Prakash Trivedi - Academia.edu (original) (raw)
Papers by Prakash Trivedi
Journal of Human Reproductive Sciences, 2020
COVID-19 – A Global challenge on a scale not previously seen. Reproductive care is essential for ... more COVID-19 – A Global challenge on a scale not previously seen. Reproductive care is essential for the well-being of society and therefore the treatment needs to be completely re-thought and individualised. Infectivity and mortality rates are higher than previous pandemics and the disease is present in almost every country. Propagation and containment have varied widely by location and, at present, the timeline to complete resolution is unknown. With successful mitigation strategies in some areas and emergence of additional data, the societies have sanctioned gradual and judicious resumption of delivery of full reproductive care. When we resume, monitor local conditions, including prevalence of disease, status of government or state regulations, and availability of resource. It is important to implement proactive risk assessment within their practices prior to restarting services. One needs to develop clear and modified plans to ensure the ability to provide care while maximizing the safety of their patients and staff. One should also remain informed and stay current regarding new medical findings. These recommendations provide resources for restarting ART practice again.
Journal of Human Reproductive Sciences, 2020
Background: SARS-CoV-2 virus is largely transmitted via respiratory droplets and the highest tran... more Background: SARS-CoV-2 virus is largely transmitted via respiratory droplets and the highest transmission risks arise when undertaking aerosol generating procedures like laparoscopy. Most national societies had advised the urgent suspension of elective surgery with the focus shifting to emergency and cancer surgery only during this pandemic. However very little is known regarding the risks to the health care professionals undertaking emergency laparoscopic procedures. Aims and Objective: To demonstrate safety at laparoscopy by modifying the technique for safe management of patients during the COVID-19 pandemic. Design and Setting: This is an observational cohort study. This study was done at a tertiary care reference hospital for minimal access gynaecological surgery. Safety of 42 semi-urgent and emergency laparoscopic surgeries in patients was evaluated for a period of 5 months after taking informed written consent of patients to participate in the study. Materials and Methods: Use of double closed circuit laparoscopic suction evacuation and filtration systems with closed circuit anaesthesia with specialized Heat and Moisture Exchangers (HME) bacterial & viral (BV) filters to make laparoscopic surgery safe. Results: 57.14% of the patients were 41 years or more. 47.6% presented either with menorrhagia, irregular vaginal bleeding or post-menopausal vaginal bleeding and 26.19 % patients were keen to conceive. In 50% patients, surgery was done in 60 minutes or less. Post-operatively, none of the patients had any complications and all were followed up for 14 days for COVID-19 infection. No staff, doctors or anaesthetist were detected COVID-19 positive during the follow up period. The limitation of the study was, that it was an observational study done in COVID-19 negative patients only. Conclusions: Safety at laparoscopy can be maintained when it is performed by an experienced surgeon who has full knowledge of safe laparoscopic techniques and performs it in the shortest time possible and with all due precautions.
Manual of Assisted Reproductive Technologies and Clinical Embryology, 2012
Safe and Effective Gynecological Endoscopic and Minimal Access Surgery, 2012
Safe and Effective Gynecological Endoscopic and Minimal Access Surgery, 2012
Practical Endoscopy: Tips by Experts, 2015
Manual on Operative Laparoscopy, 2013
Manual on Operative Laparoscopy, 2013
Endoscopy in Infertility, 2007
Practical Management of Gynecological Problems, 2011
The Journal of Obstetrics and Gynecology of India, 2015
It is indeed my honor to be one among you all FOGSI members as the President of the biggest Obste... more It is indeed my honor to be one among you all FOGSI members as the President of the biggest Obstetrics & Gynaecological or any Consultant's Society of the world. Just 10 years ago I told people close to me that if I became the President of FOGSI by kindness of God-Balaji, I hoped it will be in Chennai and at the Installation I will be pleased to have the presence of the highly intellectual person Dr. Jacob Kumaresan, WHO and India's best romantic hero Shri Kamal Haasan. My clinical assistants informed me that to be the President of FOGSI and also be the President of the IAGE at the same time, the probability was 1 in 46,000,000 in India. I thank you for elevating my level from being a common gynecologist like any one of you, with love, respect and great honor. Faith is the biggest self-belief that makes you do anything impossible, even a miracle. Although God is there Whom we have not yet seen, in our parents we see our Gods on Earth. It is a great privilege to have honest and hard working parents. They gave me the necessary faith in taking the first step even when you cannot see the whole staircase. Gratitude for Teachers and Veterans The career of a gynecologist is never made through books written or surgeries done; it is made by persons in FOGSI, IAGE and teachers who actually educate you to groom in the profession with the firm gentleness, and I owe my gratitude to so many professors. Among them a few names are mentioned here-Late DK Tank, Late MY Raval, Late
In the news understanding options for urinary, interventions led by nurse continence advisers in ... more In the news understanding options for urinary, interventions led by nurse continence advisers in the, lifestyle and behavioral therapies for urinary incontinence, from continence as a learned behavior to the subspecialty, prof vincent tse, user experience of an app based treatment for stress, continence courses for professionals continence, diagnosis and comparative effectiveness of treatments for, understanding female urinary incontinence and master, understanding female urinary incontinence and master, acceptability of a urinary continence promotion programme, conservative management of stress urinary incontinence in, learn the secret to coding female urinary incontinence, libro pdf post prostatectomy incontinence evaluation and, ppt urinary incontinence powerpoint presentation free, urology healthxchange sg, incontinence after prostate treatment aua sufu guideline, continence wordpress com, living with incontinence a qualitative study of elderly, urologist urinary and reproductive tract doctor koh li, women s pelvic pt specializes in pelvic floor problems, continence, understanding female urinary incontinence and master, social and cultural construction of urinary incontinence, understanding female urinary incontinence supercoder com, sacral nerve stimulation how is sacral nerve stimulation, gap in care female patients with incontinence mdedge obgyn, female and male introductory pelvic floor course dayan, pdf female urinary incontinence and sexuality, educational goals and objectives by year school of,
Journal of Gynecological Endoscopy and Surgery, 2009
B ooks are always a treasure for a medical consultant to understand and have knowledge of the sub... more B ooks are always a treasure for a medical consultant to understand and have knowledge of the subject. Journal on the subject is a reß ection of the dynamic changes in the subject which takes place through original research, comparing techniques, reviewing world literature data and sharing outstanding unusual cases.
Journal of Gynecological Endoscopy and Surgery, 2009
Aims and Objectives: To evaluate the outcome of suburethral and transobturator sling in treatment... more Aims and Objectives: To evaluate the outcome of suburethral and transobturator sling in treatment of female stress urinary incontinence in 209 cases from 2002 to 2010. The criteria evaluated were success, failure, complications, operating time, ease of the procedure, availability and cost effectivity of the sling. Design and Setting: A retrospective comparative study was carried out at a tertiary referral centre for female urinary incontinence. Material and Methods: A total of 209 patients (females from 27 to 79 years of age) with proven stress urinary incontinence were treated by suburethral transvaginal tape (TVT) type of slings in 101 cases and transobturator Monarc type of sling in 108 cases at the
Journal of Gynecological Endoscopy and Surgery, 2009
Objectives: To compare the risk of ureteric injury in total laparoscopic hysterectomy (TLH) using... more Objectives: To compare the risk of ureteric injury in total laparoscopic hysterectomy (TLH) using new vessel sealing devices (VSDs) and harmonic scalpel with simple scissors, bipolar and suturing. This was an evaluation of 1209 cases, carried out from May 1999 to April 2010. Design and Setting: A retrospective comparative study was carried out at a tertiary gynecological endoscopic unit. Materials and Methods: Out of 1209 patients, who had hysterectomies for various indications, TLH was done in 892 patients, 273 had vaginal hysterectomy and 44 had abdominal hysterectomy. We evaluated the incidence of ureteric injury in these cases. Results: There was no mortality. In the group of vaginal and abdominal hysterectomy, there were no ureteric injuries. In the TLH group, we had 390 cases with simple scissors, bipolar and suturing with no ureteric injury. In 502 cases, new VSDs, e.g., plasma kinetic gyrus, Martin Maxim with Robi grasper, with or without harmonic 5 mm scalpel/ace were used. There were five ureteric injuries, all on the right side (one double ureter): first case was with Martin Maxim and Robi grasper, two with plasma kinetic gyrus 10 mm trissector, one with harmonic scalpel and the last one with scissors. We evaluated the reasons for such ureteric injuries, with experienced laparoscopic surgeons and the best possible set up. There were seven conversions to open surgery out of 892 cases of TLH, more due to poor case selection.
The Journal of Obstetrics and Gynecology of India, 2015
Objectives Uterine morcellation of presumed leiomyomas inadvertently results in an increase in mo... more Objectives Uterine morcellation of presumed leiomyomas inadvertently results in an increase in morcellated uterine leiomyosarcoma (ULMS). Morcellation alters the natural course of ULMS, leading to an increased incidence and earlier recurrences. Recurrences following tumor morcellation are significantly more likely to occur in the peritoneum. Since there is no reliable method for predicting whether a woman with fibroids may have a uterine
Obstetrics and Gynecology International
Background. Real-world evidence of the efficacy and safety of ferric carboxymaltose (FCM) infusio... more Background. Real-world evidence of the efficacy and safety of ferric carboxymaltose (FCM) infusion in Indian pregnant women with iron deficiency anemia (IDA) is lacking. Objective. To assess the efficacy and safety of intravenous (IV) FCM in Indian pregnant women with IDA in 4 weeks in a real-life scenario. Methods. This is a subgroup analysis of our previously conducted retrospective, multicenter, observational, real-world PROMISE study. Data on demographic and hematological parameters, patient-reported adverse events, and physicians’ clinical impressions of efficacy and safety were analysed at 4 ± 1 week. Results. This subgroup analysis included 1191 pregnant women in whom IV FCM resulted in a significant increase in hemoglobin (Hb) by 2.8 g/dL and serum ferritin by 30.03 μg/L at 4 weeks ( P < 0.001 for both). In 103 pregnant women with severe IDA, there was a significant increase in Hb by 3.6 g/dL ( P < 0.001 ), and serum ferritin by 16.96 μg/L ( P = 0.12 ). In 978 pregnant...
Principles and Practice of Obstetrics and Gynecology for Postgraduates, 2008
Practical Endoscopy: Tips by Experts, 2015
The Heart and Soul of ART is in the Laboratory The Inside Story, 2004
Journal of Human Reproductive Sciences, 2020
COVID-19 – A Global challenge on a scale not previously seen. Reproductive care is essential for ... more COVID-19 – A Global challenge on a scale not previously seen. Reproductive care is essential for the well-being of society and therefore the treatment needs to be completely re-thought and individualised. Infectivity and mortality rates are higher than previous pandemics and the disease is present in almost every country. Propagation and containment have varied widely by location and, at present, the timeline to complete resolution is unknown. With successful mitigation strategies in some areas and emergence of additional data, the societies have sanctioned gradual and judicious resumption of delivery of full reproductive care. When we resume, monitor local conditions, including prevalence of disease, status of government or state regulations, and availability of resource. It is important to implement proactive risk assessment within their practices prior to restarting services. One needs to develop clear and modified plans to ensure the ability to provide care while maximizing the safety of their patients and staff. One should also remain informed and stay current regarding new medical findings. These recommendations provide resources for restarting ART practice again.
Journal of Human Reproductive Sciences, 2020
Background: SARS-CoV-2 virus is largely transmitted via respiratory droplets and the highest tran... more Background: SARS-CoV-2 virus is largely transmitted via respiratory droplets and the highest transmission risks arise when undertaking aerosol generating procedures like laparoscopy. Most national societies had advised the urgent suspension of elective surgery with the focus shifting to emergency and cancer surgery only during this pandemic. However very little is known regarding the risks to the health care professionals undertaking emergency laparoscopic procedures. Aims and Objective: To demonstrate safety at laparoscopy by modifying the technique for safe management of patients during the COVID-19 pandemic. Design and Setting: This is an observational cohort study. This study was done at a tertiary care reference hospital for minimal access gynaecological surgery. Safety of 42 semi-urgent and emergency laparoscopic surgeries in patients was evaluated for a period of 5 months after taking informed written consent of patients to participate in the study. Materials and Methods: Use of double closed circuit laparoscopic suction evacuation and filtration systems with closed circuit anaesthesia with specialized Heat and Moisture Exchangers (HME) bacterial & viral (BV) filters to make laparoscopic surgery safe. Results: 57.14% of the patients were 41 years or more. 47.6% presented either with menorrhagia, irregular vaginal bleeding or post-menopausal vaginal bleeding and 26.19 % patients were keen to conceive. In 50% patients, surgery was done in 60 minutes or less. Post-operatively, none of the patients had any complications and all were followed up for 14 days for COVID-19 infection. No staff, doctors or anaesthetist were detected COVID-19 positive during the follow up period. The limitation of the study was, that it was an observational study done in COVID-19 negative patients only. Conclusions: Safety at laparoscopy can be maintained when it is performed by an experienced surgeon who has full knowledge of safe laparoscopic techniques and performs it in the shortest time possible and with all due precautions.
Manual of Assisted Reproductive Technologies and Clinical Embryology, 2012
Safe and Effective Gynecological Endoscopic and Minimal Access Surgery, 2012
Safe and Effective Gynecological Endoscopic and Minimal Access Surgery, 2012
Practical Endoscopy: Tips by Experts, 2015
Manual on Operative Laparoscopy, 2013
Manual on Operative Laparoscopy, 2013
Endoscopy in Infertility, 2007
Practical Management of Gynecological Problems, 2011
The Journal of Obstetrics and Gynecology of India, 2015
It is indeed my honor to be one among you all FOGSI members as the President of the biggest Obste... more It is indeed my honor to be one among you all FOGSI members as the President of the biggest Obstetrics & Gynaecological or any Consultant's Society of the world. Just 10 years ago I told people close to me that if I became the President of FOGSI by kindness of God-Balaji, I hoped it will be in Chennai and at the Installation I will be pleased to have the presence of the highly intellectual person Dr. Jacob Kumaresan, WHO and India's best romantic hero Shri Kamal Haasan. My clinical assistants informed me that to be the President of FOGSI and also be the President of the IAGE at the same time, the probability was 1 in 46,000,000 in India. I thank you for elevating my level from being a common gynecologist like any one of you, with love, respect and great honor. Faith is the biggest self-belief that makes you do anything impossible, even a miracle. Although God is there Whom we have not yet seen, in our parents we see our Gods on Earth. It is a great privilege to have honest and hard working parents. They gave me the necessary faith in taking the first step even when you cannot see the whole staircase. Gratitude for Teachers and Veterans The career of a gynecologist is never made through books written or surgeries done; it is made by persons in FOGSI, IAGE and teachers who actually educate you to groom in the profession with the firm gentleness, and I owe my gratitude to so many professors. Among them a few names are mentioned here-Late DK Tank, Late MY Raval, Late
In the news understanding options for urinary, interventions led by nurse continence advisers in ... more In the news understanding options for urinary, interventions led by nurse continence advisers in the, lifestyle and behavioral therapies for urinary incontinence, from continence as a learned behavior to the subspecialty, prof vincent tse, user experience of an app based treatment for stress, continence courses for professionals continence, diagnosis and comparative effectiveness of treatments for, understanding female urinary incontinence and master, understanding female urinary incontinence and master, acceptability of a urinary continence promotion programme, conservative management of stress urinary incontinence in, learn the secret to coding female urinary incontinence, libro pdf post prostatectomy incontinence evaluation and, ppt urinary incontinence powerpoint presentation free, urology healthxchange sg, incontinence after prostate treatment aua sufu guideline, continence wordpress com, living with incontinence a qualitative study of elderly, urologist urinary and reproductive tract doctor koh li, women s pelvic pt specializes in pelvic floor problems, continence, understanding female urinary incontinence and master, social and cultural construction of urinary incontinence, understanding female urinary incontinence supercoder com, sacral nerve stimulation how is sacral nerve stimulation, gap in care female patients with incontinence mdedge obgyn, female and male introductory pelvic floor course dayan, pdf female urinary incontinence and sexuality, educational goals and objectives by year school of,
Journal of Gynecological Endoscopy and Surgery, 2009
B ooks are always a treasure for a medical consultant to understand and have knowledge of the sub... more B ooks are always a treasure for a medical consultant to understand and have knowledge of the subject. Journal on the subject is a reß ection of the dynamic changes in the subject which takes place through original research, comparing techniques, reviewing world literature data and sharing outstanding unusual cases.
Journal of Gynecological Endoscopy and Surgery, 2009
Aims and Objectives: To evaluate the outcome of suburethral and transobturator sling in treatment... more Aims and Objectives: To evaluate the outcome of suburethral and transobturator sling in treatment of female stress urinary incontinence in 209 cases from 2002 to 2010. The criteria evaluated were success, failure, complications, operating time, ease of the procedure, availability and cost effectivity of the sling. Design and Setting: A retrospective comparative study was carried out at a tertiary referral centre for female urinary incontinence. Material and Methods: A total of 209 patients (females from 27 to 79 years of age) with proven stress urinary incontinence were treated by suburethral transvaginal tape (TVT) type of slings in 101 cases and transobturator Monarc type of sling in 108 cases at the
Journal of Gynecological Endoscopy and Surgery, 2009
Objectives: To compare the risk of ureteric injury in total laparoscopic hysterectomy (TLH) using... more Objectives: To compare the risk of ureteric injury in total laparoscopic hysterectomy (TLH) using new vessel sealing devices (VSDs) and harmonic scalpel with simple scissors, bipolar and suturing. This was an evaluation of 1209 cases, carried out from May 1999 to April 2010. Design and Setting: A retrospective comparative study was carried out at a tertiary gynecological endoscopic unit. Materials and Methods: Out of 1209 patients, who had hysterectomies for various indications, TLH was done in 892 patients, 273 had vaginal hysterectomy and 44 had abdominal hysterectomy. We evaluated the incidence of ureteric injury in these cases. Results: There was no mortality. In the group of vaginal and abdominal hysterectomy, there were no ureteric injuries. In the TLH group, we had 390 cases with simple scissors, bipolar and suturing with no ureteric injury. In 502 cases, new VSDs, e.g., plasma kinetic gyrus, Martin Maxim with Robi grasper, with or without harmonic 5 mm scalpel/ace were used. There were five ureteric injuries, all on the right side (one double ureter): first case was with Martin Maxim and Robi grasper, two with plasma kinetic gyrus 10 mm trissector, one with harmonic scalpel and the last one with scissors. We evaluated the reasons for such ureteric injuries, with experienced laparoscopic surgeons and the best possible set up. There were seven conversions to open surgery out of 892 cases of TLH, more due to poor case selection.
The Journal of Obstetrics and Gynecology of India, 2015
Objectives Uterine morcellation of presumed leiomyomas inadvertently results in an increase in mo... more Objectives Uterine morcellation of presumed leiomyomas inadvertently results in an increase in morcellated uterine leiomyosarcoma (ULMS). Morcellation alters the natural course of ULMS, leading to an increased incidence and earlier recurrences. Recurrences following tumor morcellation are significantly more likely to occur in the peritoneum. Since there is no reliable method for predicting whether a woman with fibroids may have a uterine
Obstetrics and Gynecology International
Background. Real-world evidence of the efficacy and safety of ferric carboxymaltose (FCM) infusio... more Background. Real-world evidence of the efficacy and safety of ferric carboxymaltose (FCM) infusion in Indian pregnant women with iron deficiency anemia (IDA) is lacking. Objective. To assess the efficacy and safety of intravenous (IV) FCM in Indian pregnant women with IDA in 4 weeks in a real-life scenario. Methods. This is a subgroup analysis of our previously conducted retrospective, multicenter, observational, real-world PROMISE study. Data on demographic and hematological parameters, patient-reported adverse events, and physicians’ clinical impressions of efficacy and safety were analysed at 4 ± 1 week. Results. This subgroup analysis included 1191 pregnant women in whom IV FCM resulted in a significant increase in hemoglobin (Hb) by 2.8 g/dL and serum ferritin by 30.03 μg/L at 4 weeks ( P < 0.001 for both). In 103 pregnant women with severe IDA, there was a significant increase in Hb by 3.6 g/dL ( P < 0.001 ), and serum ferritin by 16.96 μg/L ( P = 0.12 ). In 978 pregnant...
Principles and Practice of Obstetrics and Gynecology for Postgraduates, 2008
Practical Endoscopy: Tips by Experts, 2015
The Heart and Soul of ART is in the Laboratory The Inside Story, 2004