scholarly journals Introduction of a safety checklist for gynecological laparoscopy

2020 ◽  
Vol 7 (11) ◽  
pp. 3889
Author(s):  
Dhammike Silva ◽  
Prabath Randombage ◽  
Wedisha Gankanda
Keyword(s):  
Sri Lanka ◽  
Tertiary Care ◽  
Patient Positioning ◽  
Obstetrics And Gynecology ◽  
Care Centre ◽  
Check List ◽  
Tertiary Care Centre ◽  
Surgical Time ◽  
Gynecological Laparoscopy ◽  
High Workload

This study focuses on the importance of a safety checklist for gynecological laparoscopic surgeries. There is no dedicated safety check list for gynecological laparoscopy although several general safety checklists are used in practice. (e.g. WHO safety check list). The aim was to introduce a safety check list dedicated to gynecological laparoscopy. This check list is based on our experience in performing gynecological laparoscopy in a tertiary care centre with a high workload.  This check list is introduced after studying the complications occurring in areas covered by the check list. Present data from 776 cases performed over 4 years at professorial unit in obstetrics and gynecology, university of Sri Jayewardenepura, Colombo South teaching hospital, Kalubowila, Sri Lanka. Mean surgical time and complications associated with patient positioning were assessed. Complications associated with the areas assessed were found to be low. However, it is belief that these can be further reduced by the introduction of a check list specifically designed for gynecological laparoscopy.

Study of incidence of premature ovarian failure in patient attending outpatient department for infertility in a tertiary care centre

2019 ◽  
Vol 8 (10) ◽  
pp. 3926
Author(s):  
Qazi Jaweria Amber ◽  
Tushar Tatyaba Palve
Keyword(s):  
Premature Ovarian Failure ◽  
Wide Spectrum ◽  
Tertiary Care ◽  
Ovarian Failure ◽  
Outpatient Department ◽  
Obstetrics And Gynecology ◽  
Premature Menopause ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Presenting Symptoms

Background: To assess the incidence of premature ovarian failure in cases attending infertility outpatient Department of Obstetrics and Gynecology in a tertiary care centre. A total of 350 patients attending infertility opd were screened over period of 150 days from which authors observed premature menopause in 10 cases accounting for an incidence of 2.8%. POF affects approximately one in 10,000 women by age 20; one in 1,000 women by age 30; one in 100 women by age 40.  Premature ovarian failure is a common cause of infertility in women.Methods: Patient attending outpatient Department of Obstetrics and Gynecology with age less than 40 years and infertility, symptoms of menopause were enrolled for the study for duration of 150 days.Results: Present study authors found a total of 2.8% of patient presenting in our outpatient department for infertility had Premature ovarian failure.80% of them were symptomatic suffering with symptoms of hormonal deficiencies .100% of patient with infertility diagnosed as premature ovarian failure had low AMH and High FSH and LH levels indicating poor prognosis.Conclusions: Patient presenting with infertility and amenorrhoea can be cases of premature menopause. Here it is essential to investigate and treat the patient. Infertility might be one of the early presenting symptoms if not the first one. These patients if treated and diagnosed early can have a better living. Considering the wide spectrum of functional derangements in patient with early menopause and benefits of early hormone replacements these patients should be diagnosed and treated early.

scholarly journals An audit on the use of statins in diabetic patients over 40 years in a tertiary care centre in Sri Lanka

2019 ◽  
Author(s):  
KVC Janaka ◽  
Hemadri Jayaratne ◽  
Ganga Jayasena Tennakoon ◽  
Chanuki Jayathilake ◽  
Muralitharan Ponnampalam ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Tertiary Care ◽  
Diabetic Patients ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Over 40 Years

Case Review of Melioidosis in a Tertiary Care Centre from Northern Sri Lanka

2019 ◽  
Vol 34 (2) ◽  
pp. 1-6
Author(s):  
Selladurai Pirasath ◽  
Jeebananthy Pradeepan ◽  
Thirunavukarasu Kumanan
Keyword(s):  
Sri Lanka ◽  
Tertiary Care ◽  
Case Review ◽  
Care Centre ◽  
Tertiary Care Centre

scholarly journals EP15.12: Diagnosis and management of abnormal placentation in tertiary care centre in Sri Lanka

2017 ◽  
Vol 50 ◽  
pp. 330-330
Author(s):  
S. Bandara ◽  
C. Kandauda ◽  
J.P. Jayasinghe ◽  
G. Wijewardana ◽  
K. Paramasothy ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Tertiary Care ◽  
Care Centre ◽  
Abnormal Placentation ◽  
Tertiary Care Centre ◽  
Diagnosis And Management

scholarly journals A Study on Knowledge, Awareness, and Medication Adherence in Patients with Hypertension from a Tertiary Care Centre from Northern Sri Lanka

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
S. Pirasath ◽  
T. Kumanan ◽  
M. Guruparan
Keyword(s):  
Blood Pressure ◽  
Sri Lanka ◽  
Target Organ Damage ◽  
Tertiary Care ◽  
Disease Status ◽  
Daily Routine ◽  
Care Centre ◽  
Drug Compliance ◽  
Tertiary Care Centre ◽  
Hypertensive Patients

Objective. To assess the patient’s knowledge and awareness about hypertension and adherence to antihypertensive medication among hypertensive patients with validated Morisky questionnaires in a tertiary care centre of northern Sri Lanka. Methods. A cross-sectional descriptive comparative study was carried out at Teaching Hospital Jaffna, from January 2017 to April 2017. Hypertensive patients were recruited by systematic randomized controlled sampling and interviewed with validated Morisky questionnaires to assess their knowledge about hypertension. Data were analyzed using SPSS (version 21) analytical package. Results. 73 of 303 patients were males. 69.9% of patients had adequate knowledge about hypertension. 40.5% of patients were unaware of their disease status. 75.8% of patients could not recall their blood pressure values at the time of diagnosis. 72.3% of patients were unaware of their values of blood pressure during their last outpatient clinic visit. 48.2% of patients had awareness of target organ damage due to hypertension (kidney, 72, 23.7%; heart, 128, 42.2%; brain, 140, 46.7%; eye, 42, 13.8%). Most of the patients had poor drug compliance. The most common reasons for nonadherence were forgetfulness (70, 23.1%) and interruptions of daily routine (53, 17.5%). Conclusion. The knowledge about hypertension among majority of patients was reasonable. But they were unaware of their disease status. The drug compliance among them was poor. Forgetfulness and interruptions of daily routine were common reasons attributed for nonadherence.

scholarly journals Psychological morbidity and illness perception among patients receiving treatment for tuberculosis in a tertiary care centre in Sri Lanka

2016 ◽  
Vol 61 (1) ◽  
pp. 37 ◽  
Author(s):  
J S Galhenage ◽  
J P Rupasinghe ◽  
G S Abeywardena ◽  
A P De Silva ◽  
S S Williams ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Tertiary Care ◽  
Illness Perception ◽  
Psychological Morbidity ◽  
Care Centre ◽  
Tertiary Care Centre

scholarly journals Plastibell circumcision in neonates and infants at tertiary care centre

2018 ◽  
Vol 5 (4) ◽  
pp. 1488
Author(s):  
Nandkishor D. Shinde ◽  
Mohammad Moinuddin ◽  
A. N. M. Owais Danish
Keyword(s):  
Prospective Study ◽  
Surgical Procedure ◽  
Tertiary Care ◽  
Care Centre ◽  
Inclusion Criteria ◽  
Medical Sciences ◽  
Tertiary Care Centre ◽  
Surgical Time ◽  
The Mean ◽  
Neonates And Infants

Background: Circumcision is the most common surgical procedure in children worldwide. The aim of this study was to study the safety and complication of Plastibell circumcision in neonates and infants.Methods: This prospective study of 420 male children less than 1 years who underwent Plastibell circumcision for religious or cultural indication in the Department of Surgery at KBN Institute of Medical Sciences, Kalaburagi, during February 2016 to January 2018. Children were divided into two groups; neonates (0 to 4 weeks) and infants (5 weeks to1 year). Parents were given specific instructions on care of the device on discharge and followed up on day 3 and on day of separation of the Plastibell.Results: During the study period, 420 cases of Plastibell circumcision fulfilling the inclusion criteria were included and analyzed. Out of the total cases, 120 (28.57%) were neonates, whereas the remaining 300 (71.42%) were infants. Mean surgical time was 4±2 minutes. The mean number of days for Plastibell to separate was 6.2 days, Plastibell ring separation in neonates earlier (3 days to 7 days) as compared to infants (5 days to 12 days). Out of the total 420 cases 65 (15.47%) cases developed minor complications. In neonates, out of 120 cases only 05 (4.16%) developed complications. In infants, out of 300 cases, 60 (20%) developed complications.Conclusions: Neonates had shorter time for the Plastibell to separate and with fewer complications than infants. Though complications were present, they were few and could be managed easily. Plastibell circumcision is safe in neonates and infants.

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