Website: www.bogs.org.in | Email: bogs1936@gmail.com Volume 4 | Issue 2

Page 2BOGS Activities and Events

Page 5No Scalpel Vasectomy

Page 4Up, Close and Personal

Page 7Mega Events

TimesTHE BENGAL OBSTETRIC AND GYNAECOLOGICAL SOCIETY

October 2012

Page 6RAADP Debate

EDITORIAL

As the leaves of the autumn have started rendering a celebra-

tion of colours of the fall and we are yet to come out of the

engrossing milieu of the Sharadiya, the BOGS Times is again

ready to adorn your hands and boost up your mind.

The stalwart sharing events of his life and ideas this time is

Prof. Nishith Kumar Ghosh whose interview keeps a positive

note to inspire the younger generations.

The topic routine antenatal Anti D prophylaxis (RAADP) in

Rh-ve mother has been chosen to spice up the debate. The

chapter of Rh–ve mother is one which has been read and

discussed infinite number of times by us but the concept of

routine antenatal prophylaxis is an emerging one.

Family planning has always been a burning issue in a hugely

populated country like ours but vasectomy has been less

practiced and accepted by our people. To highlight the

advantages and the ease of performing No Scalpel Vasectomy

(NSV) the president and the Hony. secretary of BOGS have

penned down an article with their joint endeavor.

The bulletin is yours and therefore it expects and demands a

critical appraisal from you to expand its

dimensions and improve its presentation.

Happy reading!

Jai hind

Long live BOGS

MANAGING COMMITTEE 2012-2013

President

President Elect

Vice-Presidents

Hony. Secretary

Hony. Joint Secretary

Hony. Treasurer

Hony. Clinical Secretary

Kalidas Bakshi

Krishnendu Gupta

Ashis Kumar MukhopadhyayArup Kumar MajhiSubhash Chandra Biswas

Sudhir Adhikari

Sukumar Barik

Bhaskar Pal

Shyamal Sett

Pradip Kumar Mitra

Suranjan ChakrabortyRajiv DhallSebanti Goswami

Immediate Past President

Special Invitees

Members

Moffusil EC Members

Junior EC Members

Dibyendu BanerjeeMousumi De (Banerjee)Alok BasuAmit BasuSaktirupa ChakrabortyJayita ChakrabartiSukanta MisraBasab MukherjeeNirmala PiparaBulbul RaichaudhuriBibek Mohan RakshitJoydeb RoychoudhuryAbinash Chandra RoyM.M. Samsuzzoha

Ram Prasad DeyRabindranath RoyDipak Kumar Sarkar

Raja PalBhaskar PaulRanjana Tibrewal

BULLETIN & WEBSITE COMMITTEE

AdvisorsChairpersons

Sudip Chakraborty, Sajal DattaAlok Basu, Basab Mukherjee

ConvenorsVP-in-charge

Sebanti Goswami, Susmita ChattopadhyayArup Kumar Majhi

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BOGS

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CME ON MEDICAL DISORDERS INPREGNANCY

This CME was organized by MedicalDisorders in Pregnancy Committee, FOGSIin association with BOGS on Saturday,August 25, 2012 at Calcutta MedicalCollege Hospital.Around 90 delegates hadattended the programme.

Dr. Sujata Mishra, Chairperson, MedicalDisorders in Pregnancy Committee,FOGSI, spoke on hypothyroidism inpregnancy. Dr. Dilip Karmakar (Urologist)spoke on UTI and Dr. Deepika Kedia(Gastroenterologist) spoke on viralhepatitis in pregnancy. Dr Arnab Dutta(Cardiologist) and Dr. Kaushik Dutta(Neurologist), Dr Sujata Mishra along withsenior members of BOGS participated in astimulating panel discussion on heartdisease and epilepsy in pregnancy.

20TH DR. JAJNESWER CHAKRABORTYMEMORIAL ORATION

This oration was held on August 14,2012 at the Seminar Hall, ApolloGleneagles Hospitals, Kolkata. Dr.Vijaylakshmi Gavini, a consultant RoboticSurgeon from USA, spoke on “Minimallyinvasive surgery in gynecology — Role ofRobotic Surgery”. This was attended by 79delegates.

BOGS Activities and Events

INDEPENDENCE DAY CELEBRATIONThe 65th Indian Independence Day was

celebrated on 15th August, 2012 at“Pratishruti” where the flag hoistingceremony was undertaken. This wasfollowed by a public awareness walk on“FREEDOM FROM CERVICAL CANCER”.This walk was organized jointly by theBOGS, Indian Menopause Society, KolkataChapter along with Rotary Clubs of SaltLake City and East Calcutta. More than200 people including senior doctorsparticipated in this rally.

PUBLIC AWARENESS PROGRAMME ONADOLESCENT HEALTH

A public awareness programme on“Adolescent Girl” was organized byAdolescent Health Committee, BOGS on29th August, 2012 at Lady BrabourneCollege, Kolkata.

Dr. Amit Chakraborty (Psychiatrist),Mrs. Satarupa Sanyal and Mrs. SujataHalder (Media Personnel), along withsenior BOGS members participated in astimulating panel discussion. More than650 students attended the programme.There were a lot of interaction betweenthe students & experts through questionswritten on papers. The programme wascovered by media.

CME ON PROGESTERONE & IT’S USESThis CME was organized by FOGSI –

LUPIN initiative under the activities ofStudy on Female Breast Committee,FOGSI in association with BOGS onSeptember 16, 2012 at Hotel De Sovrani inSalt Lake City, Kolkata. Around 60delegates had attended the programme.

Dr Suvarna Khadilkar, Dr Sudha Tandonalong with several members of our societyspoke on the role of progesterone invarious clinical situations.

25TH DR. CHUNILAL MUKHERJEEMEMORIAL ORATION

This prestigious oration was held onSeptember 08, 2012 at “Pratishruti”.

The orator was Dr. S. N. Tripathy, ex-professor & Head of the Dept of OB/GYN,SCB Medical College, Cuttack andPresident, ISOPARB for 2010-2012. Shespoke on ‘Stem Cell therapy—past,present & future’. The session wasattended by 72 delegates.

PUBLIC AWARENESS PROGRAMMEA public awareness program was

organized on the 7th of September 2012by the Public Awareness Committee alongwith Pareek Sabha Mahila Samiti at PareekBhavan (4, Raja Brajdev Narayan Street,Kokata).

About 100 ladies participated in theprogramme. Dr. Shaktirupa Chakrabortyand Dr. Nirmala Pipara were the chiefspeakers. Discussion centered on earlydiagnosis and prevention of cervicalcancer and various problems frommenarche to menopause. The programmewas covered by media and was very muchappreciated by all.

SECOND CLINICALMEETINGThe second clinical meeting was held

on September 08, 2012 at “Pratishruti”.Dr. Payel Sen and Dr. SuchandraMukherjee presented two rare cases. Thiswas attended by 72 delegates.

MESSAGE FROM TEAM BOGS 2012-13

Very happy Puja and Bijoya Greetings to you!

Gradually “BOGS Times” is gathering momentum andboost due to the tremendous effort executed by theBulletin & Website Committee, BOGS. My sincere thanksto them.

I am delighted to see the eagerness and confidence fromyour part regarding this BOGS mouthpiece.

Realizing your demand in each issue, we are trying toimprove by giving fresh input from different parts of thecountry regarding our subjects for your benefit.

Hope you will show more interest and guide us toimprove this mouthpiece i.e. BOGS Times.

Long Live BOGS

With Regards

Dr. Kalidas Bakshi

President, BOGS

PresidentSpeaks ...

Hony. SecretarySpeaks ...

Dear BOGSIANS,

It is my pleasure to wish all the members of BOGS happyDurga Puja in this festive season.

Maa Durga brings joy to you and your family and may herblessings be with you always.

This is our 2nd issue of “BOGS Times” where we havetried to engage our Senior & Junior members, BOGSactivities, members performances.

I wish all of your participation in all the BOGS activitiesactively.

Long live BOGS

With best wishes

Prof. Sudhir Adhikari

Hony. Secretary, BOGS

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Our Members Honoured

We are proud that our esteemed members Prof B N Chakravorty and Prof ArupKumar Majhi were felicitated by Prof Arul Kumaran, President (Elect), FIGO in anoccassion of IOG Dr Satya Paul Awards 2012 ceremony held at Apeejay Campus,Sheikh Sarai, New Delhi on 3rd October, 2012.

Our senior member, Prof Bandana Biswas received the first prize of IOGAward 2012 in the category of original paper publication in Indian Obstetrics andGynaecology Journal.

Prof. Nishit Kumar Ghosh — A person of very strict discipline, sincere teacher and fully committed to his profession has beeninterviewed by one of his very favorite disciples Dr. Kalidas Bakshi, President, BOGS for the current year. Prof. N.K. Ghosh was aperfect guide and having sharp knowledge regarding the constitution of BOGS. His bright and far sighted vision has laid a strongfoundation on which the present BOGS is functioning.

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Sir please tell us aboutyour younger days

I was born in NorthCa lcutta (AmherstStreet), originally fromHowrah-Amta on 20thSeptember, 1924. Ipassed matriculation in1939, BSc in 1943 andgraduated from MedicalCollege in 1948.

I was the house surgeonof Dr. Subodh Mitra atCh i t ta ran jan SevaSadan from 1949. I completed DGO in 1942, MRCOGin 1958 & earned fellowship in 1975.

Who was your source of Inspiration to be a doctor?

My grandfather had a very well equipped library andhe was interested in history & English literature butmy mother's ambition was to make me a doctor –which I could not disobey and thereby was admittedin Medical College.

Tell something about your society Involvement.

I became a member of the Society in 1951. I gotinspiration from Dr. Tarun Banerjee and was involvedactively in BOGS since then. I became secretaryBOGS in 1969 & President in 1978.

In 1995, i.e. the diamond jubilee year of BOGS therewas some sort of misunderstanding with theOrganizing Committee & with great despair & sorrowI discontinued my membership from BOGS.

What is your hobby and extracurricular likings?

I was very fond of History & English literature sincevery early days of life but later got interested in themedical profession; I am strong supporter of MohunBagan Club and very fond of football.

What is your opinion about modern gynaecologicalprofession?

He was not willing to comment anything first but onrepeated request he passed a very sensitivecomment “now a day's medical profession is morecommercial but previously it was neither businessnor professional…… it was a mission”

Tell something about your family

I am father of three daughters, all are well educated& established. Amongst them the eldest and

youngest got married. I live with my seconddaughter. My wife expired in the year 2002.

How are you spending your days now?

I am living happily with my daughters and nolamentations.

Who are you grateful to in your professional life?

In my professional life I am very much indebted to Dr.L.N. Bhose, Dr. Gouripada Dutta, Dr. Biswanath Das &of course Dr. Subodh Mitra.

What remarkable event in your life would you like toshare with us?

In 1972, 1st bulletin of BOGS was published againstthe will of FOGSI. But it was discontinued from theyear 1995 after I withdraw my membership fromBOGS.

Sir, how are you keeping, healthwise?

I am a victim of intestinal obstructions which hasbeen operated upon. I suffered from neck femurfracture in 2009. Now suffering from IBS,divercuilitis, spondylitis. At present I am a patient ofCOPD.

What is your wishes regarding BOGS?

May BOGS flourish more with competent leadership.

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Up, Close and Personal

PROF NISHIT KUMAR GHOSH

left us for ever on18th September, 2012.

Prof Banerjee was Past President,FOGSI (1979-80) & The Bengal Obstetric &

Gynaecological Society (BOGS)

Prof Tarun Banerjee

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NO SCALPEL VASECTOMY (NSV)

Dr. Sudhir Adhikari

Dr. Kalidas BakshiProf. G & O, Medical College & Hospital, Kolkata

Senior Consultant, AMRI, Salt Lake, Vision Care, Mukundapur, Bhagirathi Neotia Maternity Hospital

In global contraceptive use the great majority burden offertility control including its risk falls on women (75%, UN-2009). Sterilization remains the most widely used method,over 264 million worldwide. Out of these female steriliza-tion is 232 millions, which is 32.3% of all contraceptivesused.

Man can play the most important role in reproductivehealth. Because of lack of contraceptive choice, becauseof fear of loss of virility, loss of physical strength – NSV (NOSCALPELVASECTOMY) – remained as less popular method.

NSV is one of the first in the genre of minimally invasivesurgery, developed in China in 1974 by Lishunquing.Remember, it is long before the first reported laparoscopiccholecystectomy in 1987 by Phillipe Mouret.

Thus NSV, a simple procedure for male permanentsterilization was popularized to the rest of the world in1985.

First NSV in Govt. Hospital in India was performed in1992 at MaulanaAzad Medical College, Delhi.

Dr. Ramchandra Murti Kaza, Chairman NSVSI, MasterTrainer, Govt. of India & Professor of Surgery, Maulana AzadMedical College, Delhi is working hard since 1997 to makethe NSV techniques more popular all over India.

Dr. Baljit Kaur, a lady gynaecologist from Amritsar,Punjab is working hard since 2007. Her vision is Man, Mind,Motivation – to bring man forward for NSV. She is populariz-ing the same techniques used in the sterilization of straydogs which is called MIVUT technique (Minimally InvasiveVas Occasion Techniques)

In India others who worked hard are Dr. Pradhan fromSikkim, Dr. Shukla from Baroda, Dr. Jha from Bihar, Dr.Krishna Murari Singh from U.P., Dr. Jagadish fromKarnataka, Dr. Sham Singh from Haryana, and Dr. SubhashAbroi from Kashmir.

Now NSV has become a popular method of male steril-ization.

There was an international conference on NSV inJanuary 2011, at Goa, India. Representative of 16 countriesparticipated. Remember it was a conference on

.There was another international conference on “Con-

traception” in May 2011 at Kolkata. The NSV procedure wasshown in live workshop.

In West Bengal it is getting popular day by day. In most ofthe districts the NSV procedure is practiced for malesterilization. In some centre number of male sterilization ismore than female sterilization.

NSV is very simple. It takes only 3-5 mins in experthands. Clients can be discharged within 3 hours. He is fit towork after 3 days. He becomes sterile after 3 months (or

OneSurgical Procedure

There is a training centre at National Medical College. Master traineesare available to train NSV procedure in a 5-day course under theleadership of Dr. Biplab Bhattacharyya. Interested doctors cancommunicate Dr. Biplab Bhattacharyya or Health and Family WelfareDept., Govt. of West Bengal, Swastha Bhavan, Kolkata.

after 20 ejaculations). It requires only 3 simple instruments& needs 3 finger technique.

The procedure is appropriate for men who are sound inmind and have at least one living child & between 21-60years of age.

Aggressive campaigning, posters, video shows, adver-tisements, seminars, conference and good incentives toclients – will make NSV a popular method of contraception.NSV can make a very important contribution to the health &family welfare programme all over the world.

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Debate: Routine Antenatal Anti D Prophylaxis

For: Routine Antenatal Anti-DProphylaxis in Rh-Negative Mothers isMandatory

Against: Routine Antenatal Anti-DProphylaxis in Rh-Negative Mothers isUseless

Tulika JhaAssistant Professor, Department of Obs & GynR.G.Kar Medical College, Kolkata

Avishek BhadraRMO, Department of Obs & GynNational Medical College, Kolkata

Hemolytic disease of the newborn (HDN) is one of thecommonest cause of peri natal mortality, neo natalmorbidity and mortality in India and all over the world aswell. The incidence of HDN varies from 4.4-7.2 cases per100,000 births. One of the commonest and preventablecauses of HDN is allo immunisation of a woman with RhDnegative blood group, carrying a fetus with an RhD positiveblood group. The overall risk of such immunization is 13.2%.This risk has been reduced to 0.2% by the routine use ofanti-D immunoglobulin inoculated to the mother afterchild birth and also after sensitizing events likemiscarriage, termination of pregnancy, ectopic pregnancy,ECV, invasive tests for genetic testing. etc. Despite thesemeasures taken to ensure low allo immunisation, a smallpercentage of fetuses still manifest features of HDN. Thiscould be due to sensitization occurring during the thirdtrimester due to silent bleeds (feto maternalhaemorrhage) and not due to any of the ‘sensitising’ eventsmentioned above.

This has prompted many a trial and based uponevidence available now, many organizations haverecommended RAADP. The NICE guidelines and the NHMRC,Australia both recommend two doses of 125mcg of anti-Dimmune globulin, at 28 and 34 weeks of gestation forantenatal prophylaxis to all non sensitized Rh-negativewomen (Level II evidence). The SOGC has alsorecommended it but the dose is 100-120 mcg. TheACOG hasalso advocated two doses of 120 mcg of the immuneglobulin. The best evidence on the antenatal use of Rh Dimmunoglobulin comes from the Cochrane Database ofSystematic Reviews (Crowther 2001). The review assessedthe trials and found a reduced incidence of immunizationfrom 1.8% to 0.18% when 100 or 120 mcg of immunoglobulinwas given at 28 weeks or beyond in a single or double dose.

Previously, cost and supply of the immunoglobulinwere limiting factors in its routine antenatal use. With thereduced prices of the immunoglobulin, free supply andavailability free of cost in the government health carefacilities, RAADP should be practiced always. Moreover, thetreatment cost of a fetus or baby affected with HDN, ismuch more than the price of two antenatal doses of theanti-D.

Groups advocating against the RAADP, site the chancesof Hepatitis B & C virus infection but good quality controland safety measures have almost eliminated this risk.Studies have also shown that the babies born to motherswho had received RAADP do not have statisticallysignificant hematological indices when compared to other

babies (Maayan-Metzger et al 2001). Anaphylacticreactions following the use of the anti-D immunoglobulinare also rare.

With all these evidence in hand, don’t you thinkRAADP of Rh negative mothers should be mandatory if thewoman wishes so?

While postnatal administration of anti-Dimmunoglobulin to rhesus negative women who give birthto a rhesus positive baby has been considered as anacceptable and beneficial routine intervention, thequestion of whether it is appropriate to offer routineantenatal anti D prophylaxis has been hotly debated onpractical, professional and political grounds. The debateconcerns the issue of ‘silent’ feto-maternal transfusion.

Most of the studies cited in support of RAADP areretrospective. Although RAADP is a completely separateentity from anti-D immunoglobulin required for potentiallysensitising events in the antenatal period, one of thestrongest arguments against RAADP is that several studiesreported that professionals failed to offer anti-D in about48 per cent of cases where women experienced potentialsensitising events.

There is risk of augmentation or enhanced anti-Dimmunisation, where a woman who is given passive anti-Dduring the antenatal period could, upon exposure to rhesuspositive cells via transplacental haemorrhage mount aprimary immune response. Another concern is the effect ofpassive anti-D on the unborn baby including immunesystem compromise, virus transmission and problemsduring later reproduction for rhesus negative baby girlsexposed to anti-D in utero.

Around 40 per cent of women who would receiveRAADP would be carrying rhesus negative babies, andtherefore would have received this unnecessarily. Womenwho are pregnant with their last child are also among thosewho would not benefit from RAADP.

The number of women needed to treat to avoid onecase of sensitisation is approximately 278. Considering thecost of anti D immunoglobulin and the economic burden itcauses on the health system, the cost-effectiveness ofRAADP is doubtful.

Thus to conclude, even if we feel that evidence showsRAADP to be effective, this does not necessarily mean it isnecessary or beneficial for all rhesus negative women.

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76th Foundation Day Celebrations

ENDOGYN 2012

The 76th Foundation DayCelebration of The BengalObstetric & GynaecologicalSociety was held on 25th July,2012 at ITC Sonar, Kolkata.

The programme started withDr Tapasi Nag Memorial ShortPaper session. Out of theseveral interesting paperspresented, Dr Bidisha Biswas ofMedical College, Kolkata, Dr.Avishek Bhadra of CalcuttaNational Medical College and Hospital, Kolkata and Dr. Khusboo of IPGME & R and SSKM Hospital walked away with the topthree prizes.

In the Dr. M. N. Sarkar Memorial Debate, Dr. Gargi Pal of R.G. Kar Medical College was adjudged the best debater. DrSagnika Dash of Chittaranjan Seva Sadan and Dr Sougata Sarkar of R.G. Kar Medical College & Hospital won the 2nd & 3rd

prizes respectively.The 17th Dr Bamandas Mukherjee

Memorial Foundation Day Oration wasdelivered by Dr. S. Suresh from Chennai.

The B.C. Lahiri & B. Halder MemorialAwards for securing the highest marks in MSand DGO were awarded to Dr. AvishekBhadra and Dr. Sarita Kumari respectively.

Dr. Pradip Kumar Mitra, the immediatePast President of the Society was presentedwith Dr. C.S Dawn President's Appreciationaward.

The Indian Association of Gynaecological Endoscopists (IAGE), the largestbody of Gynaecological Endocopists in the country organized its annual nationalConference “ENDOGYN 2012” in collaboration with the Bengal Obstetric &Gynaecological Society onAugust 17-19, 2012 at Hyatt Regency, Kolkata.

This congress has several firsts.Apart from this being the first IAGE congress inKolkata, this was the first time a live Robotic Gynaecological Surgery workshopwas organized in eastern India (one of the first few in India as well). This was thefirst time 3-D laparoscopy was on public display in Eastern India. However, thisconference was not just about the latest cutting edge tools, endoscopicsurgeries basic to advanced were demonstrated with the simplest ofinstruments as well. For the ‘wanna-move-forward’ laparoscopic surgeons,there was an endosuturing skill lab for hands-on training by simulation.

The congress had 450 participants who included international, national andlocal faculty from the Bengal Society. There was huge participation from otherparts of the country. The congress was inaugurated by Prof. Suranjan Das, ViceChancellor, Calcutta University.

The scientific programme had 8 symposia, 5 interactive panel discussions, 2keynote Lectures, 2 capsule sessions, 3 lively debates, 2 invited video sessionsand one Oration. There were ten oral and video free communication sessions.Allthe sessions were well attended.

No conference in Kolkata is complete without lip-smacking cuisine and foot-tapping beats. The cultural capital of India put up on display a Baul performanceby Basudeb Das Baul, a well acclaimed proponent of “Baul” music & his groupwho mesmerized the audience in the evening while “Dhwani”, a multilingualband of melody had the crowd rocking on their feet in the banquet.

BOGSTimes8

Published by Prof. Sudhir Adhikari, Hony Secretary, The Bengal Obstetric Gynaecological Society, "Pratishruti", AQ-10/3, Sector-V, Salt Lake City, Kolkata 700091Printed by M/s Phildon, 3 Dr. Suresh Sarkar Road, Kolkata 700014, Phone: 98365 64291, Email: phildon10@gmail.com

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INDUSTRY PARTNERS OF BOGS 2012-13

Platinum Sponsors

Annual Members:

Life Members:

Dr. Maumita Chakraborty, Dr. Jayati Mondal, Dr. Sukalyan Halder, Dr. B.V. Latha, Dr. Pallavi, Dr. SimiSaha, Dr. Alia Kamber Zaidi, Dr. Sisir Kumar Chowdhury, Dr. Dorothy Dessa, Dr. Nilima Tudu, Dr. Babul Chandra Dey,Dr. Sandip Biswas, Dr. Debjani Sen Sharma, Dr. Amiya Kumar Biswas, Dr. Sowmya M.S., Dr. Divya Jyoti Singh,Dr. Sampa Chakrabarti

Dr. Sanjay Kumar Biswas, Dr. Partha Ranjan Das, Dr. Pranab DasNew

Mem

bers

Date Programme Venue

November 03, 2012 Bijoya Sammilani Pratishruti

November 10, 2012 28th Dr. Sreemanta Banerjee Memorial Oration & Clinical Meeting Pratishruti

November 17, 2012 Workshop on Colposcopy Ramkrishna Mission Seva Pratishthan, Kolkata

December 21, 2012 Pre-congress Workshop on “Endoscopy & Uro Gynaecology” Woodlands Hospital

December 22-23, 2012 BOGSCON – 38th Swissotel, City Centre-II, New Town, Rajarhat, Kolkata- 700157Fort

hcom

ing

Activ

ities

The Bengal Obstetrics and Gynaecological has won“ ” for the bestactivities in Category “A” for the year 2011-2012.FOGSI President's Rotating Trophy

Our members have been elected as Chairpersons at the National LevelProf Hiralal Konar

Dr. Basab MukherjeeChairperson, ICOG, 2013-14

Chairperson, Family Welfare Committee, FOGSI, 2013-15

BOGS

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