scholarly journals UTERINE TORSION IN TWIN PREGNANCY

2006 ◽  
Vol 13 (02) ◽  
pp. 327-329
Author(s):  
MUHAMMAD SAJJAD MASOOD ◽  
HUMA QUDDUSI ◽  
MUHAMMAD SAMEE AKHTAR ◽  
NASEER-UD- DIN
Keyword(s):  
Cesarean Section ◽  
Twin Pregnancy ◽  
Posterior Wall ◽  
Married Women ◽  
Gravid Uterus ◽  
Ongoing Pregnancy ◽  
Incision Site ◽  
Uterine Torsion ◽  
The Right ◽  
Labour Pains

A young married women in her 3rd ongoing pregnancy, having no alive issuepresented at 37+ weeks with labour pains. Cesarean section was planned because of twin pregnancy and past badobstetrical history. During operation, the uterus was found to have rotated to 180 degree to the right. A transverseincision was made on posterior wall of uterus to deliver babies. After suturing the incision site, the uterus wasrepositioned in right place. This paper presents a case of torsion of gravid uterus in which the delivery and repositioningof the uterus was successful.

scholarly journals A Case of Torsion of Gravid Uterus Caused by Leiomyoma

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Gururaj Deshpande ◽  
Rajesh Kaul ◽  
Manjuladevi P.
Keyword(s):  
Abdominal Pain ◽  
Cesarean Section ◽  
Posterior Wall ◽  
Fetal Outcome ◽  
Gravid Uterus ◽  
Lower Segment ◽  
Fetal Bradycardia ◽  
Lower Segment Cesarean Section ◽  
Uterine Torsion ◽  
In Pregnancy

Uterine torsion during pregnancy is only sporadically reported in the literature. Here we present a case of leiomyoma causing uterine torsion in pregnancy and review the literature on etiology, diagnosis, and management. A 25-years-old primigravida with leiomyoma complicating pregnancy was admitted in our hospital with abdominal pain and uterine tenderness. She underwent emergency LSCS (lower segment cesarean section) for fetal bradycardia. Intraoperatively, the uterus was rotated 180 degrees left to right. Inadvertent incision on the posterior wall was avoided by proper delineation of anatomy. Torsion was corrected by exteriorization of leiomyoma and uterus, and lower segment cesarean was carried out safely. Prompt recognition and management of this condition is necessary for better maternal and fetal outcome.

scholarly journals Asymptomatic levo uterine torsion of 90 degrees during caesarean section

2017 ◽  
Vol 6 (10) ◽  
pp. 4700
Author(s):  
Sirisha Anne ◽  
Arpit Garg ◽  
Debraj Sen
Keyword(s):  
Blood Loss ◽  
Uterine Artery ◽  
Pathological Condition ◽  
Longitudinal Axis ◽  
Gravid Uterus ◽  
Lower Segment ◽  
Normal Finding ◽  
Uterine Torsion ◽  
The Right ◽  
Term Labour

Uterine torsion is defined as a rotation of uterus more than 45 degrees along it’s long axis.  Some degree of dextrorotation in the gravid uterus can be a normal finding, however rotation greater than 45 degrees along the longitudinal axis of the uterus which is described as uterine torsion is a rare pathological condition in   obstetrical practice. We report a case of levotorsion of the uterus by 90 degrees wherein patient had presented with pre term labour at 35W5D POG and levotorsion was encountered and managed intraop during caesarean. Uterine torsion of 90 degrees was encountered with the round ligament and tubo ovarian complex along with the uterine artery lying anteriorly at the incision site and lower segment of uterus rotated laterally onto the right side. The surgery was handled diligently resulting in average blood loss.  Blood loss during the surgery was average. After the delivery of the baby, uterus returned to anatomical position and levotorsion corrected spontaneously.

scholarly journals Spontaneous Rupture of an Unscarred Gravid Uterus in a Primigravid Woman at 32 Weeks of Gestation

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Etsuko Mizutamari ◽  
Tomoko Honda ◽  
Takashi Ohba ◽  
Hidetaka Katabuchi
Keyword(s):  
Cesarean Section ◽  
Uterine Rupture ◽  
Spontaneous Rupture ◽  
Gravid Uterus ◽  
Uterine Perforation ◽  
Primigravid Woman ◽  
Scarred Uterus ◽  
Operative Findings ◽  
The Right

Uterine rupture usually occurs in a scarred uterus, especially secondary to prior cesarean section. Antepartum uterine rupture in an unscarred uterus is extremely rare. We report a case of spontaneous rupture of an unscarred gravid uterus at 32 weeks of gestation in a primigravid woman. Ultrasonography and magnetic resonance imaging showed a bulging cystic lesion communicating with the intrauterine cavity. Operative findings during emergent cesarean section revealed uterine perforation in the right cornual area and a prolapsed, nonbleeding amniotic sac. The left cornual area was also focally thin. An arcuate uterus was suspected based on follow-up hysterosalpingography. Antepartum uterine rupture tends to occur in the uterine cornual area. In this case, Müllerian duct anomalies may have been associated with focal myometrial defects.

CESAREAN SECTION PERFORMED WITH SUCCESS BY AN ILLITERATE IRISH MIDWIFE IN 1738

PEDIATRICS ◽  
1974 ◽  
Vol 54 (4) ◽  
pp. 460-460
Author(s):  
T. E. C.
Keyword(s):  
Cesarean Section ◽  
Poor Woman ◽  
Common People ◽  
Linea Alba ◽  
The United Kingdom ◽  
The Common ◽  
Modern Medical Practice ◽  
Illiterate Woman ◽  
The Right ◽  
Labour Pains

To read about major surgical operations being performed by untrained laymen before the discovery of anesthesia and the beginning of modern medical practice fills one with profound sympathy for the patient's harrowing ordeal. Imagine the suffering of poor Alice O'Neal on whom a cesarean section was performed in January 1738 by an illiterate midwife as described below by Mr. Duncan Stewart, Surgeon in Dungannon in the County of Tyrone, Ireland. (I believe this is the first reported cesarean section performed in the United Kingdom from which the mother recovered.) Alice O'Neal, aged about 33 years, Wife to a poor Farmer near Charlemont, and Mother of several Children, in January 1738 took her Labour-Pains; but could not be delivered of her Child by several Women who attempted it. She remained in this Condition twelve Days; the Child was judged to be dead after the third Day. Mary Donally, an illiterate Woman, but eminent among the common People for extracting dead Births, being then called, tried also to deliver her in the common Way: And her Attempts not succeeding, performed the Caesarian Operation, by cutting with a Razor first the containing Parts of the Abdomen and then the Uterus; at the Aperature (sic) of which she took Out the Child and Secundines. The Part of the Incision was an Inch higher, and to a Side of the Navel, and was continued about six Inches downwards in the Middle betwixt the right Os Ilium and the Linea alba. She held the Lips of the Wound together with her Hand, till one went a Mile and returned with Silk and the common Needles which Taylors (sic) used: with these she joined the Lips in the manner of the Stitch employed ordinarily for the Hare-lip, and dressed the Wound with whites of Eggs, as she told me some days after, when led by Curiosity I visited the poor Woman who had undergone the Operation.

Mitral Re-Repair and Right Coronary Fistula Closure Advantage of Minimally Invasive Approach

2010 ◽  
Vol 5 (6) ◽  
pp. 456-459 ◽  
Author(s):  
Vincenzo Giordano ◽  
Jan G. Grandjean
Keyword(s):  
Mitral Valve ◽  
Right Atrium ◽  
Mild Hypothermia ◽  
Posterior Wall ◽  
Coronary Arteriography ◽  
Coronary Fistula ◽  
Invasive Approach ◽  
Concomitant Procedure ◽  
Echocardiographic Images ◽  
The Right

A 51-year-old man developed severe mitral regurgitation 10 years after previous mitral valve repair; the echocardiographic images showed a remarkable eccentric jet toward posterior wall of left atrium associated with a high degree of pulmonary vein retrograde flow. The coronary arteriography pointed out no pathologic lesions but a coronary fistula from the proximal right coronary to the right atrium. The standard approach was avoided, and a right anterolateral minithoracotomy was chosen, providing an excellent view. Under cardiopulmonary bypass and mild hypothermia, the mitral valve was re-repaired, and a new ring was implanted. After aortic cross-clamp release, the right coronary fistula was closed through the right atrium. The postoperative course was uneventful, and the patient was discharged on the fourth postoperative day. In such a high-risk reintervention and concomitant procedure, we think that this different approach may represent a feasible and reliable alternative.

The Effect of Reflexology on Lactation in Women Who Had Cesarean Section: A Randomized Controlled Pilot Study

2021 ◽  
pp. 1-8
Author(s):  
Sevde Aksu ◽  
Pelin Palas Karaca
Keyword(s):  
Pilot Study ◽  
Cesarean Section ◽  
Intervention Group ◽  
Control Group ◽  
Breast Pain ◽  
Randomized Controlled ◽  
Significant Difference ◽  
The Right ◽  
Documentation Tool ◽  
And Control

<b><i>Aim:</i></b> The research was conducted as a randomized controlled pilot study to evaluate the effects of reflexology on lactation in mothers who delivered by cesarean section (CS). <b><i>Methods:</i></b> A single-blind randomized controlled experimental study was conducted with a total of 60 postpartum women in the reflexology application (<i>n</i> = 30) and control groups (<i>n</i> = 30). After the CS, the mothers in the control group were given approximately 3-h routine nursing care after recovering from the effects of anesthesia; the introductory information form was applied, and the Breastfeeding Charting System and Documentation Tool (LATCH) and visual analog scale (VAS) for the signs of the onset of lactation were implemented on the first and second days. Reflexology was applied to the women in the intervention group after an average of 3 h following the mother’s condition had become stable and she had recovered from the effects of anesthesia. Reflexology was applied a total of 20 min – 10 min for the right foot, 10 min for the left foot – twice a day with 8-h intervals on the first and second days after CS. After the last reflexology application, the LATCH and VAS for the signs of the onset of lactation were applied. <b><i>Results:</i></b> Of the women, 70% breastfed their babies within 60 min after delivery; 46.7% of the mothers received breastfeeding training and 81.7% needed support for breastfeeding after the CS. The LATCH breastfeeding scores of the women in the intervention group on both days were significantly higher compared to those of the women in the control group (<i>p</i> &#x3c; 0.001). On the first day after the CS, apart from breast pain, there was no significant difference between the two groups in terms of breast heat and breast tension (<i>p</i> &#x3e; 0.05). On the second day after the CS, apart from breast tension, there was no significant difference between the groups in terms of breast heat and breast pain (<i>p</i> &#x3c; 0.05). In the study, women in the intervention group were found to have higher scores in terms of all three symptoms compared to the control group (<i>p</i> &#x3c; 0.05). <b><i>Conclusions:</i></b> In the study, it was determined that LATCH scores and signs of the onset of breastfeeding increased in the mothers who received reflexology after CS.

A rare encounter of obstructed direct inguinal hernia

2019 ◽  
Vol 22 (2) ◽  
pp. 41-43
Author(s):  
Amit Kumar Singh ◽  
Nripesh Rajbhandari ◽  
Balaram Malla ◽  
Gakul Bhatta
Keyword(s):  
Emergency Department ◽  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Intestinal Resection ◽  
Posterior Wall ◽  
Acute Intestinal Obstruction ◽  
University Hospital ◽  
Direct Inguinal Hernia ◽  
Direct Hernia ◽  
The Right

The direct inguinal hernia has a wider neck and thus usually doesn’t present as strangulation or incarceration in comparison to the indirect component. When direct inguinal hernias are untreated for a longer duration, they may get strangulated and incarcerated. Hence such long-standing direct hernias with features of intestinal obstruction and /or peritonism should be promptly seen and diagnosed to prevent massive and unwanted intestinal resection. We are reporting a case of 83-year-old male presented to Surgical Emergency Department of Dhulikhel Hospital, Kathmandu University hospital with complaints of swelling in the right inguinoscrotal region for 12 years and progressed to become irreducible and painful for 12 hours. Clinically he had an acute intestinal obstruction. Intra-operatively we found a direct hernia containing congested small bowel loops and toxic fluids. The toxic fluid was suctioned and after confirming viability, modified Bassini’s repair was done with reinforcement of the posterior wall. Even direct inguinal hernia of longer duration can cause acute or sub-acute intestinal obstruction with or without features of peritonism. This complication is more common in elderly patients.

Transient severe isolated right ventricular hypertrophy in neonates

2003 ◽  
Vol 13 (4) ◽  
pp. 384-386 ◽  
Author(s):  
Munesh Tomar ◽  
Sitaraman Radhakrishnan ◽  
Savitri Shrivastava
Keyword(s):  
Pulmonary Hypertension ◽  
Right Ventricular ◽  
Ventricular Function ◽  
Ventricular Hypertrophy ◽  
Pressure Overload ◽  
Posterior Wall ◽  
Right Ventricular Hypertrophy ◽  
Pulmonary Vasculature ◽  
Normal Thickness ◽  
The Right

We report two instances of transient isolated right-sided myocardial hypertrophy in patients with an intact ventricular septum, normal thickness of the posterior wall of the left ventricle, and normal ventricular function, diagnosed by echocardiography on the third day of life. The two neonates, born at 36 and 38 weeks gestation respectively, had perinatal distress. Both were diagnosed as having isolated right ventricular hypertrophy with mild pulmonary hypertension, which disappeared in both cases within 8 weeks without any specific therapy. Though the cause of the ventricular hypertrophy remains unclear, we believe that it is the consequence of remodeling of pulmonary vasculature secondary to acute perinatal distress, resulting in persistent pulmonary hypertension and producing pressure overload on the right ventricle, and hence right ventricular hypertrophy. The finding of early and transient right ventricular hypertrophy, with normal left-sided structures and normal ventricular function, has thus far failed to gain attention in the paediatric cardiologic literature.

scholarly journals Herniation of the Mastoid Segment of the Facial Nerve During Cochlear Implantation Surgery

2021 ◽  
pp. 014556132110516
Author(s):  
Mohammad Almohammad ◽  
Tala Tasabehji ◽  
Abdulrahman Awad ◽  
Ibrahem Hanafi
Keyword(s):  
Facial Nerve ◽  
Hearing Aids ◽  
Cochlear Implantation ◽  
Round Window ◽  
Posterior Wall ◽  
Case Presentation ◽  
Posterior Tympanotomy ◽  
Bilateral Sensorineural Hearing Loss ◽  
The Right ◽  
Electrical Stimuli

Background: We aim to report a rare case of a herniated mastoid segment of the facial nerve that was accidently discovered during cochlear implantation surgery and how altering the surgery plan could achieve the implantation while preserving the nerve. Case presentation: A four-year-old girl presented with profound bilateral sensorineural hearing loss that did not completely resolve after 2 years of using hearing aids was scheduled for cochlear implantation surgery in the right ear. During surgery, a herniated mastoid segment of the facial nerve took an anterior course and obstructed the access to the round window. Conclusion: When a traditional posterior tympanotomy approach in cochlear implantation surgery is limited in cases of a herniated facial nerve, a tunnel created near the inferior part of the posterior wall of the auditory canal provided safe insertion of the electrode. It also permitted placement of a piece of fascia between the electrode and the facial nerve, therefore, protecting the facial nerve from electrical stimuli.

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