Five-years review of obstetric hysterectomy at tertiary care center

Background: Obstetric hysterectomy (OH) is indicated as last resort operation to save the life of the mother and associated with high complication rates, so requires a highly experienced and skilled medical team ,to solve any complication. Objective was to identify incidence, demographic profile, indications, risk factors, complications, maternal morbidity and mortality associated with obstetric hysterectomy.Methods: Retrospective analytical study of 47 case records is done over period of last 5 years from October 1st October 2015 to 30th September 2020 at VDGIMS, a tertiary care center, Latur. Results are expressed in frequency and percentages.Results: In our study, the rate of OH was 1.1/1000 deliveries. Most common (68%) age group was 21-30 yrs, majority (70%) were multipara, and booked (76%). Most common indication of OH was atonic PPH (65%), followed by traumatic PP, including rupture uterus (21%), and placenta acreta (10%). Most OH was performed on emergency basis (91%) and of subtotal type (95%). Major mode of delivery was cesarean 65% and vaginal delivery in 21% cases. Most common risk factors were placental causes (55%), previous LSCS (48%) and hypertensive disorder (31%). High maternal morbidity in form of 100% blood transfusion rate, 93% ICU admission, inotropes and ventilator support in 59% cases and prolonged hospital stay in 75% cases seen. Most common complication were hemorrhagic shock 21%, DIC (29%), renal failure (12%) and septic shock (14%) with maternal death rate of 23% was noted.Conclusions: Obstetric hysterectomy is a necessary life-saving operation, but also associated with high maternal morbidity and mortality, which can be minimized with timely done procedure by experienced person.

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A retrospective analysis on placenta previa in a tertiary care center of Jharkhand

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20213456 ◽

2021 ◽

Vol 10 (9) ◽

pp. 3389

Author(s):

Tanu Sharma

Keyword(s):

Risk Factors ◽

Perinatal Outcome ◽

Maternal Morbidity ◽

Placenta Previa ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Adherent Placenta ◽

History Of ◽

Nicu Admission

Background: When the placenta is implanted partially or completely in the lower uterine segment, it is called placenta previa. Previa is a Latin word means going before. About one-third of APH belongs to placenta previa and now a day’s incidence is increasing in primigravida patients. The objective of this study was to analyze the incidence, risk factors, maternal morbidity, mortality and perinatal outcome in women with placenta previa in a tertiary care center of Jharkhand.Methods: Total 193 cases of placenta previa were studied between September 2018 to August 2019 in the department of obstetrics and gynecology, RIMS, Ranchi with respect to their age, parity, gestational age, clinical presentation, previous history of curettage/hysterotomy/caesarean, ICU admission, need for NICU admission, maternal morbidity and mortality and perinatal outcome.Results: In this study, 1.94% of the deliveries were complicated with placenta previa. 31.6% were above 30 years, 87% were multigravida, 122, i.e.; 62.7% were having history of curettage or previous caesarean or hysterotomy. 49.7% had prior caesarean deliveries, 21.5% had prior abortion with history of D and C. 49.2% had true placenta previa. 68.4% had preterm delivery. 11.9% patients presented in shock and maximum i.e.; 184 (95.3%) out of 193 presented with painless bleeding per vaginum and 9 cases with no complaints. Malpresentation seen in 16.6% cases and 8.3% had adherent placenta previa. There were 45.6% ICU admission and 54.9% NICU admission, 2.5% maternal mortality and 32.6% perinatal mortality.Conclusions: Advanced maternal age, multiparty, scarred uterus as in prior CS or D and C are independent risk factors for placenta previa. Also, it remains a risk factor for adverse maternal and perinatal outcome. The detection of placenta previa and associated adherent placenta should encourage a careful evaluation, timely diagnosis and delivery to reduce associated maternal and perinatal complications.

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LSCS audit in a tertiary care center in Mumbai: to study indications and risk factors in LSCS and it's effect on early peri-natal morbidity and mortality rate

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.5455/2320-1770.ijrcog20141217 ◽

2014 ◽

Vol 3 (4) ◽

pp. 963 ◽

Cited By ~ 2

Author(s):

Rajshree Katke ◽

Ashish Zarariya ◽

Pranay Desai

Keyword(s):

Risk Factors ◽

Mortality Rate ◽

Care Center ◽

Tertiary Care ◽

Morbidity And Mortality ◽

Tertiary Care Center

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Study of risk factors of eclampsia in a tertiary care center

MedPulse International Journal of Gynecology ◽

10.26611/10121224 ◽

2019 ◽

Vol 12 (2) ◽

pp. 31-35

Author(s):

Padma Chandavathu ◽

◽

Akurathi Krishna Rao ◽

Keyword(s):

Risk Factors ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center

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POS-592 RISK FACTORS FOR MORTALITY AFTER INFECTIVE ENDOCARDITIS IN CHRONIC HEMODIALYSIS PATIENTS IN A TERTIARY CARE CENTER

Kidney International Reports ◽

10.1016/j.ekir.2021.03.621 ◽

2021 ◽

Vol 6 (4) ◽

pp. S259-S260

Author(s):

J.I. Lara-Prado ◽

M.I. Gil Arredondo

Keyword(s):

Risk Factors ◽

Infective Endocarditis ◽

Care Center ◽

Tertiary Care ◽

Hemodialysis Patients ◽

Chronic Hemodialysis ◽

Tertiary Care Center

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Prevalence and risk factors of anemia among pregnant women attending a high-volume tertiary care center for delivery

Journal of the Turkish-German Gynecological Association ◽

10.5152/jtgga.2015.15071 ◽

2015 ◽

Vol 16 (4) ◽

pp. 231-236 ◽

Cited By ~ 6

Author(s):

Cuneyt Eftal Taner ◽

Atalay Ekin ◽

Ulas Solmaz ◽

Cenk Gezer ◽

Birgul Cetin ◽

...

Keyword(s):

Risk Factors ◽

Pregnant Women ◽

Care Center ◽

Tertiary Care ◽

High Volume ◽

Tertiary Care Center

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Risk factors associated with birth defects at a tertiary care center in Pakistan

Italian Journal of Pediatrics ◽

10.1186/1824-7288-38-68 ◽

2012 ◽

Vol 38 (1) ◽

pp. 68 ◽

Cited By ~ 2

Author(s):

Mohammad Zeeshan Raza ◽

Asfandyar Sheikh ◽

Syed Salman Ahmed ◽

Sajid Ali ◽

Syed Mumtaz Ali Naqvi

Keyword(s):

Risk Factors ◽

Birth Defects ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Factors Associated

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GASTRIC CANCER: A 5 YEAR RETROSPECTIVE ANALYSIS OF CLINICAL, PATHOLOGICAL AND TREATMENT ASPECTS FROM A TERTIARY CARE CENTER IN SOUTH INDIA.

10.36106/gjra/0711411 ◽

2021 ◽

pp. 129-132

Author(s):

B. Ramkumar ◽

J. Kannan ◽

Ingersal. N ◽

Srigopal mohanty ◽

Amit saklani ◽

...

Keyword(s):

Risk Factors ◽

Gastric Cancer ◽

South India ◽

Care Center ◽

Tertiary Care ◽

Tumor Location ◽

Advanced Stage ◽

Tertiary Care Center ◽

Nodal Disease ◽

Female Ratio

Context: Gastric cancer(GC) is fth most common cancer worldwide. Mostly presents with advanced stage and poor overall survival. Methods: Retrospective study on clinical, pathological, pattern of distant metastasis(DM) , treatment aspect of GC treated between January 2014 to December 2018 in a tertiary care center in south India. Statistical analysis : Chi square test and multivariate analysis (MVA) were used for analysis. P <0.05 was considered signicant. Results: Median age at diagnosis is 57 years. Higher male : female ratio. Most common presentation was abdominal pain followed vomiting. Malignant Gastric outlet obstruction(MGOO) was present in 22.7%. Histologically , all patients had adenocarcinoma with predominantly moderate differentiation (51.1%). Liver (19.1%)was most common site of metastasis . Curative surgery was done in 35.5% of patients. D2 lymph node dissection was performed in 12.4% of patient. Patients were given perioperative /preoperative/ adjuvant / palliative chemotherapy. MVA revealed history of tobacco use, body of stomach tumor location, nodal disease were risk factors for DM. Conclusion : The present analysis revealed use of tobacco, alcohol intake were main risk factors for GC. Most of the patients present in advanced stage , so prevention by avoiding risk factors and early detection by signs , symptoms and endoscopy are necessary. Use of tobacco,site of tumor location, nodal disease were factors associated with DM. Aggressive management with both surgery and chemotherapy is warranted for locally advanced disease.

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Prevalence and risk factors of low back pain among operation room staff at a Tertiary Care Center, Makkah, Saudi Arabia: a cross-sectional study

Annals of Occupational and Environmental Medicine ◽

10.1186/s40557-016-0089-0 ◽

2016 ◽

Vol 28 (1) ◽

Cited By ~ 18

Author(s):

Moath Bin Homaid ◽

Doaa Abdelmoety ◽

Waleed Alshareef ◽

Amer Alghamdi ◽

Fareed Alhozali ◽

...

Keyword(s):

Risk Factors ◽

Low Back Pain ◽

Back Pain ◽

Care Center ◽

Tertiary Care ◽

Cross Sectional Study ◽

Low Back ◽

Tertiary Care Center ◽

Sectional Study ◽

Cross Sectional

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Pilonidal sinus disease recurrence at a tertiary care center in Riyadh

Annals of Saudi Medicine ◽

10.5144/0256-4947.2021.179 ◽

2021 ◽

Vol 41 (3) ◽

pp. 179-185

Author(s):

Ibrahim Tawfiq Albabtain ◽

Abdullah Alkhaldi ◽

Lama Aldosari ◽

Lina Alsaadon

Keyword(s):

Risk Factors ◽

Sample Size ◽

Pilonidal Sinus ◽

Care Center ◽

Tertiary Care ◽

Disease Recurrence ◽

Pilonidal Sinus Disease ◽

Tertiary Care Center ◽

Sinus Disease ◽

Risk Factors For Recurrence

BACKGROUND: Pilonidal sinus disease (PSD) is a chronic inflammatory disease of the sacrococcygeal area. Pilonidal sinus recurrence is a matter of concern to both patients and healthcare providers. OBJECTIVES: Estimate the rate of PSD recurrence in our center and identify any risk factors contributing to disease recurrence. DESIGN: Retrospective. SETTING: Tertiary care center in Riyadh. PATIENTS AND METHODS: All patients who underwent surgery for primary or recurrent pilonidal sinus between 1 January 2016 to 30 June 2019 were included to allow for at least 1-year of follow-up at the time of data collection. MAIN OUTCOME MEASURE: Recurrence rate of PSD and risk factors for recurrence. SAMPLE SIZE AND CHARACTERISTICS: 369 patients: 329 males (89.2%) and 40 (10.8%) females. Median (interquartile range) age was 21 (18-26) years. RESULTS: Of the 369 included patients, recurrence was identified in 84 (22.8%) cases [95% confidence interval (CI) 18.6-27.4], and the mean timing of recurrence was 1.8 (1.6) years after the primary surgery. In a multivariate logistic regression analysis, increased age and post-operative seroma fluid discharge were independent risk factors for recurrence. In contrast, preoperative antibiotic prophylaxis and postoperative hair removal were effective in reducing recurrence. Type of surgery closure had no effect on recurrence, yet primary closure was associated with early onset of recurrence compared to secondary closure ( P =.02). CONCLUSION: Our findings on the factors associated with recurrence of PSD are consistent with many reports in the literature. Reported prevalence estimates vary widely. LIMITATION: Single center, small sample size, retrospective. CONFLICT OF INTEREST: None.

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