scholarly journals Diagnosis and management of iatrogenic ureteral injury in total laparoscopic hysterectomy

2021 ◽  
Vol 10 (10) ◽  
pp. 4024
Author(s):  
Yaşam Kemal Akpak ◽  
Sercan Kantarcı ◽  
Serkan Oral ◽  
Tuğkan Duran
Keyword(s):  
Risk Factors ◽  
Early Diagnosis ◽  
Laparoscopic Hysterectomy ◽  
Ureteral Injury ◽  
Total Laparoscopic Hysterectomy ◽  
Previous Surgery ◽  
Injury Management ◽  
Diagnosis And Management ◽  
History Of ◽  
Iatrogenic Ureteral Injury

Ureteral injury is common in gynecological surgeries due to the proximity to organs. The risk of ureteral injury is higher in laparoscopic hysterectomy operations compared to abdominal or vaginal hysterectomies. Obesity, endometriosis, pelvic adhesions, history of previous surgery, enlarged uterus, and intraoperative hemorrhage are some of the risk factors identified for ureteral injury. Intraoperative cystoscopy and postoperative urinary ultrasonography can be used in the diagnosis of early ureteral injury. Management of ureteral injury differs according to the extent, type, and localization of the injury. In evaluating the ureteral injury, early diagnosis and early repair in appropriate patients are essential in morbidity and medicolegal.

scholarly journals Limitations in Total Laparoscopic Hysterectomy in Bangladesh

2018 ◽  
Vol 10 (1) ◽  
pp. 3-5
Author(s):  
Israt Jahan Ila ◽  
Afroza Ghani ◽  
Jannat Ara Ferdouse ◽  
Asia Khatun ◽  
Sumana Rahman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Demographic Data ◽  
Abnormal Uterine Bleeding ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Continuous Training ◽  
College Hospital ◽  
Surgical Risk ◽  
Medical College ◽  
Specialized Centre

Laparoscopic Hysterectomy is achieving great popularity nowadays. Our people are becoming increasingly interested in new advances in this field of surgery. Highly skilled surgical technique, longer operative time and expensive technology are observed to be the factors that impede the advancements in laparoscopic surgery1.Objective: The aim of our study is to analyze the limitations of laparoscopic hysterectomy in our country.Methods: This is a retrospective observational study where we have reviewed demographic data, compliance of the patients, quality of anaesthesia, efficiency of supportive staffs, adequacy of appropriate instruments, continuous training of surgeons and surgical risk factors. Total 80 Total Laparoscopic Hysterectomy (TLH) were done between January’ 2016 to December’2017 in Shaheed Suhrawardy Medical College Hospital (ShSMCH), Dhaka.Result: In this study, we analyzed eighty patients who underwent total laparoscopic hysterectomy for fibroid uterus, adenomyosis, recurrent post-menopausal bleeding, abnormal Uterine bleeding(AUB) etc. We tried to analyze some limitations and challenges which we can overcome. In spite of lack of appropriate instruments, adequate ICU support and repeated training in specialized centre at home and abroad, 87.5% patients recovered well. The aim of our study was to identify the surgical risk factors of the patients and limitations in our theatre environmentJ Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 3-5

Factors influencing development of non-cardiac chest pain after endoscopic submucosal dissection for esophageal neoplasms: a retrospective case–control study of 309 patients from a single center

2021 ◽  
Author(s):  
Dian Zhao ◽  
Ying Liu ◽  
Lei Wang ◽  
Guifang Xu ◽  
Ying Lv ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chest Pain ◽  
Endoscopic Submucosal Dissection ◽  
Esophageal Neoplasms ◽  
Precancerous Lesions ◽  
Previous Surgery ◽  
Postoperative Fever ◽  
Submucosal Dissection ◽  
Hospitalization Time ◽  
History Of

Summary Endoscopic submucosal dissection (ESD) is widely used for early stage esophageal cancer and precancerous lesions. Non-cardiac chest pain (NCCP) is a frequent complication of ESD. However, little is known about its incidence and associated factors. This study investigated the pain incidence and predictive factors for pain development after ESD for esophageal neoplasms. We enrolled a total of 309 patients with esophageal neoplasms, who underwent ESD in our center from January 2018 to June 2019. Sociodemographic and clinicopathological information for all patients was collected, and patients were divided into either a pain-free group (n = 156) or a pain group (n = 153) according to whether there was onset of NCCP 24–48 hours after surgery. We made comparisons between groups using Student’s t test or the χ2 test. Logistic-regression analysis was used to screen for risk factors. There were statistically significant differences in histories of previous surgery (P = 0.039), lesion size (P = 0.026), operation time (P = 0.009), and postoperative fever (P = 0.001). History of previous surgery (P = 0.043) and postoperative fever (P = 0.007) were independent risk factors for chest pain after esophageal ESD treatment. Chest pain and fever prolonged postoperative hospitalization time (P = 0.005, P = 0.001) and increased hospitalization cost (P = 0.034, P < 0.001). A history of previous surgery and postoperative fever was associated with the occurrence of NCCP after ESD in patients with esophageal neoplasms. NCCP and fever after esophageal ESD increased both hospitalization time and cost.

scholarly journals Risk Factors of Hepatitis C Virus Transmission

2020 ◽  
Vol 24 (1) ◽  
pp. 37-41
Author(s):  
Maimoona Maheen ◽  
Mehak Ruqia ◽  
Sana Fatima
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Hepatitis C ◽  
Family History ◽  
Dental Treatment ◽  
Tertiary Care ◽  
Previous Surgery ◽  
Cross Sectional ◽  
Ear Piercing ◽  
History Of

Background: Hepatitis C is not only a globally prevalent disease but also a significant cause of death. It has multiple complications ranging from Hepatocellular carcinoma to decompensated liver disease. This study was planned to determine the frequencies of various risk factors in Hepatitis C positive patients presenting to a tertiary care health facility in Rawalpindi.Materials and Methods: This descriptive, cross-sectional study included 394 patients that presented to Liver Centre, Holy Family Hospital during the years 2015 to 2016. All these patients were confirmed cases of Hepatitis C. The data were collected from records of the liver center of Holy Family Hospital, Rawalpindi. Statistical Package for Social Sciences (SPSS), version 23 was used to analyze data, and descriptive statistics were calculated. All patients with any other comorbidity were excluded.Results: Of the 394 patients included in this study, 197 (50%) males and 197(50%) females with an average age of 44.48. Out of these, 143(36.3%) had a history of previous surgery, 65 (16.5%) had a blood transfusion, 165 (42.19%) had a history of dental treatment, and 189(48.0%) had a history of injections (IM and IV). Ninety-two patients (23.4%) had a history of barber shave, four patients (1%) had tattooed, and 83 patients (21.1 %) had a history of ear piercing. Fifty patients (38.2%) had a family history of Hepatitis C. Only 23 (31.2%) patients had only one risk factor, while 271 (68.7%) had more than one risk factor before a diagnosis of disease.Conclusion: The majority of the patients had more than one risk factor, with a history of injection use being the most common (intravenous and intramuscular). It was followed by the history of dental treatment, family history, and history of previous surgery.

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