scholarly journals Evaluation of role of laparoscopy in determining etiology of infertility

2017 ◽  
Vol 6 (12) ◽  
pp. 5322
Author(s):  
Hema K. R. ◽  
Lalitha H. S.
Keyword(s):  
Diagnostic Laparoscopy ◽  
Secondary Infertility ◽  
Peritoneal Disease ◽  
College Hospital ◽  
Medical College ◽  
Uterine Anomalies ◽  
Morphological Defects ◽  
Indispensable Tool ◽  
Infertility Patients

Background: Although population explosion is a major problem in India, infertility appears to be a problem in 5-15% of Indian population. All these patients require evaluation. Laparoscopy plays a valuable role in the diagnosis of infertility. After thorough clinical examination and specific investigations, diagnostic laparoscopy is performed to detect patency of tubes, morphological defects in uterus, ovaries and tuboperitoineal factors. This study was conducted to assess the role of diagnostic laparoscopy in the investigation of female infertility and to evaluate the various causes of infertility like endometriosis, PCOD tubal and peritoneal factors, uterine anomalies, tuberculosis etc. by using diagnostic laparoscopy.Methods: Study was carried out in 60 infertile patients attending outpatient department of hospitals attached to Sri Siddhartha Medical College Hospital, Tumkur.  Both primary and secondary infertility patients who were anxious to conceive and undergo diagnostic laparoscopy were evaluated. Those who were not willing and who were contraindicated for the procedure were excluded.Results: Diagnostic laparoscopy was performed in 72% of primary and 28% of secondary infertility patients. Majority of the patients of primary infertility were in age group 21-25 years and that of secondary were between 26-30 years. Majority of patients in both the groups had duration of 1-5 year of infertility. In our study tubal factors (50%) contributed to majority of the infertility causes. Complication rate was minimum and was comparable to other standard studies.Conclusions: Laparoscopic is the gold standard for diagnosing tubal and peritoneal disease, endometriosis and other pelvic pathology, because no other imaging technique gives the same degree of sensitivity or specificity. Hence diagnostic laparoscopy is an indispensable tool in the evaluation in the evaluation infertility.

scholarly journals Diagnostic laparoscopy in the evaluation of tubal factor in cases of infertility

2017 ◽  
Vol 6 (4) ◽  
pp. 1275 ◽  
Author(s):  
Arpana Dipakbhai Chaudhari ◽  
Anilkumar Mathurbhai Baria ◽  
Upendra Rameshbhai Chaudhari ◽  
Grishma T. Dixit ◽  
Nilesh Thakor
Keyword(s):  
Diagnostic Laparoscopy ◽  
Age Group ◽  
Secondary Infertility ◽  
Tubal Patency ◽  
Infertile Women ◽  
Medical College ◽  
Tubal Factor Infertility ◽  
Tubal Factor ◽  
Tubal Disease

Background: Tubal factor infertility accounts for a large portion of female factor infertility. The most prevalent cause of tubal factor infertility is pelvic inflammatory disease and acute salpingitis. Tubal patency can be diagnosed by hysterosalpingography (HSG) or laparoscopy with chromopertubation. The aim of this study was to determine the role of laparoscopy in the evaluation of tubal factor in infertile women.Methods: Sixty women presenting with complaints of primary and secondary infertility were investigated for tubal disease by laparoscopy at at Smt. NHL Municipal Medical College, Ahmedabad during July 2011 to September 2013. Tubal patency was tested by chromopertubation using Methylene blue dye.Results: Thirty-five (58.3%) patients were in primary infertility group while 25 (41.7%) patients were in secondary infertility group. 80% women were in the age group of 21 to 30 years. In 49% of women, the duration of infertility was between 2 to 4 years whereas 17% cases had been infertile for 6 to 10 years. Diagnostic laparoscopy and findings of chromopertubation revealed unilateral blockage in 37% of cases, bilateral blockage had seen in 23% of cases, endometriosis was seen in 9% of cases and adhesion in 7% of cases.Conclusions: Unilateral and bilateral tubal blockade was detected in 60% of cases of infertile women.

scholarly journals Should Diagnostic Hysteroscopy be a Routine Procedure During Diagnostic Laparoscopy in Infertile Women?

2008 ◽  
Vol 8 (1) ◽  
pp. 44-47 ◽  
Author(s):  
Zulfo Godinjak ◽  
Edin Idrizbegović
Keyword(s):  
Diagnostic Laparoscopy ◽  
Diagnostic Tools ◽  
Routine Procedure ◽  
Endometrial Polyps ◽  
Septate Uterus ◽  
Infertile Women ◽  
Uterine Anomalies ◽  
Diagnostic Hysteroscopy ◽  
Infertile Patients

The aim of this study was to clarify the role of simultaneous combined diagnostic approach using laparoscopy and hysteroscopy in the evaluation of female infertility.In a retrospective study, 360 infertile women underwent complete fertility evaluation. All the patients were examined by simultaneous combined laparoscopy and hysteroscopy as a part of the routine infertility evaluation.Laparoscopy and hysteroscopy were successful in 360 patients. Bilateral tubes were blocked in 18 (5%) and unilateral tubal occlusion were in 30 (8,33%) of patients. Pelvic adhesions were revealed in 40 (11,11%), and myomas in 42 (11,65%) out of that 31 (8,6%) were revealed by laparoscopy and 11 (3,05%) by hysteroscopy. Endometrial polyps were revealed in 26 (7,22%) and Syndrome Asherman in 3(0,83%) of patients. Uterine anomaly was found in 19 (5,27%) of cases and out of that septate uterus in 7 (37,15%), bicornuate uterus in 5 (26,31%), arcuate uterus in 4 (21,26%) and uterus unicornu cum cornu rudimentario in 3 (15,27%) of uterine anomalies. Endometriosis was found in 51 (14,16%), dermoid cysts in 8 (2,22%) and in 16 (4,44%) functional cysts of patients. Also, Fitz-Hugh- Curtis syndrome was revealed in 23 (6,11%) of our patients.Laparoscopy and hysteroscopy play very important role as diagnostic tools in the infertility women. Combined diagnostic simultaneous laparoscopy and hysteroscopy should be performed in all infertile patients before the treatment.

scholarly journals Cause of Neonatal Sepsis: Transplacental vs Environmental

2013 ◽  
Vol 5 (3) ◽  
pp. 132-134
Author(s):  
Swati Shiradkar ◽  
Gauri N Bapat ◽  
Manjushree H Bhalchandra ◽  
Shubhangi Mande ◽  
Mangala Bansal
Keyword(s):  
South Asian ◽  
Health Professionals ◽  
Neonatal Sepsis ◽  
Carrier State ◽  
Blood Cultures ◽  
Transplacental Transmission ◽  
College Hospital ◽  
Nasal Carrier ◽  
Medical College

ABSTRACT Objectives To study the role of transplacental transmission and environmental factors in neonatal sepsis (0-3) days and incidence of early neonatal sepsis in obstetrics and gynecology wards of MGM Medical College Hospital. Materials and methods The study was carried out on 100 full term women and their babies who delivered in MGM hospital. Their cord blood cultures were done. The nasal carrier state for Staphylococcus aureus (S. aureus) in all the health professionals working in labor room was also studied. Results S. aureus was the most common organism grown in cord cultures of woman who delivered vaginally. None of the babies followed in wards showed any Sign of sepsis in first 72 hours. More than 50% of health professionals working in labor room were carriers of S. aureus. Conclusion S. aureus is having environmental source and it causes late neonatal sepsis so none of the babies developed any Sign of sepsis in first 72 hours of life. Other organisms isolated probably responded to intrapartum antibiotics or maternal immunity played its role and so babies did not showed any s/o sepsis in first 3 days. How to cite this article Bapat GN, Shiradkar S, Bhalchandra MH, Mande S, Bansal M. Cause of Neonatal Sepsis: Transplacental vs Environmental. J South Asian Feder Obst Gynae 2013;5(3):132-134.

scholarly journals Role of Maternal Smokeless Tobacco Ingestion During Pregnancy in Delivery of Preterm Babies

2017 ◽  
Vol 40 (3) ◽  
pp. 135-138
Author(s):  
Farzana Rahman Munmun ◽  
Md Ekhlasur Rahman ◽  
Ahmed Ferdous Jahangir ◽  
Md Shamsul Arefin Patwary ◽  
Abu Sayeed Chowdhury ◽  
...  
Keyword(s):  
Smokeless Tobacco ◽  
Adverse Pregnancy Outcome ◽  
Retrospective Case ◽  
College Hospital ◽  
Term Neonates ◽  
Medical College ◽  
History Of ◽  
Preterm Babies ◽  
Adverse Pregnancy

Background:Smokeless tobacco is an established cause of adverse pregnancy outcome. Preterm deliveries are quite high(14%) in our country and approximately 39% women in Bangladesh use smokeless tobacco (ST).Objective: To determine the outcome of maternal smokeless tobacco ingestion during pregnancy in delivery of preterm babies.Methods: A retrospective case control study was carried out in the department of Pediatrics & department of Obstetrics and Gynecology in Dhaka Medical College Hospital between July 2010 to June 2011. Immediately after admission, detailed history of the newborn baby & mother was taken. A total of 100 cases (preterm babies) and 100 suitably matched controls (sick term neonates) were enrolled. Every case satisfying the selection criteria (inclusion & exclusion criteria) was enrolled in the study. The mother was asked whether she used to use smokeless tobacco (jorda, shada or gul) during pregnancy and about frequency and duration of ingestion of ST.Results: Baseline characteristics of cases and controls were comparable. ST user mothers of preterm babies used ST about 5 times a day. Maternal smokeless tobacco (ST) use during pregnancy was significantly associated (46%) with the delivery of preterm babies (p<0.001) and carries a risk of 2.7 times than that of non ST users.Conclusion: Maternal ST use ?5 times a day during pregnancy increases 2.7 folds risk of delivery of preterm babies than that of non-ingested.Bangladesh J Child Health 2016; VOL 40 (3) :135-138

scholarly journals Oral Ondansetron in the Prevention of Per and Post Operative Nausea and Vomiting

1970 ◽  
Vol 18 (1) ◽  
pp. 1-4
Author(s):  
ML Rahman ◽  
MM Rahman ◽  
N Yusuf ◽  
A Ahsan ◽  
AHM Kamal
Keyword(s):  
Nausea And Vomiting ◽  
Control Group ◽  
College Hospital ◽  
Medical College ◽  
Matched Case ◽  
Post Operative Nausea ◽  
And Control ◽  
Single Blind ◽  
Oral Ondansetron

A randomized single blind study was done in the Department of Anaesthesiology, Rajshahi Medical College Hospital to demonstrate the role of ondansetron, a 5-HT3 receptor antagonist, in alleviating per and post operative nausea and vomiting in patients undergoing caeserian section (CS) under subarachnoid block (SAB). For the purpose, the incidence of per and post operative nausea and vomiting were compared between matched case (n=119) and control (n=121) groups undergoing CS under SAB. Cases received 16 mg ondansetron orally one hour prior to surgery. Anti emetic prophylaxis with single dose ondansetron resulted in significant reduction of per operative and immediate post operative (2 hours) nausea and vomiting. However, at sixth post operative hour difference in nausea and vomiting between case and control groups became less significant (<0.05). Incidence of nausea and vomiting during 1st post operative hour in ondansetron group was 4.2% and 0.84% respectively in comparison to 41.3% and 19.8% in control group. During 2nd post operative hour no incidence of nausea and/or vomiting were observed among subjects receiving ondansetron whereas in control group 29.2% and 5% subjects suffered from nausea and vomiting, respectively. Overall, ondansetron 16 mg is well tolerated and easy to use. Results of the present study revealed that ondansetron can be effectively used in preventing per operative and immediate post operative nausea and vomiting.   doi: 10.3329/taj.v18i1.3294TAJ 2005; 18(1): 1-4

scholarly journals Ultrasonographic Findings of Brain in Perinatal Asphyxiated Babies

2018 ◽  
Vol 29 (2) ◽  
pp. 21-25
Author(s):  
M Luthfor Rahman ◽  
Kabiruzzaman Shah ◽  
Parimal K Paul ◽  
Sanaul Haq ◽  
M Belal Uddin ◽  
...  
Keyword(s):  
Perinatal Asphyxia ◽  
Cost Effective ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Paediatric Department ◽  
Preterm Babies ◽  
Stage 1 ◽  
Cns Lesions

Perinatal asphyxia is a major cause of morbidity and mortality among the newborns in developing countries like Bangladesh. The CNS lesions following perinatal asphyxia can be detected by ultrasonography before closure of fontanels which is easier, cost-effective, and convenient than other methods like CT scan and MRI. This cross-sectional type of descriptive study was conducted on 99 perinatal asphyxiated babies in the Paediatric department of Rajshahi Medical College Hospital during the period of July 2008 to June 2010 to assess CNS lesions in different grades of HIE in term and preterm babies. A non-random purposive sampling method was adopted to select the sample unit. Ultrasonography of the brain of each patient was done at the Centre for Nuclear Medicine & Ultrasound, Rajshahi only once within first 28 days of life when the baby became clinically stable. Ultrasonographic findings showed that 13.1% term babies had abnormal findings of which cerebral edema occupied the major portions (54.54 %). About 20.0% preterm babies had abnormal ultrasonographic findings of which ventriculomegaly without IVH (66.6%).The study also showed that the prevalence of intracranial abnormality was higher (78.6%) among the perinatal asphyxiated babies with HIE stage-2 in comparison to that of the HIE stage-3 (14.3%) and HIE stage-1(7.1%).So, this study provided evidences in favour of role of ultrasonography of brain in the evaluation of perinatal asphyxiated babies and designing appropriate management.TAJ 2016; 29(2): 21-25

STUDY OF LAPAROSCOPIC EVALUATION OF FEMALE FACTORS IN INFERTILITY AT ANMMCH, GAYA, BIHAR

2021 ◽  
pp. 60-62
Author(s):  
Pankaj Kumar Chaudhary ◽  
Anupam Chaurasia ◽  
Lata Shukla Dwivedy ◽  
Debarshi Jana
Keyword(s):  
Diagnostic Laparoscopy ◽  
Polycystic Ovaries ◽  
Male Factor ◽  
Secondary Infertility ◽  
Infertile Women ◽  
Medical College ◽  
Primary Infertility ◽  
Common Causes ◽  
Tubal Blockage ◽  
Laparoscopic Evaluation

Objective:To nd out different causes of female infertility with diagnostic laparoscopy and their comparative frequency in primary and secondary infertility. Study Design:Acase series. Place and Duration of Study: Department of Obstetrics and Gynaecology, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, August 2018 to July 2019. Methodology:All infertile women underwent diagnostic laparoscopy for primary and secondary infertility during the study period were included. Couples who had not lived together for at least 12 months, and those with male factor infertility were excluded. Data were collected on a proforma, and analysed on SPSS package for windows version 10. Frequencies were calculated for laparoscopic ndings regarding primary and secondary infertility. Results: Fifty infertile women underwent laparoscopy during the study period, 32 (64%) had primary infertility while 18 (36%) secondary infertility. Eight (25.0%) patients with primary and 2 (11.1%) patients with secondary infertility had no visible abnormality. The common nding was tubal blockage in 7 (21.9%) and 6 (33.3%) cases of primary and secondary infertility respectively. Five (15.6%) cases of primary infertility were detected as polycystic ovaries (PCO) which was not found in cases of secondary infertility. Endometriosis was found in 4 (12.5%) cases with primary infertility and 2 (11.1%) cases with secondary infertility. Pelvic inammatory disease (PID) was found in 1 (3.1%) and 2 (16.7%) cases of primary and secondary infertility respectively. Peritubal and periovarian adhesions were detected in 2 (6.3%) cases with primary infertility and 4 (22.2%) cases with secondary infertility. Fibriod was found in 2 (6.3%) and 1 (5.6%) cases of primary and secondary infertility respectively. Ovarian cyst detected in 2 (6.3%) cases with primary infertility while none was found in cases of secondary infertility. Conclusion: Most common causes responsible for infertility were tubal occlusion, endometriosis, peritubal and periovarian adhesions. Ovarian causes were seen in primary infertility only

scholarly journals Evaluation of cases of infertility by diagnostic laparoscopy

2017 ◽  
Vol 6 (3) ◽  
pp. 924
Author(s):  
Sachin Wankhede ◽  
Sarika Thakare ◽  
Nivedita Goverdhan ◽  
Santosh Shahane
Keyword(s):  
Diagnostic Laparoscopy ◽  
Male Factor Infertility ◽  
Polycystic Ovaries ◽  
Male Factor ◽  
Secondary Infertility ◽  
Primary Infertility ◽  
Therapeutic Benefits ◽  
Obstetrics And Gynaecology ◽  
Uterine Anomalies ◽  
Tubal Disease

Background: Infertility affects nearly 10-15% of couples and is an important part of clinical practice. Leading causes of infertility include tubal disease, ovulatory disorders, uterine or cervical factors, endometriosis and male factor infertility. The objective of the study was to find out different causes of female infertility with diagnostic laparoscopy.Methods: This was a descriptive study conducted from February 2012 to November 2013. 115 patients with infertility attending the infertility clinic in OPD of Obstetrics and Gynaecology were evaluated clinically with detailed history. The necessary investigations were carried out and the laparoscopic findings were documented.Results: There were 91 cases (79.13%) with primary infertility and 24 (20.87%) with secondary infertility. Laparoscopy revealed normal findings in 14 cases (15.38%) of primary infertility and 1 case (4.17%) of secondary infertility. Pelvic abnormality was found in 100 cases (86.95%). Tubal block was the most common pathology found in 36 cases (31.30%) followed by polycystic ovaries in 32 (27.83%) and adhesions in 24 (20.87%). Uterine anomalies were found in 3 cases (3.30%).Conclusions: Diagnostic laparoscopy is a valuable technique and a mandatory investigation, which, though invasive, is more convenient and more precise for the diagnosis of infertility. Because of its potential diagnostic as well as therapeutic benefits, all patients with infertility should undergo diagnostic laparoscopy as part of their primary workup of infertility.

scholarly journals Role of Brush Cytology in Diagnosis of Bronchial Carcinoma: Experience in Rajshahi Medical College Hospital

2020 ◽  
Vol 32 (2) ◽  
pp. 1-6
Author(s):  
Md Rezaul Islam ◽  
Ahmad Zainuddin Sani ◽  
Samir C Majumdar ◽  
SM Asafudullah
Keyword(s):  
Cell Carcinoma ◽  
Bronchial Carcinoma ◽  
High Sensitivity ◽  
Large Cell Carcinoma ◽  
Large Cell ◽  
Medical College Hospital ◽  
Brush Cytology ◽  
College Hospital ◽  
Medical College

This was a descriptive study conducted in Rajshahi Medical College Hospital (RMCH), Rajshahi and the study period was from June 2017 to June 2019. A total number of 300 patients (48 females and 252 males) were enrolled who underwent elective fiber optic bronchoscopy with brush cytology for the diagnosis of bronchial carcinoma. Our aim was to identify the role of brush cytology in diagnosis of bronchial carcinoma. Most of the cases (84%) were male. Majority 111(37.00%) of the patients were in age group 60-72 years; the mean±SD age was (58.70±13.11). Most of the study participants were farmer 134(44.67%). 182(66.67%) were smoker and 118(39.33%) were non-smoker. For smokers, pack year history was <10 pack in 78(42.85%), 10-20 pack 66(36.26%) and >20 pack 38(20.87%) of cases. Squamous cell carcinoma was the most common type of bronchial carcinoma; found in 95 (31.66%) cases followed by adenocarcinoma 50 (16.66%), large cell carcinoma 43 (14.33%), small cell carcinoma 25 (8.33%), others 87 (29%) This study revealed that the bronchial brush cytology was minimally invasive, well enduring technique with high sensitivity in diagnosis of central lesion of bronchial carcinoma. TAJ 2019; 32(2): 1-6

scholarly journals Role of Latex Particle Agglutination Test in the Diagnosis of Meningitis

2016 ◽  
Vol 1 (1) ◽  
pp. 10-12 ◽  
Author(s):  
Nurjahan Begum ◽  
Iftikhar Ahmed ◽  
Md. Abdus Salam ◽  
Shahanara Begum ◽  
KM Faisal Alam
Keyword(s):  
Bacterial Meningitis ◽  
Latex Particle ◽  
Agglutination Test ◽  
Broad Spectrum Antibiotic ◽  
College Hospital ◽  
Medical College ◽  
Etiological Agents ◽  
Positive Results ◽  
Particle Agglutination

A total  of 45 clinically suspected  cases of meningitis  of all  ages,  admitted at Rajshahi Medical  College  Hospital(RMCH),  were  studied to  find  out the etiological  agents of meningitis. Among  the cases,  32 (7l.1oh)  were diagnosed  asaseptic  meningitis  and  L3 (ZS.Sgoh)  as  bacterial meningitis by the  conventional  CSF  study. But  out of total  45 cases,lg  (40oh) were diagnosed as bacterial  meningitis  by  Latex  particle  agglutination test (LPAT).  The  LPAT  is  widelyused in  clinical  microbiology laboratories  and can  be considered  as an important  supplement  to the  culture  andGram stain of CSF specimens. Rapid  antigen  detection  tests may  provide positive results  when  culture  and  Gramstain results  are  negative for  meningitis patients  who have  received antimicrobial  therapy.  So, in our country, where empirical  broad-spectrum antibiotic is  randomly  used, LPAT may  be considered  as an adjunct  to establish  thediagnosis  of  bacterial  meningitis.Bangladesh  J Med Microbiol  2007;01(01):10-12

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