Rahul Manchanda

• MBBS MD FICS FACS FICMCH FICOG FGAPIO
• Head/ Lead Consultant of Division of Gynae Endoscopy at Pushpawati Singhania Research Institute and Holy Family Hospital

Premature menopause impacts 1% of women under the age of 40. The women are at risk of premature death, ischemic disease of the heart, neurological conditions, mood disturbances, psychosexual problems, osteoporosis, and subfertility. There is an imperative for less complicated protocols and enhanced approaches for oocyte donation to get pregnant and...

Analysis of one of the fatal reactions of blood transfusions (TRALI)-transfusion-related acute lung injury-diagnostic criteria, pathophysiology, and patient care. TRALI is an increasing life-threatening complication of blood transfusion in today's medical field. Review of literature was done and a case review and discussion were used to analyze TRA...

Background: Robotic-assisted surgery has attained widespread acceptance within clinical practice, emerging as the definitive standard for various medical indications. Within the realm of Gynae surgery, there has been a notable upsurge in the utilization of robotic and laparoscopic techniques. The Versius robotic system, developed by CMR Surgical, h...

Complications of Hysteroscopy: Diagnosis and Management is a step-by-step reference to explain various problems that can be encountered during a hysteroscopy procedure. It is a complete guide about the diagnosis and management of the different causes of hysteroscopy mishaps to master how to diagnose and select the most appropriate strategy of all a...

Vaginal ulcers can occur due to various causes such as infections, aphthous ulcers, malignancy, post-radiation therapy, or autoimmune disorders like Behcet syndrome or can be due to rare entities which may cause diagnostic confusion. We present an unusual case of vaginal ulcer in a post-hysterectomy patient presenting with vaginal bleeding. There a...

In this article we aimed to assess the role of diagnostic hysteroscopy in intra uterine adhesions. It is challenging to diagnose the severity of the disease in order to provide the effective treatment in cases with menstrual disturbances like hypomenorrhea and amenorrhea and infertility issues. Methods and Outcome: In this article we provide a non-...

Diagnostic hysteroscopy is associated with less complications as compared to operative hysteroscopy, but one should remain vigilant about any complications that may occur as it may be lethal. The main purpose of this paper is to summarize the complications of diagnostic hysteroscopy and its diagnosis, the necessary preventive measures and managemen...

Objective: The objective of our study was to report 2 cases of ureteric abnormalities discovered on robotic hysterectomy and review the literature available.

Introduction:

Introduction: Nowadays it is rare to nd giant ovarian cysts as they are diagnosed and managed early due to easy access to the good imaging modalities. Traditionally the treatment modality is conventional midline laparotomy. Here we present a case of laparoscopic ovarian cystectomy with keeping the healthy ovarian stroma intact in a case of bilater...

Introduction: Ectopic pregnancy in a non-communicating rudimentary uterine horn is a

Introduction Angioleiomyoma (AL) is a rare variant of fibroidscontaining thick-walled vessels and arising from smooth muscle cells of the blood vessels [1]. It is usually encountered in the subcutaneous tissue, mostly in the lower limbs [1], occasionally it can be found in the submandibular gland [2], in the head and neck region [3] and retroperito...

During the last decades, the number of couples with reproductive issues has substantially increased. Many different factors are implicated in reproductive failure, including uterine factors. Endometrial pathologies, such as endometrial polyps, hyperplasia, endometritis, and Mullerian anomalies, can also hinder embryo implantation. Hysteroscopy rema...

Aim Our aim is to highlight the emerging trends of management of a moderate-to-severe degree of Asherman's syndrome/fibrotic uterine cavity in the form of either relook hysteroscopic surgery or postoperative hormonal therapy. Background Asherman's syndrome also known as Fritsch syndrome or Fritsch–Asherman syndrome is a condition where iatrogenic...

Intrauterine adhesion (IUA) formation and the resulting Asherman's syndrome (AS) is an unfortunate clinical condition that occurs when the endometrium is damaged as a consequence of trauma, such as vigorous curettage, infection, or some Müllerian anomaly. The most frequent symptoms include hypo/amenorrhea, infertility, and adverse reproductive outc...

Intrauterine adhesions (IUA) were first reported by Heinrich Fritsch in the late nineteenth century. However, its etiology, symptoms, and diagnosis were later described in detail by Joseph Asherman in 1948 [1].

The book covers the entire aspect of intrauterine adhesions and Asherman's syndrome highlighting important points. It discusses etiopathogenesis to diagnosis and the current guidelines with effective treatment policies. It covers new treatment techniques, use of stem cell therapy and various scenarios with the best management of them. The book also...

The book covers all aspects of hysteroscopy, adenomyomas, diagnosis, management, fact and fiction, and related technological advances. It includes detailed descriptions of the history and evolution, instrumentation, and energy sources used in hysteroscopy. Further chapters cover the process of setting up hi-tech hysteroscopy units, and the maintena...

The book covers all aspects of hysteroscopy, adenomyomas, diagnosis, management, fact and fiction, and related technological advances. It includes detailed descriptions of the history and evolution, instrumentation, and energy sources used in hysteroscopy. Further chapters cover the process of setting up hi-tech hysteroscopy units, and the maintena...

Adnexal masses are rare in the young female population. The differential diagnosis includes ovarian masses, tubal/paratubal masses, masses related to the gastrointestinal tract (colon), infectious lesions, or pregnancy. Acute abdominal pain, and less commonly, precocious puberty or vaginal bleeding, are typical symptoms in these cases. The majority...

Hysteroscopy is the gold standard for evaluating the uterine cavity, diagnosing intrauterine pathology, and operative intervention for some causes of abnormal uterine bleeding. The American College of Obstetricians and Gynecologists concluded that, when the endometrium measures ≤4 mm with transvaginal ultrasonography, the likelihood that bleeding i...

To examine the uterine cavity and/or to perform hysteroscopic surgery, one has to access the uterine cavity through the cervix, distend the cavity with a fluid (liquid or gas) to visualize it with a telescope and/or a camera system and use energy (mechanical or thermal) to affect and/or remove tissue. Distension of the uterine cavity then is an imp...

Asherman syndrome is a rare acquired clinical condition resulting in the obliteration of the uterine cavity due to the presence of partial or complete fibrous intrauterine adhesions involving at least two-thirds of the uterine cavity potentially obstructing the internal cervical os. Common reported symptoms of the disease are alterations of the men...

Cervical cancer is the most common gynaecological malignancy worldwide. The most common type of cervical carcinoma is squamous cell carcinoma followed by adenocarcinoma. Adenocarcinoma of cervix is further categorized histologically into clear cell, mucinous, endometrioid, serous and mesonephric subtypes. Primary clear cell adenocarcinoma of cervix...

Minimally invasive technology has revolutionalised the surgical approaches in the current century. Energy sources form a vital part of laparoscopic surgeries in achieving hemostasis and providing bloodless field to operate. The most common energy-based vessel sealing technologies are based on bipolar (BP) and ultrasonic (US) technology or both. An...

Adenomyosis is defined as the presence of endometrial glands and stroma in the uterine myometrium. It can be diffuse or focal. Diffuse form is commonly seen while focal adenomyotic cyst is a rare entity. Various theories have been proposed regarding its origin. Symptoms associated with it are dysmenorrhea, abnormal uterine bleeding, chronic pelvic...

Objective: The main objective of this study was to assess the role of diagnostic hystero-laparoscopy in the evaluation of infertility in a tertiary care centre. Material and Method: This retrospective study was conducted at Gynae-Endoscopy unit of a Multispecialty hospital in New Delhi over a period of four years from January 2014 to December 2017....

Benign cystic teratoma (Dermoid cyst) is the most common Germ cell tumor; it rarely grows larger than 10 cm in diameter and usually occurs in young women with peak incidence between the ages of 20 and 40 years. We report a case of an unusually massive benign cystic teratoma measuring 16*14 cm removed from a 42year old female with history of total a...

Uterine adhesions are significant fertility complications. Intrauterine adhesions are fairly a common finding in cases of oligomenorrhea and amenorrhea, especially in developing countries following various infections and tuberculosis. All efforts for adhesion prevention should be done to have better outcome.

Our aim was to adhere to recent evidence produced by the literature showing significant benefits of laparoscopic techniques for hysterectomy compared to the conventional 'open' approach. Benefits include decreased blood loss, shorter hospital stay, improved recovery and earlier return to normal activities with less abdominal wall infections. With r...

Adnexal torsion is one of the few gynaecological emergencies presenng with non specific clinical symptoms and hence, are rarely suspected and diagnosed in me. An acute episode of lower abdominal pain associated with nausea and vomiing can clinch the diagnosis of adnexal torsion but isolated tubal torsion if present, sll comes as a surprise to the s...

Aims To discuss the incidence of various hysteroscopic findings in patients of infertility, abnormal uterine bleeding (AUB), and postmenopausal bleeding and to compare the prevalence of various uterine pathologies in patients of primary and secondary infertility. Materials and methods This is a retrospective observational study, which evaluated 29...

Dermoid cyst of ovary is the second most common type of ovarian germ cell tumor which constitutes 30 to 40% among ovarian tumors. It occurs mostly in women of reproductive age group between 20 and 40 years and very rarely in postmenopausal women. Postmenopause has its own set of symptoms and risks. One such risk is the possibility of malignancy of...

Background: Endometrial carcinoma is a disease of older postmenopausal women, and is relatively uncommon in patients younger than 40 years. Endometrial carcinomas in this age group may be familial, associated with Lynch syndrome, or sporadic. Patient usually has increased exposure to estrogen. In 2%–14% of cases, it occurs in young patients (less t...

Granulosa cell tumours are sex cord stromal tumours of the ovary which accounts for 1-2% of all ovarian malignancies. We present a case of a 22 yrs old unmarried girl with chief complaints of dysmenorrhoea for last 4 months. There were no other symptoms and her general physical examination revealed no abnormality. Ultrasonography showed a simple ov...