy dermoid cystectomy

Presenting a case of 35 yr old female with complain of lower pain abdomen and her USG finding suggestive of right dermoid cyst of 6x6 size.

Pt was taken up for laproscopy dermoid cystectomy.

Ovarian dermoid cysts or mature cystic teratomas (MCT), are the most common benign ovarian tumor in adults and adolescents.

Symptoms include pain, pressure or a feeling of fullness in your abdomen and rarely it causes emergency when torsion or rupture occurs.

Not all ovarian dermoid cysts need to be removed. Removal of cyst is needed if it’s large (approximately greater than 5 cms in diameter), causing symptoms (pain) or increased possibility of malignancy.

Advantages of laproscopy dermoid cystectomy -
1. Laparoscopy is day care procedure and pt can be discharged on same day .
2. It provides panoramic view of abdominal cavity and other causes of pain can also be treated, in index case there was an endometriotic nodule on anterior abdominal wall which was excised as well.
3. Cosmetically better scar compared to open surgery.

30/11/2023

Hysteroscopic polypectomy-

Presenting a case of 55 year old female with complaint of postmenopausal bleeding with Ultrasound finding suggestive of endometrial polyp of 1.5 cm size.

Patient was taken up for hysteroscopic polypectomy and endometrial biopsy.

Advantage of hysteroscopic polypectomy-
1. It's a day care procedure and patient can be discharged the same day.
3. It ensures complete removal of polyp under vision.
4. It is safer procedure compared to blind D&C.
6. It allows panoramic view of inside of uterus thus increasing accuracy and precision.

Here is a short video of the same.

Hysteroscopic polypectomy- Presenting a case of 55 year old female with complaint of postmenopausal bleeding with Ultrasound finding suggestive of endometria...

22/11/2023

Demonstrating laparoscopic adenomyomectomy by flap overlap technique at YUVA IAGE 2023, National conference at Guwahati..

26/03/2023

Beginning of the day, with this view.. will finish with 7 laparoscopic cases of laparoscopy hysterectomy, isthmocele repair and laparoscopic myomectomy..

25/03/2023

So we delivered our own BAHUBALI, he held my hand immediately after birth firmly.. He also happened to be result of our laparoscopic myomectomy for huge cervical and fundal fibroids which was done one and a half years back..

23/03/2023

Delivered a lecture on adenomyomectomy- simplified suturing technique in National conference of “Indian association of Gynaec laparoscopist” held at Kochi on 17-19th march 2023. Lecture was well appreciated by seniors and colleagues.. I am grateful to IAGE organising team for considering me for this topic.