Dr. Romey Rai, Gynaecological Oncologist - STNM Hospital

15/06/2025

04/02/2025

18/11/2024

Major Milestone: “100” major surgeries for various gynaecological cancers and precancerous conditions performed at STNM Hospital

It gives me immense pleasure to inform that, “100th” major surgery for various gynaecological cancer and precancers was performed successfully at STNM Hospital last week, within a span of one year after joining as a Gynaecological Oncosurgeon after completing and being the first person to complete M.Ch in Gynaecological Oncology (super speciality in gynaecological cancers) from Sikkim and North-East region.

Our first surgery was for a patient with stage 3 cancer of uterus who underwent extensive surgery with removal of uterus, ovaries, lymph nodes along the major vessels and our “100th”case is a patient with stage 3 cancer of o***y who had received four cycles of chemotherapy and now has undergone Interval Cytoreductive surgery (radical surgery with removal of uterus, ovaries, omentum and peritoneal lining from inside the abdomen), she has recovered well from surgery and now will be planned for further cycles of chemotherapy. The cost of such surgery in a reputed cancer institute is between 5-7 lakh rupees.

Previously such patients with gynaecological cancers or suspected cancers were being referred out of state for treatment but now, at STNM Hospital are providing a comprehensive care for all gynaecological cancers and precancerous conditions ranging from screening to diagnosis to radical surgeries, radiation therapy and chemotherapy with excellent support of oncopathology services, thus reducing the cost of treatment and providing treatment within our state.

For this, I would to thank our HCM Prem Singh Tamang-Golay sir and Government of Sikkim for providing state of the art equipments required for such surgeries and I am positive that we will be supported and provided with even more sophisticated and latest equipments to help us serve the patients of our state.
I am extremely thankful to our STNM Administration, Dept of Obs and Gynae, Dept of Anaesthesiology, Dept of Oncology, Dept of Pathology, Dept of Radiology for their invaluable contribution, constant support, encouragement and guidance.

I would like to extend my gratitude to DNS, ANS, Nursing Officers and all the ancillary staffs of OT, wards, CICU, OPDs for providing the best patient care possible.

Most importantly, I thank patients and their families for their trust in our state’s healthcare care system.
HEALTH OF SIKKIM

08/05/2024

Today is ‘World Ovarian Cancer Day’
Ovarian Cancer Awareness

What is o***y: Pair of glands located on either side of uterus, which produces egg (o**m) and female hormones

Ovarian Cancer:
3rd most common cancer in Indian female
Number 1 cause of gynaecological cancer death
10th most common cause of death among both sexes in India

What are the risk factors:
- Older age
- Family history of cancer (o***y,breast,uterus,colorectal)
- Not given birth to any children
- Late menopause
- Personal history of breast cancer
- Genetic predisposition

What are the protective factors
- Having Children
- Use of Oral Contraceptive pills
- Breastfeeding

Diagnosis:
- Clinical examination
- Scans: USG, CECT, MRI, PET
- Blood tumour markers
- Biopsy or fluid examination

Treatment: by Both
- Surgery (Debulking, to be done by trained surgeon)
- Chemotherapy

Diagnosis and treatment for various types of ovarian cancers are being done regularly in STNM Hospital.
Kindly consult the concerned doctor for evaluation and further information.

05/05/2024

Last week updates: Gynae - Oncology (STNM)

- Was able to successfully operate upon a 15 years old girl with malignant (cancerous) ovarian tumour, where tumour of o***y (which was stuck with intestine and abdominal wall), enlarged lymph nodes present along major blood vessels (lymphadenectomy), omentum (large flat layer of fat inside abdomen) were removed.

- Operated upon a patient with cancer of o***y who had received chemotherapy. Advanced ovarian cancer is usually managed with both surgery and chemotherapy. Surgery for ovarian cancer can be challenging due to multiple adhesions and involvement of various other abdominal and pelvic organs, which was the case here.

- These type of surgeries for cancer of o***y and also for every other gynaecological cancers are being done routinely in STNM hospital thanks to department of anaesthesiology, radiation oncology, pathology, nursing staffs, technicians and all other ancillary staffs involved in patient care.

30/04/2024

15/03/2024

Awareness post

Cervical Cancer: Second most common cancer among women in India.
Second most common cause of death due to cancer in women in India.

What is Cervix: Lowermost portion of uterus that connects uterus to birth canal.

Screening, Detection and Diagnosis:
HPV DNA test, Pap Smear, Colposcopy and Biopsy.

Treatment: Surgery, Chemo radiation.

Comprehensive care of cervical cancer including screening, colposcopic procedure and complex surgery(Radical Hysterectomy) and chemo radiation is being done at STNM Hospital.

We have started standard of the care procedures which are provided by all cancer (oncology) hospitals like Colposcopy, LEEP, Radical Hysterectomy and lymph node surgeries at our very own hospital.

Please don’t ignore your symptoms and consult your doctor.

22/11/2023

Milestones in healthcare of Sikkim !!
For the first time in STNM Hospital, surgery for gynaecological cancers has been started and being done routinely.

Surgery for cancers of ovaries, uterus and cervix and complex surgical procedures like Radical Hysterectomy, Pelvic lymphadenectomy, Paraaortic Lymphadenectomy, total omentectomy, multisite peritonectomies has been conducted successfully.

Also, treatment and diagnostic procedures for precancerous conditions of cervix like colposcopy, LEEP, conization, thermal ablation have been initiated and being routinely done.

We are providing a comprehensive gynaecological oncology services to the patients and striving hard to provide world class cancer care to the people of Sikkim.