Dr. Pragnesh Desai

23/09/2025

🌟 Preemptive Kidney Transplant – A Step Ahead! 🌟

Did you know that a kidney transplant before starting dialysis offers the best outcomes for patients with kidney failure? Preemptive kidney transplant not only improves survival and quality of life but also reduces complications linked with long-term dialysis. Patients can return to normal routines faster, with fewer hospital visits and better overall health. 💚

Let’s spread awareness and encourage timely evaluation for kidney patients. Early referral and planning can change lives. Because when it comes to kidneys, the earlier the transplant, the brighter the future. 🌱

04/05/2025

Fully motivated on Sunday 🙏🙏🙏🙏

11/01/2025

Instagram - docivf.monika


Dr MONIKA RAJPUT
MBBS/MS/DNB/ MNAMS/DM (AIIMS New Delhi)

Available from : Mon-Sat: 9AM-5PM
@ Bhagwati Hospital;Rohini

&

6PM-9PM: ALYSSUM Uro-gynae-IVFClinic@ Shahdara Delhi

For appointment
📞 on +91 92669 45007

05/01/2025

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31/12/2024

🌟 Happy New Year 2025! 🌟

As we step into this brand-new year, let’s embrace the endless possibilities that lie ahead. May 2025 bring you joy, good health, and the courage to chase your dreams with unwavering determination.

Let’s carry forward the lessons of the past year, cherish the memories we’ve created, and look forward to building brighter and better moments together. Whether it’s a personal milestone, a professional achievement, or simply spending time with loved ones, let’s celebrate every step of the journey.

Here’s to new beginnings, new opportunities, and a renewed commitment to make this year truly extraordinary. Let’s make 2025 a year of positivity, kindness, and growth—for ourselves and everyone around us.

Wishing you and your family a year filled with happiness, peace, and success. Let’s shine brighter than ever!

28/12/2024

Pioneering Surgical Excellence: Robotic Left Adrenalectomy with Nephrectomy, Bench RIRS with Pyelotomy, Vascular Reconstruction for Aneurysm, and Robotic Auto-Transplantation

We are proud to share a ground breaking achievement in advanced urological surgery! Our team under the guidance of Prof. Dr. Anant Kumar have recently performed a highly complex and rare procedure combining robotic left adrenalectomy, nephrectomy, bench retrograde intrarenal surgery (RIRS) with a pyelotomy for a 6 mm kidney stone, vascular reconstruction of a left main renal artery aneurysm, and Robotic auto-transplantation.
The Challenges
The patient presented with multiple critical issues:
1. A renal artery aneurysm posing a significant risk of rupture.
2. A 6 mm renal stone requiring precise removal.
3. The need for left adrenalectomy for myelolipoma
4. Left nephrectomy (better functioning Kidney for Auto Transplant)

The complexity of the case required a multidisciplinary approach, blending cutting-edge robotic technology with meticulous vascular and urological expertise.

Step-by-Step Approach
1. Robotic Adrenalectomy and Nephrectomy:
Utilizing robotic-assisted surgery, we achieved unparalleled precision in removing the adrenal gland and kidney while minimizing trauma to surrounding tissues. The advanced robotic platform ensured excellent visualization and control, leading to a safer procedure with faster recovery for the patient.
2. Bench Surgery – RIRS/pyelotomy and Vascular Reconstruction:
Post-extraction, the kidney underwent bench surgery outside the body. Using advanced RIRS/pyelotomy techniques, the 6 mm stone was removed with precision. Simultaneously, vascular reconstruction (excision of aneurysmal sac with end to end anastomosis) was performed to repair the renal artery aneurysm, ensuring restored blood flow and eliminating the risk of rupture.
3. Auto-Transplantation:
After the reconstruction, the kidney was successfully transplanted back into the patient’s body(Robotically). Meticulous anastomosis of the vessels and ureter ensured optimal function.

Why This Procedure Stands Out
* Minimally Invasive Advantage: The use of robotics ensured minimal blood loss, reduced postoperative pain, and quicker recovery.
* Multidisciplinary Expertise: Combining Urological, Transplant and Robotic surgical techniques showcased the synergy of innovation and skill.
* Bench Surgery Precision: The intricate repair of the renal artery aneurysm and stone removal outside the body ensured maximum accuracy.
* Patient-Centric Care: The procedure addressed multiple critical issues in a single surgery, minimizing the overall impact on the patient’s health and recovery time.

The Outcome

The patient has recovered well, with preserved renal function and complete resolution of adrenal myelolipoma, renal artery aneurysm and stone-related issues. This case highlights the power of innovation and collaboration in delivering life-changing outcomes.

Our Commitment to Excellence

At Max Super specialty Hospital, Saket, New Delhi, we are dedicated to pushing the boundaries of what’s possible in urological and robotic surgery. With a patient-first approach and access to the latest technology, we continue to lead the way in complex and high-risk procedures.

This achievement is not just a milestone for our team but a testament to the transformative potential of modern medicine.

🔬💪 For inquiries or consultations, contact us today to learn more about our advanced surgical solutions.

25/12/2024

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Pioneering Innovation in Organ Donation: Transvaginal Retrieval in Laparoscopic Donor Nephrectomy at Max Hospital Saket
We are proud to share a remarkable milestone achieved at Max Hospital, Saket, in the field of kidney transplantation and minimally invasive surgery. Our expert urology team under the guidance of Prof. Dr. Anant Kumar Sir , recently performed a transvaginal retrieval of the left kidney following a laparoscopic donor nephrectomy on a 24-year-old nulliparous woman, driven by the donor’s firm preference for this approach.
This groundbreaking procedure is a testament to the evolving possibilities in organ donation and transplantation. The donor, a brave young woman, demonstrated extraordinary compassion and resilience, choosing to donate her kidney to save her loved one’s life. Our team was honored to fulfill her wishes with a minimally invasive approach that prioritized her post-operative comfort and recovery.
The Procedure
Laparoscopic donor nephrectomy is already a gold standard for kidney retrieval, offering minimal scarring, faster recovery, and reduced postoperative pain. In this case, we advanced a step further by utilizing the transvaginal route for kidney extraction. This innovative technique, which is rarely performed, eliminates visible abdominal scarring and has the potential to further reduce postoperative discomfort.
The entire process required meticulous planning and expertise, given the unique anatomical considerations and the patient’s nulliparous status. Our multidisciplinary team, including urologists, gynecologists, and anesthesiologists, worked in harmony to ensure the highest standards of safety and precision throughout the procedure.
Why Transvaginal Retrieval?
The decision to perform transvaginal kidney retrieval was based on the donor’s insistence and her desire for a scar-free abdomen. While this technique is still considered unconventional, it offers several advantages:
• Cosmetic Benefits: No visible abdominal scars.
• Reduced Pain: The absence of abdominal incisions may lead to less post-operative pain.
• Faster Recovery: Patients often experience quicker return to daily activities.
The Outcome
We are pleased to report that both the donor and the recipient are doing exceptionally well. The donor experienced minimal post-operative pain and the recipient has shown excellent diuresis marking the success of the transplant.
A Step Forward in Patient-Centered Care
At Max Hospital Saket, we believe in tailoring treatments to meet the unique needs and preferences of our patients. This case underscores our commitment to pushing boundaries and offering the most advanced, patient-centered care possible.
We extend our heartfelt gratitude to the donor and her family for placing their trust in us and for inspiring us to achieve new heights in medical care.
If you or a loved one is considering organ donation or transplantation, rest assured that you are in the best hands at Max Hospital Saket. Together, we can create more stories of hope, healing, and innovation.

03/12/2024

We are thrilled to announce the publication of our latest research article, “TA 30 Stapler Provides Longer Renal Vein Length Than Hem-o-lok Clip Application in Right Laparoscopic Living Donor Nephrectomy,” in a leading medical journal.

This groundbreaking study compares the efficacy of the TA 30 stapler versus Hem-o-lok clips in right laparoscopic living donor nephrectomy procedures. The findings demonstrate that using the TA 30 stapler results in significantly longer renal vein length with a thick IVC cuff, a crucial factor in optimizing surgical outcomes and facilitating safe transplantation.

Retrospectively conducted at Max Hospital, Saket, the study addresses a critical challenge in renal transplantation—enhancing donor and recipient outcomes through improved surgical techniques. By providing concrete evidence, this research contributes to advancing minimally invasive donor nephrectomy methods, ensuring better recovery and higher success rates for kidney transplant patients.

We invite you to explore this article to gain insights into how innovative approaches can transform living donor surgery practices. For surgeons, researchers, and transplant specialists, this study is a must-read!

For full access to the article, visit https://journals.lww.com/ijjt/fulltext/2024/18030/ta_30_stapler_provides_longer_renal_vein_length.5.aspx or contact the Department of Urology, Max Hospital, Saket. Together, let’s drive innovation in organ transplantation!

15/10/2024

Dr. Pragnesh Desai, a renowned urologist at Max Hospital Saket, recently contributed an insightful article to India Today on the pressing need for public awareness about kidney transplants in India. The article highlights the growing prevalence of kidney diseases and the importance of organ donation in saving lives. Dr. Pragnesh Desai emphasizes the challenges in finding donors due to a lack of awareness and cultural hesitations surrounding organ donation. Through this piece, he urges policymakers and healthcare professionals to promote education, streamline the donation process, and support patients in need of kidney transplants for better outcomes.

16/06/2024

Happy Father’s Day! Today, we honor the remarkable men who have nurtured, guided, and supported us. As we celebrate, it's crucial to highlight the importance of medical care for fathers. Prioritizing their health ensures they remain strong pillars of our families.

Regular check-ups are vital. Encourage fathers to schedule annual physicals, where doctors can monitor blood pressure, cholesterol, and glucose levels. Early detection of potential issues like heart disease, diabetes, or cancer significantly improves treatment outcomes.

Mental health is equally important. Fathers often juggle multiple responsibilities, leading to stress and anxiety. Promote open conversations about mental well-being and seek professional help if needed. Encourage activities that reduce stress, such as exercise, hobbies, or simply spending quality time with loved ones.

A balanced diet and regular exercise are foundational to good health. Advocate for nutritious meals and physical activities that fathers enjoy, whether it’s a daily walk, a game of tennis, or yoga.

This Father’s Day, let’s commit to supporting the health and well-being of the fathers in our lives. Their dedication and love deserve nothing less than our utmost care and attention, ensuring they remain healthy and happy for many more years to come.

20/07/2023