Case Studies

Go TopA variety of difficult and challenging Gynaecological surgeries...

A variety of difficult and challenging Gynaecological surgeries were carried out successfully and our patients have gone home happily, with great satisfaction and gratitude are doing well.

These are some of the tumors arising from the womb (uterus) known as "Fibroid" or "Leiomyoma" of the uterus. In ancient days it was believed to be God's gift to an infertile woman, which is not true. It is common during the reproductive age of a woman's life. Many such tumors refuse to shrink even in menopause. These tumors are supposed to be Oestrogen dependent. These ladies presented to us with a variety of complaints like - excessive blood loss during menstruation, pain, anaemia, infertility and heaviness lower portion of the abdomen.

TUMORS OF OVARY

A GIANT OVARIAN TUMOR
(Carcinoma of Ovary)
BENIGN OVARIAN CYST

THE JOY OF HOPE AND MOTHERHOOD

This young girl of 20 years was once left depressed, hopeless, fighting with chronic anaemia. Her general health was low because of profuse, prolonged blood loss during each menstruation. The reason for her problem was a huge fibroid at the back of her uterus. She was infertile for more than 2 years. We did a Myomectomy (removal of the tumor only), preserving her uterus. After 6 months of surgery, her joy knew no bounds when she was told that she is going to be a mother soon. After 9 months of patient journey, her face lit with joy when she was blessed with a baby girl weighing 3.25 kg (delivered by Caesarian section). She once thought she'll never be a mother, rather she might require Hysterectomy. She is grateful to her Doctor for this wonderful gift of God.

CONCEPTION AFTER RECANALISATION SURGERY

This lady had tubectomy operation after 2 children. Unfortunately one baby died, an accidental death and the other living baby has cerebral palsy. So she came with a request for her recanalisation operation, to have atleast one healthy child.

We undertook her recanalisation surgery in the year 2002. She conceived in 2003 and in Feb 2004, she delivered a live healthy male baby by Elective LSCS (For P.I.H).

We have 3 more school going children to our credit (post recanalisation).

 





-- By Courtesy
   Dr. Renuka Kumar
   (Chief Gynaecologist)




Go TopDespair to hope...(a typical case of delivery)

Mrs. Sarathi is 34 years old. When she was very young she suffered from Tuberculosis of her spine. Her spine was seriously deformed. She was bent forward, and grossly deformed.

A good Samaritan agreed to marry her. But, they had no hope of having a normal family, with children. She came to the Tinplate hospital where all kinds of tests were done. The Orthopedic surgeon gave the go-ahead. The Gynecologists decided to try and help her, in spite of knowing that her child will have to be delivered by caesarean section. This was a very difficult proposition due to her gross deformity of spine and abdomen.

Thanks to Dr. Renuka Kumar and Dr. Meera Ramkrishnan, Sarathi, today has two healthy boys. Both born through difficult caesarean sections, performed by our two Gynecologists respectively. Kudos to them and we wish the family a happy future !!.



Dr. Meera Ramkrishnan

Mrs. Sarathi Mrs. Sarathi with her two children



Go TopRemedy From Strabismus/Squint

There are six extra-ocular muscles in each eye of which four are rectus or straight muscles and two are oblique muscles. Viz. superior rectus, inferior rectus, medial rectus, lateral rectus, superior oblique and inferior oblique. These muscles are responsible for various movements of the eyeball. The movements are inward movements or adduction, outward movement or abduction, elevation, depression, extorsion and intorsion. When both the eyes move together keeping their vissual axes parallel, the movements are known as conjugate movements. The pair of muscles, which work together, are known as SYNERGIC or YOKE muscles. Similar to the synergists there are antagonists, which may be direct, or contra- lateral. Binocular diplopia occurs when the image of an object does not fall on the corresponding parts of the retina in both the eyes.

The causes of binocular diplopia are:

  • Paralysis of an extra-ocular muscle.
  • Displacement of the eyeball e.g. by a space-occupying lesion in the orbit.
  • Restriction of the movement of the eyeball e.g. due to Pterygium or Symblepheron etc.

The squint is a condition when one eye deviates always from the fixation point. When the balances of the extra-ocular muscles are imperfect due to intrinsic weakness of one or more of the extra-ocular muscles and there is a tendency for the eye to deviate from its normal relative position. The condition is known as Heterophoria.

The dissociation of the eyes where in the deviation remains the same in all direction of gaze is known as Concomitant squint. Operative correction at Tinplate hospital are done for cosmetic as well as for improvement of binocular vision since last 4 - 5 years regularly as routine procedure. By this method the whole muscle is strengthened or its antagonists are made weaker. The aim is achieved by recession and resection of the muscles as required. A few illustration are given herewith:

The photograph shows before and after correction at Tinplate Hospital by Dr. S.K. Mitra.
















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Tinplate Hospital
P.O.Golmuri, Jamshedpur - 831003, JHARKHAND
Phone: 0657-2342266/2342228
Email Contact :DMS Office (TCIL)