DR. FORAM VORA
(M.S.,GYNAEC ENDOSCOPIC SURGEON)
- Work experience in ENDOSCOPIC & ROBOTIC SURGERIES at FORTIS HOSPITAL (FMRI)
- Work experience at CLOUD NINE HOSPITAL
- Presented Papers & Posters in many conferences
- Published article in JMIG international journal
- FOGSI recognized ENDOSCOPIC FELLOWSHIP
- Certified USG course
- S. OBSTETRICS & GYNECOLOGY – CIVIL HOSPITAL,AHMEDABAD
- MBBS – CIVIL HOSPITAL, AHMEDABAD
- HSC – 8TH rank in Gujarat state, GSEB
- SSC – 3rd rank in Gujarat state, GSEB
JYOTI MATERNITY HOSPITAL AND MINIMUM INVASIVE SURGERY CENTRE,
AHMEDABAD; Phone : 079-26731759,26766491
TIME : 10:00AM-1:00PM; 5:00PM-7:00PM
(CONSULTATION WITH PRIOR APPOINTMENT)
Mobile : 9723450987; E-mail ID : fpshah7@gmail.com
- A 39years old Nulligravida(no issue) patient with complaint of
- Severe pain during menses
- Heavy & prolonged menstrual flow
- Pain during intercourse
- USG finding : uterus enlarged with 6x6cm size adenomyoma in posterior wall of uterus.
- Management : LAPAROSCOPIC ADENOMYOMA REMOVAL along with hysteroscopic uterine cavity evaluation & laparoscopic infertility evaluation
- Intra-operative findings : Uterus bulky upto the size of about 10-12weeks ( 2-3months of pregnancy); the adenomyotic nodule removed in piecemeal with help of Rotocut MORCELLATOR; water-tight defect closure done
- Post-operative benefits :
- Better cosmetics – NO big scar on abdomen
- Uterus PRESERVED for fertility purpose
- Minimal blood-loss & post-operative adhesions
- Fast post-operative recovery- discharged on full diet on 2nd day of operation
- Case of patient with complaint of
- Severe pain during menses
- Severe pain while passing stool during menses
- Infertility
- USG finding : chocolate cyst
- A segment of about 4-5 cm of rectosigmoid was adherent to uterus and both ovaries
- Right sided chocolate cyst of about 4-5cm was present
- Extensive adhesiolysis done
- The rectosigmoid separated from the above mentioned structures, confirming rectal patency
- Chocolate cyst wall excised, removed and sent for histopathological examination( confirmed to be chocolate cyst in HPE report)
- End result :Tubo-ovarian relationship restored on both sides
- Benefit : c/o pain during menses reduced & fertility enhanced
- A 28 years old patient with no history of any issue, married life of 6 years & history of Ectopic pregnancy in right tube treated medically 4 years back and complaint of
- Severe acute lower abdominal pain
- Sudden giddiness and dizziness
- Spotting p/v
- One & half months of amenorrhea
- UPT positive
- USG finding : uterus normal. Mix echogenic lesion of 8x6cm in right adnexa s/o Ruptured Ectopic Pregnancy. Hemoperitoneum present.
- Immediate decision taken for laparoscopy.
- Intra-operative findings :
- About 1-1.5 liter of blood with clots was present in peritoneal cavity, which all suctioned out
- Right sided half affected part of the tube removed (partial salpingectomy)
- Hemostasis checked. Copious suction irrigation done.
- Post-operative course uneventful. On 2nd post-op day, patient
discharged on full oral diet.
- A 48 years old patient with complaint of
- Profuse menstrual bleeding
- Feeling of heaviness in lower abdomen
- Feeling of mass upto umbilicus (as about 4-5 months of pregnancy)
- USG finding : Uterus markedly enlarged & lobulated. Multiple posterior and lateral wall fibroids noted, largest measuring 8x6cm.
- TOTAL LAPAROSCOPIC HYSTERECTOMY(TLH+BSO) done for the condition.
- Intra-operative findings :
- Uterus appeared enlarged of about 20-22 weeeks of pregnancy size with a 10x10cm subserosal fibroid present on fundus
- Hysterectomy with bilateral salpingo-oophrectomy done in ususal manner
- Uterus with fibroids removed in multiple strips with help of ROTOCUT MORCELLATOR
- Benefits of laparoscopic surgery :
- No big scar, only 1cm scars on abdomen
- Very fast recovery – full diet started and discharged 2nd day of OT
- A known case of uterine anomaly, diagnosed during first trimester ultrasound scan
- Delivered through cesarean section at 38 weeks+4 days gestational period
- A healthy full-term baby of 2.6 kg delivered
- After delivery of the baby, the placenta found to be present in another horn of the uterus, other than the one carrying the baby, which was removed completely in piecemeal
- Hemostasis achieved, No PPH, No postoperative complications
- Patient discharged in stable condition
