scholarly journals Prospective study to compare abdominal hysterectomy versus non- descent vaginal hysterectomy at a tertiary care hospital

2021 ◽  
Vol 10 (3) ◽  
pp. 885
Author(s):  
Paresh N. Sheth ◽  
Prema Ram Choudhary
Keyword(s):  
Vaginal Hysterectomy ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Abdominal Hysterectomy ◽  
Care Hospital ◽  
Scarless Surgery ◽  
Minimal Invasiveness ◽  
Abdominal Approach ◽  
Duration Of Surgery ◽  
Time Required

Background: Hysterectomy can be performed by vaginal, abdominal and via laparoscopic route. In the current scenario of importance of non-invasive surgery there has been increase in interest and requirement of vaginal hysterectomy for non-prolapsed uterus i.e. Non-descent vaginal hysterectomy (NDVH) due to scarless surgery. Gynecologist across the world continue to use the abdominal approach for a large majority of hysterectomies that may be performed vaginally despite well documented evidence which says that vaginal hysterectomy do have better outcome. This study aimed to find out to compare outcomes of NDVH and Abdominal hysterectomy (AH).Methods: The study is conducted at department of Obstetrics and Gynecology, at a tertiary care hospital Gujarat, India, between the periods of May 2018 to December 2019 of 100 patients. 50 Patients who underwent hysterectomy by abdominal route are taken as study group A and 50 Patients who underwent hysterectomy by vaginal routes are taken as group B.Results: Out of 100 women we have studied, duration of surgery, intra operative blood loss, intra operative complications, postoperative morbidity and duration of hospital stay, time required to resume normal work are less in group B (NDVH).Conclusions: It can be concluded that NDVH is feasible, safe and better alternative to abdominal hysterectomy for benign gynecological conditions. It also provides greater efficacy and safety with minimal invasiveness.

scholarly journals Clinical evaluation of total abdominal hysterectomy - a prospective study in a tertiary care hospital

2015 ◽  
Vol 6 (2) ◽  
pp. 76-77
Author(s):  
Shirin Akhter ◽  
Rumana Nazneen
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Before And After ◽  
A Prospective Study

Total abdominal Hysterectomy are gradually rising in our country. This study has been designed to find out the common indications of abdominal hysterectomy in a tertiary care hospital,. to know the clinical characters of the patients and. o elucidate postoperative complication of abdominal hysterectomy.Methodology : Cross- sectional observational study was done during 1st October 2007 to 30th September 2008. Holy Family Red Crescent Medical College Hospital (HFRCMCH). Total 100 patients were selected following enclusion & exclusion criteria hyperposive sampling. Data were recorded before and after operation and analyzed by SPSS version 15.Result : In the present study patients with leiomyoma of uterus was found to be the major indication of hysterectomy followed by dys functional uterine bleeding (DUB) 18.0%, Pelvic inflammatory disease (PID) 14.0%, chronic cervicitis 10.0%, adenomyosis 10.0%, pelvic endometriosis 6.0%, cervical polyp 2.0%, ovarian cysts 1.0% and chriocarcinoma 1.0%. Mean duration of operation (hour) and hospital stay was 1.15 hours and 7.48 days respectively. Most common complication of present series was fever 20.0% followed by 13.0% had wound infection, 6.0% UTI and 2.0% wound dehiscence.Conclusion : Hysterectomy is now the most widely performed major operation in gynaecology. Indication and post operative complications of hysterectomy varies from region to region.Northern International Medical College Journal Vol.6(2) 2015: 76-77

scholarly journals A study of surgical site infections in a tertiary care hospital

2019 ◽  
Vol 6 (11) ◽  
pp. 3911 ◽  
Author(s):  
Ayush Jain ◽  
Anuradha Tolpadi ◽  
Bhupendra Chaudhary ◽  
Ansh Chaudhary ◽  
Ankita Misra
Keyword(s):  
Nosocomial Infections ◽  
Antimicrobial Agents ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Laboratory Data ◽  
Surgical Site Infections ◽  
Health Concern ◽  
Care Hospital ◽  
Duration Of Surgery ◽  
Common Causes

Background: Health care-associated infections remain as an important public health concern. Surgical site infections (SSIs) are known to be one of the most common causes of nosocomial infections worldwide.Methods: A prospective observational study was conducted across 12 months (May 2018-April 2019) in a tertiary care hospital. The present study includes 223 patients who were undergoing clean and clean contaminated surgery in the hospital. Contaminated and dirty surgeries were excluded. The demographic data of the patient, diagnostic criteria used, associated risk factors, use of prophylactic antimicrobial agents, the type and duration of surgery, clinical evaluation of wound and laboratory data was collected. All the pus samples or wound swabs of clinically suspects of SSI cases received in the Department of Microbiology were inoculated and interpreted according to Centre for Disease Control and Infection guidelines.Results: The study included 223 patients who underwent surgery in the hospital. Amongst them 9 (4%) developed SSI. The incidence of SSI was 4.03%. There was a direct relationship observed between the occurrence of SSI and certain co-morbid conditions such as diabetes. It was also observed that prolonged surgeries above two hours and females were more predisposed to develop a surgical site infection.Conclusions: SSIs being one of the most common causes of nosocomial infections. It was also the most important factor responsible for significant morbidity, mortality, unwanted prolonged hospitalization and additional cost of treatment in surgical patients which can be reduced by strictly following the guidelines of infection control along with judicious and rational use of antibiotics.

scholarly journals Total laparoscopic hysterectomy: an experience at a tertiary care hospital

2019 ◽  
Vol 8 (11) ◽  
pp. 4341
Author(s):  
Fatma M. Rentiya ◽  
Ajesh N. Desai
Keyword(s):  
Blood Loss ◽  
Prospective Observational Study ◽  
Tertiary Care Hospital ◽  
Demographic Data ◽  
Tertiary Care ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Safe Procedure ◽  
Care Hospital ◽  
Duration Of Surgery

Background: This study is aimed to review indications, demographic data of patients, clinical outcomes and safety of total laparoscopic hysterectomy.Methods: This is a prospective observational study of total 150 patients who underwent total laparoscopic hysterectomy (TLH) from 1st June 2017 to 30th November 2018 in GMERS Civil Hospital Sola.Results: ~45% patients were between 40-50 years age group; 60% patients had 2 or more deliveries; commonest indication was symptomatic adenomyosis ; uterine size in ~57% of patients were up to 6 weeks; duration of surgery in ~91% of patients <120 minutes; intraoperative blood loss in all cases <200ml; no intra-operative and postoperative complications were encountered.Conclusions: TLH is safe procedure with minimal blood loss, minimal postoperative pain and discomfort and shorter duration of hospital stay when performed via expert hands.

scholarly journals An Assessment of the Economic Feasibility of Selected Surgeries in the Obstetrics and Gynaecology Department under Community-Based Health Insurance (CBHI) in a Tertiary Care Hospital in South India

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Jatoveda Haldar ◽  
Rajesh Kamath ◽  
Kramer Stallone D’lima ◽  
Jossil Nazareth
Keyword(s):  
Health Insurance ◽  
Caesarean Section ◽  
South India ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Abdominal Hysterectomy ◽  
Care Hospital ◽  
Community Based ◽  
Community Based Health Insurance ◽  
Obstetrics And Gynaecology

Community-Based Health Insurance (CBHI) is a form of micro health insurance targeted at low-income groups that permits for grouping of assets to tackle the expenses of future, uncertain, health-related circumstances. According to the International Labour Organisation, more than 80% of India’s employed nonagricultural population is in the informal sector, implying that they are possibly excluded from receiving health insurance benefits. This is where CBHI comes into play, wherein groups of people belonging to a community define the demand and benefits and pool their resources to provide financial protection to all their members. This study aims to scrutinize the package prices sanctioned by these schemes and compare them with the cost incurred by the hospital. The expense pattern of three surgeries in the Department of Obstetrics and Gynaecology was analysed under three insurance schemes: Arogya Bhagya Yojana, Arogya Karnataka, and Employees’ State Insurance Scheme. Methodology. A retrospective study was conducted in a 2,032-bedded tertiary care hospital in South India. Patients of abdominal hysterectomy, vaginal hysterectomy, and caesarean section surgeries covered by any of the insurance schemes mentioned above were a part of the inclusion criteria. The patient records were examined from the hospital’s Medical Records Department (MRD). The patients’ bills were assembled from the inpatient billing department to scrutinize all the expenses associated with each surgery. The variable costs include consumables, medicine, electricity and AC, diagnostics, blood bank materials, doctor’s fee, package differences, and others. In contrast, fixed costs include bed cost, equipment cost (purchase + annual maintenance cost), manpower cost-OT, manpower cost-nursing, and allocated indirect costs associated with the medical treatment. These were computed and compared with the package price of respective insurance schemes to determine if the schemes are profit-yielding schemes or loss-yielding schemes, using the data from the finance department. Results and Conclusion. It has been observed that the operating loss of the hospital for abdominal hysterectomy, vaginal hysterectomy, and caesarean section under CBHI schemes ranges between 7% and 36%. The highest loss was observed in Arogya Karnataka Scheme for caesarean section surgery (BPL patients). The amount received through these schemes is insufficient to cover the costs acquired by the hospital, let alone make a profit. However, under Arogya Bhagya and ESI Schemes, the hospital has made a profit in covering the variable costs for these surgeries. The study concludes that the hospital is running under loss due to the three Community-Based Health Insurance (CBHI) schemes.

scholarly journals SURGICAL SITE INFECTIONS, AN EXPERIENCE AT TERTIARY CARE HOSPITAL

2021 ◽  
Vol 12 (3) ◽  
Author(s):  
Lailama Shah ◽  
Shahzada Amir Muhammad Baber ◽  
Shabir Ahmed Lehri ◽  
Muhammad iqbal Khan ◽  
Ibrahim Baloch
Keyword(s):  
Surgical Site Infection ◽  
Tertiary Care Hospital ◽  
Antimicrobial Prophylaxis ◽  
Tertiary Care ◽  
Medical Institute ◽  
P Value ◽  
Care Hospital ◽  
Site Infection ◽  
Cross Sectional ◽  
Duration Of Surgery

BACKGROUND & OBJECTIVE: Surgical site (SSI) infections are important cause of morbidity and mortality in admitted patients worldwide. The objective is to determine the incidence of surgical site infection in General Surgical ward of tertiary care hospital. METHODOLOGY: Analytical cross-sectional study conducted at Department of General Surgery, Bolan Medical College/ Post-Graduate Medical Institute Quetta (PGMI) for a period of one year from 1st August 2019 to 31st July 2020.  Descriptive statistics were used to present social economics, factors related to surgery and surgical antimicrobial prophylaxis received. Chi square test was used for checking association between infections and different factors keeping p≤ 0.05 as significant. RESULTS: A total of 1500 patients underwent surgery, of which 500 (33.33%) patients were operated as elective cases and 1000 (66.66%) cases as emergency. Out of total 600 (40%) patients developed Surgical Site Infection (SSI). Risk associated with higher incidence of SSI was found to be age (30-45 years) and Diabetes mellitus (uncontrolled diabetes in perioperative period). Postoperatively obesity was noted to be having significant effect with p=0.002, American Society of Anesthesiologists (ASA) score having p-value 0.045, hospital stay with p<0.001 and surgical type and previous surgical history with p<0.001, were as duration of surgery was having <0.001. CONCLUSION: Prevention of SSI’s requires a multipronged approach with emphasis on optimizing preoperative issues, adhering to strict protocols during the intraoperative period and addressing and optimizing metabolic and nutritional status in post-operative period.

Confidence toward vaccination as reported by parents of children admitted to a tertiary care hospital in Riyadh, Saudi Arabia: A cross sectional study

Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional
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