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Clinical Discretion Advised

Surgical & Clinical Cases

This section contains real surgical and clinical images shared by Dr. Sejal Kulkarni for medical transparency and educational purposes.

Some images depict intra-operative procedures and surgical specimens. They are shown to demonstrate clinical skill and real patient outcomes — not for general viewing.

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Surgical Case Documentation

Real outcomes. Real expertise. These case studies reflect Dr. Sejal Kulkarni's commitment to minimally invasive, patient-first surgical care.

400+
Laparoscopic Surgeries
7+
Years Clinical Experience
FMAS
Certified Laparoscopic Surgeon
2 Days
Avg. Hospital Stay (Lap.)
01 02 03
01
Laparoscopic Surgery

Laparoscopic Myomectomy

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Surgical Outcome Gated

Contains photographs of the excised fibroid specimens and post-op scar results. Gated for comfort.

Surgical Outcome: Restored uterus and minimal keyhole scars
Excised Specimen & Cosmetic Recovery: The removed solid fibroid mass and three tiny keyhole scars after healing.
Dr. Sejal Kulkarni and surgical team performing laparoscopic myomectomy
Intra-operative environment: Dr. Sejal Kulkarni and surgical team performing a laparoscopic myomectomy under high-definition tower guidance.
Fibroid excision

Large intramural fibroid separated from healthy myometrium using precision energy devices.

Uterine reconstruction

Multi-layer closure with high-tensile, knotless barbed sutures restores muscular strength.

Morcellated specimen

Tissue extracted safely through a 10mm keyhole port — no open abdominal incision.

Scar outcomes

Three tiny keyhole port marks vs. a traditional 10–15cm open-surgery scar.

Patient recovery

Discharged within 2 days, complication-free, full symptom resolution.

Surgical Case Analysis

Fibroid Separation: The intramural fibroid was carefully enucleated. Precise haemostasis was maintained throughout using bipolar coagulation, preventing blood loss and preserving uterine tissue thickness.

Meticulous Suturing: Standard three-layer closure was performed to guarantee strong scar integrity, minimizing risks of uterine rupture in subsequent pregnancies. Morcellation was carried out within an extraction bag for safety.

Laparoscopic Myomectomy (fibroid removal)

32-year-old patient with a large intramural uterine fibroid causing heavy menstrual bleeding and pelvic pain

Minimally invasive laparoscopic technique — 3 small ports (<1cm incisions). Fibroid located, excised, and uterus meticulously sutured laparoscopically for complete fertility preservation.

Fertility-preserving approach. No open surgery. No large scar. Uterus remains intact and healthy.

✓ Discharged in 2 days ✓ Minimal scarring — 3 tiny port marks ✓ Complete symptom resolution

02
Natural Orifice Surgery

Vaginal Hysterectomy

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Specimen Image Gated

Displays photograph of the removed uterus. Gated for comfort.

Vaginal hysterectomy specimen photo
Surgical specimen: Complete uterus removed without external abdominal scars.
Step 1: Patient Positioning & Access Setup
Step 1: Patient Positioning & Access Setup — Preparing the patient for a natural orifice vaginal approach to avoid abdominal cuts.
Step 2: Vaginal Access & Dissection
Step 2: Vaginal Access & Dissection — Carefully dissecting vaginal attachments to access the pelvic cavity safely.
Step 3: Ligation of Uterine Vessels
Step 3: Ligation of Uterine Vessels — Direct clamping and ligating of the uterine arteries to secure blood vessels vaginally.
Step 4: Extraction & Reconstructive Closure
Step 4: Extraction & Reconstructive Closure — Removing the prolapsed uterus and suturing the vaginal vault to support pelvic organs.
Excised organ pathology

Removed uterus specimen showing benign fibroids and changes from severe prolapse — confirms clinical need for excision.

Natural orifice surgery

Entire procedure through the vaginal canal — no cut or stitch on the abdomen. Completely scarless recovery.

Anatomical restoration

Pelvic floor muscles and ligaments reconstructed to restore positioning and prevent future prolapse.

"Vaginal surgery. Natural orifice surgery. Vaginal hysterectomy for a 60 year old post-menopausal female with prolapse uterus — restoring her back to normal, pain-free life without a scar."
— Dr. Sejal Kulkarni

Vaginal Hysterectomy — Natural Orifice Surgery (no external incision)

60-year-old post-menopausal female with uterine prolapse — uterus had descended causing significant discomfort and functional difficulty

Vaginal route — no abdominal incision whatsoever. Entire procedure performed through the natural vaginal orifice; pelvic floor reconstructed for long-term support.

The gold standard for uterine prolapse in elderly patients — minimal blood loss, no visible scar, faster healing, immediate relief.

✓ Zero external scar — not a single mark ✓ Prolapse fully corrected ✓ Restored to normal, pain-free life

03
Surgical Environment

Advanced Laparoscopic Setup

Dr. Sejal Kulkarni and surgical team performing laparoscopic surgery in a modular operating theater
Intra-operative setup — Dr. Sejal Kulkarni and surgical team operating with high-definition laparoscopic tower and vitals monitoring

Fully equipped modular operating theater with advanced high-definition endoscopy/laparoscopy stacks.

Continuous intra-operative monitoring (ECG, SpO2, NIBP, EtCO2) and anesthesia delivery systems for maximum patient safety during long laparoscopic procedures.

Led by Dr. Sejal Kulkarni with senior consultant anesthesiologists, scrubbing assistants, and circulating nurses specializing in laparoscopic pathways.

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