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Urologic and Gynecologic Anesthesia Division

The Division of Gynecologic and Urologic Anesthesia has core group of 9 members. Our dedicated anesthesiologists care for a wide spectrum of patients ranging from young and healthy to geriatric. The Urology department at Stony Brook Medicine is ranked highly. They have the most active renal transplant program on Long Island. As anesthesiologists, we confront the challenges of complicated procedures such as complex tumor removal, cystectomy, and neo-bladder reconstruction. We also care for extremely sick patients coming for simple procedures. This division is also actively involved in embracing the principles of Enhanced Recovery and improvement in the postoperative outcomes.

Division Members

Rishimani Adsumelli, MD
Chief of Urologic and Gynecologic Anesthesia

  • Rishimani Adsumelli, MD is chief of the Division. Her research interests include, maternal hemorrhage and preterm labor. Presently she has taken the lead in setting up for and implementing Enhanced Recovery protocols in minimally invasive benign Gynecological procedures. She coordinates the Departmental monthly QA Grand Rounds and mentors residents for QA case presentations. She is also chair of QA project approval committee for the department. In 2007, Dr. Adsumelli was awarded the Ellison Pierce Patient Safety Award for her project: “Maternal Hemorrhage: A Proactive multi-disciplinary approach to reduce mortality and morbidity".
  • Anna Costa, MD divides her time between the OB Anesthesia and Uro/Gyn Divisions. She is very active in resident mentoring and education and is in charge of the Resident Grand Rounds Advisory Council. Dr. Costa serves as a Clinical Coordinator in the main operating suites. Her research interests include QA Analysis of dural puncture in parturients and medical education. Recently she was selected as a Junior Member of the Donoho Academy of Clinical and Educational Scholars and is in the process of starting a project regarding the practice habits of residents. The scope of this project may be extended to medical students in the future.
  • Michelle DeLemos, MD is also an active member of Acute Pain, Obstetrics and Non-OR Anesthesia Divisions. She is the Assistant Residency Program Director for the Clinical Base Year. In addition she has a very active role in residency selection.
  • Amy Gruen, MD mainly works in the main operating rooms. She does a variety of cases that come to the main OR. She works closely with the residents during this rotation as well as trauma night calls. She is also involved with resident teaching for board preparation. Recently she has written a chapter in board review book.
  • Ursula Landman, DO is the director of education for the division and the organizer of departmental monthly journal clubs. She plays a pivotal role at national level in the realm of education. She chairs the Education Committee of The American Osteopathic College of Anesthesiologists and was the Program Chair for their 2009 annual meeting in Williamsburg, VA. In 2011, she was elected a Fellow of the American Osteopathic College of Anesthesiologists.
  • Jun Lin, MD, PhD has a basic research program investigating the effects of anesthetics on cancer cell proliferation. He is the Section Editor of the of “General Pharmacology and Pharmacokinetics” section of BMC Anesthesiology.
  • Lixin Liu, MD, PhD has a basic research program investigating the mechanisms of anesthetic and ischemic cardioprotection. She served as President of the Chinese American Society of Anesthesiology in 2015-2016 and continues to be a member of the organization's House of Delegates.
  • Mihai Sadean, MD is in charge of QA in the division. His research interests include pharmacokinetic/pharmacodynamic modeling of intravenous anesthetics.
  • Neera Tewari, MD also works in office-based anesthesia settings. She is in the process of outlining the best practice guidelines for Office-Based Anesthesia. She also works closely with residents on wellness issues.
Residency Training

During the rotation in this division, residents are exposed to a variety of procedures involving general gynecology, gynecological oncology, renal transplant, cystoscopy, TURP, robotic surgery and urological malignancies. This rotation also offers great opportunities to learn management of patients for laparoscopic procedures in gynecology and urology. Robotic procedures help in understanding the physiology and management of patients in the extreme head down position.

On any given day, the schedule may include a wide range of patients and procedures. There may be extremely sick geriatric patients coming for a rapid turnover cystoscopy or perhaps for a more complex procedure that involve invasive monitoring. The rotation will provide opportunities to use a variety of anesthetic techniques including regional anesthesia, general anesthesia with laryngeal mask airway, and endotracheal intubations. Residents are also exposed to the concepts of Enhanced Recovery and multidisciplinary coordination of care.

CA-1 residents have a 4 week rotation. Before it starts, you will receive “Welcome To The Rotation" information from Dr. Landman, the education director for the division. This will make you familiar with the guidelines and goals and objectives of the rotation. At the end of the rotation, there is a quiz and a discussion about one of your interesting cases. Residents return in either the CA-2 or CA-3 year wherein they are assigned to more complicated cases.

  • ▶ A day in the life of a Resident on Uro/Gyn Rotation ...
Recent Division Activity
Implementation of multidisciplinary Enhanced protocols in minimally invasive benign gynecological surgeries with the goal of improving the postoperative recovery.

Dr. Sadean presenting his poster at the 2016 PGA meeting

Resident Dr. Hua presenting her poster at the 2016 ASA meeting

Recent Publications
Resident authors denoted by bold type
Recent Presentations
  • Hua B, Adsumelli RS, DeMarco A, Park J. Cerebral Autosomal Dominant Arteriopathy With Subcortical Infarcts and Leukoencephalopathy (Cadasil): Postoperative Care Complicated by Unexpected Pseudoseizures. ASA 2016
  • Fischl AM, Adsumelli RS. Paradoxical Vocal Cord Motion Disorder: A Typical Cause of Postoperative Stridor Presents a Diagnostic Dilemma for Anesthesiologists. ASA 2016
  • Park J, Adsumelli RS, DeMarco A. Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL): Postoperative care complicated by Unexpected Pseudoseizures. PGA 2016
  • Khmara K, Abola RE, Delemos M. Anesthetic Management of Obstetric Patient With Intracranial Cavernous Malformations, Factor VII Deficiency, and Severe Mitral Regurgitation. ASA 2016
  • Josma J, Steinberg ES, Costa AC, Schabel JE. Management of a Parturient With Brugada Syndrome. ASA 2016
  • Ma L, Zhu J, Gao Q, Rebecchi MJ, Liu L. Chronic TEMPOL treatment restores isoflurane preconditioning in the aging heart: role of PINK1/Parkin mediated Mitophagy. Basic Cardiovascular Sciences, July 2016 Phoenix, AZ
  • Sadean M. Test Infusion of Propofol to determine the Initial Infusion Rate for sedation using the Marsh pharmacokinetic model with short thke0. PGA 2016
  • He J, Zhu J, Ma J, Rebecchi MJ, Liu L. Age-associated differences in the inhibition of mitochondrial permeability transition pore opening in the rat by Simvastatin. IARS 2017
  • Fischl AM, Costa A. Nebulized Ketamine for an Elective Awake Intubation in a Known Difficult Airway. IARS 2017