scholarly journals Experience of Female Urogenital Fistula – a Shift of Dominance From Obstetric Variety to Iatrogenic One

2020 ◽  
Vol 21 (2) ◽  
pp. 71-75
Author(s):  
Md S Islam ◽  
Md Zaman Masud
Keyword(s):  
District Hospital ◽  
Birth Trauma ◽  
Vaginal Route ◽  
College Hospital ◽  
Medical College ◽  
Urogenital Fistula ◽  
Operative Complications ◽  
Different Types ◽  
Abdominal Route ◽  
Urogenital Fistulae

Aim: This retrospective study was carried out in Jessore Medical College Hospital and Jhenidah District Hospital on different types of female urogenital fistulae to evaluate its aetiological aspect in the present health care scenario of the country. Materials and Methods: Female patients presenting with features of urogenital fistula were evaluated properly and operated through intra-abdominal and vaginal route depending upon the merit of the fistula. Aetiological pattern of the cases was evaluated along with surgical outcome and post-operative complications. Result: Ofthe 28 female urogenital fistulas, 27 (96.43%) were VVF and 1(3.57%) was UVF. Out of 28 cases, 71.42 %( 20patients) were post-hysterectomy complication, 21.42 %( 6 patients) cases resulted from birth trauma and 7.14 %(n=2) cases were post caesarean complication. Trans-abdominal route was used for operation in 22 (78.56%) cases while 6 (21.42%) cases were operated through trans-vaginal route. In this series of 28 cases, 89.29 %( 25 cases) patients were fully cured and10.71 %( 3cases) patients experienced recurrence. Conclusion: The aetiological pattern of the female urogenital fistula in our country has changed substantially from the dominance of birth trauma to post hysterectomy indicating a remarkable improvement in maternal care system along with development of other socioeconomic parameters. Bangladesh Journal of Urology, Vol. 21, No. 2, July 2018 p.71-75

scholarly journals Plasma D-Dimer Level in Different Types of Acute Ischaemic Stroke Patients: Experience at a Tertiary Hospital in Dhaka City

2019 ◽  
Vol 5 (1) ◽  
pp. 13-17
Author(s):  
Paritosh Kumar Sarkar ◽  
Anwar Israil ◽  
Mohammad Sayeed Hassan ◽  
Abu Nayeem ◽  
Md Azharul Hoque ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Ischemic Stroke ◽  
Ischaemic Stroke ◽  
Clinical Diagnosis ◽  
Acute Ischaemic Stroke ◽  
Stroke Patients ◽  
College Hospital ◽  
Medical College ◽  
Different Types ◽  
D Dimer

Background: Plasma D-Dimer is a biomarker of thrombo-embolism. Objective: The purpose of the present study was to see the plasma D-dimer level in different types of acute ischaemic stroke patients. Methodology: This cross-sectional study was conducted in the Department of Neurology & Department of Internal Medicine at Dhaka Medical College Hospital, Dhaka, Bangladesh from July 2010 to June 2012 for a period of two (02) years. Patients with ischemic stroke with history within 7 days attending in the stroke clinic of Department of Neurology or admitted in the Department of Neurology and Internal Medicine through the outpatient and emergency Department of Dhaka Medical College Hospital (DMCH) were selected as study population for this study. Analysis of plasma D-Dimer was done in the Department of Hematology of DMCH.b Result: A total of 50 cases were recruited for this study. There were 24.0% lacunar infarcts, 40.0% atherothrombotic and 36.0% embolic infarcts in the study group. Highest level of plasma D-Dimer was observed in embolic (1700±964 ηg/ml) followed by atherothrombotic group (536±234 ηg/ml). The plasma D-Dimer was lowest (100±0 ηg/ml) in lacunar group. Concentration of Plasma D-Dimer showed significant correlation with clinical diagnosis in different subtypes of ischemic stroke (r=0.902; p=0.001) and also with risk factors, example, diabetes (r=0.319; p=0.012) and valvular heart disease (r=0.281; p=0.024), but no significant correlation with age, hypertension, hyperlipidaemia and smoking. Conclusion: In conclusion plasma D-Dimer is an important bio-marker in the clinical diagnosis and subtypes of ischemic stroke patients. Journal of National Institute of Neurosciences Bangladesh, 2019;5(1): 13-17

scholarly journals Study of the Lichtenstein’s hernioplasty and its post-operative complications for different types of inguinal hernia

2019 ◽  
Vol 6 (7) ◽  
pp. 2514
Author(s):  
Anantha Kumar Nateson ◽  
Suresh Nayak Basavanayak ◽  
Sudarsansrikanth .
Keyword(s):  
Inguinal Hernia ◽  
Lower Abdomen ◽  
Medical College ◽  
Body Sensation ◽  
Operative Complications ◽  
Different Types ◽  
Reliable Procedure ◽  
Post Operative Complications

Background: Lichtenstein’s hernioplasty is the commonly done surgery for inguinal hernias. The present study is aimed to study the Lichtenstein’s hernioplasty and its postoperative complications for different types of inguinal hernia.Methods: This prospective study was conducted at Department of General Surgery, MVJ Medical College and Research Hospital, Hoskote, Bangalore Rural, Karnataka. A total of 90 patients were selected for this study. Subjects with the age of 21 to 75 years with inguinal hernia are included in the study. A pre-designed proforma was used to collect their details. All selected cases were studied up to discharge regarding the type of hernia and followed up in OPD for 1 year regarding post-operative complications.Results: Immediate post-op complications like seroma/hematoma was observed in 10 (11.1%), wound infection was in 5 (5.5%) and orchitis was in 2 (2.2%). Post-operative complications like stiffness in lower abdomen was observed in 21 (23.3%) patients. Long term complications like forein body sensation was experienced by 22 (24.4) patients post-operatively at 1 month follow up, 8 (8.8%) patients at 3 months follow up and 3 (3.3) patients at 1 year follow up.  Chronic pain was experienced by 17 (18.8%) patients at the end of 1 month follow up, at 3 month follow up, 13 (14.4%) patients and at the end of 1 year of follow up 4 (4.4%) patients at operated site. Recurrence was not observed in any of the patient.Conclusions: The study findings indicate that Lichtenstein’s hernioplasty was safe and reliable procedure for inguinal hernia repair. 

scholarly journals Indications of Primary Cesarean Section In Multipara

2019 ◽  
Vol 09 (02) ◽  
pp. 105-108
Author(s):  
Shazia Aftab ◽  
Nazish Ali ◽  
Fehmida Saleh ◽  
Saira Ghafoor Ghafoor ◽  
Aasha Mahesh ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Fetal Distress ◽  
Morbidity And Mortality ◽  
Outcome Study ◽  
Obstetric Outcome ◽  
Cesarean Sections ◽  
Vaginal Route ◽  
College Hospital ◽  
Medical College ◽  
The Mean

Objective: To evaluate the indications of primary cesarean section in multipara and to assess the obstetric outcome including maternal, fetal morbidity and mortality, perinatal outcome. Study Design and Setting: It was a hospital based study of primary caesarean sections (CS) done on multiparous patients in duration of two years between January 1, 2016, and December 2017 at Jinnah medical college hospital Karachi. Methodology: Multiparous patients were those who had delivered through vaginal route one or more times (i.e. 28 weeks of gestation or above) or had 1–4children and grand-multiparous are those who had 5 or more children. All the cases included in the study were hospital based and cesarean section was decided by specialist. The procedure was performed by registrars and specialists. The selected patients were followed up till they were discharge from the ward with minimum hospital stay of three days. Data was compiled and results were carried out by SPSS version 23. Results: During the two years of study period, the number of total deliveries were 2064. The primary CS rate in multipara was 37.17%. These women have more likely to have an emergency cessarean sections compared to elective i.e. 85% and15%. The mean age of women was 29.5 years, booked cases were 72.5% and unbooked were 27.5%. Regarding indications for cesarean sections, non-progress of labour ranked first 25.5% followed by fetal distress 20%, pre eclampsia 12 % and ante partum hemorrhage 10.5% etc. Increase incidence of morbidity and mortality was seen in patients undergoing cesarean section due to different reasons. Conclusion: Primary caesarean sections in multipara comprise only a small percentage (37.17%) of total deliveries but were related to high maternal and fetal morbidity

scholarly journals Platelet Phaeresis for Component Therapy in Dhaka Medical College- A Study of 26 Procedures

1970 ◽  
Vol 8 (2) ◽  
pp. 53-56
Author(s):  
Laila Arjumand Banu ◽  
Kazi Nowshad Hossain
Keyword(s):  
Platelet Count ◽  
Blood Transfusion ◽  
Dengue Shock Syndrome ◽  
Caesarian Section ◽  
Ovarian Tumour ◽  
College Hospital ◽  
Medical College ◽  
Single Donor ◽  
Different Types ◽  
Low Platelet Count

Platelet separation by aphaeresis machine from single donor was started in Blood Transfusion Department of Dhaka Medical College Hospital, from 10th April 2002. This study includes 26 procedures done in this dept. from the period of 10th April 2002 to 4th June 2003. Observation showed that demand of platelet came from different wards for different types of diseases such as , for Dengue- 8 cases, for Aplastic anaemia-2 cases, for Ovarian tumour-2 cases, for Caesarian section post operative DIC -2 cases, for AML with low platelet count -3 cases, for IUD with low platelet count -1 case, for Blood cancer -1 case , for NHL chemotherapy induced thrombocytopenia- 1 case , for Dengue Shock Syndrome - 1 case , 5 units donated in Shishu Hospital . Platelet was supplied according to group specific of the patient. Such as, 12 cases were O +ve, 10 cases were B +ve ,3 cases were A+ve and 1 case was AB+ve.      DOI = 10.3329/jom.v8i2.1407 J MEDICINE 2007; 8 : 53-56

scholarly journals Aggravating Factors of Migraine among the Patients Attending Neuro-Medicine Outpatient Department at Two Selected Tertiary Level Hospital

2018 ◽  
Vol 26 (2) ◽  
pp. 132-134
Author(s):  
Syeda Rumana Hoque ◽  
Md Nazmul Hasan ◽  
Md Abdullahhel Kafee ◽  
Nahiduzzaman Shazzad ◽  
Sanjoy Kumar Saha ◽  
...  
Keyword(s):  
Menstrual Cycle ◽  
Bright Light ◽  
Tertiary Level ◽  
Contraceptive Methods ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Different Types ◽  
Medical University ◽  
Level Hospital

A descriptive cross-sectional type of study was conducted among the migraine patients attending the Neuromedicine department of Dhaka Medical College Hospital and Bangabandhu Sheikh Mujib Medical University to find out the aggravating factors of migraine in the year of 2006. Total number of respondents was 160. Among them 70% were female. Majority of the patients (46.25%) were aged between 21-30 years. Significant number of respondents (38.12%) was housewives; followed by 28.75% were student. The main aggravating factors so far identified in this study were sleep disturbance, bright light, noise and mental or physical stress. Other aggravating factors were various types of food, oral pill, relation with menstrual cycle. Respondents also stated more than one factor. Among the female respondents 39.8% practiced different types of contraceptive methods of which majority (82.05%) used OCP.J Dhaka Medical College, Vol. 26, No.2, October, 2017, Page 132-134

scholarly journals Complications of Tonsillectomy, Adenoidectomy and Adenotonsillectomy in Chittagong Medical College Hospital

2014 ◽  
Vol 13 (2) ◽  
pp. 4-7
Author(s):  
Abdul Qayum Chowdhury ◽  
Dhanenjoy Mojumder ◽  
Jishu Deb Nath
Keyword(s):  
Clinical Presentation ◽  
Recurrent Pain ◽  
Recurrent Tonsillitis ◽  
College Hospital ◽  
Medical College ◽  
Operative Complications ◽  
Local Trauma ◽  
History Of ◽  
A Prospective Study ◽  
Duration Of Operation

It is a prospective study is done with materials of 100 cases of Tonsillectomy patient giving Proper attention to age, sex, Indication of operation, Clinical Presentation, Duration of Operation, Post operative complications. Altogether 100 Patients of whom 54 were male and 46 female, collected for a period of 6 months from 16th July 2001 to 15th January 2002 with  maximum age group 48% were of 20+years and a sex ratio of Male: female 1.17:1 were included in the series the commonest indication is Recurrent tonsillitis was 83%. Among them clinical presentation, Patients presented with recurrent pain in throat (85%), History of Fever in 62% and difficulty in swallowing in 46%. Regarding duration of operation 40% Patients were operation within 30 to 39 minutes, 31% patients were operated within 40 to 49 minutes. In this Series, Complications that encountered after operation were hemorrhages both reactionary and secondary 1% and 2% respectively, operative local trauma in 4% cases and local infection in tonsillar bed in 6% cases. In this Series one patient needed second time general anaesthesia.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i2.21047

Management and Outcome of Postoperative Complications among the Patients Undergoing Common Obstetric and Gynaecological Surgery outside the RMCH

2018 ◽  
Vol 30 (2) ◽  
pp. 7-12
Author(s):  
Mosammat Nargis Shamima ◽  
Rubayet Zereen ◽  
Nargis Zahan ◽  
Most Rowshan Ara Khatun ◽  
Nurjahan Akter ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Public Hospitals ◽  
Medical College Hospital ◽  
Obstetrics And Gynecology ◽  
Tertiary Referral Hospital ◽  
College Hospital ◽  
Medical College ◽  
District Hospitals ◽  
Operative Complications ◽  
Post Operative Complications

Objective: To review the management and outcome of postoperative complications after common obstetric and gynecologic surgeries performed in outside nonacademic private hospitals (clinics) and peripheral public hospitals (districts hospitals) and later admitted in Department of Obstetrics and Gynecology of Rajshahi Medical College Hospital (RMCH). RMCH is a tertiary referral hospital where all complicated patients were referred for better management from surrounding hospital.Methodology: This Quasi-experimental study was carried out in the Department of Obstetrics and Gynecology at Rajshahi Medical College Hospital, Rajshahi, Bangladesh between July 1, 2015 and June 30, 2017. All patients admitted with post operative complications following common obstetric and gynecologic surgeries during this period were included. Patients admitted with post operative complications, where primary surgery was done in this hospital were excluded. The common obstetric and gynaecological surgeries were caesarean sections (LUCS), total abdominal hysterectomy (TAH) and vaginal hysterectomy (VH) performed outside Rajshahi Medical College Hospital.Result: During this period a total of 39,929 patients were admitted through emergency way in obstetrics and gynecology department of Rajshahi Medical College Hospital. Among them 675 patients were admitted with the complaints of post operative complications following common obstetric and gynecologic surgeries with rate being 1.7%. In 560(83%) cases surgery was done in clinics and 115(17%) cases surgery was done in district hospitals. Among the patients 580(85.9%) cases primary operation was done by non-gynaecologic surgeon and 95(14.1%) cases by gynaecologic surgeon. Caesarean section was the primary obstetric surgery in 405(60%) cases .Gynecologic surgeries included TAH in 185(27.4%) cases and VH in 85(12.6%) cases. We found 25(3.7%) patients died from these complications. Repeat surgery was done in 90(13.33%) cases. Genitourinary fistula repair was done in 41 cases (45.55%). Rests were improved by conservative management.Conclusion: Any surgical procedure carries risk of complications. Careful selection of patients with suitable indications for operations, expertise of the surgeon, good surgical technique, proper knowledge of pelvic anatomy and careful postoperative follow up can minimize recognized complications.TAJ 2017; 30(2): 7-12

scholarly journals A STUDY ON TREATMENT PATTERN AND OUTCOMES OF POISONING CASES IN A TERTIARY CARE AND GOVERNMENT DISTRICT HOSPITAL

2017 ◽  
Vol 9 (4) ◽  
pp. 193
Author(s):  
Pathan Amanulla Khan ◽  
Dileep Chary M. ◽  
M. Manoj Kumar ◽  
B.b. Sarah Nousheen
Keyword(s):  
District Hospital ◽  
Tertiary Care ◽  
General Medicine ◽  
Treatment Pattern ◽  
Research Centre ◽  
Morbidity Rate ◽  
Medical College ◽  
Organophosphorus Poisoning ◽  
Different Types ◽  
Government District

Objective: Poisoning is a major prevalent problem, with thousands of deaths occurring every year, mainly in developing countries. The present study sought to identify the treatment pattern and outcomes of poisoning cases admitted to Basaveshwara Medical College and Hospital and Research Centre (BMCH and RC) and Government District Hospital and to determine the type of poison cases.Methods: This is a prospective observational study aimed to analyse the poisoning cases admitted to general medicine departments and emergency departments of BMCH and RC and Government District Hospital, Chitradurga, Karnataka for a period of six months. Results: A total of 100 cases were enrolled in this study. 63% of the cases were identified from BMCH and RC, with the remainder being from Government Hospital. The study shows that 41% of the cases were 21-30 y old. 48% (n=48) were males and 52% (n=52) were females. Different types of poisoning cases were observed; organophosphorus poisoning (OP) taking the lead, followed by snake bite cases. The study denotes a mortality rate of 4% and morbidity rate of 96%. A majority of cases were reported in the second quarter of the year.Conclusion: It was concluded from the above findings that young age adults constituted a significant percentage of the subjects. It is essential, therefore, to propose policies that can terminate the free trade of poisonous pesticides and to create awareness and periodically counsel the vulnerable group of the population.

scholarly journals Study of Urogenital Fistula in Rajshahi Medical College Hospital

2018 ◽  
Vol 24 (2) ◽  
pp. 91-94
Author(s):  
N Nahar ◽  
S Chaudhury ◽  
M Zillur Rahman
Keyword(s):  
Obstetric Fistula ◽  
Cross Sectional Study ◽  
Medical College Hospital ◽  
Early Marriage ◽  
Previous Attempt ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Urogenital Fistula ◽  
Operative Care

This cross-sectional study was carried out in the gynae department of Rajshahi Medical College Hospital during the year January 2005 to December 2011, where 202 patients were studied for obstetric history, previous attempt at repair, the condition of the patient, the route of repair, age, etiological factors, techniques of surgery, socio-economic conditions, as well as treatment & results. Among 202 cases, surgery was done in 136 cases (67.33%). Among them 126 were successful (92.65%) and 10 failed (9.35%). Obstetric fistula results from obstructed labour occur mostly in the first pregnancy in young women. Prevention will include education, communication, transport, health care measures and prevention of early marriage. Awareness for mandatory hospital delivery in high risk pregnancies also can reduce obstetric fistulas. With good pre-operative intra-operative and post operative care and attention to surgical details may cure these affected woman.TAJ 2011; 24(2): 91-94

scholarly journals Foreign body ingestion by children: an analysis of age and types at a tertiary hospital in Bangladesh

2020 ◽  
Vol 6 (2) ◽  
pp. 299-304
Author(s):  
Tanvir Kabir Chowdhury ◽  
Durdana Sadab ◽  
Md Minhajuddin Sajid ◽  
Md Abdullah Al Farooq
Keyword(s):  
Foreign Body ◽  
Hospital Stay ◽  
Tertiary Hospital ◽  
Foreign Body Ingestion ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Sex Type ◽  
Different Types ◽  
Smooth Objects

Foreign body (FB) ingestion is common in children worldwide. Type of FB ingestion varies among cultures and countries. We retrospectively reviewed all patients of foreign body ingestion who were admitted in Department of Pediatric Surgery, Chittagong Medical College Hospital from January 2017 to December 2019 (total 3 years). Age, Sex, type of foreign body, hospital stay, management and outcome were analyzed. A total of 91 children were admitted with ingestion of FB during this period; male 61, female 30 (male to female ratio 2:1). Age ranged from 3 months to 12 years (median 3.5 ± 3.8 years). Fifty eight percent were less than 5 years old. Children ingested 21 different types of FB; however ingestion of coin was most common (24 patients, 26.37%) followed by different types of pins (19 patients, 20.88%), nail (6 patients, 6.59%), battery (5 patients, 5.49%), screw (5 patients, 5.49%), needle (4 patients, 4.40%), ring (4 patients, 4.40%) and others (18 patients). Sharp object ingestion is higher in older (>5 year) age group. Hospital stay ranged from 0 day to 19 days (mean 1.6 ± 2.1 day). Endoscopic removal needed in 4 patients (coin-2, chain 2), bronchoscopic removal in 1 (pin) and one patient needed laparotomy (open hair pin). There was no mortality. The pattern of FB ingestion is similar to many other countries. Small, smooth objects pass spontaneously. Endoscopic or surgical intervention is sometimes needed if significant symptoms develop or if the object fails to progress through the gastrointestinal tract. Asian J. Med. Biol. Res. June 2020, 6(2): 299-304

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