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@drsurakshith
Modified Laparoscopic Ovariopexy Laparoscopic Ovariopexy, oopheropexy or ovarian transposition is a minimal invasive procedure performed in patients with recurrent ovarian torsion, endometriosis or cancer to save the ovary from radiation therapy.Dr.
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Laparoscopic Cerclage (Bionic Cervix)
Laparoscopic Cerclage (Bionic Cervix)
Cervical incompetence is a well-known condition in obstetrics with an incidence of 1 %, and is associated with a high risk of second trimester abortion .The main problem of CI is its diagnosis as it is not associated with specific symptoms and can only be postulated on the basis of the patientʼs obstetric history. The traditional…
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Tuesday evening lectures
Tuesday evening lecture sessions for fellowship students at Indigo Womens Centre , Anna Nagar , Chennai. If any students are interested to join send me a mail at dr.surakshith(at)gmail.com Topics covered History of laparoscopy Adv + Disadv of laparoscopy Errors in Laparoscopy LS , monitor , CCD , optics Insufflator Lap instruments Instruments special – stirrups , manipulators Energy sources…
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Indigo Womens Center conducted a free camp in #Nellore for #Independence Day . Overwhelmed by the love showed towards us. Thank you for your support !
Dr Surakshith consulting with patients
Patients waiting for a consultation
Independance Day Camp Indigo Womens Center conducted a free camp in #Nellore for #Independence Day . Overwhelmed by the love showed towards us. Thank you for your support !
Lecture in SMF Delivered a lecture on laparoscopic management of fibroids in Sundaram Medical Foundation for Post Graduates .
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How to tackle a cervical fibroid
How to tackle a cervical fibroid
 Always use a 30-degree scope, cervical myomectomy will be technically very challenging with a 0-degree telescope. Assess the pelvis and look for the course of ureters before starting the procedure. If cervical fibroid is large, ligate the uterine artery at the origin. Inject Vasopressin (10 % concentration) till blanching of the myometrium. Always make a horizontal incision on the uterus at the…
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How effective is Interceed ?
How effective is Interceed ?
I’d say pretty damn effective. Gynecare Interceed is an absorbable adhesion barrier used for reducing the incidence of postoperative pelvic adhesions after hemostasis is achieved . Here are the laparoscopic images of patient who underwent a laparoscopic myomectomy on 15- 5 – 15 (post myomectomy an interceed was placed over the raw area ) . The same patient underwent a re-laparoscopy on 21-7-16…
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Endoscopic Needle Holding Techniques
Endoscopic Needle Holding Techniques
There are several ways to grasp the needle endoscopically, in  this post I have demonstrate three well experimented and safe methods to hold the needle.This is the first (and probably the most important) step in suturing. I personally recommand a “toothed” needle holder while suturing ,this helps in both holding the needle in place as well as for grasping the tissues while suturing.Whether you…
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Intra lipid infusion: A revolution or fad?
Intra lipid infusion: A revolution or fad?
Recurrent IVF/ICSI failure(RIF) has a devastating social and psychological effect on the affected couple. Some scientists believe that the immunological system has a hand to play in RIF while others believe the quality of the embryos are more important than immunological factors. The components in question are the NK (Natural Killer) cells and TNF (Tumour Necrosing Factor)- Alpha.  The premise…
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How to tackle a large uterus.
How to tackle a large uterus.
You are about to do the PV examination ,knowing very well what you are about to feel .You’ve seen it bulging at you the whole time when inspecting the abdomen .Instinctively you send the patient for an ultrasound just to be sure you are diagnosing it right. All the while you keep asking yourself the question … What are you going to do doc ? Laparoscopic hysterectomy or Abdominal Hysterectomy ? In…
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Presentation for AAGL
My Paper on 3D Laparoscopy : An Analysis of 1,475 cases has got selected for the Global Congress (AAGL) in Orlando , Florida . In this paper we compared 3D to 2D laparoscopic surgery in time efficiency and safety while performing surgery. Surgeon preferences and number of unintended movements were also analysed. So if any of you would like to meet me , Ill see you there at Rosen Creek…
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Final Blog Post
I am moving to Wordpress .Â
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www.drsurakshith.com
Neonatal photography by VishnuPhotography
AAGL Mumbai
Hysteroscopic Polypectomy : After a hysteroscopic Polypectomy , grasping the polyp and retrieving it is a tedious task , especially if the size of the polyp is large . Enter Tri-pole grasper , this wonderful piece of equipment will grasp the polyp completely and remove it in toto. I usually cut the polyp completely and leave a base so that it doesn't float around when trying to grasp it . I then introduce the tri-pole grasper and retrieve the specimen . Have a look at this video for a detailed demonstration http://youtu.be/cihA8A1UbKo
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TLH : Finding the right plane for bladder dissection.
For a complete bladder dissection , always remember . The fat belongs to the bladder , so when pushing the Bladder down after cutting the UV fold of peritoneum . Push on the fat , to aid this dissection you could use a laparoscopic peanut (very very useful ). It's also essential that you get good uterine traction , poor traction would not give you a proper dissection plane . Another useful trick is to identify the uterine vessels laterally , and stay just above the vessels . This will help identify the rest of the plane to dissect (especially in patients with previous c-sections).
Case Points : TLH with difficult bladder dissection
Bladder dissection is probably the most crucial step in a hysterectomy . A few pointers which can help with a good bladder dissection . Do not cut the corneal structures first . Start with the round ligament at the middle (stretched with either the spiral or uterine manipulator) .this will stretch the bladder down , and when you start dissecting with the harmonic , you would find that the plane is created (thanks to the cavitation all effect of the harmonic ace ). This way you will have minimal bladder injury .