Specialisations

Procedures carried out are:

• Diagnostic hysteroscopy
• Diagnostic laparoscopy with chromotubation, ovarian drilling
• Laparoscopic sterilization
• Laparoscopic cystectomy
• Operative laparoscopy for pelvic tuberculosis ,endometriosis.
• Laparoscopic assisted vaginal hysterectomy
• Laparoscopic myomectomy
• Total Laparoscopic hysterectomy
• Laparoscopic wertheim’s hysterectomy
• Laparoscopic sling operation

Procedures carried out are:

• Hysteroscopic resection of fibroids
• Hysteroscopic removal of missing IUCD
• Hysteroscopic resection of endometrium
• Hysteroscopic Cannulation

Perineal reconstructive surgery is being dealt with by only a few consultants all over Delhi.  Our department excels in managing patients with genital tract anomalies and complicated fistulas.  A well coordinated and expert team of gynaecologist Dr. Sonal Bathla with Urologist Dr. T.C.Sharma is involved. A 100% success has been achieved so far in Genital Reconstruction & complicated fistula repairs.

Recurrent pregnancy loss is a major complication of pregnancy affecting 2% of childbearing women. In addition to the direct consequences of miscarriage, there is psychological morbidity that women with recurrent pregnancy loss are likely to incur. These patients need continuing moral support (from the family and the doctor treating her). Usually women are investigated for genetic, anatomic or hormonal causes, 60% to 70% of these women have immunological problem.

The Immunology of Normal and Abnormal Pregnancy

Normally after ovulation, the egg travels into the fallopian tube. Fertilization occurs here. This embryo multiplies and moves towards the uterus and finally settles down in the uterine lining to develop into a fetus. The fetus has two components:

• One part is derived from the mother, the other from the father. If the mother’s component is not protected, it can lead to spontaneous abortion as in auto immune diseases. (blood tests recommended are lupus anti-coagulant and anti-cardiolipin antibody). These auto-immune defects can be treated by giving aspirin, heparin and if needed, steroids.

• The father’s component is not protected as in allo-immune defects. Natural

  Killer cell activity of the white blood cell (WBC) in the uterine lining can be now tested. If this is raised patient is treated by lymphocyte immune therapy (LIT), using blood of husband or an unrelated person. Lymphocyte Immune Therapy (LIT) is repeated many times until the klller cell activities of WBC’s comes to normal levels.

LIT – Personal Experience

We at Sant Parmanand Hospital, Delhi, started to give LIT for recurrent sponteneous abortion from Feburary 1998. LIT was started for infertility from September 1998 & Our first LIT baby was born on 13 September 1998.

The department has achieved laurels in managing patients with prolonged infertility & recurrent spontaneous abortions, and post menopausal pregnancies. The department is proud to have undertaken various research activities in managing such patients with lymphocyte immune therapy which has now been internationally recognized.

Lymphocyte immune therapy is still faced with controversy because of lack of well-conducted clinical studies. Therefore, the modality of treatment has not gained popularity. However, if we consider recurrent spontaneous abortion as allo-immune recognition failure, this method of treatment sounds logical.

Infertility is a disease of the reproductive system that impairs one of the body’s most basic functions: the conception of children. Conception is a complicated process that depends upon many factors: on the production of healthy sperm by the man and healthy eggs by the woman; unblocked fallopian tubes that allow the sperm to reach the egg; the sperm’s ability to fertilize the egg when they meet; the ability of the fertilized egg (embryo) to become implanted in the woman’s uterus; and sufficient embryo quality.

Finally, for the pregnancy to continue to full term, the embryo must be healthy and the woman’s hormonal environment adequate for its development. When just one of these factors is impaired, infertility can result.

How is Infertility Diagnosed?

Couples are generally advised to seek medical help if they are unable to achieve pregnancy after a year of unprotected intercourse. The doctor will conduct a physical examination of both partners to determine their general state of health and to evaluate physical disorders that may be causing infertility. If no cause can be determined at this point, more specific tests may be recommended. For women, these include an analysis of body temperature and ovulation, x-ray of the fallopian tubes and uterus, and immunological work-up & Laparoscopy. For men, initial tests focus on semen analysis.

How is Infertility Treated?

Most infertility cases 85 to 90 percent are treated with conventional therapies, such as drug treatment or surgical repair of reproductive organs.

Deliver in the ambience of your own bed room. Sant Parmanand Hospital provides Hi-tech Labour Room Suites to all patients for a convenient labour & delivery.

Our labour room is one of its kind in Delhi with 5 labour room suites well equipped with electronically operated hydraulic beds,Fetal heart monitoring machines connected with central monitor, pulse oxymeter, neonatal resuscitation facility. During entire labour, irrespective of admission category, patient is managed in single fully airconditioned labour suite in which one attendant is allowed by the side of the patient. There is one to one patient, sister nursing care facility & a consultant gynecologist is present round the clock on duty.

analgesia which is given by the consultant anesthetist on duty.
High risk pregnancies are excellently managed and facility for instrumental and cesarean delivery is available 24 hours all days of the week.

A well equipped “Neonatal Intensive Care Unit – (NICU)” is available with consultant paediatrician 24 hrs. on duty, attending all deliveries.