Dr Ajay Aggarwal, gynecologist and laparoscopic surgeon

Isthmocele is also known as Caesarean scar defect or Niche.

Symptoms of isthmocele- secondary infertility, abnormal uterine bleeding, post menstrual spotting, chronic pelvic pain.

Management includes medical and surgical management.

Surgical management- different options are there- hysteroscopy, laparoscopy, vaginal, laparotomy.

This video is focused on hysteroscopic management of isthmocele which is done for infertility and abnormal uterine bleeding with good clinical outcome considering positive pregnancy rate and relief of symptoms.

hysteroscopic isthmocele correction by Dr Ajay Aggarwal Isthmocele is also known as Caesarean scar defect or Niche. Symptoms of isthmocele- secondary infertility, abnormal uterine bleeding, post menstrual spotting...

Laproscopy dermoid cystectomy

Presenting a case of 35 yr old female with complain of lower pain abdomen and her USG finding suggestive of right dermoid cyst of 6x6 size.

Pt was taken up for laproscopy dermoid cystectomy.

Ovarian dermoid cysts or mature cystic teratomas (MCT), are the most common benign ovarian tumor in adults and adolescents.

Symptoms include pain, pressure or a feeling of fullness in your abdomen and rarely it causes emergency when torsion or rupture occurs.

Not all ovarian dermoid cysts need to be removed. Removal of cyst is needed if it’s large (approximately greater than 5 cms in diameter), causing symptoms (pain) or increased possibility of malignancy.

Advantages of laproscopy dermoid cystectomy -
1. Laparoscopy is day care procedure and pt can be discharged on same day .
2. It provides panoramic view of abdominal cavity and other causes of pain can also be treated, in index case there was an endometriotic nodule on anterior abdominal wall which was excised as well.
3. Cosmetically better scar compared to open surgery.

Hysteroscopic polypectomy-

Presenting a case of 55 year old female with complaint of postmenopausal bleeding with Ultrasound finding suggestive of endometrial polyp of 1.5 cm size.

Patient was taken up for hysteroscopic polypectomy and endometrial biopsy.

Advantage of hysteroscopic polypectomy-
1. It's a day care procedure and patient can be discharged the same day.
3. It ensures complete removal of polyp under vision.
4. It is safer procedure compared to blind D&C.
6. It allows panoramic view of inside of uterus thus increasing accuracy and precision.

Here is a short video of the same.

Hysteroscopic polypectomy by Dr Ajay Aggarwal Hysteroscopic polypectomy- Presenting a case of 55 year old female with complaint of postmenopausal bleeding with Ultrasound finding suggestive of endometria...

Endometriosis- first surgery, complete surgery..

It is extremely important to do complete excision of endometriotic implants when we are operating for pain due to DE.

In this case, cystic endometriosis cud be seen in rectovaginal space medial to right uterosacral along with infiltration of torus uterinus..

Laparoscopic surgery for deep infiltrating endometriosis by Dr Ajay Aggarwal This patient presented to us with severe dysmenorrhoea with dyspareunia with chronic pelvic pain.She was diagnosed to have b/l endometriotic cysts (13cm and ...

So we delivered our own BAHUBALI, he held my hand immediately after birth firmly.. He also happened to be result of our laparoscopic myomectomy for huge cervical and fundal fibroids which was done one and a half years back..