Mrs. X Patient was sent to us with menorrhagia and subfertility and an ultrasound report of fibroid uterus. Two fibroids on ultrasound (Intramural – 2cm and submucosal – 5.2cm) Hemoglobin was 7.9gm% She was taken up for a laparoscopy and hysteroscopy in March 2021 on a semi emergency basis. Hysteroscopic myomectomy for an 8 cm grade 1 fibroid was done.…

June 19, 2019 healthysoch : Fibroids are tumors of the uterus that normally occur in the reproductive age group girls and mostly (80%) occur in ages 35-50 years. They are very rarely cancerous but can lead to destruction of the normal uterus and lead to heavy bleeding, pain, problems of urinary tract and intestines.  It also leads to early loss…

March 11, 2016 62 year old postmenopausal woman presented with 1 episode of postmenopausal bleeding. She had a history of modified radical mastectomy for carcinoma breast 3 years back and was on hormonal therapy. On examination her uterus was normal is size, mobile and non tender. Her ultrasound revealed normal atrophic endometrium. Diagnostic and operative hysteroscopy was done for her.…

March 11, 2016 30yrs old, woman presented with severe dysmenorrhea and heavy bleeding during her periods. She had one abortion 1 year back at 8 weeks of gestation and was anxious to conceive. Ultrasound: bulky uterus with multiple fibroids. Hysteroscopy was done which revealed obliterated uterine cavity due to dense adhesions. Adhesiolysis was done and intrauterine device was inserted to…

March 11, 2016 82 year old, postmenopausal woman presented with complaints of lower abdominal pain and constipation for duration of two weeks. On examination she had mild abdominal and forniceal tenderness. CT abdomen revealed diverticulosis of colon with right adnexal mass of size 7 × 6 cms with heterogeneous density, inseparable from ovary. CA 125: normal. Diagnostic and operative laparoscopy…

January 16, 2016 Mrs. “X” underwent a laparoscopy and hysterectomy in March of 2004 in Faridabad. Surgery was uneventful and patient was extubated. Soon thereafter it was noticed that her saturation was falling and her motor response was still inadequate. She still was under deeper sedation. On examination her pupils were constricted though still responding to light stimuli. She was…

January 16, 2016 Dr. Prabha Manchanda Dr. Rahul Manchanda Dr. Vijay Patil This young unmarried girl with a fibroid came from Aligarh. She was sent by an interventional radiologist colleague who thought she needed a myomectomy, and rightly so. Presenting with nothing but an abdominal mass. Ultrasound showed multiple (around 8 myomas) of sizes ranging from 1to12 cm. An abdominal…

June 06, 2013 Mrs XXXX Age: 29yrs Married life: 7yrs A case of primary infertility with past h/o of bilateral laparoscopic ovarian cystectomy (dec/2011) with 2 failed IUI in dec/2012 ,jan/2013. Ultrasound Done- Shows all the parameters within normal limit Planned For Diagnostic and Operative Hysteroscopy and Laparoscopy (06/06/2013)     INTRA-OPERATIVE FINDING 1.Adenomyotic cyst present on posterior wall of…

June 04, 2013 Mrs XYZ Age:25yrs H/O of P1L1 with previous LSCS 3months back, came to us with bleeding per vagina on and off since last child birth and increased in severity since last 3-4 days USG DONE :4/06/2013   INTRA-OPERATIVE FINDINGS 1.Old ,calcified, ?retained product of conception attached to posterior wall of uterus firmly : All the products removed…

December 12, 2012 Case Report      Mrs  XXX Age 28yrs Married Life-3yrs Referred to us with H/O of unable to conceive 3 failed IUI,  1st –June2012,  2nd –Nov 2012,  3rd-Dec 2012 :  All unsuccessfull due to ? cervical stenosis Planned for hysteroscopy-12/12/12 Intra-operative finding 1.False passage at posterior lip/wall of cervix 2.uterus acutely anteverted 3.uterine cavity was small and compressed…

September 13, 2012 Mrs- XXX 38 years old P2L2 Menorrhagia (No complaints) Gym-Did not lose enough weight Ultrasound- huge ovarian cyst and? Endometrial Polyp Haemoglobin-7.9gm% CA 125 and all tumor markers were normal   Advised Hysterectomy and bilateral salpingo-ophorectomy WE Did Blood Transfusion Laparoscopic left Salpnigo-ophorectomy Hysteroscopic Myomectomy On 13/8/2012 Discharged in less than 24 hours after surgery

May 8, 2012 60 Year postmenopausal old lady with c/o pain abdomen and came in with distension and ascietes , mild. Lap chole was done around 6 months ago, unremarkable then. Ultrasound done now shows ascietes with abdominal LNpathy. Examination showed inguinal, axillary and cervical LN pathy. Uterine cavity had fluid and irregular collection with endometrium around 5mm. Axillary biopsy…

May 30, 2012 42 year old symptomatic lady with previous 2 LSCS with fibroid uterus with endometriosis. Total laparoscopic hysterectomy with bilateral salpingoophorectomy was done on 30/5/2012. Bladder was badly stuck to anterior LUS and cervix . Check cystoscopy was done post procedure. A combination of sharp and blunt dissection was used to dissect off the bladder. It is not…

November 27, 2011 Relook of the case A 40year old lady with secondary infertility. Previous vaginal delivery must have been traumatic as when I did the pre-ivf hysteroscopy saw a second-degree perineal tear and cervical tear. Failed ivf once. With decreased menses (flow) and now menstruating only on medication given by IVF specialist. Ultrasound showed endometrium not growing more than…

October 07, 2011 Dr. Rahul Manchanda Dr. Vijay Patil “X” had an uneventful total laparoscopic hysterectomy on 7/10/11 for DUB. Abdominal Sutures were removed on the 8th day and wounds were nicely healed. On the 3rd of November 2011 she complained of copious intermittent, clear discharge vaginally for 4-5days. This was intermittently copious and less and occurred on straining. She…

July 5, 2011 Managing Menopause and Beyond- An interactive session on Womens Health, 5th July 2011, 6.30pm-8pm. at India International Centre, New Delhi. Speakers Rahul Manchanda, Gynae Endoscopic Surgeon Bharat Agarwal, Radiologist Rahul Murada, Psychiatrist Dr. Manchanda,Gynae Endoscopic Surgeon, will talk about the issues of menopause, like bone loss, hormonal changes and manifestations, abnormal bleeding, hysterectomy, and the practical aspects of it,…

Februrary 10, 2011 Dr. Rahul Manchanda Dr. Pratibha Garg Mrs. Jain came from Bombay with an ultrasound report of a fibroid uterus. Her main complaint was a watery discharge from below which had increased over the year from slight to now a constant and copious discharge throughout the day for which she needed to wear a pad/diaper always. She did…

December 17, 2010 Mrs. Gupta all of 63years came with complaints of post menopausal heavy bleeding. A histopathology report of hyperplasia on hysteroscopy and hemoglobin of 8gm% despite two units of transfusion she was advised a laparoscopic hysterectomy with bilateral salpingo-ophorectomy. A little on the heavier side she weighed almost 105 kilos. A technically extremely difficult and challenging Hysterectomy was…

September 5, 2010 Dr. Rahul Manchanda Dr. K.V. Mahalakshmi This 18 year old brave girl “X” actually “brought her parents” to the doctor as she was suffering from primary amenorrhea. Naturally distressed especially with her parents not wanting to accept this she taking matters in her hand presented at the out patients. She came to us with chief complaints of…

December, 2010 Dr. Vidur Jyoti Chief Minimal Access and Bariatric Surgery Batra Hospital and reseach Centre New Delhi This Rare and technically demanding surgery was done for a young lady in December 2010 . She is well and back to work and her normal schedule.

2012 Video papers presented at Endolap 2012

2012 Name- XXXXX 43year , LMP -xx/x/2012 Secondary Infertility P0L0A1 , One abortion at 3 month gestation 10years ago Periods were scanty and only on withdrawl AMH- 0.28 USG- 2011 Uterus- 49x37x27 ET-4.4mm max Semen-normal Hysteroscopy done on 23/3/2012 (Video1) Cervical canal was closed Grade 2 ashermans in uterine cavity Openned up- and IUCD put in and put on hormones Used…

42 year old symptomatic lady with previous 2 LSCS with fibroid uterus with endometriosis. Total laparoscopic hysterectomy with bilateral salpingoophorectomy was done on 30/5/2012. Bladder was badly stuck to anterior LUS and cervix . Check cystoscopy was done post procedure. A combination of sharp and blunt dissection was used to dissect off the bladder. It is not always that one…

27 year old Nulliparous lady with episode of pain lower abdomen 15 days ago. Better with medication. Now again had pain and USG showed large 16 weeks ovary. Doppler ruled out twisting. Pulse was around 120/min. MRI done apparently confirmed the USG findings. We were called to do the laparoscopy. The clip clearly shows the findings. Would anyone manage any…

44yr old lady nulliparous with 20 week size uterus. Presented with an ultrasound with a big fibroid uterus. Mostly asymptomatic with mild menorrahgia. History of previous myomectomy done 12 years ago by laparotomy for a huge fibroid (more than 20 weeks) Total Laparoscopic hysterectomy was done. Right ovary and tube were forming a TO mass and were stuck to bowel and…

o   Ms S o   40 y nulliparous lady o   Complaining of chronic pelvic pain and severe dysmenorrhoea for the past few years, worsened over the past few months. She was also concerned about her future fertility options. o   USG showed a unicornuate uterus with a left sided uterine horn with an endometrial cavity; these findings were confirmed by MRI. o   Patient underwent o   Diagnostic…

Case 1: Twisted ovary and tube , nulliparous, left side dermoid Lap fidings: Blue black twisted adnexa Management: untwisting , removal of dermoid cyst and leave adnexa behind Case 2: Twisted ovary and tube, unmarried Lap findings: Blue , black TO mass Management : untwisting , colour does not return,  gangrenous, Salpingo-ophorectomy done.

50 yr old lady having menorrhagia. 4×4 cm fibroid mostly in the uterine cavity. Myomectomy done 7 days ago. Previous 3 laparotomies ( 2 Caesarian and one myomectomy).

Young nulliparous girl Failed IVF X twice Sent for pre IVF hysteroscopy

25 year lady spot the dignosis Hysteroscopy for infertility POCD

Case: o Mrs XYZ o 25 y o P0L0A1; history of spontaneous abortion at 14 weeks 2 years earlier o Now anxious to concieve o Both cornua in the lower half were close together simulating a septate uterus. o In the upper part, they were further apart. A hysteroscopic metroplasty was done and both cavities were enlarged. Lower half of…

nMrs. “X” This young lady, all of 75 years in age, went for a routine ultrasound examination on which the uterine cavity showed some fluid in the uterine cavity. She is a diabetic on insulin therapy. She was advised a hysteroscopy examination which was done using an office hysteroscopy. The endometrium showed a growth on the posterior wall of size…

Dr. Rahul Manchanda Dr. Pratibha Garg Fibroids are generally seen in women over 35; about 25% are suffered from it in their reproductive age. Submucosal fibroids are seen in 5 – 10 %, symptoms like menorrahgia (heavy bleeding), severe dysmenorrhea (painfull menses) and infertility may lead you to see your gynecologist. This is a case report of a 32 year…

Dr. Rahul Manchanda Dr. K. V. Mahalakshmi 24 year old “X” married for less than a month, presented to the outpatients with pain abdomen, cough and high grade fever. She had periods which were painful and heavy. She was put on Ceftum. Physical examination revealed that her chest was clear and her pelvic examination was  suggestive of an acutely tender…

Endometriotic Case 1 Patient X, 34 years P0L0 female came with primary infertility, dysmenorrhoea since 2 years On examination: GPE: normal Per abdomen: soft, no mass palpable , non tense, non tender Per vaginal : Uterus anteverted, normal size, mobility restricted, left fornix mass fullness present USG:1.6 *2.2 cm left ovarian endometriotic cyst with Diagnosis: P0L0 , primary infertility left…

Hysteroscopy training using a pig bladder at MEC Gurgaon, filmed with portable EvoCam low cost endoscopy system Image Gallery

June 19, 2019
Fibroids are tumors of the uterus that normally occur in the reproductive age group girls and mostly (80%) occur in ages 35-50 years.