Dr. Nandita Dubey

Dr. Nandita Dubey

M.D (OB/GYN)

  • Dr. Nandita Dubey has done her residency training at Lokmanya Tilak Medical College located in Mumbai. It is one of the reputed medical colleges in state of Maharashtra with an Enormous workload from where she has learnt her skills as a gynaecologist.
  • After three years of residency she got the opportunity to work with Dr. C.N.Purandare in Grant Medical College located in Mumbai which also is her college of undergraduation. Dr.Nandita Dubey was invited to an underprivileged country in Carribeans called Guyana to establish Gynaecology center catering to population of 4 million. This experience and confidence brought her back to India to specialize in Gynaecologic endoscopy at BEAMS–Bombay Endoscopy Academy and Minimally Invasive Surgery which is the leading Endo-gynae centre in Mumbai. At BEAMS Dr. Nandita Dubey received training in Endogynaecology from a nationally recognized advanced Endo-gynae surgeon Dr. Rakesh Sinha.
  • Further training was with Dr. Neeta Warty who is specialist in pelvic floor reconstruction and onco-gynaecology. Dr. Nandita is fellowship trained in Minimally Invasive Endogynecologic surgery under Dr.Mettler from the Keil University School in Germany. A short stint at Royal Free Hospital London in minimally invasive training centre with Dr. Adam Maggos was a good learning experience.
  • Dr. Nandita dubey has practiced in both private practice settings, providing comprehensive care to her patients as well as at academic centres instructing resident physicians in minimally invasive surgery. Her desire is to explore and contribute to the future of women’s health care.

M.D (OB/GYN)

Address - MITR Hospital
Eden Gardens
Sector- 5,Kharghar
Navi Mumbai 410210

Tel - Office and Hospital - 022-27743558,022-27744229
Clinic (Vashi) - 022-65163816,9324502572

Brief

Although trained professionally as Gynaecologist and Obstetrician , now fully dedicated to the the field of laparoscopy in treating gynaecologic diseases. Managing Human resource at 25 bedded hospital dedicated to Minimally invasive Treatment and Research.

Present Engagement

Private practice in Navi Mumbai since 2002

  1. Director and Consultant Gynaecologist
    MITR ( Minimally Invasive Treatment & Research ) Hospital
    Kharghar
    Navi Mumbai
  2. Consultant Gynaecologist
    MITR clinic ( a satellite clinic of MITR hospital) located at Vashi.
  3. Consultant Gynaecologist
    Fortis Hiranandani Hospital
    Vashi
    Navi Mumbai
  4. Consultant Gynaecologist
    Wockhardt Hospital
    Vashi
    Navi Mumbai

Qualifications

M.D (OB/GYN)

Mumbai University, Lokmanya Tilak Municipal Medical College & General Hospital

M.B.B.S

Mumbai University, Grant Medical College & J.J.Hospital

Clinical Experience as Gynecologist

2014

Trainee

Advanced Workshop on Gynecologic Laparoscopic Anatomy

AAGL (Advancing Minimally Invasive Gynecology Worldwide )

Kentucky

USA

2002

Diplomate

The Keil School for Gynaecologic Endoscopy,

Germany.

2002

Observer at Royal Free Hospital for Endoscopy course,

London

U.K

Aug2000-Jan2002

Clinical Research Fellow

BEAMS -Bombay Endoscopy Academy & centre for Minimally Invasive Surgery,Mumbai

India

Aug 1999-March 2000

Consultant(Ob/Gyn)- Medical Diagnostic and Therapeutic Center

New Amsterdam

Guyana

South America.

May 1998– May1999

Lecturer - J.J.Hospital Mumbai

Chief family planning officer for a period of one year

Mumbai

India

Publications

International

  1. "Laparoscopic Excision of very large Myoma"
    Journal Of American Association of Gynaecologic Laparoendoscopist.
    2003 Nov :Vol 10(4) Page :461-468.
  2. “Laparoscopic Myomectomy : Do Size, Number and Location of the
    Myoma Form Limiting Factors for Laparoscopic Myomectomy ?”
    :JMIG 2008 Volume 15, Issue 3 , Page 292-300

Scientific paper presentations

  • "Should Size Site & Number be a limitation for Laparoscopic myomectomy "
    March 2001-29th Annual Conference of MOGS & at YUVA FOGSI West Zone at Goa Sep 2001.
  • "Role of Operative Laparoscopy in Ovarian cyst"Jan 2002 All India Congress of OBGYN,Orissa.
  • “Adolesecent Endometriosis” NMOGS May 2012 ,Navi Mumbai

Workshops

Bombay Hospital,Mumbai

     "Focus on Fibroids"

     Post graduate training workshop Faculty

Bhatia Hospital,Mumbai

     Scientific rationale of Endoscopic Surgery Workshop-Attendee

Pravara Institute,Loni,Maharashtra

     Video Endoscopy Workshop Faculty

Jaslok Hospital,Mumbai

     Endoscopic Surgery and Infertility Management

     Beyond 2000 Faculty

BEAMS- Mumbai

     Endoscopy training programme

     ( Ethicon institute)

     7 Basic Laparoscopic & Hysteroscopic training course.

     2 Advanced Hysterectomy & Myomectomy course.

     2 suturing course

Conditions treated at MITR in Gynaecology(Alphabetical order)

    Cystocele
    Endometriosis
    Female Prolapse
    Female Urology
    Fibroids Surgery
    Genital Prolapse
    Ovarian cysts

Specialized Gynecology surgeries available at the Center:

    Laparoscopic Management of Endometriosis.
    Total Laparoscopic Hysterectomy
    Laparoscopic Myomectomy
    Laparoscopic fertility promoting surgery
    Laparoscopic ovarian cystectomy

Abnormal Uterine Bleeding

Definition:
 
Abnormal uterine bleeding (AUB) is irregular menstrual bleeding that is longer or
heavier than usual or does not occur at your regular menstrual time interval.
Abnormal uterine bleeding is seen as early as in young girls i.e. bleeding before
menarche (the first period in a girl's life) , reproductive,premenopausal and
postmenopausal age groups . It is hormonal in origin and hence is a condtion
diagnosed after excluding the following commonly thought of Gynaecological diseases.
 
Common Gynaecological Diseases to be excluded are:
 
1. Fibroid / Adenomyosis
2. Endometriosis
3. Endometrial polyp
4. Cervical polyp or lesion in vaginal tract
5. Adnexal mass
6. Abnormal pregnancy
7. Medical condition : Thyroid hormone dysfunction ,Haemotological causes
8. Iatrogenic cause( drug induced)
 
Symptoms:
 
Any change from the existing menstrual pattern noticed over more then 3 menstrual cycles should
consult a gynaecologist.
The common presentations are : Vaginal bleeding that occurs more often than every 21
days or farther apart than 35 days.
Vaginal bleeding that lasts longer than 7 days (normally lasts 4 to 6 days).
If you are passing more blood clots that soak your pad more than usual, your bleeding is
considered severe and a gynaecologist opinion must be taken.
Pain in abdomen.
 
Diagnosis:
 
Since AUB is diagnosed after exclusion ,before investigations a good history obtained from the
patient helps reach probable diagnosis
 
Investigations
 
1.Pregnancy test
2.BHcg
3. Thyroid function test
4.Coagulation profile
5.Ca125
6.Endometrial Biopsy
7. Ultrasound
8. Operative Hysteroscopy
 
Treatment
 
Medical Management
Progesterone oral and or injectable preparations is the first line of treatment for AUB.
Surgical intervention is to be considered if the lady fails to respond to medical management of minimum of 3 months.
 
Surgical Management
 
1.Hormonal intrauterine
device :Progesterone intrauterine device
2.Hysterectomy
 
Post Menopausal Bleeding
 
Definition:
It is defined as irregularity in menstrual bleeding pattern seen in menopausal women
who has had amenorrhoea for 1 year and more.

Causes of Postmenopausal bleeding:

1. Polyps: These are abnormal growth that develop in the linning of the uterus,
cervix , or inside the cervical canal. They tend to cause erratic bleeding and
present as postmenopausal
bleeding.
2. Endometrial Cancer
3. Certain medication like Hormone therapy, blood thinners etc cause
postmenopausal bleeding.

Symptoms:

1. Spotting or bleeding after not having any menstrual cycle for more than a
year.
2. Pain in the abdomen.
3. Lower back ache

Tests to be done:

1. Ultrasound Abdomen and pelvis.
2. Hysteroscopic Endometrial biopsy: This procedure is done under general
anaesthesia and under vision endometrial tissue is biopsied

Treatment:

Depending on the cause of the postmenopausal
bleeding, the treatment shall vary.
If biopsied tissue is negative for malignancy then lady is asked for regular follow ups.In
rare cases bleeding is troublesome and in such cases Hysterectomy is planned.
Treatment in malignancy cases varies .
Medications are administered to maintain the endometrial lining that has fluctuation
due to hormonal imbalance.
 
Fibroids

Definition:

Fibroids are noncancerous or benign type of tumor that tends to grow in the muscular wall of
the uterus. They are of various sizes and can either occur in multiples or solitary (single).
Depending on the location of the fibroid within the uterine musculature they are classified as:
 
1. Serosal Fibroid: This is seen as a tumor that extends outwards through the uterine
wall which gives a knob like appearance to the uterus. It can either be connected to a
stock or stem ( like a flower connected to the stem) hence being called as
pedunculated.
 
2. Intramural Fibroid: These develop in the lining of the uterus and expand inwards
and therefore pose the maximum discomfort and cause heavy menstrual bleeding.
 
3. Submucosal Fibroid : They are seen just under the lining of the uterus. Since they are
in such close proximity to the uterus any increase in size; even if it’s a small change
would pose heavy menstrual flow along with pelvic pain and prolong periods.

Symptoms:

Menstrual complaints :
Heavy prolonged menstrual bleeding with or without pain and clots.
Pressure symptoms:
In huge fibroid which present as abdominal lump there are pressure symptoms like urinary
frequency or retention of urine.
Some might have constipation or bloating.
Fibroids are also incidentaly diagnosed on sonography as not all fibroids are symptomatic.

Investigations:

Sonography is the best diagnostic tool for fibroids. Rarely 3D
sonography or MRI pelvis is
performed for mapping the exact location of fibroid.

Treatment:

Factors which need to be considered before planning the treatment for fibroid are :
child bearing age group,infertility,site ,size and number of fibroid.
Those fibroids which are symptomatic need to be treated according to its symptoms .

Medical management :

1.Progesterone preparation has a limited role in the management of fibroid
2.GnRh analogues helps in temporarily decreasing the size of the tumor and hence
has a very few indications for its use.

Surgical management :

Laparoscopic Myomectomy It is a minimally invasive surgery / keyhole surgery with the advantages of early recovery,minimal pain,minimal blood loss and tissue damage.
This procedure is performed under general anaesthesia .A minimum of 34 small cuts less
then half cm are made on the abdomen .Laparoscope is a main optical equipment which is
inserted through the belly button and connected to videomonitor for visualisation of the
surgery on the screen .The rest of the ancillary cuts are used for enucleating the fibroid from
its location and delivering it out of the abdomen.
 
Hysteroscopic Myomectomy Hysteroscopicsurgery is performed under general anaesthesia and is a day care surgery indicated for submucous fibroids .The procedure is performed through the birth passage but not cuts are made in this area.Through the vagina hysteroscope enters the cervix ,and after visualisation of the fibroid it is resected out from the uterine cavity.
 
Laparoscopic Myomectomy and Hysteroscopic Myomectomy are procedures in which uterus
is conserved and hence proper patient selection is of prime importance .
Laparoscopic HysterectomyHysterectomy is removal of the uterus along with the cervix in those select few cases where family is complete and there are multiple and/or huge fibroids.

 



Partners


  • Client #1
  • Client #1
  • Client #1
  • Client #1
  • Client #1