Centres of Excellence

Centres of Excellence.

Cardio Thoracic and Vascular Surgery

Cardio Thoracic and Vascular Surgery

                 

                        The Department of Cardiothoracic Surgery at A.G.Padmavati’s Hospital has been the leader in surgical management of cardiothoracic diasease in the region for more than 10 years and takes pride in the excellence of the cardiac and thoracic surgeries. It strives to offer a patient centered comprehensive, compassionate, informative care with effective treatment options.

 The Department is comprised of four divisions: 

Adult Cardiac Surgery,

Pediatric Cardiac Sugrery,

Thoracic Surgery

 Vascular Surgery.

    The Adult Cardiac Surgery division has improved treatment of the most common heart diasease by using  minimally invasive technology and offers significant benefits to the patient in terms of enhanced safety and cosmesis reduced post operative pain and rapid recovery time.

    The pediatric  Cardiac Surgery division  handles  shunt lesions such atrial and ventricular septal defects and patent ductus  arteriosus apart from cyanotic heart diseases such as Tetralogy of Fallot.

    The Thoracic  surgery division handles surgical interventions of the chest wall and its cavity such as lung resections, decortication, mediastinal tumors, esophageal resections, minithoracotomy and cervical esophagoplasty. In addition, bronchoscopy and upper gastrointestinal endoscopy are also done. 

               The Department consist of Deivanai Achi Operation Theatre, VMS Pattayal Cardiothoracic Post Operative Intensive Care Unit, Stepdown Postoperative Ward, private and semiprivate wards, and Outpatient Department. The operation theatre is fitted with HEPA filter and its facilities include but not limited to positive pressure ventilation, electrohydraulic operation table, anesthesia workstation, heart lung machines, adjustable cool ceiling lights, defibrillator with external and internal paddles, monopolar and bipolar electrosurgical units, harmonic scalpel, ACT monitor, blood gas analyser, thoracoscope, etc. The VMS Pattayal Postoperative intensive care unit is equipped with modern ventilators, defibrellators, bedwarming systems and multiparameter monitors.

 

OUR TEAM

                   Our Cardiothoracic Department of a team of highly skilled and competent cardiothoracic surgeons, nurses, perfusion technicians and is led by Prof. M. Nachiappan MS.,Mch.,FIACS.,Senior Cardiothoracic Surgeon. The team is ably supported by the department of cardiac Anesthesiology and Critical Care headed by Dr.C.S Adhiganesh MB.,DA.,DNB., along with Dr.Kannan DA, DNB.

                    The supporting cardiac team is headed by Dr.Elangovan MD,DM, (Cardio)Senior interventional Cardiologist & Managing Director along with Dr. Sumathi Elangovan MD, DM,(Cardio) Senior Cardiologist& joint Managing Director.Our team  coordinate effectively with doctors in other specialities such as pulmonary medicine to improve patient’s health.

SERVICES OFFERED BY OUR DEPARTMENT

  •  Coronary artery revascularization- arterial, venous grafts
  •  Beating Heart Surgery
  •  Aortic , Mitral, Pulmonary valve repair and replacement
  •  Tricuspid valve repair
  •  Cardiac tumors
  •  Congentinal heart disease surgery
  •  Combination Surgeries
  •  Patent Ductus Arteriosus ligation, division suturing
  •  Atrial & Venticular  Septal Defect Closure
  •  Venticular Septal Defect Closure
  •  Sinus Venosus Defect Closure
  •  Tetrology of Fallot repair
  • Hiatus Hernia and Fundoplication 
  • Esophageal Cancer
  • Esophageal structure
  • Pharyngoesophagoplasty with Myocutaneous flaps
  • Pnneumonectomy
  • Decortication
  • Pleurectomy
  • Thymectomy and tumors of mediastinum
  • Lodectomy
  • Minimal invasive bullectomy
  • Minimally invasive thoracic and lung surgery
  • Chest trauma care
  • Aortic Aneurysms repair
  • Aortic Dissection repair
  • Pulmonary thromboembolectomy
  • Arteriovenous fistula creation

 

Highlights

Our Cardiathoracic Surgeons have perfomed more than 2000 coronary artery bypass and open heart surgeries, and more than 500 surgeries for diseases of lungs, esophagus and chest wall.

Every Year more than 2000 patients from Puducherry and various districts of Tamilnadu, & Andaman & Nichobar, and foreign countries such as France and the Gulf countries are being managed in our hospital.

So far, more than 100 hospitals including various medical colleges have referred their patients to us.

 

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Cardiology

Cardiology

 

              The cardiology department at the A.G.Padmavati’s Hospital provides comprehensive patient-centered services of international standards. It consist of outpatient department, Cardiac emergency services, Coronary Care Unit, Prof. N. Sivarajan Cardiac Catherization Lab and Anreas Gruntzig Cardiac Catherization lab. All these interconnected areas work to best possible care for the patient with varying needs.

               Our state-of-the-art cardiac catherization lab offers  diagnostic catherization of the heart chambers, valves, coronary arteries, aorta and pulmonary vessels. interventional procedures performed include Percutaneous transcatheter Angioplasty (PTCA) of varying complexity, peripheral angioplasties and valvuloplasty. A 24 hours acute myocardial infarction intervention (primary PCI) program supported by onsite interventional cardiologist, cath lab nurse and technologist is available.

OUR TEAM

              The department consist of a team of highly skilled and experienced competent cardiologists Dr. G. Elangovan MD, DM, (cardio) Dr. Sumathi Elangovan MD, DM, (cardio) and Dr.Anandaraja MD,DM, FECP, and more than 10 visiting cardiologists. They are ably supported by a large multi-disciplinary team comprising of cardiac intensivists, nurses (General and Specialist), radiographers and administrative staff. Consultants in other specialities work in close liaison with the cardiology team.             Dr. G. Elangovan MD, DM, has underwent special training at North Memorial Medical Centre at   Minneapolis Minnessota, USA in interventional cardiology.  

  •               The department is supported by a dedicated multidisciplinary team of  experts- Prof. N. Nachiappan Senior Cardiothoracic Surgeon,  Dr. C. S. Adhiganesh,          Dr. R. Kannan Cardiac Anesthesiologists cum intensivists, Dr.Thiroumourougane Serane. V Consultant Neonatologist & Pediatrician and medical professionals from other related areas.
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  • SERVICES OFFERED BY OUR DEPARTMENT

  • Invasive Cardiology Services 
  •     Diagnostic
  •            Angiogram- Coronary, Renal & Peripheral
    • Cardiac catheterization study for congential heart disease
    • Electorphysiological Study
  •     Therapeutic
    • ​           Coronary Angioplasty including primary angioplasty
      • Valvuloplasty- balloon dilatation of mitral, aortic and pulmonary valve stenosis
        Peripheral vascular interventions
        Venacaval filter insertion
        Implantation of pacemakers- temperory and permanent
        Device closure
        Balloon atrial septostomy
        Radiofrequency abalation  
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    • Non Invasive diagnostic facilities
    •            ​ECG
      • Threadmill exercise testing
        Holter Monitering
        Ambulatory BP Monitoring
        Echo cardiography, including transesiphageal echocardiography & stress cardiography
        Carotid, Renal, Peripheral Doppler

  • ​InPatient Cardiology Services
    • Round the clock critical care facilities
    • Fully equipped coronary care unit
    • Emergency treatment of acute coronary sydromes
    • Enhanced External Counter Pulsation 
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  • Preventive Cardiology Services
    • Risk Factor Detection
    • Lifestyle modification of patients with atherosclerotic vascular disease, hypertension and diabetes
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  • OUR PERFORMANCE

                     We have performed stenting for coarctation of aorta, and balloon artial septostomy for critical Transposition of great vessels. We have completed more than 100 electrophysiological studies and radio frequency ablation

    PROBLEMS HANDLED BY US

  •                 The heart conditions and diseases we treat include but not limited to:  Adult congenital heart disease, Atrial fibrillation, Cardiomiopathy, Ischemic heart disease, hypercholestrolemia , Coronary artery disease, Heart failure, valvular heart disease, hypertension, pericarditis, peripheral artery disease, arrhythmias 
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Trauma Care & Orthopedics

Trauma Care & Orthopedics

 

 

 

  •        The OSHA Orthopedic department is a comprehensive tertiary care centre designed to manage patients of all ages with orthopedic problems, utilizing the latest available technique and technology. It consists of Outpatient department, Emergency and Trauma services, Clean operating theatre, orthopedic ward, and well equipped physiotherapy unit. All these interconnected areas work to offer the best possible care for the patient with varying needs . With every passing year, we have been treating increasing number of complex orthopedic problems and trauma victims at our centre. Our mantra is patient centered care keeping in mind the needs of the individual.
  •           The Department has been designed to provide high standard individualized orthopedic care. In the outpatient department, detailed explanation to the patients with appropriate counseling is provided. Round the clock emergency and trauma services with well trained medical and paramedical staff are available to cater to acutely ill orthopedic patients.
  •         Our OSHA clean operating theatre is a dedicated state of art operating room equipped with laminar air flow and HEPA filter. Operating room personnel trained in infection control ensure near zero levels of nosocomical infection. Availability of imported power drill and saw in addition to sophisticated C-arm imaging accentuates the technological finesse. A devoted fully equipped septic operation theatre for patients who have undergone surgeries are managed by well trained orthopedic staff nurse. 
  •        Our Physiotheraphy unit boasts of latest equipment necessary for mobilization of various major joints. It has LASER, ICT, IPT, IFT, ULTRASOUND, SWD and other treatment modalities
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  • OUR TEAM

  •         Our team is committed to provide highest level of care and is lead by Dr. Aravindhan kalamegam MBBS., D.Ortho, DNB (ortho). He has advanced training in trauma Care, joint Replacement, Spine Surgery, Arthroscopy, Sports Injuries and Pediatric Orthopedics. He is ably assisted by Dr. R. Vijayaragavan MBBS, DNB (ortho) and visiting orthopedic consultants who add strength to the team with their excellent training in various sub specialities of orthopedics. In addition, the team is supported by multidisciplinary team of specialist in other related fields- Dr.Elangovan & Dr. Sumathi Elangovan Senior interventional Cardiologist, Prof. M. Nachiappan, Senior Cardiothoracic Surgeon, Dr.C.S. Adhiganesh & Dr.R. Kannan Cardiac Anesthetist and Dr.Tiroumourougane Serane .V Consultant Neonatologist and Pediatrician
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FACILITIES IN OUR DEPARTMENT

In house Implants
In house 24/7 Anesthetic support
Arthrogram & Sinogram 
Arthroscopy
Imported power drill & Saw 
Dedicated Postoperative Intensive care unit
Blood Bank with Components Seperation facilities
300MA X-Ray machine
Image intensifier
CT Scan

PROBLEMS HANDLED BY US

     The Team is experienced in managing all orthopedic emergencies including multiple fractures and joint dislocations. The following is an abridged list of conditions managed by our team

Closed & Open fractures 
Limb injuries
Tendon and soft tissue injuries
Sports injuries
Knee & Shoulder instability & recurrent dislocation
Osteoarthritis & Osteoporosis
Low Backache, Sciatica
Cervical Spondylosis
CTEV and other congenital and developmental disorders
Ostero-articular infections
Spinal deformity 

Highlights

  •            The Orthopedic institutes perform surgeries on the bones and joints which include the most current Arthroscopic and Reconstructive techniques. Joint replacements including 
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  •           Shoulder surgeries and the most delicate hand micro surgeries are all performed with great precision and expertise.
  • ·         A.G. Padmavati's Hospitals is also a pioneer in Articular cartilage Implantation (ACI). Cartilage regeneration surgery, including micro-fracturing, mosaic-plasty are all performed.
  • ·         There are dedicated units for Traumatology which involves treatment for dislocations and fractures with very minimal down time for the patient.
  • ·         Orthopedic Oncology for treating bone cancers is also a key specialisation of our hospitals.
  • ·         We also have modern Sports medicine centres at all our facilities, where most sports injuries (like damage to ligaments, meniscus, cartilage etc. ) can now be treated with key-hole (arthroscopic) surgery. Severely damaged joints can be replaced. These artificial joints behave almost like normal joints and could last for about 20-25 years
  • ·         We are also one of the few centres having specialised Pediatric Orthopedics units offering the whole range of Pediatric Orthopedics.
  • ·         Using a revolutionary combination of CT imaging/mapping, modelling software (virtual) and 3D printing technology, medical miracles like the True Personalized Knee are becoming a reality. Robotic-Guided techniques will also become a routine at our hospitals.
  • ·         Our Physical Therapy units provide rehabilitation and pain management and use sophisticated equipments and protocols to provide recovery in the quickest timeframe.

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Critical Care & Anaesthesiology

Critical Care & Anaesthesiology

 

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  • Critical Care

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  •               The Critical Care Department offers 24x7 care to patients in potentially life-threatening conditions requiring life support system and other intensive medical interventions. The patients with dysfunction or failure of one or more organ systems, like cardiac, pulmonary, neurology, liver and kidney, amongst others are admitted to a Critical Care Unit (CCU). Our experienced multidisciplinary team provides state-of-the-art patient care with promptness and compassion. The team comprises of trained, efficient and skilled staff in critical care medicine.
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Anaesthesiology

              Anaesthesiology is a full service department that is available to respond to any surgical procedure, pain management, respiratory, cardiac arrest and obstetric coverage. Our primary goal is to provide the highest degree of care with primary emphasis on the patient’s safety and satisfaction. Our anaesthetic techniques cover the entire range of procedures to improve outcomes. Our timely and efficient care is engineered in ways to focus on the individual needs of the patient.

              Anaesthetists provide medical care to patients in a wide variety of (usually acute) situations, including preoperative evaluation, consultation with the surgical team, creation of a plan for the anesthesia tailored to each individual patient, airway management, intraoperative life support and provision of pain control, intraoperative diagnostic stabilisation, proper post-operative management of patients. Outside the operating room, an anaesthetist's spectrum of action includes with in-hospital and pre-hospital emergencies, intensive care units, acute pain units and chronic pain consultations. Because anaesthetists are physicians, in contrast to other anesthesia providers, they are able to utilize their extensive knowledge of physiology, pharmacology and diseases to guide their decision making.

Pain management

 

                The Pain Management Department at the hospital uses a multi-disciplinary approach in the assessment and diagnosis of patients, resulting in the best treatment plan for each patient. The pain clinic is managed by a team of experts from anaesthesiology, clinical psychology / psychiatry, orthopaedics and physiotherapy. This multi – nodal approach uses a combination of drugs, nerve blocks, radio frequency ablation, intradiscal procedures, stimulation / relaxation therapy, intramuscular stimulation, psychological counselling, physical therapy and surgery. 

                 Pain management includes patient communication about the pain problem.  To define the pain problem, a health care provider will likely ask questions such as these:

·         How intense is the pain?

·         How does the pain feel?

·         Where is the pain? 

·         What, if anything, makes the pain lessen?

·         When did the pain start?

After asking questions such as these, the health care provider will have a description of the pain.  Pain management will then be used to address that pain

 

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CANVIJ Neonatal Services

CANVIJ Neonatal Services

 

 

 

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  •                      CANVIJ Neonatal Services is a tertiary level perinatal centre providing comprehensive care for high and low risk neonates. It comprises of the Neonatal Intensive Care Unit (NICU), Perinatal Ward and Neonatal Outpatient Services. All of these departments are intrlinked and work together to provide the nest passible care. As the unit is adjacent to dedicated, modern obstretic facility, there is joint perinatal working with obstetricians. Every year increasing number of babies of high risk mothers are being born in our hospital.
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  •                     Our NICU is a state of art 12 bed unit that has been established at the IInd floor of the A.G.P Hospital. This purpose built LEVEL III unit provides individualized, compassionate healing environment for inborn babies and ex-utero transfers. It has been designed similar to NICUs in developed countries and has 4 intensive care cots, 5 high dependency cots for inborn newborns and 3 isolation cots in a seperate area for outborn babies. Transitional care is provided in the perinatal ward for babies who need some medical treatment but who do not need to be seperated from their mother. Neonatal Outpatient services incorporate antenatal counselling, follow up, and neonatal new patient referrals.
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  •                     Only term babies ≤ 30 days and preterm babies ≤ 40 weeks of corrected gestational age are admitted in our unit. Every year about 200 babies from pondicherry and various districts from Tamil Nadu including Chennai, Villupuram, Cuddalore, Thiruvannamalai, Thiruvarur and Vellore are being managed in our unit. So for, more than 50 hospitals including various medical colleges have reffered their babies to us

 

OUR TEAM

                   Our team is committed to provide the highest level of care to your baby and is lead by Dr.Tiroumourougane Serane. V, MBBS, MRCPCH(London), MD(ped), DNB(Ped), MNAMS who has trained and practiced advanced neonatal care in United Kingdom. The unit is serviced by dedicated multidisciplinary team of experts -          Dr. G. Elangovan &  Dr. Sumathi Elangovan, Senior Interventional Cardiologists, Prof.M. Nachiappan , Senior Cardiothoracic Surgeon, Dr.C.S Adhiganesh & Dr.R.Kannan, Cardiac Anesthetist cum Intensivists, Dr.Aravindhan Kalamegam, Consultant Orthopedician, team of visiting Pediatric Surgeons and duty doctors. A dedicated team of 15 nursing professionals provide quality care to the neonates.

FACILITIES IN OUR UNIT

  • Advance Respiratory Support
    • Conventional Ventilation
    • High Frequency Ventilation
    • Non-invasive Ventilation (CPAP & BIPAP)
    • Surfacant Therapy
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  • Thermoneutral Environment
    • Servo Controlled Open Care
    • Servo Controlled Incubator
    • Transport Incubator
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  • Physiology monitoring
    • Invasive Pressure Monitoring
    • Cardiorespiratory Monitoring
    • Signal Extraction Pulse Oximetry
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  • Imaging
    • Neurosonogram
    • Echocardiography
    • Computed Tomography Scan
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  • Other Facilities
    • Umbilical Venous Catheterization
    • PICC Line Insertion
    • Whole Body Cooling
    • Exchange Transfusion
    • Phototherapy
    • Parenteral Nutrition
    • Balloon Atrial Septostomy
    • Ductal Ligation
    • Peritoneal Dialysis
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  • The Unit is backed by round the clock laboratory and imaging services
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PROBLEMS HANDLED BY US

  •                The unit handles high risk newborn babies such as extreme Prematurity (>27 weeks), Respiratory Distress Syndrome, Meconium Aspiration Syndrome, Perinatal Hypoxia, Jaundice, Seizures, Septicemia, Metabolic Problems, Congential Heart Disease, Surgical Emergencies, etc.
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  • OUR PERFORMANCE

  •               Our unit has excellent neonatal outcomes with a mortality rate of less than 5% for all admissions. 91% of all perterms admitted in our unit have survived. The Survival rate by gestational age is 84% for perterms between 28 and 31 weeks, 98% for 32-34 weeks and 99% for late preterms.Thanks to our emphasis on infection control practices, our nosocomial sepsis rate is <3%.

 

 

 

 

 

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Obstetrics & Gynecology

Obstetrics & Gynecology

 

 

 

 

                  The department of Obstetrics and Gynaecology of The AGP Hospital has been in existence since 12 years. It is one of the premiere tertiary centre’s for women’s health in Pondicherry. The good health of every woman is the objective of this department.

The department offers state of the art facilities for problems that women face.

The following is a list of issues that are tackled at this Hospital 

  • ·         Problems of adolescence and puberty. The health of young girls
  • ·         Infertility. Problems in getting pregnant
  • ·         Miscarriage and recurrent miscarriage. Where a pregnancy does not grow.
  • ·         Deliveries—including complicated deliveries such as pregnancy with high blood pressure or Diabetes or heart disease and other medical issues.
  • ·         Menstruation related problems.
  • ·         Family Planning counseling or contraception.
  • ·         Ovarian cysts
  • ·         Endometriosis
  • ·         Fibroids
  • ·         Menopause. The issues concerning women after the periods have stopped.
  • ·         Vaginal and vulval disorders. Infections and disease of the front passage.
  • ·         Hormonal disturbances e.g. PCOS
  • ·         Cancers related to the female organs.
  • ·         IUI i.e. infertility laboratory

Obstetrics

 

  •                  Antenatal care is handled by consultants. We have a dedicated physiotherapist to advice regards antenatal exercises. For those needing special dietary considerations we have a dietician also available.
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  •                  We have an excellent labour ward with staff who offer tender, loving care. The doctors are present at all times, so emergencies are handled effectively. There is facility for epidural analgesia for those keen on having painless labour. We have a state of the art CTG or NST which helps us in monitoring the babies before and during labour. We have a high vaginal delivery rate for uncomplicated cases. However if and when a caesarean is needed we have an excellent OT with competent doctors and assistants. Even the decision to do a caesarean is taken only in consultation with the mother and her partner.
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  •                   All deliveries are attended by a neonatologist, ensuring that the baby receives good care from the start itself. The NICU facility is excellent, this enables us to manage high risk cases very nicely. Even very premature babies have an excellent survival rate
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  •                  For high risk cases and pregnancies we have the facilities of ICU, Physicians, Intensivists, Hematologists and Nephrologists as and when required. Again this helps us to have a Multi disciplinary approach and reduce the risk and rate of complications that a mother faces. Even when a complication arises it is managed very effectively. There is a fully equipped 24 hours blood bank and laboratory. This also helps in the prompt investigation and starting of treatment. Post delivery the mother is looked after in well equipped wards. Breast feeding is supported and advised from the beginning.

Gynaecology

 

As mentioned earlier a host of gynecological problems are handled in this department, from infertility to menopause.  Coming to some of the surgeries that are offered here.

We offer the following surgeries

  • ·         Diagnostic hysteroscopy and laparoscopy. This may be done for a variety of reasons such as infertility, irregular bleeding, pain in the abdomen, bleeding after the                 periods stop.
  • ·         Operative Hysteroscopy . We have a Karl Storz resectoscope for the same.
  • ·         Operative Laparoscopy. For endometriosis and fibroids and ovarian cysts
  • ·         Vaginal Hysterectomy, even for large fibroids
  • ·         Total Laparoscopic Hysterectomy
  • ·         Abdominal Hysterectomy
  • ·         Surgery for cancer
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                  The OT is very well equipped with the latest anaesthetic and surgical equipment. Most of the endoscopic equipment is by Karl Storz. We have the Johnson and Johnson Harmonics scalpel which helps in difficult surgeries and reduces complications. The Karl Storz morcellator helps us to remove large fibroids and masses through key hole surgery.

We have excellent post operative care and for high risk cases, a dedicated post operative ICU is also available.

                   All referrals for tertiary cases whether obstetric or gynec are accepted. We are a post graduate institute with regular teaching sessions for students. All our doctors are extremely competent and offer excellent counseling. Patient satisfaction is the aim and the whole department works as a team with that in mind.

  • ·         Twisted ovarian cyst
  • ·         Severe pelvic endometriosis
  • ·         Large posterior wall fibroid
  • ·         Hysteroscopy diagnostic
  • ·         Hysteroscopic resection of fibroid

 

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