The uterine artery  is one of the most important blood vessels in a woman’s body. It supplies nearly 80% of the blood flow to the uterus . Under normal conditions, the uterine artery carries about 100 ml of blood per minute . This means that if the artery bleeds continuously for just 10 minutes during surgery , it can result in nearly 1 litre of blood loss . What makes the uterine artery unique is its remarkable ability to adapt during pregnancy . In a healthy pregnancy, bloo

We recently managed a case of repeated IVF failure , where the patient had undergone five unsuccessful IVF cycles  in Satara. On diagnostic laparoscopy , the patient was found to have a bicornuate uterus with a single communicating cavity (left side) . The uterine cavity was small, offering limited space and poor blood supply —making successful embryo implantation difficult. Last week, we performed a repeat laparoscopy and hysteroscopy  for the patient. Using hysteroscopic me

Uterine fibroids  are common benign tumors, but their presence during pregnancy can lead to several complications. 1. Increase in Size Fibroids often increase in size during pregnancy  due to hormonal changes. 2. Uterine Contraction Issues They may cause irregular uterine contractions , which can interfere with the normal course of pregnancy. 3. Risk of Miscarriage or Preterm Labour Irregular contractions can sometimes result in early miscarriage  or preterm labour . 4. Assoc

UOA  is a rare congenital anomaly  seen in females, with an incidence of approximately 1 in 11,000  cases. In this condition, the ovary and fallopian tube on one side fail to develop , resulting in their complete absence. Because there are usually no specific symptoms, most cases are diagnosed incidentally  during investigations or surgery. Commonly, UOA is discovered on ultrasound (USG)  or during diagnostic laparoscopy . A Recent Case We recently encountered a case of Unil

Laparoscopy – A Safe Surgical Option for High-Risk Patients

Couvelaire uterus  is a rare but serious complication seen in cases of abruptio placenta —when the placenta separates from its bed before the delivery of the baby. It is most commonly associated with Pregnancy-Induced Hypertension (PIH) . How does it occur? Placental blood vessels rupture Blood infiltrates into the uterine muscles This gives the uterus a red/purple patchy appearance  instead of its normal pink color As a result, the uterus may fail to contract and retract pro

Laparoscopy is often a blessing for patients with high-risk medical conditions such as anemia, obesity, or diabetes mellitus . These patients generally have compromised healing systems, making traditional open surgery more risky and less suitable. One of the major benefits of laparoscopic surgery is the reduction in blood loss . This becomes especially important in patients with thrombocytopenia , where low platelet counts and delayed clotting increase the risk of severe blee

In the past few days, I have received several calls from concerned parents and doctors regarding the HPV vaccination drive. Since the...