Obstetrics and Gynaecology

TENDER MOMENTS DESERVE WORLD-CLASS CARE AND INFRASTRUCTURE.

The Obstetrics and Gynaecology department at Meenakshi Hospital is a tertiary care centre that offers contemporary, comprehensive diagnostic and therapeutic techniques in a nurturing atmosphere for women in all stages of life.

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Obstetric HDU:

We have a dedicated Obstetric Critical Care High Dependency Unit (HDU) to care of mothers with high risk pregnancy. Mothers suffering from various medical disorders such as epilepsy, severe pre-eclampsia, HELLP syndrome, chronic hypertension, heart diseases, renal disorders including post renal transplantation, SLE and diabetes are cared routinely in our centre.

Foetal Medicine:

We provide preconception Counselling, genetic Counselling, prenatal diagnosis including comprehensive and targeted USG, first trimester aneuploidy screening, Chorionic Villus sampling, amniocentesis and foetal blood sampling. Foetuses with severe oligohydramnios and IUGR are periodically reviewed with Foetal Doppler, Biophysical profile and Cardiotocography (NST and CST) and delivered at the most appropriate time for better postnatal survival. We also have extensive clinical experience in the management of preterm labour, cervical insufficiency and preterm rupture of membranes with optimal results.

Gynecology:

We care for women from adolescence to menopause and beyond. Each patient is counselled individually regarding their problems and guided through the various treatment options available. Finally we help them choose an appropriate treatment mode, taking into account their special needs and medical conditions. Minimal access surgeries (laparoscopic and hysteroscopic procedures) are performed on a majority of patients for better patient comfort, at an affordable cost.


Milestones


25+

Laparoscopic Gynaecological procedures performed

1000+

Pap smears every year

30+

Colposcopies performed

40+

Radical surgeries conducted

25+

Diagnostic and Operative Hysteroscopies performed

28+

Normal Delivery

66+

LSCS

Highly Specialised Gynaec-Oncology Care (Preventive and Radical Surgery)

Facilities


High Risk Pregnancies (Complicated Pregnancies)

  • Pregnancies for Women with Hypertension
  • Pregnancy with Diabetes.
  • Multiple Pregnancy
  • Pregnancy with Cardiac Disease & Complications
  • Intrauterine Growth Restriction (Iugr)
  • Pregnancy with Renal Failure
  • Pregnancy with Hepatic Failure
  • Cervical Incompetence
  • Pregnancy with Placenta Previa, Acute Peracute
  • Pregnancy with Severe Anemia
  • Pregnancy with Hellp Syndrome (Severe Pre Eclampsia)
  • Pregnancy with Fibroid Uterus.
  • Pregnancy with Seizure Disorders
  • Pregnancy with Cholecystitis
  • Pregnancy with Hypothyroidism
  • Pregnancy with Sle

Major Gynaecological Surgeries & Obstetrical Surgeries

  • Total Abdominal Hysterectomy with Bilateral Salpingo-Oophorectomy (TAH BSO)
  • Laparotomy & Salpingectomy for Ectopic Pregnancy
  • Laparotomy & Ovarian Cystectomy
  • Vajnal Hysterectomy with PFR with Cystocele Repair (Pelvic Floor Repair)
  • Staging Laparotomy & TAH & BSO & PLND (Pelvic Lymph Node Dissection)
  • LSCS & Cesarean Hysterectomy & Bladder Repair
  • LSCS & Sterilization

Laparoscopic Surgeries

  • Diagnostic Laparoscopy
  • Laparoscopic Sterilization (Family Planning) – Both Postpartum & Interval
  • Laparoscopic Ovarian Drilling (For Polycystic Ovaries)
  • Laparoscopic Adhesiolysis
  • Laparoscopic Hysterectomy (Uterus Removal – LAVH)
  • Laparoscopic Ovarian Cystectomy, Ovarian Triopsy, Ovariotomy
  • Laparoscopic Surgery for Endometriosis
  • Laparoscopic Surgery for Adnexal Mass, Tubo Ovarian Abscess
  • Laparoscopic for Chronic Pelvic Pain
  • Laparoscopic Surgeries During Pregnancy (Eg. Appendicectomy)
  • Laparoscopic Myomectomy
  • Laparoscopic Tubal Surgeries – Adhesiolysis, for Ectopic Pregnancy

Minor Obs Gynaec Procedures

  • Dilatation & Curettage (D & C)
  • Dilatation & Instrumental Evacuation
  • MTP
  • Endometrial Biopsy
  • Cervical Biopsy & Cryocauterization Colposcopy
  • Bartholin Abscess Drainage & Marsupialization
  • Missed IUD – Removal
  • Cervical Polypectomy
  • Fundamental Polypectomy
  • Cervical Encerclage
  • Muena Insution
  • IUCD Insution

Gynaec – Oncology

Prevention and screening procedures like:

  • Pap Smears
  • HPV testing and vaccination
  • Colposcopy including LEEP / LLETZ
  • Cone biopsy
  • Dysplasia of vulva are performed routinely

Unique Surgeries

  • Cornual Ectopic Pregnancy Resection
  • Cesarean Hysterectomy & Bladder Repair for Placenta Percreta
  • Perineal Endometriosis Excision
  • Squamous Cell CA of Vagina (Vaginal Hysterectomy) – In Pelvic Organ Prolapse.
  • LSCS & B.Lynch B/C Uterine Actery Lyatric (in Post Cardiac Arrest & HIE & Turn (IUF) Pregnancy IUD & Pulmonary Edema)
  • LSCS in snake bite patient & DIC
  • Staging Laparotomy in patient with Mucinous Cystadenocarcinoma & primary in Appendix.

Reproductive And Fetal Medicine Unit

  1. Basic & Advanced Infertility Investigations of Infertility Couple
    • Hysteroscopy, Laparoscopy
    • Hormonal Assays
    • Follicular Studies
    • IUI – Intra Uterine Insemination
  2. Fetal Studies – Fetal Ultrasound Scanning Basic, Level – II
    • Fetal ECHO & Doppler
  3. Gynaecological Scanning, Ultrasound Guided Cyst Aspirations.

Treatment & Procedures


  • Menorrhagia clinic for evaluation and management of primary and secondary amenorrhoea
  • Gynecological surgeries
  • Abdominal and vaginal hysterectomies
  • Site specific repair of pelvic organ prolapse including:
  • Mesh repair
  • Post hysterectomy vault prolapse repair
  • MTP and sterilization
  • Recanalisation
  • Laproscopic procedures
  • Total laproscopic hysterectomy
  • Ovarian cystectomy
  • Myomectomy
  • Adhesiolysis
  • Surgical management of ectopic pregnancies
  • Sterilization
  • Hysteroscopic procedures
  • Diagnostic
  • Polypectomy
  • Septal resection
  • Endometrial ablation

Invasive cancers like

  • Cervical cancers
  • Endometrial / Uterine cancers
  • Ovarian cancers
  • Vulva cancers

These invasive cancers are managed with appropriate radical surgeries like Wertheim’s hysterectomy and pelvic node dissection, staging procedures, etc., as the case warrants. Suitable adjuvant therapy (pre- or post-operative) is given with due consultation with our radiation and medical oncology colleagues.

Doctors


Dr. R. NIRMALA

MBBS, M.D
Senior Consultant

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