Niranjan Narayanrao Chavan

Niranjan Narayanrao Chavan
Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College | LTMGH · Department of Obstetrics and Gynaecology

MD, FCPS. DGO. DFP. FICOG. DICOG. MICOG. MBBS, Dip. In Endoscopy (USA)
Professor (Full) & Unit Chief, LTMMC & LTMG Hospital, Sion, Mumbai, INDIA 400022

About

64
Publications
12,329
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139
Citations
Citations since 2017
42 Research Items
139 Citations
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20172018201920202021202220230102030405060
Introduction
Dr Niranjan Chavan is Niranjan Narayanrao Chavan. He currently works as Professor and Unit Chief at the Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College & General Hospital, Mumbai, India catering to the largest slum of Asia, Dharavi. The Institute is a tertiary centre having more then 12,000 deliveries a year. Niranjan does practice in Gynaec. Oncology, High Risk Obstetrics and Endoscopic Fertility Surgeries for Infertility patients
Additional affiliations
January 2012 - present
Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College
Position
  • Professor
November 2000 - January 2012
Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College
Position
  • Professor (Associate)
January 1995 - November 2000
Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College
Position
  • Professor (Assistant)
Education
February 1991 - January 1994
July 1985 - November 1990
King Edward Memorial Hospital
Field of study
  • Medicine

Publications

Publications (64)
Article
Full-text available
Ovarian hyperstimulation syndrome (OHSS) is a rare syndrome, characterized by cystic enlargement of the ovaries and a fluid shift from the intravascular to the third space due to ovarian neo-angiogenesis and increased capillary permeability. It is generally iatrogenic, occurring due to administration of human chorionic gonadotrophin (hCG) during as...
Article
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Caesarean myomectomy has been traditionally discouraged due to the fear of complications like intractable haemorrhage, peripartum hysterectomy, and increased postoperative morbidity. Recently, a number of authors in their studies have shown that myomectomy during caesarean section does not increase the risk of haemorrhage or postoperative morbidity...
Article
Full-text available
Mullerian duct anomalies (MDAs) are congenital defects of the female genital system that arise from abnormal embryological development of the Mullerian ducts. A didelphys uterus, also known as a double uterus, is one of the least common amongst the MDAs. This report discussed a case of pregnancy with uterus didelphys. This patient was a 27-year-old...
Article
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Background: Adnexal mass means any swelling arising from the adnexa which comprises the ovary, fallopian tube, structures in broad ligaments, and other connective tissues in parametrium. Adnexal mass can be an incidental diagnosis, or it may be associated with other symptoms like pain in the abdomen. It is very commonly encountered in our clinical...
Article
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Rectus sheath hematoma is a rare but potentially life-threatening complication following any major abdominal surgery. The nonspecific nature and lower incidence of this disorder may cause a delay in the diagnosis, and can often be misdiagnosed as a cause of acute abdomen. A rectus sheath hematoma consists of blood accumulating between the rectus ab...
Article
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Background: To study endometrial changes by hysteroscopy and ultrasonography in women presenting with postmenopausal bleeding and correlate it with histopathological endometrial findings.Methods: This was prospective observational study carried out in the Department of Obstetrics and Gynaecology at Lokmanya Tilak Municipal Medical College and Gener...
Article
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Background: The haemoglobin concentration is one of the most critical indicators of the blood's oxygen-carrying ability. Due to the hypermetabolic condition produced by infection, anaemia in COVID-19 positive pregnant women might result in tissue hypoxia due to increased peripheral tissue oxygen demands. Complications such as multi-organ failure an...
Article
Full-text available
IntroductionAmong women over 50, 30% of ovarian masses are malignant. A gynecologic malignancy, ovarian cancer is the sixth leading cause of mortality among female cancer patients. To assess the diagnostic usefulness of combined pelvic examination, sonography, and radiography in conjunction with laparotomy and histological diagnosis, this research...
Article
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Background: During the current COVID-19 epidemic, managing pregnant patients is an issue. Pregnant women with coronavirus infection have an increased risk of miscarriage, preclampsia, caesarean delivery, and neonatal mortality. The additive effect of COVID-19 infection and preclampsia in pregnancy may affect the fetal and maternal outcome in a more...
Article
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Background: The COVID-19 pandemic has led to poor mental health measures, with emerging evidence suggesting gender differences with poorer outcomes in women. It has also introduced many acute stressors in life of many women and thus, led to worse outcomes. This may have unintended consequences for women’s overall health and well-being, including di...
Article
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Background: COVID-19 has been a major speed braker not only for world economy and development but also for health sector. The susceptible population including elderly, co-morbid adults and pregnant females were likewise affected in both major COVID-19 waves in India. Association between COVID-19 cases and pregnancy has been studied throughout th...
Chapter
Patient Evaluation -- Steps Intrauterine Adhesions (Asherman's syndrome) - Overview & Hysteroscopy
Article
Full-text available
A psoas abscess in pregnancy is a relatively uncommon condition with nonspecific signs and symptoms. It may lead to serious complications if not diagnosed and treated promptly. Although spinal tuberculosis affects nearly half of skeletal tuberculosis patients, psoas abscess develops in only 5% of spinal tuberculosis cases. A clinical history and ex...
Article
Full-text available
Gestational hydronephrosis (GH) is caused due to dilatation effect of the progesterone as well as physical pressure of the gravid uterus. In pregnancy, its management is challenging as routine radiological investigations and surgical treatments cannot be performed due to the potential harm to the foetus. Women who fail to respond to conservative me...
Article
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Background: The pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has exposed vulnerable populations to a health crisis. Since the beginning of the severe acute respiratory syndrome (SARS-CoV-2) or COVID-19 outbreak, it has been argued whether pregnant women are at increased risk of severe infection.1 The objective...
Research Proposal
More details of the special issue can be found in the link of clinical and experimental obstetrics & gynaecology International journal https://ceog.imrpress.com/EN/subject/listSubjectChapters.do?subjectId=1608519341894 Last date of Submission is 30th June 2021
Article
Full-text available
Conjoined twin is a rare congenital anomaly which is a result of delayed separation of embryo after thirteenth day of fertilization. Thoracopagus is the most common type of conjoint twin. In this article we are reporting a case of 22 years G2P1L1 with 30 weeks of gestation with ultrasonography suggestive of conjoint twins. MRI was done for confirma...
Article
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ABSTRACT Background: Since the first confirmed case in December 2019, the data pertaining to the COVID-19 pandemic has been rapidly evolving. In current study, the relation of COVID-19 and its effect on pregnant women with hypertensive disorders in pregnancy, including symptoms and foetomaternal outcome were studied. Methods: Women with hypertens...
Article
Full-text available
Background: COVID-19 is an infectious disease caused by a recently discovered coronavirus (SARS-CoV-2). Most of the people infected with the coronavirus experience mild to moderate respiratory illness and recover without requiring any special treatment. In current study we have studied impact of COVID-19 pandemic on clinical outcome and management...
Article
Full-text available
Background: Approximately 72,000 pregnant women all over the world die every year due to direct or indirect complications related to eclampsia and severe preeclampsia. Incidence of hypertensive disorders in pregnancy in India is found to be 10.08% as per the data collected by the National Eclampsia Registry (NER). Here we present the results of a s...
Cover Page
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Aims & Scope: An Official Journal of Academia of Global Obstetrics & Gynaecology (AGOG), The Journal of Global Obstetrics & Gynecology (JGOG) will be an open access peer reviewed journal of high quality. The first issue will be online/print form and is expected to come out in March 2021 depending upon the Covid19 pandemic situation. The editorial b...
Article
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Caesarean section is one of the common treatment offered in modern obstetrics. Despite being common, it can get complicated by life threatening complications like uterine scar rupture. It’s spectrum of manifestation can be from subtle symptoms of abdominal pain to warning signs like secondary postpartum hemorrhage (PPH) and septic shock. In these c...
Article
Full-text available
Incidence of adherent placenta is on the rise nowadays due to various reasons. Placenta percreta is seen in 5-7% of cases with adherent placenta, patients with morbidly adherent placenta are at increased risk for major obstetric hemorrhage, usually in the third trimester. Here we present an unusual case of placenta percreta presenting with obstetri...
Article
Full-text available
Background: Abnormal uterine bleeding (AUB) is debilitating condition affecting 14-25% of women of reproductive age. It has significant impact on women’s personal, social, physical and quality of life. Present study is planned to study causes, investigation along with management of structural causes of abnormal uterine bleeding in reproductive age...
Article
Full-text available
A 30-year-old woman, (multigravida) suffering from lower abdominal pain and slight vaginal bleeding was transferred to our hospital. She came with a pelvic ultrasound report. The provisional diagnosis of right tubal ectopic pregnancy was made. A laparotomy was carried out. Intraoperatively, blood pressure in both the arms were taken which revealed...
Article
Full-text available
Background The novel coronavirus disease (COVID-19) is the most challenging health crisis that we are facing today. Against the backdrop of this pandemic, it becomes imperative to study the effects of this infection on pregnancy and its outcome. Hence, the present study was undertaken to evaluate the effects of COVID-19 infection on the maternal mo...
Chapter
Full-text available
Caesarean section is delivery of the baby through the abdominal route by making an incision on the uterine wall. Many papers have been published stating that the ideal caesarean rate should be between 10% and 15%. Despite this, both developing and developed countries are witnessing a tremendous increase in caesarean rate. The increase in caesarean...
Article
Full-text available
In India, there are marked variations in resources for cervical cancer screening. For the first time, resource‐stratified screening guidelines have been developed that will be suitable for low middle‐income countries with similar diversities. The current article describes the process and outcomes of these resource stratified guidelines for screenin...
Article
Full-text available
Background: Menopause is a natural and normal event-not a disease or disorder. A woman not menstruating for one year after her last period is termed as being postmenopausal. Yet menopause symptoms may significantly affect quality of life, sexual function, body composition and metabolic parameters. According to a 2002 study, the Women’s Health Initi...
Article
Full-text available
Summary Background: Adnexal masses are seen in 1 in 80 to 1 in 8,000 pregnancies. However, with an increased use of ultrasonography in pregnancy, there is a significant rise in the incidence of adnexal masses in pregnancy. Objective: The study was undertaken to analyse the incidence, histological types, complications, and management of adnexal mass...
Article
Full-text available
Background: Abruptio placenta or accidental haemorrhage is one of the obstetrical emergencies and is truly accidental with few warning signs. Present study is planned to study the maternal and fetal outcome in patients of abruption placenta in a tertiary care referral hospital in a rural set up which is helpful to plan management strategies and to...
Article
Full-text available
Background: Mullerian anomalies occur in approximately 3-4% of fertile and infertile women, 5–10% of women with recurrent early pregnancy loss, and up to 25% of women with late first or second-trimester pregnancy loss or preterm delivery. However, due to low prevalence rate and asymptomatic course of the anomalies, Mullerian anomalies remain underd...
Article
Background Incidence of jaundice in pregnancy, including underlying chronic liver diseases, is 3–5%. However, the maternal mortality rate in some conditions can be as high as 18% in acute fatty liver of pregnancy and 22% in hepatitis E in pregnancy. Objectives This is an observational study of the demographics, obstetrical profile, aetiology, mate...
Chapter
Full-text available
Chapter-26 Difficult Lower Segment Caesarean Section BOOK TITLE: Manual on Labour Room Protocols Author 1. Chavan Niranjan ISBN 9788184488975 DOI 10.5005/jp/books/13097_27 Edition 1/e Publishing Year 2018 Pages 15 Author Affiliations 1. FOGSI Oncology and TT Committee; LTMMC and Gen. Hospital, Sion Hospital, Mumbai – 400022, India, Lokmanya Tilak...
Chapter
Full-text available
Chapter-08 Current Status of Cervical Cancer: Globally and India BOOK TITLE: Manual of Clinical Dilemma in Mature Women Author 1. Chavan Niranjan ISBN 9789352703739 DOI 10.5005/jp/books/18026_9 Edition 1/e Publishing Year 2018 Pages 5 Author Affiliations 1. FOGSI Oncology and TT Committee; LTMMC and Gen. Hospital, Sion Hospital, Mumbai – 400022, I...
Research
Full-text available
Cervical cancer is the fourth most common cancer in women [1]. One in every five women suffering from cer-vical cancer belongs to India [2, 3]. The global burden occurs in developing countries-13% of all female cancers. It is a largely preventable disease primarily because of its long lead time (gradual progression of precancerous lesions through r...
Article
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Background: Uterine rupture is undoubtedly one of the most tragic events that can occur in a women’s life and tragedy becomes more grim when she is young. In India, in advanced cities the incidence of rupture preceded by obstructed labour is decreasing, in rural parts where there is inadequate care, lack of communication and transport, home deliver...
Research
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Background: To evaluate direct Methods: A total of 206 cases of maternal deaths due to direct obstetric causes from January 2011 to December2015 were analysed in a tertiary care centre. Information w Office, the labour ward registers, the antenatal age group of 21-29, multiparous women belonging to urban Hindu community as the study was carried out...
Research
Full-text available
Background: Infertility is a major, but often a belittled problem in a developing country like India. It is important for gynaecologists to make an accurate diagnosis of the cause of infertility, which sometimes becomes difficult with routine examination and routine imaging techniques. Hystero-laparoscopy is like the "Third eye of the gynaecologist...
Article
Full-text available
Gestational trophoblastic neoplasms (GTN) are rare tumors that contribute to less than 1% of all gynecological malignancies. Invasive mole is a type of GTN. This is a case of an invasive mole of the uterus, which developed following a molar pregnancy evacuation. It was diagnosed by persistent raised level of β-HCG, transvaginal ultrasonography and...
Article
Full-text available
A 22-year-old Gravida 4, Para 2, Living 2, MTP 1, previous 2 lower segment caesarean sections with 36 weeks of gestation presented with scar tenderness. An emergency lower segment caesarean section was performed. A huge ovarian cyst was found during lower segment caesarean section which was successfully excised. The patient had good feto-maternal o...
Article
Full-text available
Adnexal torsion in pregnancy represents an obstetrical emergency. However, the diagnosis is often delayed due to nonspecific clinical findings leading to maternal morbidity as well as, fetal morbidity and mortality. We present an interesting case of adnexal torsion in a first trimester pregnant patient who developed adnexal infarction and required...
Article
Full-text available
Adnexal torsion constitutes approximately 3% of Gynaecological emergencies and is one of the causes of acute abdominal pain in a woman.1 Here we present a rare case of a gangrenous hydrosalpinx which presented with acute abdominal pain and was clinically diagnosed as a twisted ovarian cyst.
Article
Full-text available
Abstraxt Situs inversus is a rare congenital anomaly where there is a reversal placement of various thoracic and abdominal organs from their normal anatomical location. 5-6 % of people with Situs inverses have heart defect & 20-25 % are associated with Kartagener's Syndrome. In most of the cases patients of these conditions are apparently normal an...
Article
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A n unusual case of a 17 yr old unmarried girl presented with cyclical abdominal pain and blind vaginal pou ch. Previously at the age of 14 yrs during her menarche, she had a transverse vaginal septum due to which she had cryptomenorrhea causing hematocolpus and hematometra. She was operated for the same during that time elsewhere ( A s the dischar...
Article
Full-text available
A rare case of heterotopic pregnancy was diagnosed at earlier gestation in which salpingectomy was performed for ectopic pregnancy and intra uterine pregnancy was continued till term with good feto maternal outcome.
Article
We are presenting a case of 24 years, primigravida, Takayasu aortoarterities with bilateral renal artery stenosis diagnosed during pregnancy and delivered vaginally in a tertiary care institute.
Article
Full-text available
Abstract The frequency of ovarian cysts in pregnancy is reported to be 1 in 1000 pregnancies. Laparoscopic ovarian cystectomy has been described in the literature as case series but this is the case where an ovarian cyst of 28 weeks size at 15 weeks gestation was managed exclusively by laparoscopy. A 25-year-old P3L3 woman was referred from periphe...
Article
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Mrs. S.P., 35 years old housewife, married since 17 years, came on 17 February 1997 with chief complaints of diffuse louer abdominal pain since one day. There was no history of amenorrhoea or bleeding per vaginum. There was no history of vomiting or fainting attacks. She had regular menstrual cycles and last menstrual period was on 20 Jan. 1997. Sh...
Research
Full-text available
A rare case report of Heterotopic Pregnancy published in Volume No.49, Issue No.6, Pg No.106, December 1999 of Journal of Obstetrics & Gynaecology of India ( JOGI)
Article
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Acute Complete Uterine Inversion – Case Report published in The Journal of Obstetrics and Gynaecology of India, Vol. 49, Issue No.6, Pg No.109, December 1999
Article
Full-text available
Right Sided True Broad Ligament Fibroid; The Journal of Obstetrics and Gynaecology of India, Vol.48, Issue No.3, Pg No 75, June 1998

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Projects

Projects (6)
Project
To study impact of COVID 19 infection on ectopic pregnancy
Project
To study the impact of Covid19 pandemic on High Risk Pregnancy and its effects on Maternal & Fetal outcome.
Project
Minimal Access Gynaec. Surgery in a Tertiary Institute in Mumbai, India.