Dr Thangesweran A/L Ayakannu

• Female/ Gynecological cancer screening tests and examination
• Female/ Gynaecological cancer risk assessment
• Prevention and Detection of Female/ Gynaecological Cancers
• Abnormal smear and HPV counseling and management
• HPV counseling and vaccinations
• Malignant Female/ Gynaecological Cancer
  1. Uterus
  2. Cervix
  3. Ovary
  4. Fallopian tube
  5. Peritoneal cancers
  6. Vulva
• Benign Female/ Gynaecological Clinical Conditions
  1. Endometriosis 
  2. Ovarian Cysts 
  3. Amenorrhoea 
  4. Adenomyosis 
  5. Adhesions 
  6. Endometriosis 
  7. Bacterial Vaginosis 
  8. Bartholin's Cyst 
  9. Candidiasis (Thrush) 
  10. Cervical Polyps 
  11. Chronic Pelvic Pain 
  12. Dysmenorrhoea (Period Pain) 
  13. Fibroids 
  14. Heavy Periods (Menorrhagia) 
  15. Irregular Periods 
  16. Late or Missed Period 
  17. Lichen Planus 
  18. Lichen Sclerosus 
  19. Early Pregnancy Problems (per vaginal bleeding)
  20. Miscarriage and recurrent miscarriage
  21. Dyspareunia (painful intercourse)
  22. Pelvic Inflammatory Disease 
  23. Perimenopause 
  24. Polycystic Ovary Syndrome (PCOS) 
  25. Pre-Menstrual Syndrome (PMS) 
  26. Premature Menopause 
  27. Premature Ovarian Failure or Insufficiency 
  28. Vulvodynia (pain around the opening of the vagina/ vulva)
  29. Family planning
• Female Urogynaecological Clinical Conditions
  1. Cystocele 
  2. Enterocele 
  3. Uterovaginal prolapse
  4. Overactive bladder
  5. Urinary Incontinence
  6. Stress Incontinence
  7. Pelvic Floor Dysfunction 
  8. Urinary retention
• Female Sexually Transmitted Infections Clinical Conditions
  1. Counselling and risk assessment for both female patients and their partners
  2. Screening
  3. Treatment and post-treatment care
  4. Genital Warts (medical and surgical) management
• Menopausal/ Postmenopausal Clinical Conditions
  1. Hot Flushes 
  2. Painful Intercourse 
  3. Pelvic Organ Prolapse 
  4. Postmenopausal Bleeding 
  5. Vaginal atrophy
  6. Vaginal dryness
  7. Hormone Replacement Therapy (HRT)
• Primary or secondary infertility (delay or unable to have children)
• Counseling and Investigations

• Gynaecological cancer surgeries
  • Total hysterectomy
  • Wertheim’s or modified radical hysterectomy
  • Local excision of vulva
  • Wide local excision of vulval
  • Vulvectomy
  • Ultra-radical ovarian cancer surgery
  • Tumour debulking surgery
• Robotic Surgery/ Key- Hole Surgery
  • Robotic myomectomy (removal of fibroid or myoma)
  • Robotic adenomyosis resections
  • Robotic ovarian cystectomy
  • Robotic fallopian tube reconstructions
  • Robotic salpingo-oophorectomy
  • Robotic excision of deep infiltrating endometriosis
  • Robotic total hysterectomy and salpingo-oophorectomy
  • Robotic total hysterectomy and bilateral salpingectomy with conservation of ovaries
  • Robotic uterine scar niche or uterine isthmocele repair
  • Robotic adhesiolysis
• Key – Hole Surgery/ Laparoscopic Surgery
  • Laparoscopic Hysterectomy
  • Laparoscopic Surgery for Endometriosis
  • Laparoscopic Ovarian Cystectomy
  • Laparoscopic Myomectomy/ removal of fibroid
  • Laparoscopic Tubal Ligation
  • Laparoscopic Oophorectomy (Ovary removal surgery)
  • Laparoscopic Salpingectomy (Fallopian tube removal)
• Pap/Cervical smear and HPV test
• Cervical biopsy
• Vulval biopsy
• Cystoscopy
• Colposcopy – diagnostic (cervical biopsy) and therapeutic (loop or cone biopsy)
• Examination under anesthesia
• Uterus – dilatation and curettage
• Endometrial ablation
• Myomectomy/ Fibroid surgery
• Hysteroscopy –diagnostic and therapeutic

•  

• Intrauterine Device (IUD) Insertion
• Intrauterine Device (IUD) Removal
• Intrauterine System (IUS)
• Incontinence and Prolapse Surgery
• Pelvic Floor repair
• Insertion of Ring/ Shelf Pessary (for Prolapse and Incontinence)
• Tubal Surgery
• Uterine Polyps
• Vaginal Wall Repair
• Video Consultation
• Well Woman Check
• Caesarean sections

• British & Irish Association Registered Robotic Gynaecological Surgeon (Liverpool, United Kingdom)
• da Vinci Surgical System off-site X model Training Program for a da Vinci Console Surgeon, EU Direct: (The Griffin Institute (Harrow), London, United Kingdom)
• Online assessment for surgeons, residents, and fellows on the da Vinci X surgical system (P7) (Oxford, Intuitive Headquarters, United Kingdom) 
• da Vinci X System Inservice Practical Training Oxford- English Online Training (Dry lab) (Oxford, Intuitive Headquarters, United Kingdom)
• da Vinci Surgical System off-site Training Si Program for a da Vinci Console Surgeon (EU Direct: IRCAD (Strasburg, France)
• Si Modules for Surgeons - English Online Training Module & Si Modules for Surgeons English (Intuitive Surgical Online Certificate)
• dV Si System Modules for Residents and Fellows Online Training Module & dV Si System Modules for Residents and Fellows (Intuitive Surgical Online Certificate)
• dV Si & Si-e SmartPedal Technology Online Training Module & dV Si & Si-e SmartPedal Technology (Intuitive Surgical Online Certificate)
• PhD in Gynaecology Oncology (University of Leicester, United Kingdom)
• CCT in Obstetrics & Gynaecology (RCOG, London, United Kingdom)
• ATSM in Advanced Labour Ward Practice (RCOG, London, United Kingdom)
• ATSM in Colposcopy (RCOG, London, United Kingdom)
• Medical Leadership in Practice (MLiP) (University of Manchester, Manchester, United Kingdom)
• ATSM in Gynaecological Oncology (RCOG, London, United Kingdom)
• MRCOG (RCOG, London, United Kingdom)
• DFFP (RCOG, London, United Kingdom)
   

MBBS, University of West Indies, Trinidad and Tobago 2001
 

• General Medical Council, United Kingdom
• Medical Defence Union, United Kingdom
• Royal College of Obstetricians and Gynaecologists, United Kingdom
• British Gynaecological Cancer Society, United Kingdom
• Faculty of Family Planning, United Kingdom
• The British Society for Colposcopy and Cervical Pathology, United Kingdom
• British & Irish Association of Robotic Gynaecological Surgeons, United Kingdom
• Malaysian Medical Council, Malaysia
• Malaysia Certificate of Specialist Registration (NSR), Malaysia                  
   

• BEING BRILLIANT AWARD 2020 Robotic Surgery Liverpool Women’s Hospital
• BEING BRILLIANT AWARDS 2020 Oncology Team Liverpool Women’s Hospital
• Sir William Gilliatt Awards -Best oral presenter in invasive gynaecological malignancies sessions in RCOG World Congress 21-24 of March 2018 in Singapore
• University of Leicester Royal Infirmary Award for PhD in Gynaecology Oncology 2012

• MBBS (Trinidad, West Indies)
• MLiP (Manchester, UK)
• DFFP (London, UK)
• MRCOG (London, UK)
• PhD (Leicester, UK)
• Colposcopist (London, UK)
• Laparoscopic Pelvic Surgeon (Liverpool, UK)
• INTUITIVE Registered Gynaecological Robotic Surgeon (Liverpool, UK)
• British & Irish Association Registered Robotic Gynaecological Surgeon (Liverpool, UK)
• Society of European Robotic Gynaecological Surgery Certified Surgeon (SERGS, European)

• Robotic-assisted pelvic surgery for gynaecological cancers and benign gynaecological conditions
• Robotic-assisted surgery for High BMI patients with benign or malignant conditions
• Pelvic laparoscopy for benign and malignant gynaecological conditions
• Benign gynaecology
• Gynaecology oncology
• Diagnostic and therapeutic colposcopy
• Advanced labour ward practice