A significant healthcare achievement has emerged from Koderma district in Jharkhand, where a patient presenting with a high-risk, complex pregnancy was successfully treated without undergoing major open surgery. After receiving recommendations for a caesarean section from several leading specialists in Ranchi and Dhanbad, the patient secured non-invasive treatment locally. At Sheila Rani Hospital and Infertility Center, Gold Medalist gynecologist Dr. Alankrita Mandal Sinha used advanced hysteroscopy to resolve an anatomical obstruction, allowing the safe completion of a Medical Termination of Pregnancy (MTP) without abdominal incisions.
Medical Complications and Search for Non-Surgical Treatment
The clinical case involved a resident of Koderma who was carrying an abnormal fetus of approximately three months. Based on medical evaluations, a Medical Termination of Pregnancy (MTP) was recommended to safeguard the patient's health. However, diagnostic scans revealed the presence of a congenital uterine septum—an abnormal internal dividing wall between the uterine cavity and the vagina. This anatomical complication meant that standard non-surgical MTP protocols carried severe medical risks.
Consequently, multiple prominent gynecologists consulted across Koderma, Dhanbad, and Ranchi advised that a caesarean operation was the only viable method to complete the MTP. Unwilling to undergo major surgical abdominal incisions, the patient actively sought alternative options. Facing repeated recommendations for major surgery at every tertiary hospital in Ranchi and Dhanbad, the patient left the medical centers disheartened and under considerable emotional strain.
Digital Discovery and Hysteroscopic Intervention
While traveling back to Koderma, the patient searched online via her smartphone for specialized high-risk pregnancy centers in the region. Through a web search, she discovered the advanced gynecological services offered at Sheila Rani Hospital, located near Samanto Kali Temple. Accompanied by her husband and family members, she immediately visited the facility to consult Dr. Alankrita Mandal Sinha.
Upon reviewing the clinical reports, Dr. Alankrita formulated a treatment plan focused on preserving the patient's future reproductive health while avoiding unnecessary major surgery. She decided to perform a vaginal septum resection using endoscopic hysteroscopy. Utilizing specialized telescopic instruments passed through natural passages, the medical team successfully excised the abnormal dividing wall without making any external incisions. Following the removal of the septum, the MTP procedure was executed smoothly and safely.
Patient Experience and Compassionate Healthcare Delivery
Reflecting on her treatment, the patient shared that the prospect of undergoing an unwanted major surgery had caused her immense distress. She noted that Sheila Rani Hospital prioritized her long-term physical well-being and mental comfort rather than rushing into an operative procedure.
The patient expressed gratitude toward Dr. Alankrita, stating that the physician provided reassurance akin to a family member throughout the stressful process. Following the successful intervention, the patient reported complete physical recovery with no lingering pain or post-operative discomfort.
Advancing Specialized Gynecological Infrastructure in Tier-3 Districts
Elaborating on the medical procedure, Dr. Alankrita Mandal Sinha explained that the internal septum had blocked routine non-surgical MTP pathways. Eliminating the anatomical barrier via hysteroscopy was essential to conduct the procedure safely. Dr. Alankrita noted that she first introduced hysteroscopic surgical services to Koderma in 2018.
While the center initially faced constraints regarding specialized equipment and trained clinical staff, continuous skill development and infrastructure upgrades strengthened the department. The primary objective of establishing these facilities locally is to prevent patients in smaller districts from needing to travel to distant healthcare hubs such as Ranchi or Dhanbad for specialized gynecological care.
Cost Affordability, Rapid Recovery, and Preventive Benefits
Highlighting the economic benefits, Dr. Alankrita pointed out that hysteroscopic procedures in major metropolitan centers typically cost between ₹40,000 and ₹50,000. In contrast, Sheila Rani Hospital strives to offer the same advanced care locally for approximately ₹20,000 to ₹25,000.
Beyond MTP cases, hysteroscopy serves as a vital diagnostic and therapeutic tool for identifying and treating intrauterine membranes, fibroids, lesions, and septums without open surgery. In many instances, this technology saves women from undergoing premature or unnecessary hysterectomy (surgical removal of the uterus). Furthermore, the minimally invasive nature of the procedure minimizes hospital stays to just 1 to 1.5 days. Sheila Rani Hospital currently provides a full suite of reproductive care services, including IUI, hysteroscopy, TVS ultrasound, IVF, and laparoscopy.
