Dr. Nagendra S Sardeshpande, has trained in operative gynaecologic endoscopy under the Intensive Program of Endoscopic Surgery in Gynaecology at the Department of Obstetrics, Gynaecology and Reproductive Medicine, CHRU, Universite d’Auvergne, Clermont-Ferrand, France in April 2004. He specializes in Advanced Gynaecologic Laparoscopic Surgery, Hysteroscopic Surgery, Vaginal surgery and Oncology. He has vast clinical experience in ANC OPD, management of high risk pregnancies & obstetric emergencies, operative vaginal deliveries, gynaecological surgery & operative gynaecologic endoscopy, cytology, colposcopy, gynaecologic oncology, menopausal care, gynaecologic endocrinology and paediatric and adolescent gynaecology Neonatal resuscitation NICU care, Hysteroscopy & Laparoscopy, Follicular Studies, Ovulation Induction, I.U.I.
Dr. Sardeshpande is a life member of many professional organizations including Federation of Obstetrics & Gynaecology Societies of India (FOGSI), Member of Managing Committee, Mumbai Obstetrics & Gynaecology Society (MOGS), and Indian Medical Association (IMA). He has Co-authored 39 book chapters and journal articles and presented his work at more than 200 conferences.
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Robotic surgery has been part of the armamentarium of surgical procedures over two decades. The same procedures that are performed in gynecologic laparoscopy can be performed by robotic surgery. These include removal of the uterus or hysterectomy, removal of fibroids or myomectomy, removal of ovarian cysts or the ovary, correction of vaginal or uterine prolapse, etc.
Robotic surgery involves placement of ports similar to that of laparoscopy. However the surgeon sits at a console away from the operation table where the patient is situated. The surgery is performed by the surgeon by remote control of instruments which are placed through the ports inside the patient and controlled by robotic arms.
Technically and in terms of effectiveness, speed, safety, outcomes & results both laparoscopy and robotic surgery are similar. However robotic ports are slightly larger than those of laparoscopy and overall time of surgery is more. However, this is compensated by the dexterity of the instruments used in robotic and comfort to the operating surgeon. Robotic surgery and laparoscopic surgery complement each other and it is one more option available to the surgeon and the patient after individualization in the field of gynecologic surgery.
Fibroids are growths of the uterus ( figure 1). They are also called uterine leiomyomas or myomas. The uterus is made of muscle, and fibroids grow from the muscle. Fibroids can bulge from the inside or outside of the uterus. Fibroids are not cancerous and are not thought to be able to become cancerous. However, it can sometimes be difficult to determine if a mass in the uterus is a common fibroid or a rare cancerous tumor.
Fibroids are very common. Approximately 80 percent of females will have fibroids in their lifetime, although not everyone has bothersome symptoms. Treatments are available for fibroid-related problems like heavy menstrual bleeding, pain or pressure in the pelvis, or problems with pregnancy or infertility.
Fibroids are abnormal growths that form in the muscle of the uterus ( figure 1). The uterus is the part of the body that holds a baby when a person is pregnant. People sometimes refer to fibroids as "tumors." But fibroids are not a form of cancer.
If you are thinking about treatment, ask your doctor or nurse which treatments might help you. Ask what the risks and benefits of those options are. Ask what happens if you do not have treatment. Mention whether or not you would like to get pregnant in the future.
Your doctor will work with you to help you understand the different treatment options and how each would affect you. Then, you will work together to choose the option that's right for you.
Endometriosis is a condition that can cause pain in the lower part of the belly and trouble getting pregnant.
The "endometrium" is the name for the inner lining of the uterus. In people with endometriosis, cells like those normally found in the endometrium grow outside of the uterus. It is not known exactly how or why this happens. But when endometriosis cells grow, it causes inflammation inside the body. This can lead to symptoms.
All of these symptoms can also be caused by conditions that are not endometriosis. But if you have any of these symptoms, tell your doctor or nurse.
Not yet. But your doctor or nurse might suspect that you have it by learning about your symptoms and doing an exam.
The only way to know for sure if you have endometriosis is for a doctor to do surgery and look for endometriosis tissue outside of the uterus.
Endometriosis can be treated in different ways. The right treatment for you depends on your symptoms and whether you want to be able to get pregnant in the future.
If you are having trouble getting pregnant, talk with your doctor or nurse. There are different medicines and treatments that can help.
Adenomyosis is a condition related to the uterus. In adenomyosis, the cell of the inner lining of the uterus (the endometrium) breaks through and enters the muscle wall of the uterus (the myometrium). This makes the muscle wall of the uterus to become thick and the whole uterus becomes bulky. Sometimes, the uterus can become double or triple in size. On average one in 10 women will have this condition. It can appear at various age groups of women who are still menstruating but commonly seen between 40-50 years. Adenomyosis usually disappears once menopause happens.
This is a condition that causes heavy, painful periods. In people who have uterine adenomyosis, the uterus gets larger than normal ( figure 1). This happens because the kind of cells that normally line the inside of the uterus start to grow in the walls of the uterus. Uterine adenomyosis will be called just "adenomyosis" here.
Adenomyosis often happens along with other conditions that affect the uterus, especially endometriosis. Endometriosis is a condition in which the kind of cells normally found only in the uterus starts to grow outside of the uterus. Adenomyosis can also happen in people with fibroids, which are abnormal growths that form in the muscle of the uterus.
Yes. If you have very heavy or painful periods, see your doctor or nurse. Often, there are treatments that can help.
Maybe. There is no test that can show for sure whether you have adenomyosis. But there are some tests that can help your doctor or nurse figure out what might be causing your symptoms.
For example, your doctor or nurse might send you for an ultrasound. Some people might also get an MRI, but this is less common. Both of these tests create pictures of the inside of your body. They can show if your uterus is enlarged or has other signs of adenomyosis.
If you might want to get pregnant, other types of surgery might be an option. These include removing or burning the extra tissue that grows in adenomyosis. Your doctor can talk to you about your options and help you choose the treatment that is best for you.
Hysterectomy is surgery to remove the uterus. After a hysterectomy, you will not menstruate (have periods) or be able to get pregnant. Uterus removal is a common treatment for a variety of conditions that affect a woman’s reproductive organs.
About half a million hysterectomies are performed each year in the U.S. It is the second most common surgical procedure for women, after cesarean delivery (C-section). Most hysterectomies are performed between the ages of 40 and 50.
A hysterectomy is the surgical removal of your uterus and, most likely, your cervix. Depending on the reason for the surgery, a hysterectomy may involve removing surrounding organs and tissues, like your fallopian tubes and ovaries.You won’t be able to get pregnant and you won’t get your menstrual period after a hysterectomy.
Your healthcare provider will discuss which type of hysterectomy you need, depending on your condition. This will determine if they’ll also need to remove your fallopian tubes and/or ovaries.
Healthcare providers often suggest alternative treatments before recommending a hysterectomy. This mostly depends on the reason for needing a hysterectomy. Sometimes, those treatments don’t help, or surgery is the only option to treat the condition.
Many people have a hysterectomy to prevent cancer. For people at high risk for certain types of cancer, removing the uterus (and/or surrounding reproductive organs) can reduce the chances of developing cancer.
Hysteroscopy is a procedure that allows a surgeon to look inside of your uterus in order to diagnose and treat the causes of abnormal bleeding. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that’s inserted into your vagina to examine your cervix and the inside of your uterus. An operative hysteroscopy can be used to remove polyps, fibroids and adhesions.
A hysteroscopy is a procedure that lets a doctor see inside the uterus. During a hysteroscopy, the doctor uses a thin tube with a tiny camera on the end. This is called a "hysteroscope." It goes into the vagina, through the cervix, and into the uterus.
A hysteroscopy is done in an operating room or clinic.
Biochemistry, Anatomy and Physiology at the 1st M.B.B.S. examinations of the Mumbai University.
Pharmacology and Forensic Medicine & Toxicology at the 2nd M.B.B.S. examinations of the Mumbai University.
Adolescence- Is it Frightening?” at the 27th MOGS Conference on 27th - 28th March 1999.
Balloon Mitral Valvoplasty in Pregnancy” at the 28th MOGS Conference on 29th - 30th April 2000.
The Levonorgestrel IUD- A New Horizon in Targeted Contraception
33rd MOGS Conference on 26th - 27th March 2005.
Dr.Ashok Mehra prize for Presentation on Endoscopy at the Laparoscopic Tubo-tubal Anastomosis for TL Reversal”
An Unusual Case of Bilateral Hydroureter
FOGSI-SAFOG SMART OBGYN 2016 Conference held in Mumbai on 16th & 17th April 2016
2nd International Conference on Pearls & Pitfalls in Gynecologic Endoscopy & ART on 11th & 12th May 2013 at Pune.
Second prize for the presentation titled “Laparoscopic Correction of Chronic Inversion”
at the MOGS Indo-Israeli Workshop on Gynecologic Endoscopy on 25th and 26th April 2009 at Mumbai.
Uterine Devascularization prior to Hysterectomy
at the YUVA IAGE conference held in Pune on 18th & 19th January 2014.
First Prize “Laparoscopic Correction of Chronic Uterine Inversion.