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DEPARTMENT:GYNECOLOCICAL ONCOLOGY
H.O.D: Dr. Ranajit Kumar Mandal MBBS, PGDHHM, DNB, MD(PGI)
In the Grade of Specialist Grade I
Dr. Pradip Das - Chief Medical Officer.
Dr. Dipanwita Banerjee -Consultant
Dr. Chandrani Bhattacharya - Senior Resident.
Dr. Priyanka Singh - Senior Resident
Dr. Sk. Abdul Halim- Junior Resident.
Objectives
Diagnostic work up of women with suspected gynaecological cancers
Appropriate management through surgery, chemotherapy and radiation therapy and their combinations
Screening and early detection of Gynecological cancers
Palliative treatment for gynaecological cancer patients
Generate trained human resources in early detection and effective management of Gynecological cancers
To conduct research in the field of Gynecological Oncology
Clinical Activities of the Department:During the period between 1 April 2012 and 31 March 2013 a total of 1125 new cases were registered in the Department. During the same period a total of 6482 patients attended the OPD for follow up visits.
The total number of patients admitted under the Department for treatment was 248. The diagnoses of the patients who got admitted are given in Table 1.
Diagnosis of the patients admitted in the Department during 2012-13
Carcinoma Cervix-85
Carcinoma Endometrium-26
Carcinoma Ovary-98
Carcinoma Vulva-10
Cervical Intraepithelial Neoplasia-03
Uterovaginal Prolapse-12
Fibroid Uterus-07
Dysfunctional Uterine Bleeding-5
Diagnostic Laparoscopy-2
Figure 1. Distribution of the admitted patients by the site of malignancy During 2012-13 a total 168 major surgical procedures were performed in the Department. The details of the procedures are given in Table 2.
List of major surgeries in the Department during 2012-13
Modified Radical Hysterectomy + Extra-peritoneal pelvic lymphadenectomy-40
Exploratory Laparotomy + TAH + BSO + Omentectomy + Appendicectomy + Pelvic & Para-aortic Lymphadenectomy-8
Exploratory Laparotomy + TAH + BSO + Omentectomy + Appendicectomy -43
Exploratory Laparotomy + TAH + BSO + Omentectomy + Appendicectomy + Sacrospinous Colpopexy -1
Exploratory Laparotomy + TAH + BSO + Omentectomy + Appendicectomy + Intestinal Resection-anastomosis -4
Radical Vulvectomy + Bilateral Inguinal Lymphadenectomy -5
Simple Vulvectomy -1
Bilateral Extra-peritoneal Lymphadenectomy -2
Total vaginectomy + Bilateral Extraperitoneal Pelvic Lymphadenectomy -1
TAH + BSO + Bilateral Extra-peritoneal Lymphadenectomy -5
Unilateral Salpingo-oophorectomy + Omentectomy -3
Laparotomy & Biopsy of Ovarian & Omental Mass -2
Excision of Scar Metastasis -2
Ileal Conduit -1
TAH + BSO (Total Abdominal Hysterectomy + Bilateral Salpingo-Ophorectomy) -20
Total Abdominal Hysterectomy -3
Vaginal Hysterectomy + Pelvic Floor Repair -11
Broad Ligament Fibroid Myomectomy -1
Hernioplasty -1
Burst Abdomen Repair -1
Colostomy -2
Diagnostic Laproscopy -6
Laproscopy Assisted Vaginal Hysterectomy -4
The total number of minor surgical procedures carried out in the Department was 148. The details are given in Table 3.
Cystoscopy -95
Hysteroscopy + D/C Endometrial Biopsy -10
Pyometra Drainage -15
LEEP (Loop Electro-surgical Excision Procedure) -7
Polypectomy + D/C Biopsy -5
D/C Endometrial Biopsy -12
Vulval Biopsy -5
Wound debridement ± Secondary suturing -3
The total number of patients who expired while being admitted to the Department was 29; out of which there were 12 cases of ovarian cancer, 16 cases of cervical cancer and 1 case of gestational trophoblastic disease.
Cervical Cancer Prevention and Control Initiative (CPCI Project):Through this community based outreach program more than 30,000 women predominantly from rural areas have been screened for cervical cancer till date. Total 11234 women were screened in the year 2012- 2013 itself. High grade cervical precancers (CIN 2/CIN 3) were detected in 56 women. Among t

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