CURRICULUM
VITAE
Personal Details
Name
:
Dr. Rabindra Nath Behera
Citizenship
:
Indian
Passport No.
:
H1078060 (Old Passport-E 5462659)
Date of Birth
:
20th January 1956
Age
:
54 years old
Sex
:
Male
No. of Dependant(s)
:
2 (two) Wife & Son
Marital Status
:
Married
Address for Correspondence
:
LAPAROSCOPIC GYNAEC SURGEON
Senior Consultant, Gynaecologist &Obstetrician
Accredited MIS Trainer, MOH, Malaysia
Ultrasonologist(O&G)
ART EXPERT
AYUSH HOSPITAL,
BHUBANESWAR,
ODISHA,
INDIA
Tel. contact
: 0091-6742565151®
0091-09439614871
0091-09776649458
Fax no.
0091-6742545003
0091-6742545151
:
E-mail Address :
rackyna@yahoo.com
Permanent Address :
C/O-SANGHAMITRA SAHOO
PLOT-455, NUASAHI,
NAYAPALLI,
BHUBANESWAR,
ORISSA,
INDIA.
PIN: 751012
Ph. No: 0091-674-2565151(House)
_00919938651471(Mobile)
Past working Address :
SENIOR CONSULTANT O&G,
MIS EXPERT
OGSM MIS COORDINATOR(MELAKA)
MELAKA HOSPITAL,
MELAKA,75400.
MALAYSIA.
CURRICULUM VITAE AT A GLANCE

SERVICE EXPERIENCE AS A DOCTOR----
29YEARS

EXPERIENCE AS
>19YEARS

TEACHING EXPERIENCE (UNDER & POST GRADUATES)-

EXPERT IN ADVANCED
O&G CONSULTANT----
>12YEARS
0&G ULTRASONOGRAPHY (DOPPLER
STUDIES)

EXPERT IN MIS (MINIMUM INVASIVE SURGERY) ESPECIALLY
PELVIC LAPAROSCOPIC SURGERY (ACCREDITED BY
Ministry of Health Malaysia,Oct’2007 –‘’MIS EXPERT &
TRAINER’)

OPERATIVE HYSTEROSCOPY

COLPOSCOPY
.EXPERT IN VAGINAL SURGERY FOR UNDESCENDED-UTERINE PATHOLOGY (NDVH) without sutures, staples or
clips
.AWARDED CEMERLAN (BEST SERVICE DOCTOR),- 2007 MOH,
Melaka state ,MELAKA,MALAYSIA
ADVANCED LAPAROSCOPIC TRAINING AT
UKT,TUBINGEN,GERMANY-OCT-2011
 Papers Presented: 48 papers.::
 International PRESENTATION : (11
PAPERS)
.EES PUBLICATION AWAITING- Laparoscopic
assisted ovarian cystectomy in Pregnancy-an
alternative,feasible,safe option
.AICOG,GUWAHATI,ASSAM ,INDIA-16TH-22ND
January’2010—2 PAPERS ON VALH&NDVH
 FIGO, October 4-9th,2009-CapeTown,South Africa- two
papers on laparoscopy including one video
 SICOG,Singapore,-Aug’2009 -1 paper(video on
laparoscopy)
 AOCOG/AOFOG March’2009 Auckland,Newzeland—2
papers
 AAGL,WASHINGTON DC, 2007-one Paper
 FIGO’2006, Kuala Lumpur – 3 papers
Professional Education and Qualifications
English Language Assessment:

OET (Occupational English Test) .RS06/652- A, B, B, B.
EDUCATION:

Fellowship :
FICMCH (ICMCH) ,Kolkata, INDIA – 20th
January’ 1998.

ICDS(Integrated Children Development Scheme) , affiliated
to WHO : MKCG Medical college, Orissa , India – 4th June’
1996

Laparoscope Training - SCB Medical college, Cuttack,
Orissa, India – 17th September’ 1991

Master’s Degree : (M.D) Obstetrics & Gynaecology –
M.K.C.G.MEDICAL COLLEGE, Berhampur University, Orissa
India -- 1990 (25/01/1990).

Resident Surgeon: CMC (Christian Medical College)
VELLORE, Katpadi, Tamil Nadu, India -- 1980-1981.

Compulsory Rotating Housemanship: 12 months (15.10.79 -
14.10.80).

MBBS Degree : SCB Medical College, Cuttack, Utkal
University, Orissa, India - 1974 —1979
(14/10/79)

Pre professional: Utkal University, Orissa, India -1973, 1st
Class.

Matriculation : K.C High School, Nilgiri, Orissa, India –
1971, 1st Division.
HOUSEMANSHIP:
Discipline
Medicine
Surgery
Obstetrics &
Gynaecology
Rural Health Center
(SPM)
Place
SCB Medical
College, Hospital
Cuttack, Orissa
India
SCB Medical
College, Hospital
Cuttack, Orissa
India
SCB Medical
College, Hospital
Cuttack, Orissa
India
SCB Medical
College, Hospital
Cuttack, Orissa
India
Period
15.10.79 – 14.01.80
15.01.80 - 14.04.80
15.04 .80 - 14.07.80
15.07.80 - 14.10.80
Post Graduate Qualification:
Description
Master Degree O&G (MD), MKCG Medical,
College, Berhampur, Orissa, India
Laparoscope Training, SCB Medical College,
Cuttack, Orissa, India
ICDS (Integrated Children Development
Scheme, Govt. of India)
Fellowship, FICMCH ,ICMCH,Kolkata, India
Date of Award
22.02.90
Accredited Laparoscopic &Hysteroscopic
Expert (Ministry of Health, MALAYSIA)
OCT’2007
Medical Registration:
17.09.91
04.06.96
20.01.98
Full Registration
Registration No. /
Date
OCMR (Orissa Council Of Medical Registration),
Orissa, India
7797/15.10.80
TCMR(Tamil Nadu Medical Council,) Tamil Nadu,
India
34549/24.03.81
MMC( Malaysia Medical Council)
34526/27.02.97
OGSM (Obstetric & Gynaecological Society of
Malaysia)
1998 onwards
MMS (Malaysian Menopausal Society)
1998 onwards
AAGL(American Association of Gynaecology
Laparoscopists )
2007 onwards
Service as Consultant
O&G,KKM,MALAYSIA & MOH
ORISSA,INDIA
Consultant O&G,Hospital
Melaka,Malaysia
------------------------------------------------------------------PEGAWAI
CEMERLANG,HOSPITAL,MELAKA,TAHUN
2007(BEST OFFICER,MELAKA
STATE’2007)
------------------------------------------------------------------ACCREDITED MIS(Minimum Invasive
Surgeon), Expert,Ministry of Health,
Malaysia
------------------------------------------------------------------Regional MIS Trainer &
Dates
2004 till date
------------------------------------2007
------------------------------------Oct’2007 onwards
------------------------------------2007 onwards
Coordinator,MELAKA State,MOH
Malaysia(OGSM MELAKA)
------------------------------------------------------------------SpecialistO&G,&HOD,SIBU
HOSPITAL,SARAWAK,MALAYSIA
Specialist O&G,Kuching General
Hospital,Kuching,SARAWAK,MALAYSIA
------------------------------------------------------------------As specialist O&G, Ministry of Health,
Orissa, India
------------------------------------------------------------------
------------------------------------1998 Jan-2004 SEPT
1997FEB—DEC1997
------------------------------------May’ 1991-Feb1997
-------------------------------------
Professional Membership:
1. MMC (MALAYSIA MEDICAL COUNCIL)—34526\1997
MALAYSIA
2. MMA (MALAYSIAN MEDICAL ASSOCIATION)
3. OGSM (Obstetric & Gynaecology Society of Malaysia)
4. MMS (MALAYSIAN MENOPAUSAL SOCIETY)
5. AAGL (AMERICAN ASSOCIATION OF GYNAECOLOGY
LAPAROSOPIST)
6. AICOG (All India Congress of Obstetrician & Gynaecologist)
7. ICMCH (Indian College of Maternal & Child Health India)
8. OSOG (Orissa Society of Obstetrician & Gynaecologist,
Orissa, India)
9. Bhubaneswar Society of Obstetrics&Gynaecology
Training:
Training includes regular participation in:

Workshops

Congresses

Conferences

Chairing sessions
Organized courses at National & Regional
Levels:
.Advanced colposcopic workshopMay2009,MMMCollege in conjunction with OGSM52Participants
.ADVANCED LAPAROSCOPIC WORKSHOP ON MYOMA
OF UTERUS, HOSPITAL MELAKA,17-18TH APRIL,2009 ORGANISED
IN CONJUNCTION WITH OGSM, MALAYSIA & MMMC,MELAKA,
GUEST :: DR RAKESH SINHA, BEAMS,MUMBAI,INDIA, GUINNIS
BOOK & LIMCA BOOK OF WORLD RECORD2007., 48
PARTICIPANTS,
.ADVANCED LAPAROSCOPIC WORKSHOP ON WERTHEIM’S
HYSTERECTOMY& PELVIC LYMPH NODE DISSECTION,,MELAKA
HOSPITAL,MEALKA-12-13TH DEC’2008 ORGANISED IN
CONJUNCTION WITH OGSM, MALAYSIA & MMMC,MELAKA, with
Guest:: Prof. Nam. SEOUL, Korea,Chairman AOFOG—45
participants
Vital Statistic workshop, Melaka organised in conjunction
with MMMCollege,Melaka—2005 sep.
CONFERENCES ATTENDED::
The following major
conferences/CONGRESS/WORKSHOPS have
been attended:
35TH AICOG,GUWAHATI,ASSAM,INDIA,16TH—22ND JAN’2010
FIGO,CAPETOWN,SOUTH AFRICA,4TH—9TH OCTOBER’2009
SICOG, SINGAPORE-26TH-29TH August’2009
17TH OGSM ANNUAL CONGRESS, SABAH,KOTAKINABALU- 4TH-7TH
JUNE2009
1ST National Reproductive Congress KLCC, 24TH26TH April’2009
Laparoscopic workshop on reproductive surgery
,Selayang 23rd april’2009
ADVANCED LAPAROSCOPIC WORKSHOP ON MYOMA OF
UTERUS, HOSPITAL MELAKA,17-18TH APRIL,2009 ORGANISED IN
CONJUNCTION WITH OGSM, MALAYSIA & MMMC,MELAKA
AOFOG/AOCOG CONGRESS AUCKLAND,NEWZELAND,26-30TH
MARCH2009
ADVANCED LAPAROSCOPIC WORKSHOP ON WERTHEIM’S
HYSTERECTOMY& PELVIC LYMPH NODE DISSECTION,,MELAKA
HOSPITAL,MEALKA-12-13TH DEC’2008
.International Mirena Workshop,Hongkong-15th-16th June 2008
.OGSM Congress Genting Highland, Kualalumpur-5th-8th June 2008
.PreCongress Advanced Laparoscopic workshop, Selayang
Hospital,Malaysia-4th & 5th June 2008
-Advanced ultrasonography -skeletal system-workshop, KLGH,
KUALALUMPUR, MAY2008
.Regional MIS Workshop at Sungaipetani Hospital,
May’2008
.AAGL (American Association of Gynaecological Laparoscopist):
36th Global Congress on MIGS, Washington D.C., USA – 12th to 17th
November’ 2007.

OGSM CONGRESS, KUALALUMPUR, Malaysia - 2ND to 4TH
June’2007

Pre-OGSM ADVANCED ENDOSCOPY WORKSHOP, SELAYANG -
31st May to 1st June’ 2007

FIGO 2006 , KLCC, KUALA LUMPUR - 5TH to 10TH NOV’ 2006

PRE FIGO-ENDOSCOPY WORKSHOP, SELAYANG, Malaysia - 3RD
to 4TH NOV’ 2006

WOMEN’S HEALTH -AN UPDATE,
MELAKA,
Malaysia
-
MAY’2006,

Statistic in medical practice, MMC,MELAKA, Malaysia - APRIL
2006

Seminar
OT(Operation Theatre),
Melaka Hospital ,
Melaka,
Malaysia - 7 to 8 July’ 2005
th

th
Radiology : Back To Basics , Melaka Hospital, Melaka
Malaysia- 26th June’ 2005

WORKSHOP
FOR
URINARY INCONTINENCE, JOHOR BAHRU,
Malaysia - Jan’ 2005

Medico legal workshop,
Bangi, Kuala Lumpur, Malaysia –
June’ 2004

QAP Workshop, Sibu , Sarawak, Malaysia – 6th to 9th Oct’2003

Workshop , IUI, Kuala Lumpur General Hospital – 27th to 28th
Sept’ 2003

Conference OGSM, Kota Kinabalu, Sabah, Malaysia – 24th to
26th May’ 2003

Advanced
Laparoscopy
Courses,
Selayang, Malaysia – 16th
to 18th March’ 2003

OGSM Conference, Genting Highland, Malaysia
- 29th May’
2002 to 2nd June’ 2002

Perinatology Conference, Genting Highland, Malaysia – Feb’
2002

AICOG Conference,
Bhubaneswar,
Orissa,
India – 5th to 9th
Jan’ 2002

OGSM Conference, Kuantan, Malaysia – 31st May’ 2001 to 3rd
June’ 2001

3rd Malaysian Congress on Menopause, Subang Jaya Malaysia
– 13th - 15th April’ 2001

Perinatal Society of Malaysia, Johor Bahru, Malaysia – 22nd to
25th February’ 2001

AICOG- All India Congress of O&G - Ahmadabad, India – 27th
to 30th December’ 2000

Advanced Course in Laparoscopy, Melaka, Malaysia – 26th to
27th September’ 2000

AOCOG’ 2000 - XVIITH Asian & Oceanic Congress of O&G,
Singapore – 9th to 14th July’ 2000

10th Malaysian Congress of O&G, Kuala Lumpur, Malaysia -
1st to 4th July’ 2000

O&G Consultants’ Conference, Seremban, Malaysia - 26th to
28th November’ 1999

Current Trends in Incontinence & Bladder Dysfunction, Kuala
Lumpur, Malaysia – 16th to 18th July’ 1999

Refresher Course in Infectious Disease, Kuching,
Sarawak,
Malaysia – 10 to 11 Oct’ 1998
th

th
AOCOG, XVITH Asian & Oceanic Congress of O&G, Kuala
Lumpur – 14th to 19th June’ 1998
Work History
Period
Position held
Employer
Place of work
Melaka
Hospital.
Melaka,
Malaysia
Sibu Hospital,
Sibu,
Sarawak,
MALAYSIA
SGH, Kuching,
Sarawak,
Malaysia
Berhampur,
Orissa, India
16.09.04 –
till date
CONSULTANT Obstetrics
& Gynaecology & MIS
EXPERT
Ministry
of Health,
Malaysia
01.01.98 –
15.09.04
HOD & Consultant
Obstetrics &Gynaecology
Ministry
of Health,
Malaysia
27.02.97 31.12.97
Consultant, Obstetrics
04.06.96 –
11.06.96
ICDS Training (Integrated
Child Development
Scheme)
Specialist Obstetrics &
Gynaecology
Ministry
of Health,
Malaysia
MKCG
Medical
College
PPC &
SubDivisional
Hospital
Communit
y Health
Centre
SCB
Medical
College
Ministry
of Health,
Orissa,
India
06.06.94 24.02.97
& Gynaecology
09.10.91 02.06.94
Specialist Obstetrics &
10.07.91 –
8.10.91
Basic Laparoscope
08.06.90 30.09.91
Specialist, Obstetrics &
23.03.90 31.05.90
General Assistant
Surgeon
26.01.90 21.03.90
General Assistant
Surgeon
Gynaecology
Training
Gynaecology
Ministry
of Health,
Orissa,
India
Ministry
of Health,
Bhanjanagar,
Orissa , India
Bellaguntha,
Orissa, India
Cuttack,
Orissa India
PPC Chitrada,
Orissa,
India
PHC Remuna,
Orissa , India
Capital
Hospital,
18.04.88 25.01.90
Master Study (O&G)
16.04.86 –
17.04.88
Post Graduate
Resident(Anaesthesia and
Surgery) : including
Elective Posting
30.07.82 15.04.86
General Assistant
Surgeon
31.08.81 29.07.82
General Assistant
Surgeon
01.81 08.81
Internship Surgery
15.10.7914.10.80
Rotating Housemanship
Orissa,
India
MKCG
Medical
College
MKCG
Medical
College
Berhampu
r, Orissa,
India
Ministry
of Health,
Orissa
,India
Ministry
of Health,
Orissa
,India
Christian
Medical
College
SCB
Medical
College
Bhubaneswar,
Orissa, India
Berhampur,
Orissa, India
SHC Sanitota,
Orissa, India
SHC Sanitota,
Orissa, India
PHC Kalimela,
Orissa, India
Vellore,
Katpadi,
Tamil Nadu,
India
Cuttack,
Orissa, India
CLINICAL SKILLS

SERVICE EXPERIENCE AS A DOCTOR----
29 YEARS

EXPERIENCE AS
O&G CONSULTANT-----
>19YEARS

TEACHING EXPERIENCE (UNDER & POST GRADUATES)>12YEARS

EXPERT IN ADVANCED
0&G ULTRASONOGRAPHY (DOPPLER
STUDIES)

EXPERT IN MIS (MINIMUM INVASIVE SURGERY)ESPECIALLY
PELVIC LAPAROSCOPIC SURGERY (ACCREDITED BY
Ministry of Health, Malaysia, Oct’2007)
.OPERATIVE HYSTEROSCOPY
.COLPOSCOPY
.UROGYNAECOLOGY—TVT SLING FOR STRESS INONTINENCE

EXPERT IN VAGINAL SURGERY
-UTERINE PATHOLOGY(NDVH)
FOR UNDESCENDED-
Research and Teaching
Academic positions:
 TEACHING EXPERIENCE :
POST
INSTITUTION
AFFILIATED
ORGANISATION
DURATION
Teacher, Trainer
&,Supervisor of
House Officers,
Medical Officers &
Master Program
students
ACCREDITATIONC
Committee
Member
SGH Kuching, Sibu
& Melaka Hospital
Ministry of Health
,Malaysia
from 1997
Onwards.
MIS(minimum invasive
surgery)
MOH,MALAYSIA
From 2004
onwards
Lecturer &
Examiner
MMC (Melaka-Manipal
Medical
College),Melaka,
Malaysia
Ministry of Higher
Education, Malaysia
Oct 2004
Onwards
Lecturer &
Examiner
UNIMAS(University
Medical College
Sarawak), Kuching &
Sibu
Ministry of Higher
Education, Malaysia
April’ 1997 to
Sept’2004
Publications/Presentations:
.TRANSITIONING FROM CONVENTIONAL HYSTERECTOMY TO VALH
WITH CONFIDENCE, SAFETY AND CONSUMER SATISFACTION
FOR REFRACTORY LARGE UTERINE LEOMYOMA, AICOG
GUWAHATI,ASSAM,19TH-22ND JAN’2010
NDVH WITHOUT SUTURES,STAPLERS OR CLIPS-AN ALTERNATIVE –
AICOG,GUWAGHATI,ASSAM,19TH—22ND JAN’2010
AN ALTERNATIVE MEANS OF APPROACH FOR VERY LARGE
FIBROID,FIGO,CAPETOWN,SOUTH AFRICA,4TH—9TH OCT;2009
LAPAROSCOPIC CYSTECTOMY IN A VERY OBESE (115 Kg) FEMALE
WITH A HUGE OVARIAN CYST ,FIGO,CAPETOWN,SOUTH
AFRICA,4TH—9TH OCT;2009
FOR VALH —- 7TH
SICOG,Singapore, 26th—29th August’2009
TIPS, TOOLS, AND TRICKS
Video on Vaginal leomyoma-OGSM Annual Congress, Sabah,
Kotakinabalu-4th-7th june’2009
Video on Large refractory uterine leomyoma by VALH, OGSM
Annual Congress, Sabah, Kotakinabalu-4th-7th june’2009
Cervical Endometriosis—rarest of the rare OGSM Annual
Congress, Sabah, Kotakinabalu-4th-7th june’2009
Recurrent Meckel Gruber Syndrome—A rare atypical
presentation OGSM Annual Congress, Sabah, Kotakinabalu4th-7th june’2009
Dandy walker Malfomation—A rare warfarin Embryopathy
OGSM Annual Congress, Sabah, Kotakinabalu-4th-7th
june’2009
Congeniatal Syphilis—unusual item in recent obstetrics- OGSM
Annual Congress, Sabah, Kotakinabalu-4th-7th june’2009
Risk of Malignancy index in the preoperative evaluation of
Ovarian tumour OGSM Annual Congress, Sabah, Kotakinabalu4th-7th june’2009
Macrosomia—incidence and outcome- OGSM Annual Congress,
Sabah, Kotakinabalu-4th-7th june’2009
Successful viable pregnancy after five consecutive
miscarriages OGSM Annual Congress, Sabah, Kotakinabalu4th-7th june’2009
A peculiar presentation of massive benign ovarian tumour
OGSM Annual Congress, Sabah, Kotakinabalu-4th-7th
june’2009
V
VAGINAL HYSTERECTOMY USING OPEN ERBE
UNDESCENDEDUTERINEPATHOLOGY2009,AUCKLAND,NEWZELAND-26-30TH March’2009
BICLAMP FOR
AOCOG/AOFOG
ABDOMINAL PREGNANCY - AN
OBSTETRICAL
DILEMMA
TH
AOCOG/AOFOG 2009,AUCKLAND,NEWZELAND-26-30 March’2009
.VIDEO ON VALH/LAVH- OGSM, GENTING,MALAYSIA-2ND-8TH
JUNE,2008 ( PRIZE AWARDED)
.
.VIDEO ON TWISTED GANGRENOUS FALLOPIAN TUBE-A RARE
ENTITY- -OGSM, GENTING,MALAYSIA-2ND-8TH JUNE,2008
YOUNG WOMAN WITH ADVANCED POORLY DIFFERENTIATED
ENDOMETRIAL CARCINOMA---OGSM, GENTING,MALAYSIA-2ND-8TH
JUNE,2008
POSTPARTUM CHORIOCARINOMA—A RARE PRESENTATION-- OGSM,
GENTING,MALAYSIA-2ND-8TH JUNE,2008
NEROTISING VULVAL FASITIS—ASERIOUS & RARE ENTITY- OGSM,
GENTING,MALAYSIA-2ND-8TH JUNE,2008
RECURRENT VULVAL LEOMYOMA—A RARE CLINICAL ENTITY- OGSM,
GENTING,MALAYSIA-2ND-8TH JUNE,2008
PREGNANCY WITH FAMILIAL SEBACEOUS GLAND HYPERPLASIARARE DISEASE- OGSM, GENTING,MALAYSIA-2ND-8TH JUNE,2008
PERIPARTUM CARDIOMYOPATHY- OGSM, GENTING,MALAYSIA-2ND8TH JUNE,2008
RISING AESAREAN SECTION TREND: IS THERE AN END TO
OGSM, GENTING,MALAYSIA-2ND-8TH JUNE,2008

IT !!
LAPAROSOPIC ASSISTED OVARIAN CYSTECTOMY IN
PREGNANCY –AAGL(36TH GLOBAL CONGRESS MINIMUM
INVASIVE GYNAECOLOGY) WASHINGTON-DC,USA - 12TH to
17TH NOV’2007 :
An Abstract :
Study objects: To assess the feasibility and safety of laparoscopic approach for ovarian cyst
in pregnancy.
Design: This is a retrospective analysis of symptomatic ovarian cysts in pregnancy of four
pregnant women managed by Laparoscopic Assisted Cystectomy.
Setting: Melaka General Hospital, Melaka, Malaysia - A Teaching hospital for under and
postgraduate students.
Patients: Four Antenatal patients with symptomatic ovarian cysts of different sizes ranging
from 12 weeks to 26weeks in 1st and 2nd trimester of pregnancy fromAug’2005-May’2007.
Intervention: Laparoscopic Assisted Cystectomy in pregnancy.
Measurements and Main results: Out of 4 four cases two in first trimester of pregnancy
about 9- 11/52 size presented with acute abdomen. Others were in about 14 to 18week with
recurrent pressure symptoms .Size of cyst varied from 12weeks to 26weeks of pregnancy with
clinical diagnosis of serous cyst adenoma in 2 cases and dermoid cyst in another two
cases. Under general anesthesia all case were successfully operated maintaining 10 mm Hg
intra abdominal pressure without any trendlenbergh position.. Mean blood loss was less than 50
cc with average operating time less than 50 minutes. Mean hospital stay was about 36 hours.
There was no miscarriage or preterm labour. All except one had spontaneous vaginal delivery
with normal Apgar score without any gross abnormality. On follow up both mother and babies are
well. Histopathology reported benign serous cystadenoma in two cases and mature dermoid
cysts in other cases. No evidence of malignancy seen.
Conclusion: Laparoscopic Assisted Ovarian Cystectomy in pregnancy in selected cases is a
safe, feasible and an alternative option.

NEOALTERNATIVE APPROACH TO VAGINAL HYSTERECTOMY
FOR
UNDESCENDED
UTERINE
PATHOLOGY
WITH
ERBE
BICLAMP, OGSM ,JUNE’2007,Kuala Lumpur
An Abstract :
Objective: To evaluate safety and feasibility of OPEN ERBE BICLAMP electrocautery
appliances in nondescent vaginal hysterectomy without the application of sutures, staples for
uterine attachments.
Study Methods: In a retrospective study vaginal hysterectomy was reviewed on consecutive
nine women from December’2004 to November’2006 for different nondescent benign uterine
diseases excluding cancer, known endometriosis, previous lower abdominal scars, and uteri of
more than 20 weeks size. Under combined spinal epidural anaesthesia and adopting hydro
dissection, monopolar cautery of 45-50 watts used to incise vaginal wall and open Erbe bipolar
programmed cautery to clamp, seal and desiccate lateral attachments of uterus and their division
by scissors were our primary techniques. Vaginal vault was closed in one layer with bilateral
posterolateral fixation to uterosacral stump. Postoperative patient controlled analgesia was
maintained up to about eight to ten hours.
Results: Vaginal hysterectomy was successful in all cases. There was no major electrical
injury. No major intraoperative and postoperative complications marked. Bleeding was less than
hundred milliliters in 96.5% cases. Mean operating time was 51.5mins. Postoperative pain was
markedly less. Mean hospital stay was 64.78 hours (2.69 days). No patient needed relaparotomy
or readmission. Resume to work within three week in 77.7% cases.
Conclusion: Non descent Vaginal hysterectomy using open Erbe programmed biclamp
electrocautery method is feasible, safe and effective even for large uteri up to 20 weeks.

Vaginal surgery WITH HYDRODISSECTION for Undescended
Uterus (Video) AT MELAKA HOSPITAL—OGSM JUNE’2007,
Kuala Lumpur
An Abstract:
Objective: To evaluate safety and feasibility of Vaginal Hysterectomy utilizing hydro dissection
for undescended uterine benign pathology.
Study Methods: This is a retrospective case study at Melaka General Hospital where
vaginal hysterectomy was analyzed on consecutive 40 women for different nondescent uterine
benign pathology excluding uterovaginalprolapse, neoplasia, previous lower abdominal scars,
known cases of endometriosis, uterine size upto 20 weeks from September 2004 up to
December 2006.Antero-posterior and Parametrial infusion with about 150 cc of normal saline
or 1:200000 adrenaline solution facilitated hydro dissection so as to apply a circumferential
incision around cervix and to safely retract bladder upwards through vesicocervical fascia and
to enter easily to posterior Cul-De-Sac. Usual classical techniques of clamping, cutting,
transfixation and ligation with vicryl of lateral attachments of uterus were our primary techniques.
Types of anaesthesia, blood loss, Intra and post operative complications, operating time,
postoperative analgesia, total hospital stay and resume to usual works were reviewed.
Results: Vaginal hysterectomy was accomplished in all cases with spinal anaesthesia only.
There were no major intra or post operative complications. Bleeding was less than 100 ml in
92.92% cases. Mean operating time was 49.7 minutes. Postoperative pain was markedly less.
Mean total hospital stay was 57.6 hours (2.4 days). No patient needed readmission.82.5%
patients resumed to their work in less than three week period.
Conclusion: Vaginal hysterectomy using hydro-dissection for undescended uterine benign
pathology even for large uteri of up to 20 weeks .is simple, safe, feasible, effective and qualitative
operation

CYTOREDUCTIVE
CHEMOTHERAPY
FOLLOWED
BY
DEBULKING SURGERY IN A CASE OF OVARIAN CANCER,
OGSM ,JUNE’2007,Kuala Lumpur
An Abstract:
.
Objective: To evaluate the effect of empirical chemotherapy (cytoreduction) followed by pelvic
clearance in case of ovarian cancer.
Study Methods: This is a retrospective case study of a 67 year old lady who presented with
progressive acute abdominal distension and was diagnosed with ovarian carcinoma stage 3
based clinically and on CT scan findings which showed a large irregular ovarian mass with
infiltrations into the posterior wall of the abdomen, anterior rectum, ,paraaortic, pelvic lymph
nodes, uterus ,and omentum with gross ascites. CA 125 was more than 600.Since the patient
deferred primary surgery; she was put on empirical chemotherapy with carboplatin for 3 cycles.
There was remarkable clinical improvement with significant reduction in tumour size and she
underwent an exploratory laparotomy with total abdominal hysterectomy and bilateral
salpingoopherectomy with omentectomy..
Result: The operation was successful with total abdominal hysterectomy and bilateral
salpingoopherectomy and omentectomy with no major intra or post operative complications.
Histopathology revealed serous papillary carcinoma of ovary. Currently she is undergoing another
course of chemotherapy with carboplatin.
Conclusion: .Neoadjuvant chemotherapy for primary unresectable ovarian carcinoma is a
feasible and valid alternative option in which optimal cytoreduction can be achieved after
chemotherapy.

MANAGEMENT OF MENINGOMYELOCOELE DETECTED IN LATE
PREGNANCY, OGSM ,JUNE’2007,Kuala Lumpur
An Abstract :
Objective: This a case management on meningomyelocele detected in late pregnancy.
Study Methods:26 years Chinese lady Gravida 2 Para 1 presented antenatal clinic at
37weeks of pregnancy to exclude mild hydrocephalus with dilated ventricles .Scan showed viable
foetus with normal skull, chest ,abdomen, and limbs .However there was a large regular,
unilocular cystic mass measuring around 20cm X 22cm noticed at the sacral region. The
provisional diagnosis was meningomyelocele confirmed by the second expert and was planned
inutero transfer to neurosurgical unit .She had a history of abortion one year back without any
other medical or surgical problems. She was on Folic acid for about four months MOGTT at 20
and 32 weeks found normal. However on patient’s option elective caesarean section was done
here on 9/10/2006. A female Baby of 3.6 kilograms with normal Apgar Score was immediately
managed by neonatologist.. The operation was uneventful. Baby was stable and afebrile. There
was a pedunculated, regular, tensely cystic mass measuring around 8-9cm at the sacrococcygeal region without any leaking. Central nervous system was intact and the baby was
started on intravenous antibiotics. X-ray showed swelling over the sacral region without any
posterior column breakup. The baby was immediately sent within 6 hours to neurosurgical unit for
further management. MRI revealed dysraphism with associated meningomyelocele and tethered
cord.
Result: Neurosurgical team after one month of removed the sac without any Intra and post
operative complications. Baby is currently under paediatrics and neurosurgery follow up. Both the
mother and baby are well and healthy. No neurological deficit.
Conclusion: Even detected at late gestation meningomyelocele can be effectively
manageable
.RECURRENT VULVAL LEIOMYOMA---A RARE CLINICAL ENTITY—
OGSM June2008
.NECROTISING VULVA FASCITIS:
CLINICAL ENTITY—OGSM June-2008
A
SERIOUS
AND
RARE
.POST PARTUM CHORIOCARCINOMA—A RARE PRESENTATIONOGSM JUNE 2008
.YOUNG WOMAN WITH ADVANCED POORLY DIFFERENTIATED
ENDOMETRIAL CARCINOMA—OGSM June-2008
.PREGNANCY
WITH
FAMILIAL
SEBACEOUS
GLAND
HYPERPLASIA—A RARE DISEASE—OGSM OGSM June 2008
.PERIPARTUM CARDIOMAYOPATHY—OGSM June 2008
.VALH / LAVH!!--- OGSM June 2008
.TWISTED ISOLATED GANGRENOUS HYDROSALPINX- A CLINICAL
DILEMMA, OGSM June 2008
.RISING CAESAREAN SECTION TRENDS:- IS THERE AN END TO
IT!! OGSM June 2008

HPV INFECTION OF AN YOUNG SEXUALLY INACTIVE GIRL,
OGSM ,JUNE’2007,Kualalumpur

PELVIC
CLEARANCE
FOR
RECURRENT ENDOMETRIOTIC
CYST, OGSM ,JUNE’2007,Kuala Lumpur

UNUSUAL
PRESENTATION
OF
ENDOMETRIAL
ADENOCARCINOMA OGSM ,JUNE’2007,Kuala Lumpur

Dengue Fever outcome
years
study
at
in Pregnancy—A retrospective
Melaka
Hospital,Kualalumpur,
5
FIGO,
Kualalumpur,Nov’2006

Laparoscopic cystectomy for ovarian cyst in pregnancy with
previous LSCS—FEASIBLE & QUALITATIVE- CASE STUDY
FIGO, Kualalumpur. Nov’2006

B-Lymphoma of cervix & uterus—Rarest of the rare—Case
study : FIGO, KUALALUMPUR,Nov’2006

Chorio-Carcinoma After Normal Delivery with Live baby &
Live Mother - presented at OGSM Conference Kota Kinabalu,
Sabah, 24-27th May’ 2003

Ovarian
Pregnancy
a
Rare
Entity
OGSM
Conference,
Genting Highland Malaysia, 30th May’ 2002
Abdominal Pregnancy with Live Baby & Live mother at

Perinatology Conference at Johor Bahru, Malaysia – 22nd to 25th
February’ 2001
Special Interest:
.Teaching
 Research
TIPS, TOOLS, AND TRICKS
MIS (Minimal Invasive Surgery) especially pelvic
Laparoscopy Operations
Infertility & Reproduction.
.OPERATIVE HYSTEROSCOPY

VAGINAL SURGERY FOR UNDESCENDED UTERINE
PATHOLOGY
 Urogynaecology procedures- especially TVT & TUT
for stress incontinence
General Interest:


Computing
Badminton
Referees
 DR VIJAENDREH SUBRAMANIUM
MBBS, MRCOG (UK)
GYNAE-ONCOLOGIST,
SENIOR CONSULTANT & HOD
MELAKA HOSPITAL, MELAKA- 75400,
MALAYSIA.
H/P: 0060166657321
Email: vijaendreh@gmail.com
 Prof (Dr).SACHCHITHANANTHAN.K, DSM, BCM.
FRANZCOG, FRCOG, FICS, FACS, DIMH, CMIA
EX-HEAD, O&G & SENIOR CONSULTANT O&G
HOSPITAL MELAKA, 75400
Ex- CONSULTANT O&G, ,WCH, ADELIDE ,AUSTRALIA.
CONSULTANT O&G, CABOOLTURE HOSPITAL,
54 McKEAN STREET, 5400 , QUEENSLAND,AUSTRALIA
Currently professor Obstetrics & Gynaeology,MMMCollege,Melaka
HP—0060142309567
Email: profsachchi@yahoo.com
.Prof. Dr. Siva Achanna
AMN,KMN; MBBS,FRCOG,FICS,FAMM,
Principal Lecturer in Obstetrics & Gynaecology,
Perak College of Medicine, No.3, Jalan Greentown, 30450
Ipoh, Perak Darul Ridzuan, Malaysia
H/p-0060128900521
Email-sachanna@hotmail.com

DR TAN CHENG HOCK
FRCOG, FRANZCOG
MEDICAL DIRECTOR & SENIOR CONSULTANT
MAHKOTA MEDICAL CENTRE,
MELAKA.
H/p-0060126810614
Email: timtan1703@yahoo.com