Core Interest: 

a) Laparoscopic Hysterestomy, Myomectomy, Cystectomy 
b) Laparoscopic Urogynecology including Pelvic Floor Repair
c) Excisional Endometriosis surgery

Registration:

Medical Council of India’sMaharashtra
Chapter Reg. No. – 86101.
Date – 10th March, 1998.

Singapore Medical Council
Reg no – 11308E
Date: 17th May 2003
  
NSW Australia Medical Board
Reg no: MPO 352071
Date: 16th August 2005

Basic Medical Qualification

• M.B.B.S.  : (Bachelor of Medicine & Surgery)
  Passed from K.J. Somaiya Medical College and Research Centre, Sion, Mumbai, affiliated to Mumbai University, Mumbai in Dec. 1996 with First Class. Then completed 1 year Internship on 02/02/1998.

Post Graduate Medical Qualification

• M.D. : (Master in Obstetrics and Gynaecology) Post Graduate Degree  in  OBG from   Seth  G.S. Medical College and K.E.M. Hospital affiliated to University  of  Mumbai. Passed in February 2002 in the first attempt.
• D.G.O.: (Diploma in Obstetrics and Gynaecology) in the first attempt October 2001, from the College of Physicians and Surgeons, Mumbai.
• F.C.P.S. : (Fellow in Midwifery and Gynaecology) in the first attempt April 2002, from the College of Physicians and Surgeons, Mumbai.
• Fellowship in Gynaeocologcal Endoscopy – BEAMS Hospital, Mumbai
• Fellowship in Minimally Invasive Gynaecological Surgery – KK Women’s and Children’s Hospital, Singapore
• Fellowship in Gynaecological Laparoscopy – Sydney Women’s Endosurgery Centre (SWEC), St. George Hospital, Sydney - Australia

I began my post graduate training at Seth G.S Medical College and KEM hospital, an 1,800 bedded super-speciality hospital affiliated to the University of Mumbai, India. The institute, ranked among the top ten medical schools in India, is a tertiary apex care teaching hospital with patients coming from all over the country for treatment.

During the first year of my training I managed antenatal patients and patients in labour and routine gynaecological patients under supervision. By the second year I was assigned independent management of patients and performed major gynaecological surgeries and caesarean sections. During my training I have performed all the major gynaecological surgeries including conservative surgeries for prolapse, abdominal hysterectomies and especially non-descent vaginal hysterectomies. As a post MD registrar I was assigned independent management of all high risk obstetric and training of junior residents. I have also conducted various teaching programs for undergraduate students.

Work Experience Before Post Graduation

Work Experience After Post Graduation

Specialist  Training after Post-Graduation

Clinical research fellowship in Gynecological Endoscopic Surgery: December 2002 to 30th November 2003 under the supervision of Dr.Rakesh Sinha MD(Clinical Fellowship in Endoscopic Surgery from the Royal Free Hospital,London,UK)

This is a 32 bedded free standing gynecological endoscopy center and takes pride in being a leading center in this field in India performing on an average 400 advanced gynecological laparoscopic surgeries every year with state of the art equipments. It has been featured in the Guinness and Limca Book of Records for the removal of the largest fibroid (3.2kg) to date by laparoscopic myomectomy.

My duties at the center involved assisting in all the minor and major laparoscopic procedures that included myomectomies hysterectomies, metroplasties, adhesiolysis, surgeries for endometriosis, TCRE and performing basic hystero-laparoscopies and pelvi-trainer sessions.

This institute regularly conducts laparoscopic training workshops in affiliation with the pharmaceutical major Johnson &Johnson, which is attended by gynecologists from all over India. During these workshops my duties as a junior faculty member involved taking lectures for the delegates and training them on the pelvitrainer sessions and animate surgeries. This has provided me with an excellent opportunity to improve my own skills in laparoscopic surgery and also to interact with a wide section of gynecologists.

Clinical Fellowship in Minimally Invasive Surgery: May 2004 to November 2004 at the K.K. Women’s and Children’s Hospital, Singapore.

KK hospital is a speciality hospital for women and children in Singapore drawing patients from the majority of the population in Singapore and surrounding countries. It is equipped with all the latest advances in minimally invasive surgery as well reproductive medicine.

As a clinical fellow I was involved in all major and minor minimally invasive surgeries.I have performed level 2 surgeries independently and assisted level 3 & 4 laparoscopic surgeries.

During my tenure I was involved with study on medical management of ectopic surgery, with formulating protocol, collecting of data, and analysis of results.

Clinical Research Fellow at the St George Hospital, Kogarah and Sydney Women’s Endosurgery Centre, Australia.

 This fellowship is recognized by the Royal Australia and New Zealand college of Obstetrics and Gynecology for specialist training in Gynecological laparoscopy and is much sought after at an international level. (www.swec.com.au).

My training involves active assistance and individual operating on advanced laparoscopic procedures like laparoscopic pelvic floor repair and complex endometriosis surgery. I am also actively involved with teaching as we regularly conduct International Advanced laparoscopy courses and have conducted trainee workshops for registrars all over Australia. I am also involved in two research projects at the center. Period of training: from 16th August, 2005 to date.

LIFE MEMBER 

• Mumbai Obstetrics and Gynaecology Society.
• Federation Obstetrics and Gynaecology Society of India.

ACHIEVEMENTS

• Principal’s Special Prize for Best Student in the year 1991–1992 in RD National College, Bandra, Mumbai.
• First Place in Physiology Seminar at K.J. Somaiya Medical College in 1993 – Topic : Regulation of calcium metabolism.
• Speaker in seminar on WHO day 1997 – Topic : Emerging new Infections – A Global Emergency.
• Best paper prize for “Pregnancy Outcome in Teenagers” (Second Author) at Mumbai Obstetrics and Gynaecology Society Conference, March 2000.
• Won the spot quiz on Polycystic Ovarian Disease in FOGSI Conference, December 1999.
• Best Oral Paper presentation at the 54Th AICC RCOG conference in March 2006,Kolkatta India for “Major Complications experienced in complex excisional endometriosis surgery”
• Best video presentation at AGES annual meeting, May 2006 for “Laparoscopic ureter-oneocystotomy for ureteric nodule”
• Faculty at the AGES and RANZCOG Registrar Trainee worshop II September 2006
• Faculty at the advanced laparoscopy workshops conducted by the Sydney Women’s Endosurgery Centre and St George Hospital held quarterly 2005-2006.

SCIENTIFIC PAPER PRESENTATION

National Conferences:

• “Labour Outcome in teenage pregnancies” presented at the Mumbai Obstetrics and Gynaecology Society Conference held in March 1999.
• “Outcome of pregnancies in teenagers (KEM Hospital)” presented at All India FOGSI Conference, December 1999.
• “Outcome of pregnancy in patients with BOH with ANA and dsDNA positive” presented at Mumbai Obstetrics and Gynaecology Society Conference, March 2000.
• “TCRE with Balloon Thermal Ablation” presented at the Mumbai Obsterics and Gynaecology Society held in March 2003

International Conferences:

• “Medical Management of Ectopic Pregnancy –KKH Experience” Poster presentation, at the Annual Scientific Meeting, Singhealth, Singapore 2004.
• “Evaluation of Intra-Uterine Insemination”presented at South Asian Federation Of Obstetrics and Gynaecology Conference February 2003.
• “Endosalpingiosis –the clinical significance”presented at AGES 2006 annual meeting.
• “Comparison of intraoperative and preoperative POPq scores in patients with or without prolapse” presented at the AGES 2006 annual meeting.
• “Laparoscopic Ovarian transposition” presented at the AGES 2006 annual meeting.
• “Laparoscopic Management of Rectal Endometriosis” presented at the limits of endosurgery Conference,August 2006, Sydney Australia
• “Complications in excisional endometriosis surgery”  presented at the limits of endosurgery conference, August 2006, Sydney Australia.
  

PUBLICATIONS

Chapters in Books

• “Epilepsy in Pregnancy” chapter in Book Medical and Surgical Disorders in Pregnancy, Dr.V.S.Salvi : Jaypee Publications 2002
• Chapter on “Laparoscopic Hysterectomy” for EndoEase Conference 2003
• Chapter on “Hysteroscopic Myomectomy” for International Congress of Infertility
• Chapter on  “Laparoscopic Management of Endometriosis” for book on Gynecology edited by Dr.Kamini Rao ; Jaypee Publications
• ‘Laparoscopic sliding knots” chapter in book- Atlas of laparoscopic suturing, Jaypee publications.

Journal Publications

• “Laparoscopic Management of Bicornuate uterus” Journal of American    Association of  Gynecological laparoscopy, Jan2006
• .“Infiltrative vesical and ureteric endometriosis. Two different points of view.”The Journal of Minimally Invasive Gynecology - accepted for publication.
• .’Laparoscopic Psoas hitch and cystoneo –ureterostomy” Journal of Minimally Invasive Gynecology - accepted for publication.
• ” Unilateral Ovarian Agenesis with contralateral endometriosis-2 case reports” Pathology journal -accepted for publication.

DISSERTATION FOR POST–GRADUATE COURSE (M.D.)

Intrauterine INSEMINATION: This is a study of 65 patients of infertility who underwent Intrauterine insemination, the results were compared according to indication for the IUI.At our center we got 6% success rate and IUI was found to be most effective in cases of male infertility.

Thesis for Fellow of College of Physicians and Surgeons of Mumbai (F.C.P.S)

• “Role of transvaginal ultrasound in ovulation induction studies”

CONFERENCES AND WORKSHOPS ATTENDED

• “Internal Medicine Update”  organised by IMA and Mayo Clinic in January 1998.
• Annual “Mumbai Obstetrics and Gynaecology Society” Conference, March 1999.
• Conference and Workshop in Ultrasonography organised by FOGSI in June 1999, Agra.
• Annual “All India Fogsi Conference” in December 1999, Lucknow.
• Annual “Mumbai Obstetrics and Gynaecology Society” Conference in April 2000.
• SouthAsian Federation Of Obstetrics and Gynaecology Conference 2003”Evaluation of Intra-Uterine Insemination”
• Annual”Mumbai Obstetrics and Gynaecology Society”Conference 2003 March
• “Endoscopy Workshop” International Congress of Infertility,Mumbai, November 2003,
• ‘Basic Laparoscopy and Suturing Workshop Hands-on’ held at the 8Th Post graduate Refresher Course in Obstetrics and Gynaecology 2004, Singapore.
• “Just Hysterectomy”conference on  laparoscopic hysterectomy,organized by BEAMS, Indian association of Gyanecological endoscopists,Mumbai October 2004,India.(part of Organising committee)
• Annual Scientific Meeting- 2004, Singhealth, Singapore,October 2004

 Clinical Experience

In my Clinical experience, I have performed over 600 major and minor gynecological procedures independently including endoscopic procedures.

My Obstetric training has involved all kinds of difficult caesarean operations, instrumental deliveries and management of all high risk pregnancies.

After my postgraduate studies I have concentrated on Endoscopy as I truly believe that it is the future of all gynecological procedures and patients can benefit the maximum with this method of surgery.

In Endoscopy I have performed all basic surgeries as primary surgeon as follows:

Hysteroscopic procedures

• Diagnostic Hysteroscopy
• Hysteroscopic polyp resection
• Balloon thermal ablation
• Hysteroscopic endometrial biopsy
• Hysterocsopic myomectomy
• Hysteroscopic endometrial resection
• Hysteroscopic Essure Sterilisation

Laparoscopy

Level 1 and II

• Salpingectomy
• Salpingotomy for ectopic pregnancy
• Ovarian Cystectomy
• PCOD drilling,
• Tubal ligation
• Morcellation of fibroids

Level III and IV

• Myomectomy
• Total laparoscopic hysterectomies
• Burch colposuspension
• Excisional endometriosis surgery
• Adhesiolysis
• Laparoscopic tubal recanalisation

Level V

• Total laparoscopic hysterectomies for large uteri( upto 600gms)
• Laparoscopic paravaginal repairs for anterior cystocele
• Posterior pelvic floor repair using mesh
• Ureterolysis for excisional endometriosis
• Rectovaginal septum adhesiolysis for deep infiltrative endometriosis

As a first assistant I have actively assisted in all major endoscopic surgeries as follows:

• Large Myomectomy
• Total Laparoscopic Hysterectomy( upto 2000gm)
• Burch Colposuspension
• Sacropexy for vault prolapse
• Adhesiolysis for severe endometriosis involving rectovaginal septum
• Rectal resection for endometriosis
• Repair of vesico-vaginal fistula
• Removal of ovarian ectopic pregnancy
• Shirodkar’s Sling operation for prolapse
• Pelvic lymph node dissection
• Reversal of tubal ligation
• Complex Total laparoscopic hysterectomies
• Hysteroscopic myomectomy
• Trans-cervical resection of endometrium
• Hysteroscopic adhesiolysis
• Metroplasties
• Tubal cannulation

I am competent in operating with video-laparoscopy. I have learned laparoscopic endosuturing as well extracorporeal suturing, with competency in endosuturing.

I have trained in ultrasound and have performed obstetric ultrasounds as well as transvaginal ultrasounds for ovulation studies.

I have performed IUI’s and managed patients on ovulation induction with clomiphene and gonadotrophins.

I have been involved in a lot of teaching of laparoscopy in Australia and would like to continue the same by conducting trainee workshops for Indian doctors with the participation of my colleagues in Australia to further the techinique of laparosocpy as applied to Gynaecology. In future I would like to train myself in Oncological surgery in laparoscopy.