scholarly journals Laparoscopic Myomectomy

2020 ◽  
Vol 25 (2) ◽  
pp. 48-51
Author(s):  
Radu Chicea ◽  
Anca Lucia Chicea ◽  
Paula Niță
Keyword(s):  
Clinical Examination ◽  
Reproductive Age ◽  
Laparoscopic Myomectomy ◽  
Emergency Hospital ◽  
Clinical Hospital ◽  
Obstetrics And Gynaecology ◽  
Abdominal Organs ◽  
Benign Pathology ◽  
Pelvic Masses ◽  
Clinical Emergency

AbstractPelvic masses are commonly diagnosed following clinical examination. These may be located in the genital organs or may interest other pelvic and abdominal organs. The pathology of the pelvic masses varies with age. The postmenopausal period is most commonly associated with malignant pathology while reproductive age is associated with benign pathology. The purpose of this paper is to present the experience of the Obstetrics and Gynaecology Clinic of the Sibiu County Clinical Emergency Hospital in laparoscopic myomectomy. We evaluated the patients admitted to the Obstetrics and Gynaecology Clinic of the Emergency County Clinical Hospital in Sibiu who underwent a laparoscopic myomectomy between 1.01.2015 - 06.06.2019. During this time, 14 laparoscopic myomectomies were performed in our clinic. Patients ranged in age from 29 to 57 years.

scholarly journals ANALYSIS OF COMPLICATIONS OF ONCOLOGICAL PATIENTS DIED IN THE EMERGENCY HOSPITAL

2021 ◽  
Vol 21 (4) ◽  
pp. 30-35
Author(s):  
Yu. S. Korneva ◽  
Yа. А. Rudenko
Keyword(s):  
Emergency Medicine ◽  
Cancer Patients ◽  
Emergency Hospital ◽  
Clinical Hospital ◽  
Oncological Patients ◽  
Oncological Diseases ◽  
Clinical Emergency

The article analyzes the autopsy reports of cancer patients who died in the Clinical Emergency Medicine Clinical Hospital in Smolensk in order to study the complications? Related to oncologycal disease in these patients. The complications of oncological diseases that doctors have to deal with in emergency hospitals and their specific manifestations depending on the location of the tumor are also analyzed.

Breech Presentation: Vaginal Delivery or Caesarean Section?

2016 ◽  
Vol 2 (1) ◽  
pp. 153
Author(s):  
Tomescu Cezar Laurentiu ◽  
Rodica Sîrbu ◽  
Emin Cadar ◽  
Brezeanu Dragos ◽  
Aneta Tomescu
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Vaginal Delivery ◽  
Total Population ◽  
Population Sample ◽  
Breech Presentation ◽  
Current Paper ◽  
Clinical Hospital ◽  
Obstetrics And Gynaecology ◽  
Number Of Patients

The incidence of breech presentation is approximately 3,97%. Breech presentation is considered as being “borderline eutocic” and it requires carefully monitoring both the foetus and the mother. The aim of the current paper is to evaluate the preffered method of delivery in case of breech presentation. The paper presents a retrospective study performed in the Obstetrics and Gynaecology Departments of the County Emergency Clinical Hospital “Sf. Apostol Andrei” in Constanta, during a period of 5 years (2010-2014). The methods of birth were analyzed for a lot of 1104 patients with breech presentation with ages ranging between 16 and 44 years old. The total number of patients who gave birth through vaginal delivery was of 139 patients, amounting to 12.59% of the total population sample. The number of patients that gave birth through C-section was 965, which amounts to 87.4% of the total population sample. Birth through C-section is preferred by both obstetricians and patients alike, due to the fact that vaginal delivery is associated with a higher foetal risk in breech presentation.

scholarly journals Lesions of the urinary organs during abdominal and vaginal hysterectomy

2010 ◽  
Vol 15 (2) ◽  
pp. 19
Author(s):  
F. Leanza ◽  
G. Bianca ◽  
G. Cinquerrui ◽  
S. Caschetto
Keyword(s):  
Vaginal Hysterectomy ◽  
Adequate Treatment ◽  
Obstetrics And Gynaecology ◽  
Benign Pathology ◽  
The University ◽  
Ureteral Lesion ◽  
Iatrogenic Origin ◽  
Excretory Organs

the lesions of the urinary organs of a iatrogenic origin correlated to hysterectomy surgery almost exclusively concern the ureter and the bladder. Lesions of the urinary organs caused during abdominal and vaginal hysterectomy for benign pathology were studied at the 1st Clinic of Obstetrics and Gynaecology of the University of Catania between 1st January 1989 and 31st December 2000. During this period 3,138 hysterectomies were performed, of which 2,765 (88.11%) abdominally and 373 (11.89%) vaginally. Altogether there were 11 (0.35%) iatrogenic lesions of the urinary excretory organs and these included 5 (0.15%) ureteral lesions and 6 (0.19%) bladder lesions. There were no lesions of the urethra. In 2,765 abdominal hysterectomies 4 (0.14%) ureteral lesions and 4 (0.14%) bladder lesions occurred, and in 373 vaginal hysterectomies one (0.27%) ureteral lesion and 2 (0.54%) bladder lesions occurred. In all cases, after adequate treatment the urinary organs healed completely.

scholarly journals Traumatic rupture of the left dome of the diaphragm with massive protrusion of the abdominal organs into the pleural cavity

1981 ◽  
Vol 62 (5) ◽  
pp. 67-68
Author(s):  
A. M. Ivanov
Keyword(s):  
Pleural Cavity ◽  
Regional Hospital ◽  
Steering Wheel ◽  
Traumatic Rupture ◽  
Clinical Hospital ◽  
Abdominal Organs ◽  
Car Accident

K., 26 years old, 3 / XI 1973 during a car accident was pressed down by the steering wheel of the car to the seat. 15 minutes after the incident, he was removed from the cabin and taken to the district and then to the regional hospital. Two days after the injury, he was transferred to the thoracic department of the 2nd city clinical hospital

scholarly journals Clinical manifestations of connective tissue systemic injury in women of early reproductive age having small pelvis varicosis

2006 ◽  
Vol 5 (1) ◽  
pp. 87-90
Author(s):  
V. G. Mozes ◽  
K. B. Mozes
Keyword(s):  
Connective Tissue ◽  
Clinical Examination ◽  
Clinical Manifestations ◽  
Sialic Acids ◽  
Reproductive Age ◽  
Severe Dysplasia ◽  
Study Results ◽  
Connective Tissue Dysplasia ◽  
Tissue Metabolites

The aim of the study was to define manifestations of non-differentiate forms of connective tissue dysplasia in women of early reproductive age having small pelvis varicosis. The study results showed that patients having small pelvis varicosis revealed more often phenotype manifestations of non-differentiate forms which were seen in clinical examination. Increased level of serum sialic acids and increasing excretion of connective tissue metabolites (free oxyproline and glycosaminoglycanes) with urine were consequence of connective tissue systemic injury in these patients which is in accordance with data of non-severe dysplasia process. The study performed allowed to conclude that the small pelvis varicosis in women of early reproductive age is a manifestation of systemic injury of connective tissue.

scholarly journals Quality assessment of medical care according to data of annual reports (as exemplified by Urology Department of Municipal Non-profit Enterprise "Lviv Clinical Emergency Hospital")

2021 ◽  
Vol 27 (1-2) ◽  
pp. 83-100
Author(s):  
A.B. Zimenkovsky ◽  
◽  
T.G. Gutor ◽  
O.M. Lesniak ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Surgical Complications ◽  
Care Quality ◽  
Annual Reports ◽  
Absolute Increase ◽  
Non Profit ◽  
Emergency Hospital ◽  
Post Surgery ◽  
Positive Tendency ◽  
Clinical Emergency

Aim. The medical care quality remains one of the most pressing issues of the health care system, especially at the stage of reforming of the medical sector. Medical-statistical information comprising reporting forms is the basis for analyzing the status of medical care quality and incorporating management decisions to improve it. Material and Methods. The study was performed by the means of analysis of the annual reports of the Urology Department of Municipal Non-profit Enterprise "Lviv Clinical Emergency Hospital" over a ten-year period: from 2010 to 2019. Statistical analysis included the analysis of average and relative values, as well as the calculation of indicators of the dynamic range: growth rate and absolute increase. Results and Discussion. Analysis of the use of bed stock of the Urology Department of MNELCEH during 2010-2019 showed that the average quantity of inpatient days is 251.12-340.18 days per year. Inpatient turnover was in the range of 30.28-36.55 patients per year. The indicator of surgical activity increased by 5.4 percentage points (from 33.0% in 2010 to 38.4% in 2019). There was also a positive tendency of decrease of the duration of post-surgery stay of patients at the inpatient department of the Urology Department (from 9.25 in 2010 to 8.55 in 2019). During the study period of 2010-2019, the ratio of post-surgical complications remained relatively stable and did not exceed 5.1% (the indicator is in the range of 4.38% -5.09%). The analysis of the total mortality among all treated patients was in the range of 0.06%-0.65%. Conclusion. The indicators analyzed in the annual reports make it possible to identify the main problematic issues in the work of the department. In order to provide professional specialized care, quality and rational use of property and human resources, algorithms should be developed to increase treatment of patients with malignant tumors and urolithiasis at the department, as in recent years we could observe an outflow of patients with these diagnoses to other healthcare establishments. There is a need for individual analysis of the causes of post-surgical complications and mortality. These issues can be resolved by introducing clinical audit into the work of the department

scholarly journals Adnexal mass: a clinicopathological study at a tertiary care centre in Assam, India

2019 ◽  
Vol 8 (4) ◽  
pp. 1457
Author(s):  
Mukut Jyoti Das ◽  
Pranay Phukan
Keyword(s):  
Clinical Examination ◽  
Adnexal Mass ◽  
Histopathological Examination ◽  
Color Doppler ◽  
Tertiary Care ◽  
Broad Ligament ◽  
Reproductive Age ◽  
Transvaginal Sonography ◽  
Age Group ◽  
Adnexal Masses

Background: An adnexal mass may be found in females of all ages with significantly variable prevalence, but more common among women of reproductive age. Adnexal masses pose a special dilemma to the attending gynaecologist because the diagnosis is often difficult and differential diagnosis is vast. Clinical examination is the first step in evaluation of patients with adnexal mass. Pelvic masses which are undetected or overlooked on physical examination can be identified by Ultrasonography. The aims and objectives of the study were to: to find out different types of adnexal pathology clinically, correlation of clinical finding with histopathology, correlation of ultrasonography finding with histopathology.Methods: The present study was carried in the Department of Obstetrics and Gynecology, Assam medical college and hospital, Dibrugarh from 1st July 2017 to 30th June 2018. This study was a hospital based observational study which included 145 patients of adnexal mass attending the GOPD who required admission and operative intervention. All cases underwent an abdominal ultrasound examination with color Doppler. Transvaginal sonography was done wherever feasible. Following surgery, specimens were sent for histopathological examination and the reports were correlated with pre-operative clinical and ultrasonography findings.Results: The most common site of origin of adnexal mass was ovary (92.41%) followed by fallopian tube (6.20%) and broad ligament (1.39%). Majority (79.31%) were non neoplastic or benign adnexal masses. All cases of adnexal malignancy were of ovarian origin. The sensitivity and specificity of clinical examination for diagnosis and discriminating benign and malignant ovarian neoplasms were 70% and 86.6% and that of ultrasonography was 86.67% and 96.65% respectively.Conclusions: Adnexal mass in reproductive age group were mostly non neoplastic and benign, whereas malignancy was mostly seen in peri and post-menopausal age group. Ultrasonography is a useful adjunct to clinical examination for diagnosis and proper management of patients with adnexal mass in low resource setup.

scholarly journals Surgical Management and Per-operative Findings of Women with Ectopic Pregnancy

2020 ◽  
Vol 7 (1) ◽  
pp. 12-16
Author(s):  
Naheed Fatema ◽  
Zannatul Ferdosh ◽  
Sherajum Munira ◽  
KAM Mahbub Hasan ◽  
Nasim Iftekhar Mahmud ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Surgical Management ◽  
Fallopian Tube ◽  
Medical College Hospital ◽  
Reproductive Age ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Operative Findings

Background: Management of ectopic pregnancy is very crucial issue for the survival of the patients. Objective: The purpose of the present study was to observe the surgical management and per-operative findings of women with ectopic pregnancy. Methodology: This cross-sectional study was carried out in the inpatient Department of Obstetrics and Gynaecology at Bangladesh Medical College Hospital, Dhaka, Bangladesh from January 2009 to December 2009 for a period of one (1) year. All clinically suspected cases of ectopic pregnancy within the reproductive age admitted in the department of Obstetrics and Gynaecology at the Bangladesh Medical College Hospital, Dhaka were included in the present study. In most of the cases, laparoscopy or laparotomy was done to confirm the diagnosis and manage the cases. Result: A total number of 48 cases of ectopic pregnancy women were recruited for this study. The highest number of ectopic pregnancy occurs in the ampulla of the fallopian tube which was 27(58.3%) cases. The right tube had been found to be affected more than the left which was 30(62.5%) cases and 18(37.5%) cases respectively. Most of the patients were presented with ruptured tubal pregnancy which was 30(62.5%) cases. Opposite tube was normal looking in 25(52.1%) cases. Unilateral salpingectomy and salpingectomy with contra lateral tubectomy were operated in 32(66.7%) cases and 10(20.8%) cases respectively. Conclusion: In conclusion most of the ectopic pregnancy is occurred in the site of ampulla of fallopian tube in right side which are mostly surgically managed by unilateral salpingectomy. Journal of Current and Advance Medical Research 2020;7(1): 12-16

scholarly journals Clinicopathological spectrum of gynecological pelvic masses: a cross-sectional study

2017 ◽  
Vol 6 (5) ◽  
pp. 1915
Author(s):  
Shobha S. Pillai
Keyword(s):  
Clinical Examination ◽  
Pelvic Mass ◽  
Diagnostic Procedures ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Methodical Approach ◽  
Pelvic Masses ◽  
Mass Lesions ◽  
Optimum Management ◽  
Complete History

Background: Pelvic mass lesions are a commonly encountered entity in gynecological practice. These masses may be uterine or adnexal, benign or malignant. Clinicians have to be aware of their differential diagnosis to triage the patients and ensure optimum therapeutic approach. The objectives of this study were to study the diverse clinical spectrum of gynecological pelvic masses and to correlate the preoperative diagnosis based on clinical examination and ultrasonography with intraoperative surgical findings and histopathological examination.Methods: This was a cross sectional observational study on 114 patients with a diagnosis of pelvic mass who underwent laparotomy. All the patients were evaluated by a complete history, general abdominal and pelvic examination, followed by ultrasonography. These preoperative findings were then correlated with surgical findings and histopathological diagnosis.Results: 48% 0f the patients were in the age group of 41-50 years. The most common presenting complaint was lower abdominal/ pelvic pain seen in 78% of the patients. Uterine masses mostly presented as abdominal pain, abdominopelvic mass, menstrual complaints whereas ovarian masses presented with vague G. I symptoms or were asymptomatic. 37% of all masses were leiomyomas. There were 16 uterine malignancies and 14 ovarian cancer cases. Preoperative USG correlated well with histopathological diagnosis.Conclusions: A methodical approach consisting of a proper history, clinical examination, imaging studies and correct interpretation of diagnostic procedures is necessary for the triage and optimum management of gynecologic pelvic masses.

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