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ONGOING MS DISSERTATION
| DR. A DISHA GOWDA | Dr. Mahadevi Savannur | Nil | Maternal and perinatal outcomes in advanced maternal age – a cross sectional study at KAHER’s Dr Prabhakar Kore Hospital and Medical research centre | ||
| DR. ADITI ASTHANA | Dr MB BELLAD | Nil | PVPI in detecting FGR – 1 yr case control study | ||
| DR. ANGELINE VERONICA A | Dr. M B Bellad | Nil | Fetomaternal complications in Primary Emergency Caesarean Section – A cross sectional study | ||
| DR. AWINDRILA PAL | Dr Yeshita Pujar | Nil | PREVALENCE OF HYPERTENSIVE DISORDERS IN PREGNANCY AND MATERNAL AND PERINATAL OUTCOMES : AN OBSERVATIONAL STUDY at KAHER’s Dr Prabhakar Kore Hospital and Medical research centre | ||
| DR. CHILUKURI ANILA REDDY | Dr Kamal Patil | Nil | Comparing the efficacy of first trimester fasting blood glucose versus IADPSG criteria at 24 to 28 weeks in diagnosis of gestational diabetes mellitus – A one year prospective observational study | ||
| DR. DIVYA SINHA | Dr Shridevi Metgud | Nil | Comparison of Cord Blood Lipid Profile among Hypertensive and Non-Hypertensive Mothers:A One year Case-Control Study at KAHER’s Dr Prabhakar Kore Hospital and Medical Research Centre, Belagavi | ||
| DR. JANA HARSHITHA SREE CHANDANA | M.C. METGUD | Nil | MATERNAL AND FETAL OUTCOMES IN PREGNANT WOMEN WITH REDUCED FETAL MOVEMENTS – OBSERVATIONAL STUDY. | ||
| DR. KORAPALA VYSHNAVI | Dr Romana Maldar | Nil | Predictive ability of neonatal acidemia at birth with total intrapartum fetal reperfusion time on cardiotocogram :A One year Case-Control Study at KAHER’s Dr Prabhakar Kore Hospital and Medical Research Centre, Belagavi | ||
| DR. MAHASWETA DAS | DR M.B. BELLAD | Nil | Prevalence Of Congenital Fetal Anomalies Detected On Third Trimester Ultrasound And At Birth – A Cross-Sectional Study | ||
| DR. MANSI JAIN | DR ANITA DALAL | Nil | Prediction of Severe Maternal Morbidity Using Obstetric Morbidity Index- A One-year cross sectional study at KAHER’S Dr Prabhakar Kore Hospital And Medical Research Centre, Belagavi | ||
| DR. MOUNA RAVI | Dr M C METGUD | Nil | ANAEMIA IN PREGNANCY AND ITS MATERNAL AND PERINATAL OUTCOMES: A ONE YEAR CROSS- SECTIONAL STUDY | ||
| DR. MRUNALINI PATIL | Dr. Kamal Patil | Dr. Vikrant Ghatnatti | A One-Year Randomized Trial of Metformin Versus Insulin for Glycemic Control and Maternal and Perinatal Outcomes in Gestational Diabetes. | ||
| DR. MULAKALA SANDHYA RANI | DR M C METGUD | Nil | Maternal and perinatal outcomes in overweight and obese pregnant women – A cross sectional study | ||
| DR. NIDHI SINGH BADHORIYA | Dr yeshita pujar | Nil | Title-maternal and fetal outcome in preterm premature rupture of membranes: a year observational study | ||
| DR. PANKTI PRANAV PARIKH | Dr. Hema Patil | Nil | Emergency obstetric referral patterns in Tertiary Care centre: A cross-sectional observational study in North Karnataka, India | ||
| DR. SAMIKSHA S BYAKOD | DR ANITA DALAL | DR RAMACHANDRA BHAT | A ONE YEAR CROSS SECTIONAL STUDY OD WOMEN DELIVERING LOW BIRTH WEIGHT NEWBORNS AT KAHERS DR PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE BELAGAVI | ||
| DR. SANGAMESH DYAMANNA SORAKOPPA | Dr YESHITA PUJAR | Nil | MATERNAL AND PERINATAL OUTCOMES OF EXCESS LIQUOR IN PREGNANCY AN OBSERVATIONAL STUDY AT KAHER’s DR PRABHAKAR KORE HOSPITAL AND MEDICAL RESEARCH CENTRE | ||
| DR. SHUBHASHREE V | DR. ANITA DALAL | DR. BHEEMSAIN V. TEKKALAKI | A one year hospital based cross sectional study of post-partum depression in mothers with neonates admitted to Neonatal Intensive Care Unit of KAHER, JNMC – Dr. Prabhakar Kore Charitable hospital and MRC, Belagavi, Karnataka. | ||
| DR. SYEDA SARAH BIBI FATIMA | DR KAMAL PATIL | Nil | Study of the effect of maternal IV hydration vs Oral hydration on amniotic fluid index in isolated oligohydramnios, A randomised controlled trial | ||
| Dr. Chintakindi Preethi | Dr. Mahadevi Savanur | Nil | Study of high sensitivity C-reactive protein (HS-CRP) levels in early and late onset pre eclampsia in atertiary care hospital-one year cross sectional study. | ||
| Dr. Kavya S | Dr. Yeshita Pujar | Nil | Correlation of endometrial thickness by trans-vaginal sonography (TVS) and histopathology in women with abnormal peri-menopausal and postmenopausal bleeding- A prospective study. | ||
| Dr. Spurthi Prabhakr Bura | Dr. Anita Dalal | Nil | An observational study of Coagulation profile in severe pre-eclampsia and eclampsia patients. | ||
| Dr. Sahana M B | Dr. Hema Patil | Dr. R B Nerli | Assessment of pelvic floor muscle strength in women and its associated factors- A cross sectional study I+N a tertiary care cetre. | ||
| Dr. Ketaki Choudhari | Dr. Kamal Patil | Nil | Assessment of risk factors associated with iatrogenic and spontaneous preterm birth and their outcomes in a tertiary care hospital: A prospective observational study. | ||
| Dr. Shanmukhi Nayidi | Dr. M. C. Metgud | Nil | Maternal and fetal outcomes in postdated pregnancy in a tertiary care hospital -A one year cross sectional study. | ||
| Dr. Tanvi Karambelkar | Dr. M. C. Metgud | Nil | Prevalence of hypophoatemia after administration of intravenous iron preparation (Iron isomaltoside & ferric carboxymaltose) in postpartum anemia a longitudinal observational study. | ||
| Dr. Hriday Ravishankar Naik | Dr. Kamal Patil | Nil | Longitudinal study of placenta previa and its fetomaternal outcomes at a tertiary care centre- a one year study. | ||
| Dr. Sudhanshu Gan | Dr. Yeshita Pujar | Nil | association of serum placental growth factor in pre eclampsia and FGR with maternal and perinatal outcomes- A one year cross sectional study. | ||
| Dr. Karthiga S | Dr. Romana Khursheed | Nil | One year cross sectional study of gestational weight gain in women attending KAHER’s Dr. Prabhakar Kore Hospital, Belagavi. | ||
| Dr. Priya Saraf | Dr. Yeshita Pujar | Nil | Role of hyserolaparoscopy for the diagnosis of female infertility- A one year hospital based observational study. | ||
| Dr. Kusha Vashishta | Dr. M. C. Metgud | Nil | A study of pregnancy outcome in various high risk pregnancies – A prospective cross sectional study. | ||
| Dr. Shefali Garg | Dr. Anita Dalal | Dr. Manjula A Vagarali | Microbiological profile of surgical site infections following surgical procedures in the department of obstetrics and gynaecology- A descriptive observational study. | ||
| Dr. Taiyaba Fatma | Dr. Kamal Patil | Nil | A Prospective observational study to compare the maternal outcomes between modified early obstetrics warning system (MEOWS) and standard of care groups among high risk pregnant women. | ||
| Dr.Chandana KR | Dr. M. B. Bellad | Nil | Vaginal versus laparoscopic closure of vault in total laparoscopic hysterectomy- A prospective obsevational study. | ||
| Dr. Sagarika N Swamy | Dr. M. B. Bellad | Nil | Maternal opthalmic artery doppler at 19 to 23+0 weeks as predictor of pre-eclamosia- A descriptive observational study. | ||
| Dr. Kshirabdhi Tanaya Mohapatra | Dr. Shreedevi Metgud | Nil | Evaluation of efficacy and safty of dilapan-s vs dinoprostone gel for ripening of cervix prior to induction of labour-A randomised control trial. | ||
| Varsha Gurram | Dr .Anita Dalal | Nil | An observational study on surgical methods used in PPH | ||
| Prameela Gurupadappa Vandal | Dr. M.C. Metgud | Nil | Maternal and fetal outcome in postdated pregnancy in tertiary care hospital – one year cross sectional study | ||
| Dr. Akanksha Seth | Dr. Anita Dalal | Dr. Rajeshwari Handigund | Platelet count and platelet indices in pregnancy with pre-eclampsia and eclampsia, an observational study. | ||
| Dr. Aritri Bhattacharya | Dr. Hema Patil | Nil | First trimester serum uric acid as an early predictor of gestational diabetes mellitus. | ||
| Dr. Ayushi Verma | Dr. M. C. Metgud | Nil | Brasss V drape v/s modified gross formula in estimation of postpartum blood loss. | ||
| Dr. Eniya V | Dr. Romana Khursheed | Nil | Prediction of neonatal acidemia at birth with intrapartum total declaration area on fetal cardiotocogram – A one year case control study. | ||
| Dr. Gayathri | Dr. Kamal Patil | Nil | I/V Labetalol vs oral nefidipine in acute severe hypertension of pregnancy – A randomized controlled trial. | ||
| Dr. Geethika Vegesna | Dr. Yeshita Pujar | Nil | Injection oxitocin vs injection carbetocin in reduction of postpartum blood loss in caesarean section -A randomized control study. | ||
| Dr. Gurrela Sneha | Dr. M. B. Bellad | Dr. Ranjit Kangle | Antenatal screening for hemoglobinopathies in a tertiary care centre- one year descriptive observational study. | ||
| Dr. Saieshwari T | Dr. M. B. Bellad | Dr. Manjunath S Somannavar | Intra muscular oxitocin 10 units vs oxytocin 5U + ERGOMETRINE 0.2mg vs carbetocin 100mcg in reduction of post-partum blood loss – A randomized controlled trial. | ||
| Dr. Shreya | Dr. Yeshita Pujar | Nil | Implementation of labour care guide and its impact on cesarean section rate – An observational study. | ||
| Dr. Sneha Chakraborty | Dr. Kamal Patil | Nil | Effectiveness of mifepristone and misoprostol v/s misoprostol alone in induction of labour – A randomized controlled trail. | ||
| Dr. Yuktha Khanna | Dr. Anita Dalal | Nil | Azithromycin as an adjunct prophylactic drug for prevention of SSI in cesarean delivery- A randomized control trail. | ||
| Dr. Ankita Salvi | Dr. Shreedevi Metgud | Nil | Prevalence of vaginal colonization of Group B Streptococci in pregnant women. | ||
| Dr. Shaikh Rifaat Sultana | Dr. M. C. Metgud | Nil | A prospective study of postpartum anaemia – Incidence and interventions. | ||
| Dr. Manjusha B R | Dr. Anita Dalal | Nil | One year case control study of serum magnesium levels in preterm and term labour. | ||
| Dr. Manipal Lakshmi Baiju | Dr. Hema Patil | Nil | Correlation of vitamin B12 deficiency with sensorymotor deficits in post menopausal women- A one year cross sectional observational study. | ||
| Dr. K S Shivapriya | Dr. M. B. Bellad | Nil | Prevalence of thrombocytopenia in pregnant women from 34-38 weeks – descriptive observational study. | ||
| Dr. Gitanshi Arora | Dr. Mahadevi Savanur | Nil | A one year prospective observational study of potentially life threatening complications in pregnancy , maternal near miss and maternal mortality in KLE’S Dr. Prabhakar Kore Charitable Hospital, Belagavi. | ||
| Dr. Akshata Satish Patil | Dr. Kamal Patil | Nil | Knowledge attitude and practice of Covid-19 vaccination in pregnancy. | ||
| Dr. Apurva Singh | Dr. M. C. Metgud | Nil | Estimation of expected fetal weight using symphysio- fundal height and ultrasonography and comparison of it with actual birth weight – A prospective study. |
COMPLETED MS DISSERTATION
| Dr. Avula Lakshmi Mounica | Dr. Yeshita Pujar | Nil | Fetal Macrosomia : risk factors, maternal and perinatal outcome – A one year cross sectional study | ||
| Dr. Jayanth S | Dr. Romana Khursheed | Nil | Maternal And Perinatal Outcome Among The Women Admitted In Active Labor At Kaher’S Dr Prabhakar Kore Hospital And Medical Research Centre”– A Observational Study | ||
| Dr. Girish Murgesh Biradarpatil | Dr. Kamal Patil | Nil | Efficacy and safety of Interavenous Ferric Carboxy Maltouse in Iron deficiency anaemia During Post-partum Period | ||
| Dr. Naramsetty Lakshmi Chandana | Dr. Kamal Patil | Nil | A Comparison of predictive value of transvaginal cervical length at 11-14 weeks and 18-22 weeks of gestation in preterm labour | ||
| Dr. Karuturi Vemani | Dr. M. C. Metgud | Nil | Maternal outcomes in pregnancy complicated with dissminated intravascular coagulation at a Tertiary Care Centre – An Observentional Study | ||
| Dr. Alimilla Sindhu | Dr. Kamal Patil | Nil | A One Year Cross Sectional Study of Factors Responsible for Failure of Induction of Labor in Term Nulliparous women | ||
| Dr. Rashwani Ratnakaran | Dr. M. B. Bellad | Nil | Post Partum Blood loss in Induceed versus spontaneous vaginal delivery – A Descriptive Observational study | ||
| Dr. Smriti Shree | Dr. Hema Patil | Nil | Vaginal dysbiosis in early second trimester of pregnancy and its assocation with PPROM: A longitudinal observational study of KAHER’s Dr. Prabhakar Kore Charitable Hospital Belagavi | ||
| Dr. Bhawna Garg | Dr. M. B. Bellad | Nil | Inj. Ferric Carboxymaltose (FCM) vs Iron Isomaltoside (IIM) in Anemia in Pregnancy (Antenatal) – A Randomized Contolled Trial | ||
| Dr. Sanjana K. | Dr. M. C. Metgud | Nil | Prospective study of association of uterine atonicity and PPH with serum calcium levels | ||
| Dr. Shwetha B H | Dr. Anita Dalal | Nil | Maternal lipid profile during second trimester on pregnancy outcomes and its Complications – A One year Observational Sutdy | ||
| Dr. Sravani Naramsetty | Dr. M. B. Bellad | Nil | Laparoscopic hysterectomy for benign conditions a hospital based cross sectional study. | ||
| Dr. Aarathi E M | Dr. Yeshita Pujar | Nil | Maternal & Perinatal Outcomes in Twin Pregnancy in Tertiary Care Centre – A Cross Sectional Study | ||
| Dr. Aditya Mohan Gan | Dr. Romana Khursheed | Nil | Impact of evidence based surgical bundle for prevntion of cesarean section SSI. A randomised control trial | ||
| Dr. Archi Raj | Dr. Anita Dalal | Nil | Association of serum lactate level with severity of Pre-Eclampsia and maternal complications : An Observentional study | ||
| Dr. Rashmi Keshav Giri | Dr. Yeshita Pujar | Nil | Ultrasonographic evaluation of Bleeding per Vaginum in Early Pregnancy – A Cross Sectional Study | ||
| Dr. Diksha Garg | Dr. M. C. Metgud | Nil | Clot Obsertation test for Early Detection of Coagulopathy in Obstetric Emergency – A One Year Prospective Study | ||
| Dr. Mareedu Spoorthi | Dr. Hema Patil | Nil | Co-relation of Maternal Hypothyroidism and Infant Outcome A prospective Study | ||
| Dr. Tella Srivani | Dr. Anita Dalal | Nil | Assessment of Risk of Cesarean Delivery following labour induction using A Validated Calcuator – A One year Observentional Study | ||
| Dr. Yoshita Sanjay Saneja | Dr. Kamal P. Patil | Nil | Risk Factors for perinatal Mortality: A Prospective study at tertiary care hospital, Belagavi | ||
| Dr. Kotireddy Jyothi Reddy | Dr. Hema Patil | Nil | Knowledge, Attitude And Practices Study Of Hiv/Aids Among Antenatal Women At A Tertiary Care Centera Cross Sectional Study | ||
| Dr. Yaganti Sree Lakshmi | Dr. Yeshita Pujar | Nil | Insulin Resistance And It’S Association With Preeclampsia” – A One Year Case Control Study At A Tertiary Care Centre. | ||
| Dr. Shreya Dandu | Dr. Anita Dalal | Nil | Association of Cord Blood lactate level Meconium Stained Liequor An Observational study | ||
| Dr. Roshni K | Dr. Romana Khursheed | Dr. Tanmaya Metgud | A One Year Cross Sectional Study of Preterm Births in a Teriary Care Centre in South India | ||
| Dr. Magdalin Priyadarshini D | Dr. Kamal Patil | Nil | One year Cross-Sectional Study of Maternal and Perinatal outcme in severe pre-eclampsia at KAHER’s Dr. Prabhakar Kore Hospital & MRC, Belagavi | ||
| Dr. R. S. Mahan Gowda | Dr. Kamal Patil | Nil | A Cross Sectional study fo primary cesarean Section in Multigravida at a tertiary Health Centre, Belagavi | ||
| Dr. Sneha M | Dr. Yeshita Pujar | Nil | Maternal And Perinatal Outcome Among The Women Admitted In Active Labor At Kaher’S Dr Prabhakar Kore Hospital And Medical Research Centre”– A Observational Study | ||
| Dr. Raksha Sree R | Dr. Yeshita Pujar | Nil | Estimation of Blood loss in abrupto placenta using shock Index | ||
| Dr. Bethany Grace Neumann | Dr. M. C. Metgud | Nil | Tranexamic acid to reduce blood loss in women at high risk for postpartum hemorrhage undergoing cesarean section – A Randomized controlled Trial | ||
| Dr. Cheyne Rosetta Estibeiro | Dr. Romana Khursheed | Nil | Association of first trimester maternal serum analytes (PAPP-A, BETA HCG, PLGF) with adverse pregnancy outcomes 1 year observational study at KAHER’s Dr. Prabhakar Kore Hospital and Medical Research Centre | ||
| Dr. Shehzareen Zoeb Haider | Dr. Anita Dalal | Nil | Early Maternal HbA1C Levels and its association with gestational diabetes mellitus – A One year Observational study at KAHER’s Dr. Prabhakar Kore Hospital, Belagavi | ||
| Dr. Kanchibhotla Meghana | Dr. M. B. Bellad | Dr. Bhavana Koppad | Delayed Cord Clamping versus Intact Umbilical Cord Milking and its effects on maternal blood loss – a Randomized Control Trial | ||
| Dr. Vomica Anand Kewalramani | Dr. M. B. Bellad | Nil | First Trimester Materanal Serum Glycosylated fibronectin as a predictor of preeclampsia A Descriptive Observational study | ||
| Dr. Yeruva Vijaya Durga | Dr. M. B. Bellad | Nil | Uterine Exteriorisation Versus In-Situ Repair During Hysterotomy In Cesarean Delivery – A Randomized Controlled Trial | ||
| Dr. Kanika Garg | Dr. M. C. Metgud | Nil | the Association between urinary tract infection as a risk factor for preclampsia : A cross sectional study | ||
| Dr. Shinjini Das | Dr. M. C. Metgud | Nil | A Prospective observational Study on early onset preeclampsia and late onset preeclampsia – maternal and perinatal outcomes at a tertiary health centre Belagavi | ||
| Dr. Shivani Managonkar | Dr. Hema Patil | Nil | Comparison of the accuaracy of Episcissor-60/OHP sheets with myo scissor in performing a mediolateral episiotomy – a randomized control trial for a duation of 1 year in a tertiary care centre | ||
| Dr. A. Arrchana | Dr. Anita Dalal | Nil | A prospective observational study on the correlation of Visual Inspection of cervix with Acetic acid (VIA) and Colposcopy in detection of premalignant lesion of cervix | ||
| Dr. Mounica B | Dr. Yeshita Pujar | Nil | Congenital Anomalies Diagnosed By Ultrasonography at Tertiary Care Centre – A Cross Sectional Study | ||
| Dr. Suryadevara Geetha Surya Kumar | Dr. M. B. Bellad | Nil | Acceptance of Post-Partum Intrauterine Contracpetive Device (PPIUCD) – hospital based descriptive longitudinal study at the teaching hospital attached to KAHER’s J N Medical College, Belagavi | ||
| Dr. Susan Sam Varghese | Dr. Yeshita Pujar | Nil | Management Practices in Ectopic Pregnancy – A Hospital Based study | ||
| Dr. Lameez Khan | Dr. M. C. Metgud | Dr. Prasad M R | Maternal and fetal outcomes among pregnant women with heart disease – A Prospective study | ||
| Dr. Ankita Patil | Dr. Anita Dalal | Nil | Lateral Location of the Pacenta as a predictor of pre eclampsia in pregnant women, A Hospital Based prospective study | ||
| Dr. Sbubha S R | Dr. M. C. Metgud | Nil | Accuracy of estimation of gestational age from 18-38 weeks by mean fetal renal lenth | ||
| Dr. Kshama A Hinchigeri | Dr. Kamal Patil | Nil | Injection tranexamic acid for preventing postpartum hemorrhage after vaginal delivery: One year hospital based randomized placebo-controlled trial | ||
| Dr. Meghan H M | Dr. M. B. Bellad | Dr. Manjunath C Patil | A Cross Sectional Study of Caesarean Sections one year hospital based study at a teaching hospital | ||
| Dr. Anjana Krishna | Dr. M. B. Bellad | Dr. M. B. Nagmoti | Prevalence of Urinary Tract Infection in Pregnancy at first antenatal care vist – A Hospital based study at the Teaching Hospital Attached to KLE University’s J.N.Medical College, Belagavi | ||
| Dr. Sweta Verma | Dr. M. K. Swamy | Nil | An Observational study of management practices and maternal outcome of postpartum hemorrhage at a tertiary care centre in Belagavi | ||
| Dr. Meghana T | Dr. Kamal Patil | Nil | Early Onset Fetal Growth Restriction and Its Perinatal Outcome – A One year Cross Sectional Study | ||
| Dr. Vartika Mohan | Dr. Anita Dalal | Nil | Oral Vs Vaginal Administration of Misoprostol, for induction of Labor, in Women presenting with premature rupture of Membrances 1 year Randomized Controlled Trial at the Teaching Hospital attached to Dr. Prabhakar Kore Charitable Hospital Belagavi | ||
| Dr. Archana Gupta | Dr. Yeshita Pujar | Nil | Prevalance of red cell alloimmunization Among Pregnant woman attending antenatal clinical at teaching hospital attached to KLE University J N Medical College, Belagavi | ||
| Dr. Priya A Joshi | Dr. M. C. Metgud | Nil | Correlation between fetal Transcerebellar Diameter and Gestional Age – A Hospital Based Observational Study | ||
| Dr. Samridhi Dhawan | Dr. Yeshita Pujar | Nil | Comparative study of Interacervical Dinoprostone Gel and Vaginal Misoprostol for Induction of Labour 1 Year Randomized Control Trial at Tertiary Care Centre, Belagavi | ||
| Dr. Belide Shruthi | Dr. M. B. Bellad | Dr. Sunil Jalalpure | Homocysteine and Asymmetric Dimethyl Arginine (ADMA) Levels in Early Pregnancy and Pregnancy Outcome – A Descriptive Observational Study at Teaching Hospital Attached to KLE University’s J.N.Medical College, Belagavi | ||
| Dr. Sunaya S Puranik | Dr. Kamal Patil | Nil | Prevalence of Congenital Anomalies and Assessment of Associated Maternal risk factors : A One Year Cross Sectional Study at KLES Dr. Prabhakar Kore Charitable Hospital, Belagavi | ||
| Dr. Rajashekhar Vittal Mali | Dr. Anita Dalal | Nil | Association Between Maternal and Fetal Risk Factors and Stillbirth in Tertiary Care Hospital in Belagavi – A Case Control Study | ||
| Dr. P. Divya | Dr. M. C. Metgud | Nil | One Year Prospective Observational Study Onmaternal and Fetal Outcome with Severe Anaemia Admitted in the Labour Room at KLE Dr. Prabhakar Kore Charitable Hospital | ||
| Dr. Ayesha Gulzar | Dr. M. K. Swamy | Nil | A One Year Cross Sectional study of Primary Cesarean Section at KLE Dr. Prabhakar Kore Charitable Hospital | ||
| Dr. Dcosta Usula Amellia Jean | Dr. Yeshita Pujar | Nil | A One year cross sectional study of Antepartum Haemorrhage and its Association with Maternal and Perinatal outcome at KLES Dr. Prabhakar Kore Charitable Hospital, Belagavi | ||
| Dr. Apoorva Hiremath | Dr.Anita Dalal | Nil | Accuracy of various ultrasonoghraphic formular in predicting EFW-A one year prospective congitudinal study. | ||
| Dr. Madhushree Deshpande | Dr.M.C.Metgud | Nil | Retrospective analysis of Blood Transfusions in Obstetrics: A one year cross sectional study. | ||
| Dr. Pandya Jay Y | Dr.M.K.Swamy | Nil | A cross sectional study of severe pre eclampsia and HELLP syndrome. | ||
| Dr. Pooja Kiran | Dr.Kamal Patil | Nil | Prediction vaginal birth after cesarean section using scoring system at the time of admission for trial of Labour-1 year prospective cohort study | ||
| Dr. Surbhi Handa | Dr.Yeshita Pujar | Nil | Prediction of Pre-eclampsia Evaluation of B/L uterine Artery doppler at 11-13+6 weeks. | ||
| Dr. Yeramala Arpita Reddy | Dr.Anita Dalal | Nil | “An Observational study for analysis of cesarean section deliveries according to robsons ten group classification system at a tertiary care Hospital in Belagavi” | ||
| Dr. Anusha Jetti | Dr.M.B.Bellad | Nil | Correlation between duration of cohabitatian and its effects on development of adverse pregnancy outcomes. | ||
| Dr. Anjana B | Dr.Hema Dhumale | Nil | Prostaglandins with estradiol versus prostaglandins alone for induction of labour in Unfavourable cervix – one year randomized control trial at KLE Dr. Prabhakar Kore Charitable | ||
| Dr. B Tejaswi R | Dr.M.K.Swamy | Nil | Maternal near Miss a cross sectional study Interhary care Hospital A prospective study. | ||
| Dr. Jahnavi Atluri | Dr.M.B.Bellad | Dr.Suresh Patted | Diastolic Dysfunction By 2d-Echocardiography In Pre-Eclamptic & Eclamptic Women Vs Normal Pregnant Women: A Hospital Based Case Control Study | ||
| Dr. Nidhi Pethapara | Dr.Anita Dalal | Nil | A study of first trimester maternal body mass index gestational weight gain and their association with maternal and perinatal outcomes. | ||
| Dr. Saniya Shaikh | Dr.Yeshita Pujar | Nil | Yolk sac diameter as a predictor of pregnancy outcome – a one year case control study at KLE Dr. Prabhakar Kore Free Charitable Hospital and MRC Belgaum | ||
| Dr. Soumya Patil | Dr.Kamal Patil | Nil | Analysis of risk factor of late preterm birth: A case control study. | ||
| Dr. Swati Goudar | Dr.M.C.Metgud | Nil | Association of Vaginal Ph>5 and The Incidence of Preterm Birth:A Prospective Chort Study | ||
| Dr. Snigdha Kumar | Dr. Kamal Patil | Nil | Study on Awareness and acceptability of screening for downs syndrome in the women attending ANC at KLE’s Prabhakar Kore charitable Hospital & MRC , Belgaum | ||
| Dr. Anshika Sehgal | Dr. Hema Dumale | Nil | Maternal serum beta human chronic gonadotropin Level estimation in second trimester as a predictor for pregnancy induced hypertension. – A Prospective study. | ||
| Dr. Steffi V Rodrigues | Dr. M.K.Swamy | Nil | A randomized control trial of extra-amniotic saline infusion versus intra cervical dinoprostone gel for induction of labour. | ||
| Dr. Swathi A | Dr. M.B.Bellad | Nil | Assessment of pain associated with intramuscular injection of Magnesium Sulphate with or without Lignocaine in women with severe preeclampsia and conscious eclamptic women- a Randomized Control Trial. | ||
| Dr. Tanu Pandey | Dr. Yeshita Pujar | Nil | Effectiveness of antenatal corticosteroids in reducing perinatal Morbidity and Mortality in late preterm births- a Randomized control trial’ | ||
| Dr. Vinu Choudhary | Dr. M.C.Metgud | Nil | Effectiveness of antenatal corticosteroids in reducing perinatal Morbidity and Mortality in late preterm births- a Randomized control trial’ | ||
| Dr. Sameer Kulkarni | Dr. Anita Dalal | Nil | Clinico-Pathological Features of Ovarian tumours- A Prospective Observational study | ||
| Dr. Satwik Metgud | Dr. M.C.Metgud | Nil | Comparison of efficacy & safety of intravenous ferric carboxymaltose v/s iron sucrose in the treatment of antepartum iron deficiency anemia- A randomized controlled trial | ||
| Dr. Trupti Ruge | Dr. Anita Dalal | Nil | To Determine the prevalence of Gestational diabetes mellitus at KLE’s Dr. Prabhakar Kore Hospital and medical Research Centre , Belgaum. | ||
| Dr. Nikila Gangula | Dr. Yeshita Pujar | Nil | To Determind the Perinatal Outcome in twin pregnancies with discordant growth- A cross-Sectional study | ||
| Dr. Nitika | Dr. M.B.Bellad | Nil | Prevalence of Discordant Growth in Twin Pregnancies. | ||
| Dr. Swarupa Biradar | Dr. Hema Dhumale | Nil | Case control study to Assess independent risk factors influencing surgical site infection after cesarean section | ||
| Dr. Shubha Rao | Dr. M.K.Swamy. | Nil | Intrapartum Management of meconium stained amniotic fluid: A one year prospective cross –sectional study | ||
| Dr. Amey J Sirsat | Dr. M.K.Swamy | Nil | One year cohort study, the role of Umbilical artery Doppler & Modified Biophysical Proffile in prediciting neonatal outcome in Intrautrine Growth Restriction, a hospital based study. | ||
| Dr. Shonir Pai | Dr. Kamal Patil | Nil | Evaluation of attitude and Behavior on training implementation of Home Based Life saving skills (HBLSS) in communities of Belgaum district- Cross sectional study | ||
| Dr. Emanual Gracias | Dr. Anita Dalal | Nil | Association Cervical Length at 18-23 weeks of gestation and spontaneous preterm delivery – A cohort study. | ||
| Dr. Avanti Laxmi | Dr. Hema Dhumale | Nil | A case control study to evaluate the correlation of hypothyroidism in pregnant women with adverse pregnancy outcome compared to pregnant women with normal preganancy outcome. | ||
| Dr. Snehal Shintre | Dr. M.C.Metgud | Nil | Effectiveness of risk of malignancy index to differentiate benign from malignant ovarian masses -A cross sectional study | ||
| Dr. Neha Gupta | Dr. M.B.Bellad | Nil | Safety & effectiveness of ventous extraction of fetal head versus manual extraction of fetal head at cesarean section – a randomized controlled trial | ||
| Dr. Keisham Sophia | Dr. M.C.Metgud | Nil | Interobserver variability of visual inspection methods between doctor & nurse for cervical cancer screening. | ||
| Dr. Komal Revankar | Dr. Hema Dhumale | Nil | A RCT to assess the role of routine third trimester USG in low risk pregnancy on antenatal interventions and its impact on perinatal outcome. | ||
| Dr. Simran Jeet | Dr. Anita Dalal | Nil | Role of visual inspection with acetic acid (VIA) and HPV DNA testing in detection of cervical neoplasia – A prospective study | ||
| Dr. Valli- Pillai | Dr. Yeshita Pujar | Nil | The role of progesterone in maintenance therapy following arrested preterm labour. A randomized controlled trial. | ||
| Dr. Sridevi Metgud | Dr. B.R.Desai | Nil | Comparison of clinical methods and ultrasound for prediction of expected fetal weight with actual birth weight in term pregnancies- A – prospective study. | ||
| Dr. Parul Mahajan | Dr. Parul Mahajan | Nil | Study ti determine incidence of Gestational Diabetes Mellitus using a single step diagnostic test- A one year hospital based prospective study | ||
| Dr. Deepti | Dr. B.R.Nilgar. | Nil | A cross sectional study by Translabial Ultrasonography to evaluate the integrity of Pelvic floor in patients with urogenital proplapse | ||
| Dr. Pallavi | Dr.M.B.Bellad | Nil | Oral clindamycin in 13-16 +1 week period of gestation with vaginal PH ≥ 5 for prevention of preterm labour. A randomized placebo controlled trial. At KLE’S Dr. Prabhakar Kore Hospital and Medical Research Centre.” | ||
| Dr.Bhushan Desai. | Dr. M.K.Swamy | Nil | A Randomised controlled trial of oral nifedepine vs intravenous labetalol in acute control of blood pressure in hypertensive emergencies of pregnancy. | ||
| Dr.Vishnupriyanka | Dr. Bhavana Sherigar. | Nil | Comparing the diagnostic value of Radiometric assay and polymerase chain reaction (PCR) in diction of genital tuberculosis in infertile woman | ||
| Dr. Nandan | Dr. Anita Dalal | Nil | Effective of Health Education on knowledge attitude of barrier towards cervical cancer screening among female nurses working in Tertiry Health care centre” | ||
| Dr Shreen | Dr. Kamal Patil | Nil | Amniocentesis in prenatal diagnosis for chromosomal abnormalities- A cross sectional study” |
Obst Gynecology
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Ongoing projects with Grants obtained (Intramural and extramural) Extra mural
| Dr. Latha Chaturvedula | ICMR funded | As Principal Investigator: National Registry on COVID-19 infection among pregnant women and their neonates -2020 (Multicentric) | Ongoing | |
| Dr. Latha Chaturvedula | ICMR funded | Autophagy as a target for therapy in ovarian cancer: a phase II randomised trial with biomarker correlation (Co investigator) | Ongoing | |
| Dr. Latha Chaturvedula | ICMR funded | Post-operative intraperitoneal chemotherapy after interval cytoreduction in epithelialovarian cancer (POICE): a randomized phase III trial. (Co-investigator) | Ongoing | |
| Dr. Latha Chaturvedula | WHO funded | Women’s Health and Domestic violence against women during COVID-19 pandemic in India. Multicentric Trial (Co investigator) | 2021 | Ongoing |
| Dr. Latha Chaturvedula | ICMR | Severity of COVID disease and pregnancy outcome among women with COVID infection with or without COVID vaccination – A multicentric case-control study. | Yet to start. 95 lakh | |
| Dr. Latha Chaturvedula | Extramural (DST) | Effectiveness of “Pregnancy Tele Yoga Module” on stress, anxiety or depression during COVID-19 Pandemic: a prospective, multi-centre, open-label single-arm exploratory study. | 2022 | 2.4 lakh |
| Dr. Latha Chaturvedula | Extramural DBT Wellcome India Alliance | Seroepidemiology, maternal immune status and missed diagnosis of pertussis among young infants in India - a multicentric study. | 2022 | 2.87 crore |
| Dr. Gowri Dorairajan | ICMR funded | Micromorphological differences in strong versus weak previous caesarean scar in term pregnant women: a case-control study. | 2020-2022 | Ongoing. 19.17 lakh |
| Dr. Gowri Dorairajan | National Task Force ICMR extramural | ICMR contraceptive registry of PPIUCD and Centchroman users | 2018-2021 | Ongoing Total 4.8 lakhs per year |
| Dr Haritha S | NACO. | Prevalence of select Sexually Transmitted Infections/Reproductive Tract Infections among sub-populations at High Risk of HIV in India: FSW, MSM, IDU and Migrants. | ₹14, 52,000 | |
| Dr. Chitra T | ICMR funded | Tranexamic Acid For The Prevention Of Postpartum Haemorrhage After Vaginal Delivery: A Randomized, Double-Blind, Placebo-Controlled Multicentric Trial.(TIP-PPH Trial) | 2021 | Ongoing; Funding awaited. |
Intramural
| 1. | Dr. Chitra T | Guide | Assessment of thyroid auto antibodies in euthyroid infertile women with Polycystic Ovarian Syndrome - A cross sectional analytical Study-Ongoing | Intramural Grant Rs.1,04,000 |
| 2. | Dr. Chitra T | Guide | The effect of hysterolaparoscopic evaluation on pregnancy rates prior to Intrauterine Insemination and after failed Intrauterine insemination in unexplained infertility – A Randomized controlled trial -Ongoing | Intramural Grant Rs 2,50,000/- |
| 3. | Dr. Chitra T | Guide | Comparison of clinical efficacy & safety profile of Ethinyl estradi-ol(EE) 30 mcg/ Drosperinone (DRSP) 3 mg combination on clinical, hormonal, metabolic parameters and quality of life in over-weight/obese women with normal weight women with polycystic ova-ry syndrome | Intramural Grant Rs 2,00,000/- |
| 4. | Dr. Chitra T | PI | Effect of Vasopressin Injection on Ovarian Reserve after Laparoscopic Ovarian Cystectomy for Benign Ovarian Cysts : A Randomized Clinical Trial.-Ongoing | Intramural Grant Rs.3,16,000/- |
| 5 | Dr. Gowri Dorairajan | Guide | Study of efficacy and safety of Hygroscopic dilator for pre-induction ripening of cervix in woman with previous one caesarean section at term | Ongoing grant of 3 lakhs total |
| 6 | Dr S.Murali | PI | Levonorgestrel intrauterine device verses combined transcervical resection of the endometrium and levonorgestrel intrauterine device in the management of Adenomyosis: A randomized clinical trial. | 2.7 Lakh; Ongoing |
| 7. | Dr S.Murali | Guide | Dilapan versus misoprostol for cervical ripening prior to operative resectoscopy. | Rs 40,000 ;completed |
| 8 | Dr. Latha Chaturvedula | Comparison of 2-year recurrence-free survival among women with locally advanced uterine cervical cancer with and without early clearance of high-risk human papillomavirus after complete response with chemoradiation – A prospective cohort study. | 6.25 LAKH Started in 2022 |
Dr Haritha :
Pregnancy outcome in subclinical hypothyroidism (TSH between 2.5-4 MIU/ml) with and without thyroid peroxidase antibodies..₹1,13,500. 2020- 2021.
Dr Sasirekha R :
| Amount | Period of Grant | Grant Agency | |
| 1 | Rs.1,70,000/= | 18 months from June 2020 | JIPMER (Intramural) |
| 2 | Rs.1,16,000/- | 18 months from January 2021 | JIPMER (Intramural) |
Major Publications (2021-2022)--Indexed Journals
- Sreerama D, Surana M, Moolchandani K, Chaturvedula L, Keepanasseril A, Keepanasseril A, Pillai AA, Nair NS. Percutaneous balloon mitral valvotomy during pregnancy: A systematic review and meta-analysis. Acta Obstet Gynecol Scand. 2021; 100(4):666-675.
- Gowri D, Vandana G, Palanivel C, Subhalakshmi B. Experiences and Felt Needs of Women during Childbirth in a Tertiary Care Centre: a Hospital‑Based Cross‑Sectional Descriptive Study. J Obstet and Gynecol India. 2021;6; XX.
- Sireesha MU, Chitra T, Subbaiah M, Nandeesha H. Effect of laparoscopic ovarian cystectomy on ovarian reserve in benign ovarian cysts. J Hum Reprod Sci 2021; 14:56-60.
- Bhabani Pegu, Chitra Thyagaraju, Deepthi Nayak,, Murali Subbaiah. Placenta accreta spectrum-a catastrophic situation in obstetrics. Obstet Gynecol Sci. 2021;64(3):239-247.
- Subbaiah M, Chaturvedula L, Kubera NS, Raj A. Subsequent pregnancy outcome after uterine compression suture placement for postpartum hemorrhage. Int J Gynaecol Obstet. 2021; 00:1–6.
- Subbaiah M, Selvest N, Maurya DK. Comparison of bipolar ball endometrial ablation and transcervical resection of the endometrium in the treatment of heavy menstrual bleeding: A randomized clinical trial. Gynecol Minim Invasive Ther 2021; 10:143-7.
- Krishnamurthy A, Durairaj J, Subbaiah M. Evaluation of a symptom-based score in combination with CA125 to predict ovarian malignancy in women with adnexal mass. J Egypt Natl Canc Inst. 2022; 34(1):7.
- Harika B, Subbaiah M, Maurya DK. Diagnostic Accuracy of Hysteroscopic Scoring System in Predicting Endometrial Malignancy and Atypical Endometrial Hyperplasia. J Midlife Health. 2021 Jul-Sep; 12(3):206-210.
- Parveen S, Rengaraj S, Chaturvedula L. Factors associated with the outcome of TOLAC after one previous caesarean section: a retrospective cohort study. Journal of Obstetrics and Gynaecology. 2022 Apr 3; 42(3):430-6.
- Natarajan T, Rengaraj S, Chaturvedula L, Wyawahare M. Predictors of adverse maternal outcome in jaundiced pregnant women identified as having pregnancy-specific liver disease (P-sLD). Journal of Obstetrics and Gynaecology. 2022 Jan 20:1-7
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Prevalence of Mismatch Repair Gene Defects by Means of Immuno-histochemistry Staining for MMR Proteins in Endometrial Cancer
- Kaustubh Girish Burde
- Indu R. Nair
- Anupama Rajanbabu
Provision of Sensitive Medico-Legal Care to Sexual Violence Survivors in a Tertiary Public Health Facility of Maharashtra
- Shrinivas N. Gadappa
- Sonali S. Deshpande
- Ajinkya Deshmukh
Managing Professional Stress is Every Doctor’s Business
- Arun Kishore N. Ravivarman
- Smitha Santhosh
- K. S. Shaji
Prospective Study on Prevention of Post-Caesarean Endometritis by Vaginal Preparation with Povidone Iodine 1% Preoperatively in a Rural Tertiary Hospital in Central India
- Pradeep Biswas
- Pramod Kumar
- Priyanka Tripathi
Analyzing Maternal Mortality During COVID-19 Pandemic
- Harish Gupta
Ovarian/Tubal Pathology in Premenopausal Women with Breast Cancer: A Prospective Study
- Sahana Punneshetty
- Sherin Daniel
- Rachel G. Chandy
Trends of Age at Onset of Menarche Among Indian Women of Reproductive Age and Its Association with the Presence of PCOS and Related Features: A Multicentric Cross Sectional Study
- Amlin Shukla
- Ganie Mohd Ashraf
- Rohit Gautam
Articulating Tissue Sealing Device for Advanced Laparoscopic Pelvic Surgery
- Gaurav S. Desai
- Atharv Pradhan
- Neeta Sonar
Evaluating the Effectiveness of Quantitative Fluorescent Polymerase Chain Reaction as a Substitute or Complement to Conventional Karyotyping for Prenatal Diagnosis
- Charu Sharma
- Meenakshi Gothwal
- Kuldeep Singh
Optimizing Cesarean Section Rates in India: Insights, Challenges, and Evidence-Based Strategies from an Expert Committee Meeting
- Reema Mukherjee
- Vikas Shukla
- Nomita Chandhiok
Deciphering the Expression, Functional Role, and Prognostic Significance of P53 in Cervical Cancer Through Bioinformatics Analysis
- Raghu Aswathy
- Kanagaraj Suganya
- Sundaravadivelu Sumathi
Immunohistochemical Staining: Prognostic Marker of Malignant Transformation of Hydatidiform Mole (HM)
- Jyoti Ramesh Chandran
- Bindu Vijaykumar
Determinants of Hypertensive Disorders of Pregnancy in Rural Women in Central India: A Community-Based Cohort Study
- Shuchi M. Jain
- Pradeep Deshmukh
- Amardeep Tembhare
Endometriosis and the Risk of Melanoma: A Shared Thread?
- Raffaella Mormile
Unraveling Inguinal Endometriosis Disguised as Hernia: A Case Report
- S. Aishwarya
- K. B. Ranjith
- S. Chandrashekar
Anti-apoptotic Role of Bcl-2-Associated Athanogene-3 Protein Overexpression in the Pathogenesis of Endometrial Cancers: An Aid for New Therapeutic Targets
- Aasma Nalwa
- Vinay N Gowda
- Akhil D. Goel
Prediction of Pregnancy Outcomes in Women with Threatened Abortion Using Ultrasound Parameters, Uterine Artery Doppler, and Serum Progesterone Levels: A Prospective Cohort Study
- Kavitha D. Nayak
- Vidyashree Ganesh Poojari
- Prashanth Adiga
Clinical Investigation into Survival Outcomes Among Stage IV Epithelial Ovarian Cancer Patients Receiving Curative Treatment: Indian Setting
- Aparna Vimal
- Remani Gangadharan Ashitha
- Suganya Ganapathirajan
Clinical Audit of Obstetric Hysterectomy in a Tertiary Care Centre: An Observational Retroprospective Study
- Harshada S. Thakur
- Kavita Yadav
- Akriti A. Saxena
Diagnostic Ability and Reproducibility of NICE 2017 Intrapartum Cardiotocography Interpretation Guidelines: A Prospective Observational Study
- Priya Singhmor
- Navdeep Kaur Ghuman
- Pratibha Singh
FOK1 and APA1 Gene Polymorphism Among Polycystic Ovary Syndrome: A Prospective Cohort Study
- Vijayalaxmi Bangra Manjeshwara
- Lakshmi Manjeera
- Prima D’souza
Case of Gynandroblastoma of the Ovary with Raised AFP and Associated DICER 1 Mutation
- Dipak Limbachiya
- Rajnish Tiwari
- Priti Trivedi
Case Report on Dedifferentiated Carcinoma of Endometrium and It’s Histopathological Characteristics
Leydig Cell Tumour of Ovary in a Postmenopausal Woman: A Rare Occurrence
- Rakshitha Narayan
- Shannon Francesca Fernandes
- Sujaya V. Rao
Adrenal Cortical Rest in Fallopian Tube: An Incidental Rare Finding
- Divya Jyoti
- Sugandha Summan
- Jenna Bhattacharya
The Role of Colour Doppler Ultrasound in Differentiation of Benign from Malignant Ovarian Masses
- Tanma Saikia Das
- Saswati Sanyal Choudhury
- Rushi Sahareen Ahmed
Prenatal Ultrasound Diagnosis of Harlequin Ichthyosis
- Shweta Aggarwal
- Ridhima Gupta
- Tulika Gupta
Clinical Outcomes and Quality of Life in Children with Central Precocious Puberty: A Pragmatic Analysis
- Parikshit Sen
- Aashima Dabas
- Sangeeta Yadav
Maternal Serum Cyclophilin A: A Predictive Biomarker of Preeclampsia in South Indian Women
- D. Ponnudhali
- N. E. Nandhini
Development and Validation of Prediction Model for Neonatal Intensive Care Unit (NICU) Admission Using Machine Learning and Multivariate Statistical Approach
- Nihar Ranjan Panda
- Kamal Lochan Mahanta
- Tapasi Pati
Metabolic and Inflammatory Profiles Across Infertile PCOS Phenotypes: Implications for Clinical Practice
- Faezeh Mashhadi
- Nayere Khadem Ghaebi
- Mohsen Nematy
“To Give or Not to Give”: Evolution of Recommendations on Administering Antenatal Corticosteroids in Late Preterm or Early Term
- Japleen Kaur
- Sahil Vikas
Comparison of ADNEX Model with GI-RADS Ultrasound Scoring System in Evaluation of Adnexal Mass
- Nazia Parveen
- Priyanka Gogoi
Menopause: Why is Everyone Talking About it Now?
- Sujata A. Dalvi
Postpartum Hemorrhage: Enhancing Outcomes for Mothers by Effective Management
- Madhuri Patel
Demystifying Glycemic Variability in GDM Pregnancies: A Cross-Sectional Observational Study
- Anamika Baghel
- Aruna Nigam
- Nidhi Gupta
Pre-invasive Lesion of Cervix Among Healthy and Immune Compromised Individuals Using Histopathological Examination: A Hospital Based Cross-Sectional Study
- C. Suhashini Karnal
- S. Sampathkumari
- K. Alagu Sakthi Sowparnika
Obstetrics for MBBS
- Pradnya Changede
Epithelial Ovarian Tumor in a Streak Ovary: A Rare Entity in Turner Syndrome Managed by a Minimally Invasive Approach
- Kavitha Yogini
- Varsha Maran
- Vishnu Priya
Laparoscopic Pectopexy: A Novel Technique to Manage Pelvic Organ Prolapse; An Original Study in Asian Women in Rural Area
- Jyotsna Kamra
- Shruthi Srinivas
Vulval Myxoma in a Young Female: An Extremely Rare Occurrence
- Archana Mishra
- Chhavi Gupta
- Shaivy Malik
Critical Analysis of Peripartum Hysterectomies at Tertiary Care Centre of Northern India
- Manju Lata Verma
- Sonia Prasad
- Shyam Pyari Jaiswar
Impact of COVID-19 Pandemic on the Utilization of Maternal Health Services in Chandigarh and Kalyani, West Bengal, India: A Retrospective Cross-Sectional Study
- Madhu Gupta
- Nimran Kaur
Late Subcutaneous Suture Migration After Caesarean Section
- Minal Dhanvij
- Avantika Gupta
- Shuchita Mundle
Optimal Timing of Transvaginal Ultrasound to Diagnose Endometrial Polyps in Women with Abnormal Uterine Bleeding
- Athar Rasekh Jahromi
- Hamideh Ebadat
- Vahid Rahmanian
A Novel FGFR1 Mutation Causing Familial Normosmic Hypogonadotropic Hypogonadism in Three Sisters
Comparison of Three Techniques for Skin Closure in Caesarean Delivery (Absorbable Subcuticular Sutures, Non-absorbable Nylon Sutures, Surgical Staplers): A Randomized Controlled Trial
- Shreya S. Kushwaha
- Seema Singhal
- Swati Tomar
A Cohort Study of Pregnancy and Fetal Complications Among Patients with Rheumatologic Disorders
- Shadan Tafreshian
- Masoumeh Salari
- Maryam Sahebari
Evaluation of Endometrial Abnormalities in Asymptomatic Postmenopausal Women with Endometrial Thickening
- Manizheh Sayyah-Melli
- Vahideh Rahmani
Vaginal Fluid Creatinine Levels to Detect Rupture of Membranes
- Palugula Sushma Sree
- R. K. Saxena
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INDIAN OBSTETRICS & GYNAECOLOGY (IOG) JOURNAL
The Indian Obstetrics & Gynaecology (IOG) Journal is a peer reviewed, indexed journal for the Obs & Gynae Fraternity with a circulation of more than 30,000.
It is an exclusive specialty publication designed for budding and established authors & researchers in the field of Obstetrics and Gynaecology. The IOG Journal gives them an exhaustive platform to publish their research work apart from original research articles, review articles, case reports, book reviews, letters to the editor and other scientific information related to the fields of Obstetrics, Gynaecology & Infertility.
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76 RESEARCH/DISSERTATION TOPICS IN OB/GYN
Obstetrics and Gynaecology has become a well-established field of medicine and has seen many advances over the past few decades. Many studies have brought about new and modified management of various conditions for better patient outcome. Below is a list of research/dissertation topics in the field.
- Differences in Postpartum Pain Management Following Cesarean Section for Primary English Speaking Patients Compared to Non-English Speaking Patients
- The Relationship Between Timing of Postpartum Hemorrhage Interventions and Adverse Outcomes.
- Demographic Trends in Women Seeking Termination of Pregnancy for Fetal Anomaly at a Free-Standing Abortion Clinic: A Neglected Population?
- Assessing Contraceptive Needs in Women Undergoing Bariatric Surgery.
- Outcomes of Vaginal and Cesarean Delivery in Twins Delivering at Less than 34 Weeks’ Gestation
- The Association of Type of Attending Obstetrician Call Schedule with Changes in Labor Management and Outcome.
- Effect of Previous Induced Abortions on Postabortal Contraception Selection.
- Risk Factors for Wound Complication in Women with Obstetric Anal Sphincter Injuries.
- Postpartum Contraception Choices and Postpartum Visit Rates in an Urban Community Hospital.
- Evaluating the Effect of Laboring Down in the Second Stage of Labor on Rates of Obstetric Anal Sphincter Injuries
- Nulliparas with a History of Treatment for Cervical Dysplasia: Obstetrical Outcomes at Term.
- Antiretroviral Exposure and Pregnancy Outcomes in HIV Postive Pregnant Women with Liver Enzyme Elevations.
- Acute Liver Failure During Pregnancy: Different Prognostic Techniques and Medical Treatments
- Comparison of the Efficacy of Different Techniques for Estimating Fetal Weight Throughout Pregnancy
- Techniques for Managing Hypertension During Pregnancy
- How Does Vitamin D Supplementation During Pregnancy Change the Outcomes for Mother and Child?
- Gestational Diabetes and Medical Interventions
- Hepatitis-B in Pregnant Women and Their Neonatal Outcome: Do Vaccines Effectively Reduce Transmission?
- Gestational Weight Gain’s Effect on Delivery and Neonatal Health
- Reliability of Ultrasounds be Used as a Pelvimetric Tool?
- Comparative Study for Different Preventive Methods for Postpartum Hemorrhage
- High Risk Pregnancies and the Implications of Color Doppler
- Will an Amnio-Infusion Reduce Fetal Distress in Cases of Thick Meconoium Amniotic Fluid?
- Predictors for Pregnancy-Induced Hypertension?
- Excessive weight gain before and during gestational diabetes mellitus management: What is the impact?
- The impact of induction of labor at 39 weeks in low-risk women on the incidence of stillbirth
- Risk of congenital anomalies following preconception bariatric surgery
- Dolutegravir in pregnancy and neural tube defects
- Early delivery versus expectant management of late preterm preeclampsia
- Incremental risk of stillbirth with advancing gestation at term
- Body mass index, gestational weight gain, and pregnancy outcome
- Periconceptional glucose control and preterm birth in type 1 diabetes
- Progesterone supplementation does not improve outcome of pregnancies with early bleeding
- Antibiotic prophylaxis for operative vaginal delivery
- Maternal mortality disparity in the Nigeria
- Age of oocyte donor for assisted reproduction and birth rates
- Therapeutic Rest to Delay Admission in Early Labor: A Study on Morphine Sleep
Gynaecology
- Structures and Self: Advancing Equity and Justice in Sexual and Reproductive Health
- Better Late Than Never: Brachytherapy is More Important Than Timeframe in Cervical Cancer Outcomes
- Disparities in Genetics Assessment for Women with Ovarian Cancer: Can We Do Better?
- Applying Follicle Culture and a PCOS Cohort to Identify Ovarian Mechanosensitive Genes: RAMP1 and ADAMTS19
- A Comparison of Survival and Recurrence Outcomes in Patients With Endometrial Cancer Undergoing Robotic Versus Open Surgery.
- Barriers to Prevention: Knowledge of HPV, Cervical Cancer, and HPV Vaccinations Among Certain Women Groups.
- Risk Factors for 30-Day Perioperative Complications after Le Fort Colpocleisis.
- Emergency Contraception Knowledge, Prescription Patterns, and Barriers to Provision among Emergency Medicine Resident Physicians.
- Subsequent Pregnancy Outcome after B-Lynch Suture Placement
- Resumption of Sexual Intercourse after Hysterectomy: The Patients’ Perspective.
- Insufficient Edometrial Biopsy Results in Low-Income Women with Abnormal Uterine Bleeding.
- The Impact of Surgeon Volume on Cost of Hysterectomy in a Tertiary Care Hospital.
- Methotrexate: An Appropriate Treatment for Ectopic Pregnancy in an Urban Population?
- Infertility Patients’ Knowledge of the Effects of Obesity on Reproductive Health Outcomes.
- Racial and Ethnic Differences in Seeking, Initiating and Continuing Infertility Treatment
- Management of Adenocarcinoma In Situ (ACIS) of the Uterine Cervix: A Comparison of Loop Electrosurgical Excision Procedure (LEEP) and Cold Knife Conization (CKC).
- Effectiveness of Cloposcopic Cervical Screenings
- Do Patients With frequent Miscarriages Have Higher Anticardiolipin Antibodies?
- Dealing With Insulin Resistance Among Women Who Have Polycystic Ovarian Syndrome
- Techniques for Treating Malignant Ovarian Tumors During Pregnancy
- Dynsfunctional Uterine Bleeding: The Efficacy of an Ultrasound Diagnosis
- The Efficacy of Hormone Therapy in Early Menopause
- Uterine Bleeding: Is Bleeding Due to Histopathological Differences in the Endometrium?
- Comparison of Side Effects of Different Contraceptive Methods
- Risk factors for recurrent pelvic inflammatory disease
- Does the method of primary treatment affect the pattern of first recurrence in high-grade serous ovarian cancer?
- Predictive serum markers for unexplained infertility in child-bearing aged women
- Sex hormones, gonad size and metabolic profile in adolescent girls born small-for-gestational age with catch-up growth
- Barriers to cervical cancer screening and acceptability of HPV self-testing
- Management of mesh complications following surgery for stress urinary incontinence or pelvic organ prolapse
- Completeness of salpingectomy intended for ovarian cancer risk reduction
- Incidence of abnormal cervical and vaginal cytology among women over age 65 living with human immunodeficiency virus
- Primary treatment patterns and survival of cervical cancer in Nigeria
- Further insights into the role of tumour characteristics in survival of young women with epithelial ovarian cancer
- The oncological safety of hysteroscopy in the diagnosis of early-stage endometrial cancer
- Night shift work: Impact on age at menopause
- Transvaginal mesh hysteropexy versus vaginal hysterectomy with uterosacral ligament suspension for pelvic organ prolapse
- Endometrial ablation versus hysterectomy for heavy menstrual bleeding
- Comparative efficacy of surgical approaches for female stress urinary incontinence
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RESEARCH/DISSERTATION AREAS IN OB/GYN
INTRODUCTION TO RESEARCH
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Multi-Institutional Trends in Gynecological Robotic Surgery in India: A Real-World Scenario
Rooma sinha.
1 Obstetrics and Gynecology, Apollo Health City, Hyderabad, IND
Vanita Jain
2 Obstetrics and Gynecology, Post-Graduate Institute of Medical Education and Research, Chandigarh, IND
Somashekhar SP
3 Surgery, Manipal Hospital Bangalore, Bangalore, IND
Subhas C Saha
Chinnababu sunkavalli.
4 Surgery, Apollo Health City, Hyderabad, IND
Lavanya Kiran
5 Obstetrics and Gynecology, Narayana Health Hospital, Bangalore, IND
TS Shylasree
6 Obstetrics and Gynecology, Tata Memorial Hospital, Mumbai, IND
Kalyan Pandey
7 Surgery, Manipal Hospital, Bangalore, IND
Girija S Mohanty
Robot-assisted laparoscopic surgery in gynecology has grown exponentially compared to laparoscopic surgery. The probable reasons for the increased uptake of robotics are a shorter learning curve, three-dimensional vision, and increased dexterity compared to laparoscopic surgery, and precise surgery as compared to open surgery. This study compares the time trends of various parameters in robotic gynecological surgery in India over a decade.
Material and methods
In India, a retrospective analysis of all robot-assisted laparoscopic surgery for gynecologic diseases in five tertiary care hospitals was conducted between July 2011 and June 2021. Data were collected regarding demographic profiles, clinical and disease characteristics, and indications for surgery. Details related to surgery were collected, such as the number of ports, console and docking time, the procedure performed, total operative time, average blood loss, blood transfusion, and length of hospital stay. All the parameters collected were grouped into five years, and a comparison was made between the first five years (2011-2015) and the second five years (2016-2021). Statistical analysis, including descriptive statistics and trend analysis, was performed.
During the 10 years, the total number of cases included was 1,501, out of which 764 were benign cases and 737 were pre-malignant/malignant cases. The common indications were uterine leiomyoma (31.2%) and carcinoma endometrium (28%). The mean age for benign cases was significantly lower than that for malignant cases (40.84 years and 55.42 years, respectively). Mean blood loss was significantly lower for benign indications (97.48 mL) than for oncological surgery (184.67 mL) and needed fewer transfusions. The mean length of stay (LOS) for benign (2.07 days) and malignant/ pre-malignant cases (2.32 days) and the mean BMI for benign (28.40) and for oncological patients (28.47) were similar in both groups. The docking time reduced significantly in the last five years.
The current retrospective study demonstrates an increasing uptake of robotic technology in gynecological surgery in India. Of the total cohort of cases, 70.9% of patients underwent gynecological robotic surgery in the last five years. A burst of adaptability happened for malignant cases in 2017 and benign cases in 2018, probably due to the increased availability of robotic platforms and improved awareness of technology and training among medical professionals. The number of cases has grown exponentially over the last five years in both benign and malignant/ pre-malignant scenarios; however, there has been a downward trend in the robotic surgery performed in the previous couple of years due to the uncertainty of the COVID pandemic.
Introduction
The advances in surgery have been phenomenal in the past 50 years, with a paradigm shift from open to laparoscopic surgery. Due to ease of access, the trend is rapidly changing toward robotic surgery all around the globe. This has been driven by the safety of curiosity, better facilities, and the hunger to improve. Minimally invasive surgery (MIS) reduces perioperative morbidity and improves the quality of life. Robot-assisted laparoscopic surgery (RALS) provides all the benefits of keyhole surgery, such as three-dimensional magnified panoramic vision, tremor-free, and intuitive movements. It is the logical advancement of laparoscopic surgery and complements it well. The FDA approved RALS for gynecological diseases in 2005 [ 1 ]. In India, the present-day robots made their way around 2011. Due to factors such as increased awareness among patients, availability of more trained surgeons, and coverage by insurance, the demand for robotic surgery is on the rise. The current study aims to share the trend of RALS for benign and malignant/ pre-malignant gynecological conditions over the last decade at five tertiary care centers across India. We aim to analyze the changing trend of robotic surgery in gynecology in the previous 10 years and discuss adaptations made by surgeons to make robotic surgery affordable and feasible in the Indian scenario. This retrospective analysis of prospectively collected data will help to give insight into trends in the last 10 years and predict future trends in gynecologic robotic surgery in India.
Materials and methods
The data were collected from five (out of eight centers invited for study) tertiary care robotic centers across India (Apollo Health City, Hyderabad; Postgraduate Institute of Medical Education and Research [PGIMER], Chandigarh; Manipal Hospital, Bangalore; Narayana Hrudayalaya Hospital, Bangalore; and Tata Memorial Hospital [TMH], Mumbai). These centers voluntarily provided data as per the fixed data collection sheet shared with each center. Each center provided data on all patients who underwent gynecologic robotic surgery between July 2011 and June 2021. The data were entered into an appropriate spreadsheet. The data were prospectively collected, cleaned, coded, exported to the SPSS software (IBM Corp., Armonk, NY), and analyzed retrospectively. This study aimed to evaluate the changing scenario and trends of robotic surgery in India over the years of introducing robotic platforms in India. The total study duration was divided into two groups. The initial and last five years of study results were compared. All centers in this study used the da Vinci platform, either Si or Xi, and the surgery was performed by a robotically trained specialist in each medical center. Demographic data of age and body mass index (BMI) were recorded. Robotic surgeries with multiple ports included those with additional/ reduction of robotic arm use with an additional laparoscopic port for a surgical instrument manipulated by an assistant. Diagnoses were categorized as benign or malignant/pre-malignant diseases and then subcategorized according to the histopathological finding. Benign diseases included uterine leiomyoma, adenomyosis, pelvic endometriosis, pelvic organ prolapse, chronic tubal ectopic pregnancy, dermoid cyst, endometriotic cyst, and vault prolapse. Malignant and pre-malignant diseases include endometrial cancer, cervical cancer, ovarian cancer, cervical intraepithelial neoplasia II/III, and endometrial hyperplasia.
Statistical analysis
The continuous data were reported with mean and standard deviation. The categorical data were reported with frequencies and percentages. Bar charts were used for the graphical display of categorical and continuous data. SPSS version 26.0 for Windows was used to analyze the collected data. The Spearman correlation test was conducted to analyze the relationship between categorical variables. Spearman correlation analysis was performed, with ρ indicating the crude Spearman coefficient. A p-value of less than 0.05 was considered statistically significant.
The total number of cases operated by RALS for gynecological etiology between 2011 and 2021 was 1,501, out of which 764 were benign cases and 737 were malignant and pre-malignant cases. The highest number of cases (214) was operated in 2019 (Figure (Figure1 1 ).
Blue line indicates trend of total gynecological cases that underwent robot-assisted laparoscopic surgery. Orange line indicates trend of benign gynecological cases that underwent robot-assisted laparoscopic surgery. Gray line indicates trend of malignant gynecological cases that underwent robot-assisted laparoscopic surgery.
Statistical analysis shows that only 29.1% of cases underwent gynecological robotic surgery over the initial five years, compared to 70.9% of patients who underwent gynecological robotic surgery over the last five years of the current study, demonstrating the rapid acceptability of robots for gynecological procedures. Although robotic surgery was initially used for malignant conditions, there was increased adaptability for benign diseases after 2017 (Figure (Figure1). 1 ). Over the last decade, the proportion of malignant/ pre-malignant and benign cases operated by robotic assistants has been 49.1% and 50.9%, respectively. Statistical analysis showed that benign gynecological cases operated on from 2011 to 2015 versus 2016 to 2021 were 32.6% and 67.4%, respectively. Similarly, patients with gynecological malignancy/pre-malignant cases operated on from 2011 to 2015 versus 2016 to 2021 were 25.4% and 74.6%, respectively. There was a significant increase in the use of robotic surgery in both the malignant and benign cases when the first five years were compared to the last five years (p=0.002) (Figure (Figure2 2 ).
Total benign gynecological cases operated by robotic platform (blue) in the first five years were 240 and that in the last five years were 510 cases. Total malignant gynecological cases operated by robotic platform (green) in the first five years were 192 and that in the last five years were 559 cases.
The common benign cases for which robotic surgery was performed include uterine leiomyoma (31%), endometrioma (8%), pelvic endometriosis (6%), adenomyosis (4%), vault prolapse (3%), adnexal masses (1%), abnormal uterine bleeding (1%), and ectopic pregnancy (1%). Robot-assisted laparoscopic myomectomy contributed a maximum of 31% among benign diseases operated on over the study period. Common malignant and pre-malignant diseases were carcinoma endometrium (28%), endometrial hyperplasia (11%), carcinoma cervix (4%), carcinoma ovary (1%), and cervical intraepithelial neoplasia (CIN - II/III) (1%). Robot-assisted laparoscopic hysterectomy, bilateral salpingo-oophorectomy, and bilateral pelvic lymph node dissection for endometrial cancer contributed a maximum of 28% among malignant diseases operated over the study period. The mean age for benign cases was significantly lower than malignant cases, 41 years and 55 years, respectively. The mean BMI for benign and malignant patients was 28.4 and 28.4, respectively, and was not statistically different (p=0.760). Mean blood loss was significantly higher in oncological surgery (184.67 mL) when compared to surgeries performed for benign indications (97.48 mL). The requirement for blood transfusions for benign cases (0.02 units of packed red blood cells [PRBCs]) was significantly lower than for malignant cases (0.05 units of PRBCs). The mean length of stay (LOS) for benign cases (2.07 days) and oncological cases (2.32 days) and the mean BMI for benign cases (28.407) and oncological cases (28.476) were similar in both groups (Table (Table1 1 ).
BMI, body mass index
| Category | Number of cases operated | Mean | Standard deviation | Standard error mean | P-value | |
| Age | Benign | 764 | 40.84 | 10.515 | 0.380 | <0.001 |
| Malignant | 737 | 55.42 | 10.366 | 0.382 | ||
| BMI | Benign | 764 | 28.407 | 4.5319 | 0.1640 | 0.760 |
| Malignant | 737 | 28.476 | 4.2022 | 0.1548 | ||
| Blood loss | Benign | 764 | 97.48 | 162.072 | 5.867 | <0.001 |
| Malignant | 737 | 184.67 | 157.972 | 5.819 | ||
| Blood transfusion | Benign | 764 | 0.02 | 0.263 | 0.010 | 0.003 |
| Malignant | 737 | 0.05 | 0.172 | 0.006 |
When comparing oncological cases between the first five years and the last five years, we found that the mean console time did not change much, as more complex surgeries were performed during the last five years of study. The console time during 2011 to 2015 was 102.08 minutes, and that during 2016 to 2021 was 102.13 minutes. However, we analyzed the mean console time for benign patients and found that it was significantly reduced in the last five years (p=0.02). The mean console time for benign cases during 2011 to 2015 and 2016 to 2021 was 99.18 minutes and 70.56 minutes, respectively (Figure (Figure3 3 ).
Similarly, the mean LOS during 2011 to 2015 and 2016 to 2021 was 2.12 days and 2.23 days, respectively. However, there has been a significant decrease in docking time during the last five years compared to the first five years of introducing robotic surgery in India (Table 2 ).
PRBC, packed red blood cell
| Category | Number of cases operated | Mean | Standard deviation | Standard error mean | P-value | |
| Docking time (minutes) | 2011 to 2015 | 436 | 26.75 | 16.046 | .768 | <0.001 |
| 2016 to 2021 | 1065 | 14.70 | 8.761 | .269 | ||
| Length of stay (days) | 2011 to 2015 | 436 | 2.12 | .835 | .040 | 0.208 |
| 2016 to 2021 | 1065 | 2.23 | 1.733 | .053 | ||
| Blood transfusion (units of PRBCs) | 2011 to 2015 | 436 | .05 | .263 | .013 | 0.202 |
| 2016 to 2021 | 1065 | .03 | .205 | .006 |
The requirement for blood transfusion over the years remained the same. The overall minor complications in this study were port site discomfort/pain, minimal bleeding during surgery <2%, and major complications such as port site hernia, bowel injury/bowel ischemia/ gangrene, or massive bleeding due to vessel injury <1%. Robotic surgery in gynecology showed an increasing trend except for the last two years because of the COVID pandemic, as per the current study.
India had its first da Vinci system in 2002, which was used for cardiac and thoracic procedures. However, the first robot-assisted gynecologic procedure was performed in 2007. There is an increased adaptation of both diagnostic and therapeutic techniques in medical branches, including radiodiagnosis, radiotherapy, and surgical branches. The rate of adaptability for diagnostic tools is faster than therapeutic techniques. Gradually, over decades, laparoscopic surgeries were incorporated and are currently widely used for many surgical branches, leading to a decrease in conventional open surgeries. Since the introduction of the robotic platform for surgery, it has come a long way and is now standard practice in both benign and malignant gynecological surgery. The use of robotics provides several advantages. Most importantly, a stable binocular stereoscopic three-dimensional high-definition camera with 15x magnification vision and endo-wrist (7 degrees of freedom) intuitive instrument movements, which have the ability of tremor filtration and give increased dexterity and precision both in dissection and suturing. The ergonomic advantage for surgeons to sit and comfortably operate with arms rested reduces surgeon fatigue in long surgical procedures. Due to the aforementioned benefits of robotic surgery over laparoscopic surgery, the robotic platform is rapidly adopted among surgeons of various branches as another advance in medical technology. As per the intuitive surgical sustainability report 2021, globally, 6,700 da Vinci surgical systems were installed, and more than 10 million procedures were performed. In India, more than 90 da Vinci surgical systems were installed, and more than 50,000 procedures were performed till 2021 [ 2 ]. Performing laparoscopy is skill-dependent and complex, and has long learning curves. Early estimates of minimally access surgery cases required to gain proficiency are around 35-40 operations. However, approximately 25 cases are required for the competent performance of a retropelvic lymphadenectomy. The learning curve in robotic surgery is short and early proficiency compared to laparoscopic surgery [ 3 ]. This short learning curve and the availability of more than 90 systems across India are reflected in the increased adaptivity of this technology among Indian gynecological surgeons, as reported in the current study. In the United States, gynecology was next to urology among surgical specialties that used robotic surgery in 2021. The same is the case in India, with gynecology being second only to urology. Robotic surgeries have increased by 10-20% yearly worldwide, including in the current study, except during the COVID pandemic [ 4 ]. According to the current study, multiple gynecological surgeries were performed robotically, such as hysterectomy and bilateral salpingectomy, myomectomy/adenomyomectomy, endometriosis excision, and sacro-colpopexy. These surgeries, as per the American College of Obstetricians and Gynecologists (ACOG) Committee Opinion September 2020, can be performed safely using a robotic platform [ 5 ]. Patients scheduled for gynecologic procedures of short duration and low complexity, such as tubal ligation, simple ovarian cystectomy, and diagnostic laparoscopy, are unlikely to benefit from robot-assisted surgery [ 5 ]. The current study shows that complex robotic surgeries such as stage 3/4 endometriosis, complex leiomyoma, uterine size of 18-20 weeks for hysterectomy, and, in gynecology malignancy cases, para-aortic lymph node dissection were increased over the last five years. One of the advantages of using a robotic platform is reduced conversions (conversion to open surgery from minimally invasive robotic surgery) in complex gynecological diseases. In the current study, two conversions from robotic surgery to open surgery was done in view of large and multiple myoma uterus [ 6 ]. This was also during the first five years. Although the current study was not a comparative study, the historical laparoscopic data in the world show that the conversion rate is around 0-19% and up to 25% in gynecologic malignancy. This wide range of complications was due to different surgeons with different levels of skills. Still, across all centers included in the current study, the conversion rate of robotic surgery is below 1% in India [ 7 - 10 ]. The advantages of MIS are less pain, early postoperative recovery, lower incidence of incisional hernia, and better cosmesis, which has resulted in increased demand for laparoscopic and robotic surgery. As per the current study, robotic surgery showed slow adaptability during the initial few years, but a burst of adaptability happened for malignant cases in 2017 and benign cases in 2018. The demand for robotic platforms is rapidly increasing because of the short learning curve for surgeons, more awareness, and demand by patients. According to the current study, there was a statistically significant increase in both benign and malignant cases operated by robotic systems in gynecology. As per the current study, the mean age for benign and malignant/pre-malignant cases was 40.84 and 55.42, respectively, similar to the mean age reported by Yoo et al. [ 11 ]. The benefit of the robotic platforms in large and multiple fibroids is especially useful. In their paper, Lee et al reported that 68% of all benign cases were performed for uterine fibroids. In the current study, fibroid uterus topped the list in benign robotic surgery for both myomectomy and hysterectomy. Ease of manipulation of the large specimens (up to 20 weeks in size) with robotic arms gives the advantage in hysterectomy in such cases. Myomectomy being a suture-intensive surgery, intuitive, and wristed suturing technique gives an advantage and is the reason for more adaptability [ 12 ]. We report a significant increase in gynecologic robotic surgery in malignant cases. Sentinel lymph node biopsy for carcinoma endometrium with an integrated near-infrared camera and ICG (indocyanine green) has become a standard of care. The rise in the use of robotic platforms for oncological cases is explained by the increased confidence of surgeons to use robotic systems, which has reduced open surgery for similar indications. Pelvic and para-aortic lymphadenectomy can be adequately performed by a robot, leading to widespread acceptance. Inbuilt technology to do Sentinel node sampling where indicated can be performed much easier in a shorter time and with less blood loss with the use of a robotic platform [ 13 ]. A randomized controlled trial in Finland showed that the outcomes were similar between the laparoscopy and robotic groups for endometrial cancer, but robotic surgery cases reported improved patients' quality of life, with benefits noted up to 12 weeks after surgery [ 14 ]. Bernardini et al reported that robotic surgery would be a safe and effective option in the surgical treatment of endometrial cancer, especially in obese women [ 15 - 17 ]. Robotic surgery is easier to learn for surgeons with lesser experience but requires special training [ 18 ]. The benefits of robotic surgery are enhanced with da Vinci Xi surgical system's new, safer version. If we look at the trend in the current study, there was a gradual increase in robotic surgery performed for oncological cases till 2017, of which the leading indication was endometrial cancer. This rise was followed by a decreased trend, especially due to the conclusion of a reduced disease-free survival rate in minimally invasive surgery compared to open surgeries for cancer cervix patients in the Laparoscopic Approach to Cervical Cancer (LACC) trial [ 19 ]. The COVID pandemic was also responsible for decreased number of cases to a certain extent in the years 2020 and 2021. We must wait for the results of the ongoing trial in Europe, titled "Robotic-assisted Approach to Cervical Cancer (RACC) trial," which compares the oncologic outcomes of open surgery and robotic surgery in early cervical cancer [ 20 ]. The current study confirms the reduced LOS in cases who underwent robotic surgery, which translates to a reduction in the indirect cost of surgery [ 21 ]. There has been a significant decrease in docking time over the years. The requirement for blood transfusion remained low over the years. Some studies reported less blood loss and blood transfusion requirements after robotic surgeries [ 22 , 23 ]. The economy plays a major role in the adoption of new technology the world over and has special implications in a country like India [ 21 ]. The majority of the population in India pays either by government-sponsored health schemes or out of pocket. Both, at present, do not cover the robotic surgery cost. Private insurance currently covers robotic surgery costs, which are often limited. Reducing the disposable cost by adopting a two-arm robotic surgery technique and increasing the volume of cases can help improve accessibility for all patients [ 24 , 25 ]. Robotic surgery can lead to a reduced hospital stay, which can compensate for the extra surgery cost. Secondly, using the same instruments to perform multiple functions, such as using pro grasp forceps for both retraction and needle holders, reduces consumables costs. The overall minor complications such as port site discomfort/pain and minimal bleeding during surgery were <2%, and major complications such as port site hernia, bowel injury/bowel ischemia/gangrene, or massive bleeding due to vessel injury were <1% [ 26 ]. Acceptable low morbidity and complications were seen in the current study and have been similarly reported in the literature [ 27 , 28 ]. The limitations of the current study are as follows: in India, we have four different robotic platforms approved for clinical use, and under this study, all cases were operated by the da Vinci system, and not all centers in India performing RALS for gynecological cases have participated for the study.
Conclusions
This data analysis is a real-world scenario from India. The current retrospective study demonstrates an increasing uptake of robotic technology in gynecological surgery in India, especially in the last five years. Of the total cohort of cases, 70.9 % of patients underwent gynecological robotic surgery in the last five years. A burst of adaptability happened for malignant cases in 2017 and benign cases in 2018, probably due to the increased availability of robotic platforms and improved awareness of technology and training among medical professionals. The number of cases has grown exponentially over the last five years in both benign and malignant/ pre-malignant scenarios; however, there has been a downward trend in the robotic surgery performed in the previous couple of years due to the uncertainty of the COVID pandemic. Translating all the advantages of MIS and reducing the need for open surgery for complex gynecological surgeries even by the surgeons in their early clinical practice will be the most attractive reason for them to adopt this technology. Hence, this rise in trend is only the tip of the iceberg, and it will not be wrong to predict an exponential rise in RALS for gynecological indications in the coming decade.
The authors have declared that no competing interests exist.
Human Ethics
Consent was obtained or waived by all participants in this study
Animal Ethics
Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue.
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Integrating gender perspectives in gynecology and obstetrics: Engaging medical colleges in Maharashtra, India
Affiliations.
- 1 Centre for Enquiry into Health and Allied Themes, Mumbai, India.
- 2 Department of Medical Education and Research, Maharashtra, India.
- 3 Department of Gynecology and Obstetrics, Aurangabad, India.
- 4 Miraj Medical College, Maharashtra, India.
- 5 Ambajogai Medical College, Maharashtra, India.
- PMID: 31044431
- DOI: 10.1002/ijgo.12834
Failure to acknowledge the impact of sex and gender differences affects the quality of health care provision, and is an impediment to reducing health inequities. Systematic efforts were initiated in Maharashtra, India for reducing these disparities by developing gender-integrated curricula in undergraduate (UG) medical education between 2015 and 2018. A review of UG obstetrics and gynecology curricula indicated a lack of gender lens and focus on the reproductive rights of women. Based on these gaps, a gender-integrated curriculum was developed, implemented, and tested with medical students. Significant positive attitudes were seen among male and female students for themes such as access to safe abortion; understanding reproductive health concerns and their complex relationship with gender roles; violence against women as a health issue; and sexuality and health. These results strengthened the resolve to advocate for such a curriculum to be integrated across all medical colleges in the state.
Keywords: Gender; Medical education; Reproductive health; Rights.
© 2019 International Federation of Gynecology and Obstetrics.
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The probable reasons for the increased uptake of robotics are a shorter learning curve, three-dimensional vision, and increased dexterity compared to laparoscopic surgery, and precise surgery as compared to open surgery. This study compares the time trends of various parameters in robotic gynecological surgery in India over a decade.
Systematic efforts were initiated in Maharashtra, India for reducing these disparities by developing gender-integrated curricula in undergraduate (UG) medical education between 2015 and 2018. A review of UG obstetrics and gynecology curricula indicated a lack of gender lens and focus on the reproductive rights of women.
Methodology Study was carried out in the Sheth L.G. Hospital, a tertiary health care centre, enrolling subjects, who had attended outpatient department of obstetrics department with gestational age between 11 to 13 weeks (±6 days), over a period of 1.5 years, from June 2019 to Jan 2020.
The purpose of MS Obstetrics and Gynaecology is to standardize Obstetrics & Gynaecology teaching at Post Graduate level throughout the country so that it will benefit in achieving uniformity in undergraduate teaching as well and resultantly creating competent Obstetrician and Gynaecologist with appropriate expertise.
Methods: The study was conducted in the Department of Obstetrics and Gynaecology & Centre for Integrative Medicine and Research (CIMR), AIIMS, New Delhi between December 2019 - November 2021. A total of 120 women were recruited with 60 women each in yoga group and control group. It was a two arm RCT trial with 1:1 ratio of patients in each group randomised using Software Random Allocation ...