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.
Greater Precision:Unlike conventional surgical techniques, which rely solely on the surgeon’s talent and skill, robot-assisted procedures offer greater accuracy, control, and maneuverability in delicate areas, such as reproductive organs. This precision minimizes the risk of complications and ensures optimal outcomes for patients.
Minimally Invasive Approach:Minimally invasive procedures involve smaller incisions and less trauma to surrounding tissues. This approach reduces patients’ scarring, ultimately improving their overall quality of life.
Expanded Surgical Capabilities: Robotic surgery enables gynecologists to tackle a broader range of complex procedures efficiently. The robotic system’s flexibility allows surgeons to access hard-to-reach areas, resulting in quicker, safer surgeries.
Improved Visualization: Robotic systems use high-definition cameras that provide the operating area with clear, enlarged, three-dimensional perspectives. This enhanced visualization enables surgeons to navigate intricate anatomy more efficiently, resulting in better decision-making and surgical outcomes.
Reduced Blood Loss and Complications:The procedure minimizes intraoperative blood loss by enabling surgeons to effectively cauterize (destroy tissue using a hot or cold instrument) blood vessels. Additionally, the minimally invasive nature of robotic surgery reduces the likelihood of postoperative complications, such as infections and hernias.
Quicker Recovery and Return to Normal Activities:Robotic surgery revolutionizes the postoperative experience for gynecological patients by facilitating faster recovery and return to normal activities than traditional open surgeries. The smaller incisions and reduced tissue trauma associated with robotic surgery contribute to decreased pain and discomfort, allowing patients to resume their daily routines sooner.
Improved Cosmetic Outcomes: The cosmetic benefits of robotic surgery are significant, where aesthetic concerns may be paramount for patients. The smaller incisions and minimized scarring associated with robot-assisted techniques result in more aesthetically pleasing outcomes than traditional open surgeries. Achieving optimal cosmetic results can significantly impact women’s self-esteem and body image.
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.
Heavy periods.
Pain, pressure, or a feeling of "fullness" in the belly.
The need to urinate often.
Too few bowel movements (constipation).
Trouble getting pregnant.
Your age (most fibroids shrink or stop causing symptoms after menopause, which is when monthly periods stop).
Whether your fibroids cause so much bleeding that you have a condition called anemia.
The size, number, and location of your fibroids.
How you feel about the risks and benefits of the different options.
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.
Medicine – The pills, patches, vaginal rings, injections, and implants used for birth control can all make your periods lighter. Some types of intrauterine devices ("IUDs") can also do this.
Surgery to remove the fibroids – This is called "myomectomy." The doctor removes the fibroids but leaves the uterus in place. It is effective, but it is not always a permanent fix, because fibroids can come back. Myomectomy is often a good choice for people who might want to get pregnant in the future.
Treatment to cut off the blood supply to the fibroids – This is called "uterine artery embolization" or "uterine fibroid embolization." The doctor inserts a thin tube into an artery in the leg and threads it up to the uterus. Then, they use tiny particles to block the artery that brings blood to the fibroid. After the procedure, the fibroid no longer gets blood, so it shrinks. This procedure is usually not done in people who might want to get pregnant.
Treatment to destroy the lining of the uterus – This is called "endometrial ablation." The doctor inserts a thin tube into the vagina, through the cervix, and into the uterus. Then, they use tools inserted through that tube to destroy the lining of the uterus. This procedure reduces bleeding from heavy periods. But it is not an option for everyone. It is also not appropriate for people who might want to get pregnant.
Surgery to remove the uterus – This is called "hysterectomy." This surgery gets rid of fibroids and the problems they cause forever. If you have a hysterectomy, your fibroids cannot come back. But you will also not be able 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.
Whether you want to get pregnant in the future – If you might want to get pregnant, medicines or myomectomy is often the best choice. If you do not want to get pregnant, or if you are done having children, you can often choose from all of the options.
How soon you are likely to go through menopause – Fibroid-related symptoms often go away with menopause, so your age might affect your decision about treatment.
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.
Before or during monthly periods.
Between monthly periods.
During or after sex.
When urinating or having a bowel movement (often during monthly periods)
Trouble getting pregnant.
Growths on the ovaries that a doctor can feel during an exam
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.
Pain medicines – You can take "NSAID" medicines such as ibuprofen (sample brand names: Advil, Motrin) to help with pain. But these medicines do not make the endometriosis go away.
Birth control medicines – Certain birth control medicines can help reduce pain symptoms. Options include oral pills, skin patches, vaginal rings, intrauterine devices ("IUDs"), implants, and injections. These treatments are not appropriate if you are trying to get pregnant.
Medicines that stop monthly periods – These medicines stop the body from producing certain hormones. They can help if birth control medicines do not relieve symptoms. If you need them for longer than 6 months, your doctor might also have you take other hormones.
Laparoscopy – In this type of surgery, a doctor will make a small cut (incision) in the belly and put a tube with a camera (called a "laparoscope") inside the body. Then, they can see and remove endometriosis tissue.
Hysterectomy – If no other treatments work, doctors might suggest a hysterectomy. This is surgery to remove the uterus. Hysterectomy is usually only done if nothing else has helped. Sometimes, the doctor will also remove the ovaries and tubes that connect the ovaries to the uterus (fallopian tubes). You cannot get pregnant after your uterus is removed.
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.
Heavy periods.
Painful periods.
Pain in the lower belly.
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.
Pain medicines – Ibuprofen (sample brand names: Advil, Motrin) can help with pain and reduce menstrual bleeding.
Intrauterine device ("IUD") – An IUD is a small device that fits inside the uterus and is normally used to prevent pregnancy. One type of IUD, which releases the hormone progestin, might help with the symptoms of adenomyosis. (IUDs must be placed in the uterus by a doctor or nurse.)
Birth control pills.
Other medicines – These includes medicines that are commonly used for treating endometriosis or fibroids.
Uterine artery embolization – This procedure decreases the blood supply to the uterus. It is usually not done in people who might want to get pregnant.
Surgery – Surgery to remove the uterus, called "hysterectomy," will permanently remove adenomyosis. But other treatments are usually tried first. After a hysterectomy, it is not possible to get pregnant.
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.
Abnormal or heavy vaginal bleeding that cannot be managed through other methods.
Severe pain during menstruation that cannot be managed by other methods of treatment.
Problems of the uterine lining, such as Hyperplasia, recurrent uterine polyps, or Adenomyosis.
Uterine fibroids/Uterine prolapse/ Cervical or uterine cancer.
Persistent pelvic pain caused due to problems with the uterus but cannot be managed by other treatment methods
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.
Total hysterectomy:Removing your uterus and cervix but leaving your ovaries. Because you still have your ovaries, you won’t enter menopause immediately after surgery.
Supracervical hysterectomy: Removing just the upper part of your uterus while leaving your cervix. You may also have your fallopian tubes and ovaries removed at the same time. Because you still have your cervix, you’ll still need Pap smears.
Total hysterectomy with bilateral salpingo-oophorectomy: Removing your uterus, cervix, fallopian tubes (salpingectomy) and ovaries (oophorectomy). Removing your ovaries will start menopause immediately (if you haven’t already completed it).
Radical hysterectomy with bilateral salpingo-oophorectomy: The removal of your uterus, cervix, fallopian tubes, ovaries, the upper portion of your vagina, and some surrounding tissue and lymph nodes. Providers use this type most commonly when cancer is involved. You’ll enter menopause after this type because you won’t have ovaries anymore.
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.
Abnormal or heavy vaginal bleeding.
Severe pelvic pain. & Severe endometriosis.
Uterine fibroids and other noncancerous tumors.
Uterine prolapse that can lead to urinary incontinence or fecal incontinence.
Cervical, ovarian or uterine cancer.
Conditions with the lining of your uterus, like hyperplasia or adenomyosis.
Serious complications of childbirth like uterine rupture.
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.
Learn more about or treat abnormal bleeding from your uterus.
Take out an intrauterine device ("IUD").
Remove scar tissue, polyps, or other tissue from inside your uterus.
Look at the shape of your uterus.
Take a small sample of tissue called a "biopsy".
A hysteroscopy is done in an operating room or clinic.
Your Pap test results are abnormal.
You’ve been bleeding after menopause.
There are fibroids, polyps, adhesions, or scarring on your uterus.
Your doctor needs a small tissue sample (biopsy) of the lining of your uterus. You might have a hysteroscopy with a biopsy before you get a dilation and curettage (D&C) procedure to remove more tissue from the uterine lining.
For surgery to treat fibroids, polyps, scarring, and more
Obstetrician-Gynecologist Surgery
"I recently got my surgery done by Dr.Nagendra Sardeshpande. He is one of the best gynac I have known. I would like to thank doctor and his entire team for their support and utmost care taken during my surgery and during my observation period. Special thanks to all sisters and maushis for being there just a call away. Expressing my gratitude to everyone.
Fibroid Surgery
"I would like to express my sincere thanks and gratitude to Dr Nagendra Sardeshpande who is expert in Obstetrician-Gynecologist, hysterectomy laproscopy surgery. Recently, my wife underwent with fibroid removal surgery from her ovaries in Medeor Hospital in Dubai. Thanks god she has been in the right hand of doctors Dr Elizabeth Mathew and Dr Nagendra.
Laproscopic Histro-Laproscapy
"I went in worli hospital for treatment for my wife's laproscopic histro-laproscapy. Experience was just what we were looking for. Doctors and all staff was really Empathetic towards us and after surgery support was just amazing. Hoping to get best results in our persute of pregnancy treatment and we are very our search of baby will be over at this place.
Consultant Gynecologist
"The best gynecologists in the country. Sir is soft spoken, humble and caring.I highly recommend visiting sir.Also sir always give proper time to the patient and clear all doubts.Excellent surgeon, pleasing personality and concern with patient. Great Doctor. Personal thanks and great salute to doctor.
Hysterectomy Surgery
"Best gynaecologist and hysterectomy specialist. Myself gone through Total Hysterectomy three days back.It was a major operation.Dr Nagendra Sardeshpande did the surgery so skillfully that I was back from the operation theatre within half an hour. Really a great doctor and best surgeon. All thanks and salute.
Gynecologists & Laparoscopic Surgeon
Truly one of the best gynecologists and finest laparoscopic surgeon in the country. Sir is highly qualified, soft spoken and humble. There were absolutely no complications post surgery. I highly recommend visiting sir. Thank you.
Surgery
"Dr Nagendra Deshpande and all staff were very co operative. Thank you for everyone. After 12 yrs I expected baby girl, as my first boy is having autism. Thank you so much Dr. ..
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.
