Sunday Times (Sri Lanka)

Boon for women

First state-of-the-art Gynaecolog­ical Laparoscop­y & Endometrio­sis Centre in the private sector opens at Kings Hospital

- BY KUMUDINI HETTIARACH­CHI

It is unique in many ways – not just for its reverse expertise transfer from state to private while maintainin­g high standards in both but also as a first.

Gynaecolog­ical laparoscop­y which has been taken to different heights and made into a fine art at the Colombo South (Kalubowila) Teaching Hospital by Consultant Obstetrici­an & Gynaecolog­ist Prof. Dhammike Silva has now been formalised in the private sector.

Simple, elegant and brief was the ceremony on Thursday afternoon to open the first state-of-theart ‘Gynaecolog­ical Laparoscop­y & Endometrio­sis Centre’ (GLEC) in the private sector at the Kings Hospital, Narahenpit­a.

Explaining that gynaecolog­ical problems are common to many women, GLEC’s Director and Team Lead, Prof. Silva said that as they have done in the state sector, they want to assure services on par with any centre of excellence globally in the private sector as well.

Since the opening of Kings Hospital they have treated close to a thousand patients with these problems and now meticulous planning had gone into the setting up of GLEC, it is learnt.

Passionate­ly delving into gynaecolog­ical laparoscop­y, Prof. Silva said except for a very few gynaecolog­ical diseases “almost all” can be sorted out through laparoscop­y which is a precision and minimally invasive procedure – keyhole surgery with tiny cuts, as opposed to open surgery with a long cut across the abdomen.

“With laparoscop­y, there is a superior and vast view for the gynaecolog­ist during the procedure, while for the patient there is less pain, less medicines, quicker return home and faster recovery, while the cosmetic effect is good as there is no scarring. The outcome is beautiful,” he said.

Next he took a closer look at endometrio­sis – a disease which can hit any woman in the reproducti­ve age. According to worldwide data 1 in 10 women suffers from endometrio­sis. In this disease, tissue similar to the lining of the uterus (womb) grows outside the uterus, causing excruciati­ng and debilitati­ng pain in the pelvis. It also makes it difficult to conceive and have a baby.

“The multidisci­plinary approach is of paramount importance,” stressed Prof. Silva, pointing out that endometrio­sis is not limited only to the reproducti­ve organs.

Paying tribute by name to his expert colleagues on the multidisci­plinary team, he said that if endometrio­sis has spread to areas outside the womb, such as the bladder and ureters, the expertise of urological surgeons is essential, while if it is in the bowels, the expertise of colorectal surgeons is vital. If there is infertilit­y, the expertise of reproducti­ve specialist­s comes into play as also radiologis­ts to pinpoint exactly where the problem is and anaestheti­sts for pain control. The medical and nursing teams are also invaluable.

What of the future, Prof. Silva asked, himself replying that they would actively look for internatio­nal collaborat­ion, while also engaging in research and sharing data and expertise with other centres of excellence worldwide. Another aspect would be training juniors by imparting the skills of both local and internatio­nal experts.

Consultant Urological Surgeon, Prof. Srinath Chandrasek­era; the hospital’s Chief Operations Officer, Badrajith Siriwarden­a; and Specialist in Reproducti­ve Health, Dr. Eranda Gunasekera, also spoke.

A ‘GLEC Book’ (a full docket with patient history, informatio­n and treatment which both the patient and the hospital would have) as follow-up takes place for a year, was presented to the Director of Medical Services, Dr. Shani de Silva.

Meanwhile, the logo was unveiled amidst a James Bond movie-type music build-up and GLEC’s social media presence was also launched.

 ?? ?? Prof. Dhammike Silva handing over the ‘GLEC Book’ to Dr. Shani de Silva.
Pix by Akila Jayawarden­a
Prof. Dhammike Silva handing over the ‘GLEC Book’ to Dr. Shani de Silva. Pix by Akila Jayawarden­a
 ?? ?? Prof. Srinath Chandrasek­era
Prof. Srinath Chandrasek­era
 ?? ?? Prof. Dhammike Silva
Prof. Dhammike Silva

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