scholarly journals HYSTERECTOMIES

2011 ◽  
Vol 18 (01) ◽  
pp. 46-50
Author(s):  
QAMAR-UR- NISA ◽  
HABIB ULLAH ◽  
TANWEER AHMED SHAIKH ◽  
Miss Hemlata ◽  
Fatima Memon ◽  
...  

Objective: To audit indications and histopathological diagnosis of hysterectomies performed at Muhammad Medical College hospital, Mirpurkhas. Study Design: Retrospective study. Place and Duration of Study: Department of Obstetrics and Gynaecology and Department of Pathology, Muhammad Medical College Hospital, Mirpurkhas Sindh from January to December 2008. Methodology: Data regarding symptoms and indications of hysterectomies performed during this year were collected from files and patient records. Histopathological reports of those patients were collected from department of pathology. The results were analyzed by percentages. Results: A total of 145 hysterectomies were performed in 2008. Mean age of patients was 45years ranging from 35-60 years and parity ranges from 4 – 10. Most common presenting complaints were excessive menstrual blood loss in 97(67%) patients, followed by some thing coming out of vagina 28(19%). Most common pre-operative diagnosis of fibroid was made in 44 (33%) followed by uterovaginal prolapse in 28(19%) and dysfunctional uterine bleeding (DUB) in 18(12%) of patients. Regarding histopathological diagnosis chronic cervicitis was the most commonly diagnosed pathology in 45 (31%) followed by fibroid in 25(17%) cases. Conclusions: A yearly audit should be conducted in every institute to collect data and to analyze the pattern of indication and lesions found on histopathological examination. 

2012 ◽  
Vol 18 (1) ◽  
pp. 23-29
Author(s):  
Md Mahmudul Huq ◽  
Mohammad Idrish Ali ◽  
SM Nazmul Huque ◽  
KM Nurul Alam ◽  
Md Abdus Sattar ◽  
...  

Objective: In this study 50 patients of neck swelling were studied to compare the findings with clinical diagnosis and histopathological report for its diagnostic reliability.Methods: This cross sectional study was done in ENT Department of Sher-E-Bangla Medical College Hospital, Barisal, Bangabandhu Sheikh Mujib Medical University and Dhaka Medical College Hospital, Dhaka from July 2006 to December 2006. Fine needle aspiration cytology, MRI, CT scan, and histopathological examination of postoperative specimen of neck swelling, analyzed data presented by various tables, graphs and figures.Results: In the present series 50 cases of neck swelling were studied. Out of these 50 cases 19 were male and 31 were female. The male, female ratio was 1:1.63. Age range was 4 – 60 years with maximum frequency in the 4th decade with the 3rd and 2nd in the following suit. Most of the patient was poor. Clinical, cytological and histopathological diagnosis was available in all the cases. The three sorts of diagnoses were compared with each other. Histopathologically 12 cases were tubercular lymphadenopathy, 12 cases were nodular goiter, 5 cases were Metastatic carcinoma, 5 were thyroid carcinoma and another 5 cases were lymphoma, Rest were benign, congenital and nonspecific inflammatory conditions. Correct diagnosis was made by FNAC in 45 cases. In the rest 5 cases smear were unsatisfactory in 2 cases and gives inconclusive result, remaining 3 were follicular neoplasmand no definitive result were made which were subsequently diagnosed by histopathological examination as a follicular adenoma in 1 and follicular carcinoma in 2. Sensitivity of FNAC in the diagnosis of neck masses were found 91% for tuberculosis, 100% for metastatic carcinoma and also for salivary gland tumour. In case of nodular goiter sensitivity was 92%. But it is only 60% sensitive in case of thyroid malignancy, as FNAC can not demarcate clearly between follicular adenoma and follicular cell carcinoma. But its accuracy in diagnosing papillary carcinoma of thyroid was 100%.Conclusion: FNAC can reduce substantially the need of open biopsy for histopathological examination. Accuracy of FNAC will be improved with relevant information provided by clinicians.DOI: http://dx.doi.org/10.3329/bjo.v18i1.10410  Bangladesh J Otorhinolaryngol 2012; 18(1): 23-29


2020 ◽  
Vol 7 (1) ◽  
pp. 12-16
Author(s):  
Naheed Fatema ◽  
Zannatul Ferdosh ◽  
Sherajum Munira ◽  
KAM Mahbub Hasan ◽  
Nasim Iftekhar Mahmud ◽  
...  

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


2017 ◽  
Vol 8 (1) ◽  
pp. 6-9
Author(s):  
Tabassum Tahmin Sajani ◽  
Tanjila Tahmin Sarnali ◽  
Md Atiqur Rahman ◽  
Shoib Ahmed

Background: Endometrial diseases ranked among the most common gynecological disorders that affect women globally. This study was undertaken to identify the most common pathologies identified in hysterectomy specimens.Materials & Methods: The present study was conducted in the Department of Pathology, Anwer Khan Modern Medical College, Dhaka over a period of 6 months from July to December 2013. Ninety eight (98) hysterectomy specimens were received by the pathology department during this period. On receiving the hysterectomy specimens, the gross features were noted. A detailed microscopic examination was done to arrive at an accurate diagnosis.Result: Most of the women 54% were 40-49 years age group followed by 25% in 30-39 years age group. Chronic cervicitis and adenomyosis were the commonest pathological findings in (80.6%) and (32.7%) respectively. Other pathologies identified include Leiomyoma (23.5%), endometrial hyperplasia (17.4%), endometrial polyp (4.1%) and PID with hemorrhagic infection (1.0%). Two cases of carcinoma cervix (2.0%), two local invasion of tumors (2.0%) and one adenocarcima (1.0%) was found. Type of operation most common is total hysterectomy with oophorectomy (51.0%).Conclusion: Hysterectomy still remains the widely used treatment modality even in developed countries. The ultimate diagnosis is only on histology, so every hysterectomy specimen should be subjected to histopathological examination. Benign pathologies are more common than their malignant counterparts and the most common pathologies identified in hysterectomy specimens are chronic cervicitis, adenomyosis and leiomyoma.Anwer Khan Modern Medical College Journal Vol. 8, No. 1: Jan 2017, P 6-9


2013 ◽  
Vol 7 (2) ◽  
pp. 75-78
Author(s):  
Irin Parveen Alam ◽  
Dr. Mahbuba ◽  
Shila Rani Das

After abdominal surgery some patient's needs relaparotomy for complications developed postoperatively. Aim of this study was to determine the risk factors causing re-laparotomy, the indications, management and outcomes of relaparotomy admitting in Obstetrics and Gynaecology department in Faridpur Medical College Hospital, a tertiary  referral hospital where all complicated patients are referred for management from surrounding districts hospital. It  was a cross sectional study done during the period of January 2011 to December 2011, All the cases among which relaparotomy were done after primary surgery were recorded using a protocol prepared for the study. Data was analyzed. Total 6304 patients were admitted in emergency way in Obstetrics and Gynaecology department of Faridpur Medical College Hospital. Among them 1864 patients undergone emergency operations, here 15 patients  needed re-laparotomy. The incidence of re-laparotomy was 0.80%. Indications of relaparotomy included internal hemorrhage, postpartum hemorrhage (PPH), retained foreign body, incorrect diagnosis at first laparotomy, intraabdominal collection of pus and urine, Rectus sheath haematoma and burst abdomen. Often more than one procedure  was needed to manage the cases. Re-laparotomy causes much morbidity & mortality with increase in hospital stay  and cost. Careful selection of cases for primary operation, expertise of the surgeon, good surgical technique and  careful postoperative follow-up can reduce the need for re-laparotomy. DOI: http://dx.doi.org/10.3329/fmcj.v7i2.13503 Faridpur Med. Coll. J. 2012;7(2):75-78


2016 ◽  
Vol 6 (1) ◽  
pp. 30-34
Author(s):  
Md Hafizul Islam ◽  
Mohammad Sayeed Ahmed ◽  
Asik Rayhan ◽  
Ashraful Hayat

Aims and 0bjective of present study: A retrospective study was performed involving 480 patients of fracture mandible who were attended in dental O.P.D of Rangpur Medical College Hospital during the period 2010 to December 2013. The aims of this study to analyze the fracture mandible cases and treatment modality by miniplate osteo synthesis. To evaluate causes, sites and different ages of fracture of mandible.Methods: Retrospective study of data were collected from the patients record file of dental O.P.D during the period January 2010 to December 2013.Result: A total of 480 cases were studied where miniplate immobilization were made in 288 cases. Arch bar immobilization were made in 144 cases and rest 48 cases eyelet wiring. Among the 288 case male female ratio was 2:1. The treatment modality relation to patient was same in number for male patients by mini plate immobilization where as arch bar immobilization was same for female patient in number. The reason behind may be due to fear of operation by female patient. The results are shown in pie chart and bar diagram.Conclusion: Using this research results, a great effort was made to provide better management of fracture mandible patient to the population of at or around the city of Rangpur.Mandibular fracture were more present in male between 20 to 30 years rta was about 50% cases. Rigid internal fixation by monocortical mini plate osteo synthesis provide good long time results and satisfactory cosmosis without any significant sequela[8].The more frequently affected region were symphysis menti and angle of mandible.Update Dent. Coll. j: 2016; 6 (1): 30-34


2019 ◽  
Vol 6 (2) ◽  
pp. 83-86 ◽  
Author(s):  
Taslima Begum ◽  
Md Anwar Habib ◽  
Shipra Chaudhury ◽  
Hasina Akter ◽  
Tahmida Firdousi ◽  
...  

Background: Serum albumin level is very important during the pregnancy for the good outcome of delivery. Objective: The purpose of the present study was to see the association of serum albumin level in predicting of preeclampsia among the pregnant women. Methodology: This descriptive cohort study was conducted in the OPD of the Department of Obstetrics and Gynaecology at Rajshahi Medical College Hospital, Rajshahi, Bangladesh from January 2013 to December 2014 for a period of two (2) years. This study was carried on pregnant woman attending in outdoor department of Gynaecology, Rajshahi Medical College Hospital, Rajshahi, Bangladesh before 20 weeks of pregnancy who were healthy normotensive primigravidae with singleton pregnancy. Healthy normotensive primigravidae with singleton pregnancy were enrolled in this study before 20th weeks and were followed up after 28th weeks of pregnancy. The data of serum albumin in gm/dL before 20th weeks and after 28th weeks of pregnancy were collected. Result: A total number of 75 pregnant women were finally included in this study. PE was identified in 12(16%) women out of 75 patients on the basis of one or more following parameters. Mean serum albumin in 1st visit was 3.84±0.41 gm/dL. No association was found between development of preeclampsia and levels of serum albumin in early trimester of pregnancy (p=0.960). Conclusion: In conclusion serum albumin level is not a predictor of development of preeclampsia among the pregnant women in early stage. Journal of Current and Advance Medical Research 2019;6(2):83-86


2017 ◽  
Vol 6 (2) ◽  
pp. 76-78
Author(s):  
Rooh E Zakaria ◽  
Farhana Dewan ◽  
Md Abdullah Yusuf ◽  
Mamunur Rahman ◽  
Mojammel Hauque

Background: Ovarian tumour causes great morbidity and mortality.Objective: The purpose of the present study was to analyze the different presentation of ovarian tumours to see the frequency and clinic-demographic characteristics of ovarian tumour.Methodology: This cross sectional study was conducted in the Department of Gynaecology & Obstetrics, Shaheed Suhrawardy Medical College, Dhaka during the period from January to June 2013 for a period of six months. Patient admitted in Department of Obstetrics Gynaecology ward in Shaheed Suhrawardy Medical College Hospital with provisional diagnosis of ovarian tumour were selected as study population. Proper permission was taken from the ethical committee of Shaheed Suhrawardy Medical College Hospital for this study. All the patients were informed about the various aspects of the study. Their verbal consents were taken. Women of all ages with ovarian tumour were included in this study. Women with all other tumour except ovarian tumour were excluded from this study. A thorough history variably collected, clinical examination and investigations was carried out. The result of benign and malignant ovarian neoplasms in regard to age parity, physical sign, vaginal examination, laparotomy findings, together with their macroscopic findings are tabulated separately. Histopathological examination was done by senior pathologists of ShSMCH.Result: A total 50 cases of ovarian tumour had been studied of which 26 (52%) were benign and 24(49%) were malignant ovarian tumours which were confirmed by histopathological examination (P>0.05). 28% and 12% patient with benign ovarian tumour were in age group of 18-34 years and 35-45 years and 14% patient with malignant ovarian tumour in age group >45 years (p>0.05). 32% patient with benign ovarian tumours came from poor socio economics condition and 20% from middle class, 28% patient with malignant ovarian tumour came from poor and 16% from middle class family. Out of 50 cases of ovarian tumour , 39 were married and 11 were unmarried. 51% patients did not use any contraceptives and 31% oral contraceptives (P<0.05). No family history was found in 92% patients. 16% patients with benign tumours were unmarried.Conclusion: In conclusion ovarian tumour are mostly benign of which middle age group are most commonly reported.J Shaheed Suhrawardy Med Coll, 2014; 6(2):76-78


Sign in / Sign up

Export Citation Format

Share Document