Shyam Desai - Academia.edu (original) (raw)

Papers by Shyam Desai

Research paper thumbnail of Laparoscopic Management of Interstitial Ectopic Pregnancies

Journal of SAFOG, 2014

This illustration describes the successful laparoscopic management of interstitial ectopic pregna... more This illustration describes the successful laparoscopic management of interstitial ectopic pregnancy. Three women underwent laparoscopic excision for interstitial ectopic gestation. Mean operative time was 49.4 ± 8.4 minutes (41-69 mins). Estimated blood loss was 50 ± 4 ml. There were no intraoperative or postoperative complications. Duration of hospital stay was 24 ± 3 hours. All patients are doing well on follow-up. The authors demonstrate the role of laparoscopic excision and conclude that this technique, when performed by experienced surgeons, allows for improved dexterity and is a safe and effective method in the management of interstitial ectopic pregnancy.

Research paper thumbnail of An Unusual Presentation of an Endometriotic Chocolate Cyst

Journal of SAFOG, 2014

Background: Pelvic inflammatory disease is usually associated with gonococcal sexually transmitte... more Background: Pelvic inflammatory disease is usually associated with gonococcal sexually transmitted infection. Its association with endometriosis has not been well documented. Case report: The authors report an unusual case of an endometriotic cyst in a 29-year-old nulliparous patient with clinical features of pelvic inflammatory disease. On treatment with antibiotics, the symptomatology subsided and signs of infection diminished. But subsequent imaging revealed a persistent right adnexal mass. A right chocolate cyst was found on laparoscopy and was treated with drainage and enucleation. Patient was administered three doses of GnRH analogs thereafter and is awaiting treatment for infertility. Conclusion: Endometriotic cysts commonly manifest with dyspareunia and dysmenorrhea. The patient in this report presented with signs and symptoms suggestive of pelvic inflammatory disease which was secondary to a slow leak from a chocolate cyst.

Research paper thumbnail of Laparoscopic Management of Interstitial Ectopic Pregnancies

Journal of SAFOG, 2014

This illustration describes the successful laparoscopic management of interstitial ectopic pregna... more This illustration describes the successful laparoscopic management of interstitial ectopic pregnancy. Three women underwent laparoscopic excision for interstitial ectopic gestation. Mean operative time was 49.4 ± 8.4 minutes (41- 69 mins). Estimated blood loss was 50 ± 4 ml. There were no intraoperative or postoperative complications. Duration of hospital stay was 24 ± 3 hours. All patients are doing well on follow-up. The authors demonstrate the role of laparoscopic excision and conclude that this technique, when performed by experienced surgeons, allows for improved dexterity and is a safe and effective method in the management of interstitial ectopic pregnancy. How to cite this article Desai GS, Levi J, Desai SV. Laparoscopic Management of Interstitial Ectopic Pregnancies. J South Asian Feder Obst Gynae 2014;6(3):163-166.

Research paper thumbnail of Programmed Labor-Indegenous Protocol to Optimize Labor Outcome

Journal of SAFOG with DVD, 2009

Objective To Asses and develop an indigenous protocol to optimize labour outcome, as Programmed L... more Objective To Asses and develop an indigenous protocol to optimize labour outcome, as Programmed Labor. Design Open, prospective (Between January 2000 to December 2007), randomized, parallel group, monocentric, comparative matching trial. Settings Labor rooms at Nowrosjee Wadia Maternity, Mumbai. Selection criteria 200 patients in each group, aged between 21-30, as low-risk parturient. Intervention Partography, Oxytocin, Primiprost, Pentazocin, Dizepam, Tramadol, Drotin, Ketamine. Outcome parameters Satisfactory obstetric outcome, progressive labor of shorter duration, less blood loss and pain relief. Results Study group had mean shorter duration of active labor as 3.5 hrs compared to controls of 5.2 hrs. Excellant pain relief was of 24 and 62% of substantial relief in comparison to 32% only in other group with no patient falling in excellent group. Second stage of labor was reduced by half (26 to 48 meters) and lesser third stage blood loss. Conclusions Programmed labor with indigen...

Research paper thumbnail of Second Trimester Medical Termination of Pregnancy with Combined Intracervical and Intravaginal Misoprostol: Comparative Analysis with Intravaginal Misoprostol—A Pilot Study

The Journal of Obstetrics and Gynecology of India, Feb 2, 2016

Context Intravaginal placement of misoprostol has been used extensively to terminate second trime... more Context Intravaginal placement of misoprostol has been used extensively to terminate second trimester pregnancies. Intracervical misoprostol is an alternative method of termination of pregnancy for women in this period of gestation. Objective To assess the efficacy and safety of combined intracervical and intravaginal misoprostol in the management of mid-trimester medical termination of pregnancy and to compare it with intravaginal misoprostol.

Research paper thumbnail of Programmed Labor-Indegenous Protocol to Optimize Labor Outcome

Journal of SAFOG with DVD, 2009

Objective: To Asses and develop an indigenous protocol to optimize labour outcome, as Programmed ... more Objective: To Asses and develop an indigenous protocol to optimize labour outcome, as Programmed Labor. Design: Open, prospective (Between January 2000 to December 2007), randomized, parallel group, monocentric, comparative matching trial. Settings: Labor rooms at Nowrosjee Wadia Maternity, Mumbai. Selection criteria: 200 patients in each group, aged between 21-30, as low-risk parturient. Intervention: Partography, Oxytocin, Primiprost, Pentazocin, Dizepam, Tramadol, Drotin, Ketamine.

Research paper thumbnail of Laparoscopic Management of Interstitial Ectopic Pregnancies

Journal of SAFOG, 2014

This illustration describes the successful laparoscopic management of interstitial ectopic pregna... more This illustration describes the successful laparoscopic management of interstitial ectopic pregnancy. Three women underwent laparoscopic excision for interstitial ectopic gestation. Mean operative time was 49.4 ± 8.4 minutes (41-69 mins). Estimated blood loss was 50 ± 4 ml. There were no intraoperative or postoperative complications. Duration of hospital stay was 24 ± 3 hours. All patients are doing well on follow-up. The authors demonstrate the role of laparoscopic excision and conclude that this technique, when performed by experienced surgeons, allows for improved dexterity and is a safe and effective method in the management of interstitial ectopic pregnancy.

Research paper thumbnail of An Unusual Presentation of an Endometriotic Chocolate Cyst

Journal of SAFOG, 2014

Background: Pelvic inflammatory disease is usually associated with gonococcal sexually transmitte... more Background: Pelvic inflammatory disease is usually associated with gonococcal sexually transmitted infection. Its association with endometriosis has not been well documented. Case report: The authors report an unusual case of an endometriotic cyst in a 29-year-old nulliparous patient with clinical features of pelvic inflammatory disease. On treatment with antibiotics, the symptomatology subsided and signs of infection diminished. But subsequent imaging revealed a persistent right adnexal mass. A right chocolate cyst was found on laparoscopy and was treated with drainage and enucleation. Patient was administered three doses of GnRH analogs thereafter and is awaiting treatment for infertility. Conclusion: Endometriotic cysts commonly manifest with dyspareunia and dysmenorrhea. The patient in this report presented with signs and symptoms suggestive of pelvic inflammatory disease which was secondary to a slow leak from a chocolate cyst.

Research paper thumbnail of Laparoscopic Management of Interstitial Ectopic Pregnancies

Journal of SAFOG, 2014

This illustration describes the successful laparoscopic management of interstitial ectopic pregna... more This illustration describes the successful laparoscopic management of interstitial ectopic pregnancy. Three women underwent laparoscopic excision for interstitial ectopic gestation. Mean operative time was 49.4 ± 8.4 minutes (41- 69 mins). Estimated blood loss was 50 ± 4 ml. There were no intraoperative or postoperative complications. Duration of hospital stay was 24 ± 3 hours. All patients are doing well on follow-up. The authors demonstrate the role of laparoscopic excision and conclude that this technique, when performed by experienced surgeons, allows for improved dexterity and is a safe and effective method in the management of interstitial ectopic pregnancy. How to cite this article Desai GS, Levi J, Desai SV. Laparoscopic Management of Interstitial Ectopic Pregnancies. J South Asian Feder Obst Gynae 2014;6(3):163-166.

Research paper thumbnail of Programmed Labor-Indegenous Protocol to Optimize Labor Outcome

Journal of SAFOG with DVD, 2009

Objective To Asses and develop an indigenous protocol to optimize labour outcome, as Programmed L... more Objective To Asses and develop an indigenous protocol to optimize labour outcome, as Programmed Labor. Design Open, prospective (Between January 2000 to December 2007), randomized, parallel group, monocentric, comparative matching trial. Settings Labor rooms at Nowrosjee Wadia Maternity, Mumbai. Selection criteria 200 patients in each group, aged between 21-30, as low-risk parturient. Intervention Partography, Oxytocin, Primiprost, Pentazocin, Dizepam, Tramadol, Drotin, Ketamine. Outcome parameters Satisfactory obstetric outcome, progressive labor of shorter duration, less blood loss and pain relief. Results Study group had mean shorter duration of active labor as 3.5 hrs compared to controls of 5.2 hrs. Excellant pain relief was of 24 and 62% of substantial relief in comparison to 32% only in other group with no patient falling in excellent group. Second stage of labor was reduced by half (26 to 48 meters) and lesser third stage blood loss. Conclusions Programmed labor with indigen...

Research paper thumbnail of Second Trimester Medical Termination of Pregnancy with Combined Intracervical and Intravaginal Misoprostol: Comparative Analysis with Intravaginal Misoprostol—A Pilot Study

The Journal of Obstetrics and Gynecology of India, Feb 2, 2016

Context Intravaginal placement of misoprostol has been used extensively to terminate second trime... more Context Intravaginal placement of misoprostol has been used extensively to terminate second trimester pregnancies. Intracervical misoprostol is an alternative method of termination of pregnancy for women in this period of gestation. Objective To assess the efficacy and safety of combined intracervical and intravaginal misoprostol in the management of mid-trimester medical termination of pregnancy and to compare it with intravaginal misoprostol.

Research paper thumbnail of Programmed Labor-Indegenous Protocol to Optimize Labor Outcome

Journal of SAFOG with DVD, 2009

Objective: To Asses and develop an indigenous protocol to optimize labour outcome, as Programmed ... more Objective: To Asses and develop an indigenous protocol to optimize labour outcome, as Programmed Labor. Design: Open, prospective (Between January 2000 to December 2007), randomized, parallel group, monocentric, comparative matching trial. Settings: Labor rooms at Nowrosjee Wadia Maternity, Mumbai. Selection criteria: 200 patients in each group, aged between 21-30, as low-risk parturient. Intervention: Partography, Oxytocin, Primiprost, Pentazocin, Dizepam, Tramadol, Drotin, Ketamine.