scholarly journals A Study on Outcome of VVF Repair at Kumudini Women's Medical College Hospital

2014 ◽  
Vol 40 (3) ◽  
pp. 18-20
Author(s):  
B Begum ◽  
S Khandakar ◽  
F Rahman
Keyword(s):  
Cross Sectional Study ◽  
Medical College Hospital ◽  
Drop Out ◽  
Fistula Repair ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Operative Care ◽  
Operative Recovery ◽  
Vesico Vaginal Fistula

This cross sectional study was carried out on 101 cases of vesico-vaginal fistula who were admitted and operated in Kumudini Women's Medical College Hospital. The aim of the study was to find out the outcome of vesicovaginal fistula repair. A detailed interview was taken from the patients and attendants by using a questionnaire. Necessary information were collected from the patient's record sheets . Small, medium and large sized fistulae were 59.41%, 26.73% and 11.88% respectively. The result of the study showed that success of fistula repair was 73.27%, though seven cases developed stress incontinence. Totally 27 patients were unsuccessfully repaired. Of which 19 (70.37%) were dropped out, 5(18.52%) were referred and 3(11.11%) had operative failure. Post-operative recovery was mostly (87.13%) uneventful. Urethral leakage (6.93%), blocked catheter ( 2.97%) and UTI (2.97%) were the leading complications. To improve the outcome, more training and skill of surgeons, improvised per-operative and post-operative care is necessary. Approaches should be designed to make the incidence of drop out to zero. DOI: http://dx.doi.org/10.3329/bmj.v40i3.18652 Bangladesh Medical Journal 2011 Vol.40(3):18-20

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 EPI Coverage among Under 5 Children Attending Pediatric Department of Dhaka Medical College Hospital

2013 ◽  
Vol 7 (2) ◽  
pp. 59-62
Author(s):  
Farah Naz Shoma ◽  
Nadim Ahmed Shah ◽  
Mst Naznin Sarker ◽  
M M Shahin Ul Islam ◽  
Tania Saad ◽  
...  
Keyword(s):  
Health Workers ◽  
Immunization Coverage ◽  
Dropout Rate ◽  
Cross Sectional Study ◽  
Medical College Hospital ◽  
Drop Out ◽  
Independent Effect ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College

This cross-sectional study was carried out among 1000 children between 10 months to 5 years of age during November 2004 to February 2005 attended in the department of pediatrics, Dhaka Medical College Hospital (DMCH) with different childhood illness. Aim of study was to know the Immunization (EPI) coverage, dropout rate and factors influencing dropout. According to parent's statement, 82.5% of the children were fully, 16.1% were partially and 1.4% were non-immunized. Specific immunization coverage revealed that, 97.3% were immunized with BCG, 96.7% with DPT1/OPV1, 92.9% with DPT2/OPV2, 91% with DPT3/OPV3 & 84% with measles vaccine. Among the BCG vaccinated children 91.77% had BCG scar. Drop out of DPT1-DPT3 was 5.78% & DPT1- measles was 12.88%. The main reason found for non-immunization were lack of faith in programme (57.1%), lack of awareness (21.4%), and fear of side effects (21.4%), whereas lack of awareness (41.6%) and illness of child (32.9%) played role behind drop out. Drop out cases were found to be associated with female sex, parent's illiteracy, higher number of children in the family and father's occupation (p<0.001), whereas mothers occupation had no independent effect on coverage (p>0.05). The study findings suggested that despite the effort taken by Government and NGOs to expand coverage, dropout rates are unacceptably high. To combat this challenge counseling and motivation on EPI, improvement of information system, health education and training of health workers are required. DOI: http://dx.doi.org/10.3329/fmcj.v7i2.13499 Faridpur Med. Coll. J. 2012;7(2): 59-62  

scholarly journals Surgical Outcome of Vesico-Vaginal Fistula (VVF) after Repair: Experience of 51 Cases in a Teaching Hospital of Dhaka City

2019 ◽  
Vol 5 (1) ◽  
pp. 29-32
Author(s):  
Shimul Akter ◽  
Fouzia Mujib ◽  
Mohammed Masudur Rahman ◽  
Dewan Shahida Banu ◽  
Taslima Begum ◽  
...  
Keyword(s):  
Surgical Outcomes ◽  
Surgical Outcome ◽  
Abdominal Hysterectomy ◽  
Cross Sectional Study ◽  
Medical College Hospital ◽  
Vaginal Fistula ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Vesico Vaginal Fistula

Background: Surgical management of vesico-vaginal fistula is very crucial regarding the outcomes among the women. Objectives: The purpose of the present study was to see the surgical outcomes of vesico-vaginal fistula. Methodology: This cross-sectional study was carried out from July 2013 to December 2013 for a period of 6 months in the National Fistula Centre in the Department of Obstetrics & Gynaecology at Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh. All patients who underwent surgical repair for iatrogenic VVF in National Fistula Centre of the department of Obstetrics and Gynaecology of Dhaka Medical College Hospital were included in this study. Patients who got themselves admitted to Obstetrics & Gynaecology department of DMCH with the complaints of fistula. An interview usually lasted for an hour. The entire selected patients were interviewed for detailed history. Thorough physical examination was done. The surgical outcomes were recorded among the women. Result: A total number of 51 cases of VVF were recruited for this study. The mean age was 46.02 (±SD 6.104) years. Regarding the causes of iatrogenic vesico-vaginal fistula most of the cases (88.2%) were abdominal hysterectomy. In 4(7.8%) patients lower segment caesarean section caused the situation. Vaginal hysterectomy was responsible for 3.9% (2/51) cases of iatrogenic VVF. In more than 90% cases (46/51) the surgical outcome was successful; while in 5 patients’ fistula recurred 5 to 7 days following surgery. They were treated by re-operation later on. Conclusion: In conclusion abdominal hysterectomy is the most common cause of iatrogenic vesico-vaginal fistula with a very good surgical outcomes. Journal of National Institute of Neurosciences Bangladesh, 2019;5(1): 29-32

scholarly journals Comparing Predictive power of CT-scan Findings among the Malignant Hepatic Mass patients

2015 ◽  
Vol 12 (1) ◽  
pp. 2-6
Author(s):  
Wahida Begum ◽  
Ahmed Hossain ◽  
Waziha A Jahan ◽  
Mahbuba Shirin ◽  
M Abdullah Yusuf ◽  
...  
Keyword(s):  
Ct Scan ◽  
Vena Cava ◽  
Cross Sectional Study ◽  
Medical College Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Predictive Values ◽  
Medical College ◽  
Hepatic Mass ◽  
Sensitivity Specificity

Background: CT-scan is useful for the detection of hepatic mass. Objective: The purpose of the present study was to see the predictive values of CT scan in the diagnosis of malignant hepatic mass. Methodology: This cross sectional study was carried out in the Department of Radiology and Imaging at Mymensingh Medical College Hospital (MMCH), Mymensingh, Banghabandhu Sheikh Mujib Medical University (BSMMU), Dhaka and Dhaka Medical College Hospital (DMCH), Dhaka during the period of 1st January 2006 to 31st December 2007. Patients admitted in the Department of Medicine and Department of Hepatobiliary of MMCH, BSMMU, and DMCH with the clinical diagnosis of fever, abdominal pain, anorexia, nausea/vomiting, loss of appetite, jaundice, weight loss and ascites were selected as study population. CT scan and histopathology were performed to all the patients. Result: A total number of 50 patients were recruited for this study.. The sensitivity for multiplicity was 71.4%, specificity was 63.6%, accuracy was 68%, PPV was 71.4% and NPV was 63.6%. The sensitivity for hypodensity as a sign of malignancy was 60.7%, specificity was 18.2%, accuracy was 42.0%, PPV was 48.6% and NPV was 26.7%. The sensitivity, specificity, PPV, NPV and accuracy of contrast enhancement were 100.0%, 22.7%, 62.2%, 100.0% and 66.0% respectively. Again the sensitivity, specificity, PPV, NPV and accuracy of detection of pressure effect on biliary apparatus by CT-scan were 100.0%, 22.7%, 62.2%, 100.0% and 66.0% respectively. Again the sensitivity, specificity, PPV, NPV and accuracy of detection of Lymphadenopathy by CT-scan were 35.7%, 95.5%, 90.9%, 53.8% and 62.0% respectively. The sensitivity, specificity, PPV, NPV and accuracy of detection of Portal vein invasion by CT-scan were 14.3%, 100.0%, 100.0%, 47.8% and 52.0% respectively. The sensitivity, specificity, PPV, NPV and accuracy of detection of hepatic vein invasion by CT-scan were 10.7%, 100.0%, 100.0%, 46.8% and 50.0% respectively. The sensitivity, specificity, PPV, NPV and accuracy of detection of inferior vena cava (IVC) invasion by CT-scan were 7.1%, 100.0%, 100.0%, 45.8% and 48.0% respectively. Conclusion: CT is a useful diagnostic tool for the detection of malignant hepatic masses.Journal of Science Foundation, 2014;12(1):2-6

scholarly journals A Study on Different Surgical Methods used for Repair of Vesicovaginal Fistulas in Dhaka Medical College Hospital

1970 ◽  
Vol 22 (1) ◽  
pp. 12-14
Author(s):  
Rhea Homaira ◽  
Sabera Khatun ◽  
Fahmida Zabin
Keyword(s):  
Vesicovaginal Fistula ◽  
Cross Sectional Study ◽  
Medical College Hospital ◽  
Previous Attempt ◽  
Modified Technique ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Surgical Methods ◽  
Vesicovaginal Fistulas

This cross sectional study was carried out on hundred patients of vesicovaginal fistula who were admitted and underwent surgical treatment in Dhaka Medical college Hospital (DMCH), Dhaka, during the period of January, 2001 to June, 2003. The aim of this study was to obtain the outcome of the different methods of repair of different types of vesicovaginal fistula. An in-depth interview was taken from patients by using an open ended questionnaire. Necessary information about the procedure applied, together with results of operation were recorded in the data sheet. The result of this study showed that the anatomical success in closure of fistula occurred in 94% cases. In 38% of cases the size of the fistula were small in size, in 49% cases location were at the Junction of bladder neck, 78% of cases experienced no postoperative complications. Route of operation were vaginal in 84% cases. Previous attempt of repair were in 62% cases whereas in 38% women had history of operation. Obstetric vesicovaginal fistula is a curable condition. The success rate has been increased over time. More complicated cases which have been failed in previous attempts of repair are being referred. Most of the unsuccessful repair were bad cases (2%). So more training and experience of surgeons for repair of fistulas, employing modified technique wherever applicable can improve the result. DOI: 10.3329/medtoday.v22i1.5598 Medicine Today Vol.22(1) 2010. 12-14

scholarly journals Ultrasonography awareness among pregnant women attending medical college hospital in Kolhapur District of Maharashtra, India

2017 ◽  
Vol 5 (6) ◽  
pp. 2612
Author(s):  
Jeevankumar U. Yadav ◽  
Deepmala J. Yadav
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Medical College Hospital ◽  
Second Trimester ◽  
Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Obstetric Department ◽  
In Pregnancy

Background: Globally there has been increased medicalization of pregnancy due to advances in technology. Ultrasonography examination during pregnancy has become an integral part of antenatal care throughout the world with advanced health care services.Methods: The cross-sectional study was conducted in pregnant women attending the ANC clinic of Obstetric department of D. Y. Patil Medical College Hospital, Kolhapur, Maharashtra, India for routine check up to know the awareness about ultrasonography among them. The study included 290 pregnant women. All were explained the purpose of study and assured confidentiality. Data has been collected from willing participants using pre-tested questionnaire in June-August 2015.Results: The study shows literacy was 87.6%, pregnancy above 20 years age 98.97% and most of them unskilled (83.4%), majority of middle social class (89%). Many (72.41%) pregnant women considered USG use to detect fetal anomalies while 27.93% considered for sex detection. Majority (93.1%) done USG in this pregnancy, of that more (43.45 %) in second trimester and mainly advised by doctors (91.03%). Nearly half of them (50.69%) considered its expensive procedure, 69.31% spent 200/- to 500/- rupees per USG, in spite 94.83% of them would recommend other pregnant women to undergo USG in pregnancy. 50.69%% of them opined it should be done twice in pregnancy. Almost 94.83% considered USG as safe and beneficial.Conclusions: Awareness regarding the uses of Ultrasonography during pregnancy and attitude towards it was found to be average. There is need to create more awareness in community about PCPNT act and its provisions. Also there is need of counselling about the safety, utility and frequency of USG during pregnancy to avoid misuse.

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