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Endogynecology

Over 10000 total laparoscopic hysterectomies performed.


Endogynecology

Centres of Excellence
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Gynecology Surgery and Treatment

Gynecological Surgery – Gem Evecare

Gem Evecare emphasises on efficient and personalised Gynecological Surgery for all our patients. We are one among the top notched centres in our country to perform all laparoscopic and robotic gynaecological procedures including basic and advanced laparoscopic surgeries for malignancy, severe endometriosis as well. GEM Eve care is a tertiary referral centre for complicated cases.

Gynecology problems | Best gynecology hospitals

We provide care to women for all gynaecological problems including abnormal uterine bleeding, fibroid uterus, infertility, cancer of female genital tract, etc. We are equipped with advanced laparoscopic instruments and have a specialised pelvic surgery team consisting of experienced endogynecologist, surgical gastroenterologist, urologist, anaesthetist to efficiently deal with difficult surgeries having severe bowel adhesions, frozen pelvis, cancer surgeries etc.

In our centre, we have operated many malignancies with excellent results. Robotic and laparoscopic lymphadenectomies are offered. The patient is first evaluated thoroughly with advanced imaging and detailed counselling given. Frozen section options are also available in our centre. Radical hysterectomies are also performed in our centre with good results of gynecological surgery.

Gynecology Treatment

  • Adolescent health care
  • Reproductive health care
  • Cancer screening
  • Menopause clinic
  • Laparoscopic surgeries
  • Robotic surgeries
  • Hysteroscopic procedures
  • Infertility evaluation
  • Oncology
  • Vaginal procedures

Best Obgyn Surgeon

Coimbatore Branch

Department Lead:
Dr. D. Kavitha Yogini,MS.,FMAS – Fellow in Endogynecology

Dr. D. Kavitha Yogini, a renowned gynec laparoscopic surgeon has been heading the Department of Endogynecology at GEM Hospital & Research Centre for the last 10 years. She is well known for her precise and immaculate surgeries. After completing her MBBS from Coimbatore Medical College, Coimbatore, she did her M.S (OG) from Kasturba Medical College, Manipal. She further pursued her postdoctoral fellowship in Endogynecology from GEM Institute & Research Centre, Coimbatore. For her extensive work in gynec laparoscopy, the Association of Minimal Access Surgeons of India recognised her as an Honorary FMAS.

She is well versed with advanced laparoscopic surgeries including oncological and urogynecologic procedures. A number of laparoscopic surgeons have been trained under her guidance. She has organised various national and international conferences to her credit. She has performed Live surgeries in various International conferences at home and overseas. She is also the course convener for post doctoral fellowship for Endogynecology since 2015.

Team of Surgeons:

1) Dr.B.Devi, MS, FMAS – Fellow in Endogynecology
Dr.B.Devi is an experienced gynaecologist .She has done her MBBS from PSG IMSR, Coimbatore. She has done her post graduation in KMC, Manipal and has completed her postdoctoral fellowship in Endogynecology from GEM institute and Research centre. She is a passionate and dedicated teacher. She has 8 years of teaching experience in medical college. Her classes and lectures are enjoyed by our fellows. She has been organising several training programmes and CME’s for practitioners and postgraduates. Her special interests are reproductive endocrinology, management of abnormal uterine bleeding, urogynecology and hysteroscopy

CHENNAI BRANCH


Department Lead:
Dr. Ajantha Sanjeevi, MRCOG,CCT(UK)

Dr.Swati Nethaji, M.S(O & G)

Gem Achievement on Gynecology surgery

  • 10,000 Successful Hysterectomies
  • Over 15,000 gynecology laparoscopic surgeries
  • 10 Total Laparoscopic Hysterectomies in Uterus > 3Kgs
  • 1st Center to do Total Lap Hysterectomy in South India
  • 1997 1st Center Single Incision Total Lap Hysterectomy
  • 1997 1st Center Single Incision Myomectomy
  • 1st Morcellation in SILS Myomectomy without additional port
  • Only Center with dedicated Dept for Gynecology & Laparoscopy
  • 1st time in India Minimally Invasive Paravaginal repair

GYNEC Problems and Treatment

DAY CARE PROCEDURES:
  • Office Hysteroscopy
  • Laparoscopic sterilisation
  • LNG IUS insertion
  • Endometrial Biopsy
  • Laparoscopic surgeries:
    • Laparoscopic ovarian cystectomy/oophorectomy/salpingo oophorectomy
    • Laparoscopic surgery for ectopic pregnancy: salpingostomy, salpingotomy, salpingectomy
    • Laparoscopic surgery for torsion of ovary/adnexa – 100% ovarian preservation
    • Laparoscopic surgery for tubo ovarian mass/adnexal mass
    • Laparoscopic myomectomy: Laparoscopic endoultrasound guided myomectomy
    • Laparoscopic ovarian vein ligation- Pelvic congestion syndrome
    • Total Laparoscopic hysterectomy
    • Laparoscopic assisted vaginal hysterectomy
    • Laparoscopic tubal recanalization
  • Laparoscopic surgery for pelvic organ prolapse
    • Laparoscopic Sling surgery
    • Laparoscopic paravaginal cystocoele repair
    • Laparoscopic Moscowitz repair
    • Laparoscopic sacrocolpopexy- post hysterectomy vault prolapse
    • Laparoscopic pectopexy
  • Laparoscopic surgery for urinary incontinence
    • Bursch colposuspension
  • Advanced Laparoscopic surgery for Endometriosis
    • Laparoscopic surgeries in frozen pelvis
    • Surgery for scar endometriosis
  • Rectovaginal fistula repair
  • Laparoscopic cervical encirclage
  • Laparoscopy during pregnancy
    • Laparoscopic appendicectomy
    • Laparoscopic cholecystectomy
    • Laparoscopic management of adnexal torsion
  • Laparoscopic Metroplasty
  • Laparoscopic excision of rudimentary horn
  • ROBOTIC SURGERIES
    • Robotic total hysterectomy
    • Robotic radical hysterectomy for cancer uterus,cervix,ovary
    • Robotic sacrocolpopexy
    • Robotic Myomectomy
  • COMBINED SURGICAL AND GYNECOLOGICAL PROCEDURES
  • HYSTEROSCOPY
    • Hysteroscopic polypectomy
    • Hysteroscopic myomectomy
    • Hysteroscopic proximal tubal cannulation
    • Hysteroscopic adhesiolysis
    • Hysteroscopic septal resection
  • INFERTILITY EVALUATION
  • ONCOLOGY
    • Laparoscopic Extrafascial Hysterectomy with bilateral pelvic lymphadenectomy
    • Laparoscopic Wertheim’s radical hysterectomy
    • Laparoscopic nerve sparing radical hysterectomy
    • Laparoscopic para aortic lymphnode dissection
    • Debulking surgery in ovarian malignancies
  • SCARLESS SURGERIES
    • Single Incision laparoscopic gynaecologic surgeries
  • VAGINAL PROCEDURES
    • Pelvic organ Prolapse surgeries:
      • Vaginal Hysterectomy, Fothergills, Ward Mayo’s, Perineorrhaphy,
    • Mc Indoe’s vaginoplasty
    • Surgery for stress urinary incontinence
      • TVT –O

HUGE OVARIAN MASS:

A 34 year old unmarried girl presented with abdominal distension for 1 month and heavy menstrual bleeding for 2 months. On examination, her abdomen was over distended.Tumour markers were normal.USG and CT showed giant ovarian cyst of 36x33x25 cm cyst extending from pelvic cavity to subphrenic space with no solid areas.

She was advised open surgery elsewhere because of the giant size of the cyst. We have thoroughly evaluated the patient and managed her with laparoscopic surgery. All the necessary intraoperative precautions were taken by our experienced anesthetist and surgeons to maintain normal hemodynamic parameters in view of the massive cyst decompression. Total of 30 litres of cyst fluid was drained. Patient went home 2 days after surgery.

This challenging surgery can be performed laparoscopically in only few centres

HYSTEROSACROPEXY:

A 31-year-old had come with mass descending per vaginum since 7 years. On examination, she had Grade III uterovaginal prolapse with grade II cystocoele, infravaginal and supravaginal elongation of cervix. She was advised for hysterectomy for uterine prolapse.

In our hospital we have performed Laparoscopic Hysterosacropexy with bilateral uterosacral ligament plication for her. By this procedure we have preserved the uterus for this young lady and averted the need of hysterectomy with a good outcome.

LAPAROSCOPIC MYOMECTOMY – MULTIPLE SUBMUCOUS MYOMAS

32 years, nullipara came to us with Primary infertility. The reason for her infertility was diagnosed as multiple fibroid uterus. She had large fibroids all over the uterus and was suggested open myomectomy in various hospitals.

Our team of experienced endogynecologist, radiologist, and anaesthetist have done laparoscopic myomectomy with endo USG guidance in this patient and removed 8 fibroids totally. Laparoscopic ultrasound is an advanced instrument available in very few centres all over the world. Open surgery in this patient would further compromise her fertility and laparoscopic myomectomy has a better outcome in these patients.

Post-Doctoral Fellowship Programme

TAMIL NADU DR.M.G.R MEDICAL UNIVERSITY,CHENNAI

Duration: 1 year
Eligibility : M.S/M.D/DNB (Obstertrics & Gynaecology)-with one year of work experience in Endo Gynaecology.

The session starts from July to June.
Kindly send your CV. The eligible candidates will be invited for interview which will be intimate through e-mail.
Eligibility Criteria Link:https://www.tnmgrmu.ac.in/index.php/courses/post-doctoral-fellowship-medical-dental-courses.html

E mail: training@geminstitute.in
Mob no: +91 9940999418
Tel no: +91 422 2325137