The 38th Annual Conference of the Mumbai Obstetric & Gynecological Society

The 38th Annual Conference of the MOGS was held on the 13th and 14th of February 2010 at the ITC Grand Central, Parel, Mumbai. The event was marked by high quality scientific content, a good delegate attendance and extensive participation by postgraduates through free papers, case presentations and poster displays.

The Conference inauguration was graced by the Chief Guest, Dr Sanjay Gupte, President FOGSI and the Guests of Honor, Ms Orna Sagiv, Consulate General of Israel and Mr Ajit Gulabchand, Chairman, HCC. The B N Purandare Awardee this year was Dr Armeida Fernandes for her outstanding work in women and child health issues in the community. I, being in the President's chair delivered the Inaugural address.

The theme topics for the year were Pelvic Floor Repair, Fertility Enhancing Endoscopic Surgery, and Medical Disorders in Pregnancy. The MOGS Dr MD Adatia Conference Oration was delivered by Professor Daniel Seidman on “IVF with no Financial Limitations – What are the success rates?”. The MOGS Dr SS Thakur Oration was delivered by Dr Duru Shah on “An Inconvenient Truth” on polycystic ovarian syndrome and its metabolic and genetic implications. The conference deliberations were highly scientific and involving. The panel discussions were detailed and interactive. The videos were of a high quality and demonstrated a number of surgical teaching points. There were adequate opportunities for the audience to participate in the discussions with the faculty members.

Valentine’s eve was marked by an entertaining and delightful Qawaali performance by Hamsar Hayat and troupe. The champagne evening continued late into the night and was a memorable occasion. The event was promoted as a charity with the proceeds donated to the ISKCON program for providing mid-day meals for school children.

The Conference was the first MOGS event where a live Twitter webcast provided updates in real time as events unfolded. The valedictory function was well attended with a number of mega prizes including a bumper prize of a 74 inch LCD television.

The Conference venue was well appointed and support from the ITC hotel staff was appreciated. In terms of time management, the first day fell behind schedule by an hour, but the second day was completed on time.

The Conference was attended by 649 delegates and there were 152 free paper presentations, posters and interesting case presentations. Each year the MOGS acknowledges and recognizes exceptional work and contribution of members

*MOGS Exceptional Service Awards

MOGS - Dr Ganatra Charitable Medical Center Award
Dr Neelang Shah and Dr Reena Wani

MOGS - Dr Sarojben Desai Excellence Awards
Dr Nayna Dastur

MOGS - Dr BN Purandare Outstanding Service Award
Dr Armeida Fernandez

MOGS - Dr Duru Shah Best Committee Award

Dr Shailesh Kore & Dr Sulbha Arora

MOGS Traveling Awards and Fellowships

MOGS - Dr Bhanuben M Nanavati Scholarship for Overseas Study – No application was received

MOGS - Dr CG Saraiya Traveling Fellowship – No application was received

MOGS - Dr Shantabai Gulabchand Traveling Fellowship Award 2009-2010 – Dr Sulbha Arora


*MOGS Academic Awards and Prizes

MOGS - Dr Pramila Bhatia Young Scientist Awards
1) Dr Sanket Pisat
2) Dr Rohit Pisat

MOGS - Dr Kamal S. Jain Prize
1) Dr Punit Bhojani
1) Dr Deepika Mehta

MOGS - Dr H Desa Silver Jubilee Prize
1) Dr Chinmayee Patra

*MOGS Prizes at the 38th Annual Conference

Fertility Enhancing Endoscopic Surgery
Dr LM Shah Prize: Dr Rani Bangar

Dr NA Purandare Prize:1) Dr Hemali Tekani
2) Dr Madhuri Dwivedi

Dr Shraddha Upasani Prize: Dr Sanket Pisat
Senior Category: Dr Pratik Tambe

Pelvic Floor Repair
Dr LM Shah Prize:Dr Divya Kanaviya
Dr NA Purandare Prize:1) Dr Neelam Barge
2) Dr Zelam Shahsuno
Dr Shraddha Upasani Prize: Dr Ashok Kumar


Medical Disorders of Pregnancy

Dr LM Shah Prize:1)Dr Pradnya Supe
2)Dr Meera Jayprakash
Dr NA Purandare Prize:1)Dr Siddesh Iyer
2)Dr Supriya Hambhire
Dr Shraddha Upasani Prize:1)Dr Rashida Bhanderwal
2)Dr Sandeep Pophale
Senior Category:1)Dr Amol Pawar
2)Dr Isha Khurana

Miscellaneous
Dr LM Shah Prize:1)Dr Vandana Gawade
2)Dr Kirti Gupta
Dr NA Purandare Prize: 1)Dr Nirali Patel
2)Dr Devika Chopra
3)Dr Maimona Ahmed
Dr Shraddha Upasani Prize:Dr Shrutika Kamat
Senior Category:1)Dr Vinita Salvi
2)Dr Padmaja Samant
3)Dr Punit Bhojani
4)Dr Anju Hazari

Dr DK Tank Prizes Interesting Cases:
1) Dr Arun Nayak / Dr Suprapha Amle
2) Dr Anita Soni
3) Dr Reena Wani
4) Dr Geetha Monappa / Dr Suvarna Khadilkar
5) Dr Geet Sarodey
6) Dr Rashmi Jalvee
7) Dr Naziya Ansari
8) Dr Archana Patil / Dr Ashwini Pawar
9) Dr Kinjal Mehta
10) Dr Ruchita Vijayavarjiya

MOGS – Dr Duru Shah Best Poster Prize:
Dr Shailesh Kore

MOGS Drake Award:
1) Dr Ashok Kumar Shukla
2) Dr Binti Batiyani

MOGS Best Poster Prize: Dr Gouri Gupta

Indo - Israeli Prize Best Video Presentation:
1) Dr Shailesh Puntambekar
2) Dr Makarand Masarani

MOGS Dr Ashok Mehra Prizes:
1st prize – Dr Kedar Ganla
2nd prize – Dr Aditi Dani

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Doctors Remove Ammunition From Soldier’s Head

The patient arrived in critical condition last month at the Bagram Air Base hospital in Afghanistan, with what American military doctors at first thought was an all too typical war injury: metal shrapnel from an improvised bomb lodged in his head.

A 14.5 millimeter high explosive incendiary round was removed from the scalp of an Afghan National Army soldier.

A CAT scan showed that the piece of metal, about two and a half inches long, was probably a cartridge fragment — again, not at all unusual.

But as the patient, an Afghan soldier in his 20s, was prepared for surgery, the chief radiologist, Lt. Col. Anthony Terreri, took a closer look at the CAT scan. Stunned, he realized the object was an explosive round, primed to go off.

“It looks like we have a problem here,” he announced.

To say the least.

In a joint telephone interview from Bagram on Friday, members of the Air Force medical team recounted the hours that followed Dr. Terreri’s discovery.

Maj. John Bini, a trauma surgeon and a veteran of homemade-bomb injuries from two previous deployments in Iraq, immediately evacuated the operating room. Only the anesthesiologist, Maj. Jeffrey Rengel, who put on body armor, was left to watch the patient.

The surrounding hallways were secured, and a bomb disposal team was urgently summoned. All electrical monitoring devices in the operating room were turned off for fear of detonating the round. To keep track of the patient’s vital signs, doctors turned to manual blood pressure cuffs and a battery-operated heart monitor, and they began counting drips per minute to estimate the amount of the intravenous anesthesia they were giving the patient. “It was taking anesthesia back about 30 years,” Dr. Rengel said.

Within a half-hour, the bomb disposal team arrived and confirmed, based on the CAT scan, that the patient indeed had unexploded ordnance in his head.

“They said, the way these things are set up, this type of round has an impact detonator on the front of the charge,” Dr. Bini said. “They just said, ‘Don’t drop it.’ ”

With that for reassurance Dr. Bini put on body armor as well, and he began the process of surgically removing the round from the patient’s head, joined in the operating room only by Dr. Rengel and a member of the bomb team. He cut through scalp tissue and made a large incision encircling the round, which was lodged under a piece of skull bone and jutted down the right side of the patient’s head. Within 10 minutes, he pulled out the live round. With care, he handed it to the bomb technician, who put it in a bag and left.

Did Dr. Bini breathe a sigh of relief before handing off to a neurosurgeon?

“I didn’t even think about breathing a sigh of relief,” Dr. Bini said. “Technically, it wasn’t a very complicated procedure, and I had the confidence that I wasn’t going to drop it on the floor. This is something we train for — although it’s a very uncommon event.”

In fact, Dr. Bini had taught students how to remove live ordnance from patients in sessions at Wilford Hall Medical Center at Lackland Air Force Base, where he is stationed when not at war. He just had never expected to have to do it in real time.

Dr. Bini said that in the nearly nine years of war in Iraq and Afghanistan, if someone else had removed an unexploded round from a patient, he had not heard of it. He said that a quick review of the medical literature found fewer than 50 cases over the last half-century.

The patient, who was not named by the doctors, has since been discharged from the Craig Joint-Theater Hospital at Bagram and is recovering. Although the patient has brain injuries from bone fragments, Dr. Bini said the Afghan was able to walk, to talk and to eat on his own.

Dr. Bini said he was unaware an unexploded bomb embedded in a patient’s chest had been the plot of a TV show — a two-part episode of “Grey’s Anatomy” in 2006. The character Hawkeye Pierce also pulled an unexploded grenade out of the chest of a wounded soldier in an episode of “MASH” in 1973. “None of that stuff you see on TV approximates reality,” Dr. Bini said.