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

scholarly journals Abdominal incisional hernia: retrospective study

2018 ◽  
Vol 6 (9) ◽  
pp. 2990
Author(s):  
Archana Shukla ◽  
Sameer Ahmed
Keyword(s):  
Retrospective Study ◽  
Incisional Hernia ◽  
Clinical Presentation ◽  
Previous History ◽  
Age Group ◽  
Precipitating Factors ◽  
Medical College ◽  
Operative Complications ◽  
History Of ◽  
Gandhi Medical College

Background: Incisional hernia presents as herniation or protrusion occurring along a prior abdominal scar. It is a known complication of abdominal surgery. They are the second most common type of hernia after inguinal hernias. This study was undertaken to study the incidence and various risk factors leading to incisional hernia.Methods: It is a retrospective study done in Gandhi Medical College, Bhopal; Department of Surgery during January 2017 to January 2018. All the cases were analyzed in various aspects like age, sex, relative incidence, clinical presentation, nature of previous operation, site of previous scar, precipitating factors like obesity, wound infection, abdominal distension.Results: The incidence is around 18.5%. Patients in the age group of 30-50 years found to have highest incidence of incisional hernia. Females outnumbered the males with the ratio of 6:1. Incisional hernia was more common in patients with previous history of gynecological operation. Most of the patients presented with incisional hernia in the infra umbilical region.Conclusions: Incisional hernias can be prevented by avoidance of midline incisions, especially in the infra umbilical region. Mesh repair results in less post-operative complications provided drains are used.

scholarly journals Acute Circulatory Collapse Followed by Cardiac Arrest during Thiopentone Induction

KYAMC Journal ◽  
2017 ◽  
Vol 7 (1) ◽  
pp. 731-733
Author(s):  
Md Rashid Ali ◽  
Md Jobaidur Rahman ◽  
Kamrul Russel Khan ◽  
Shamim Adam ◽  
Shamsul Alam
Keyword(s):  
Cardiac Arrest ◽  
Life Support ◽  
Sudden Cardiac Arrest ◽  
Circulatory Collapse ◽  
Recurrent Tonsillitis ◽  
College Hospital ◽  
Medical College ◽  
Clinical Investigations ◽  
History Of ◽  
North Bengal

Acute circulatory collapse followed by cardiac arrest is a rare but serious complication of thiopentone anaesthesia. A 5 years old boy admitted in North Bengal Medical College Hospital with history of 'Recurrent Tonsillitis'. He was prepared for tonsillectomy operation. The reports of his clinical investigations were almost normal except E.S.R which was a bit elevated-09%. X-Ray chest was normal, other investigatios did not show any abnormalities. During induction with Thiopentone Sodium the patient had sudden cardiac arrest. In spite of all life support given to him the patient did not recover.KYAMC Journal Vol. 7, No.-1, Jul 2016, Page 731-733

Outbreak Of Nipah Encephalitis In Greater Faridpur District

1970 ◽  
Vol 5 (2) ◽  
pp. 63-65
Author(s):  
MY Ali ◽  
SA Fattah ◽  
MM Islam ◽  
MA Hossain ◽  
SY Ali
Keyword(s):  
Health Personnel ◽  
Viral Encephalitis ◽  
Review Article ◽  
Personal Protection ◽  
Emerging Infections ◽  
College Hospital ◽  
Personal Protection Equipment ◽  
Medical College ◽  
History Of ◽  
Deadly Disease

Nipah viral encephalitis is one of the fatal re-emerging infections especially in southeast Asia. After its outbreak in Malaysia and Singapore; repeated outbreaks occurred at western part of Bangladesh especially in Faridpur region. Besides, sporadic attacks appear to occur in the country throughout the year. Here two Nipah outbreaks in greater Faridpur district in 2003 and 2004 are described along with brief review on transmission of the virus. Where the history of illness among patients are very much in favour of man to man transmission. Moreover the death of an intern doctor from Nipah encephalitis who was involved in managing such patients in Faridpur Medical College Hospital strongly suggests man to man transmission of this virus. So, aim of this review article to make the health personnel and general people be aware about man to man transmission of virus, so that they can adapt personal protection equipment (PPE) for their protection against this deadly disease. DOI: 10.3329/fmcj.v5i2.6825Faridpur Med. Coll. J. 2010;5(2):63-65

scholarly journals Ectopic pregnancy in a tertiary care centre of Jharkhand, India

2019 ◽  
Vol 8 (8) ◽  
pp. 2969
Author(s):  
Meetali Parashar ◽  
Meena Mehta
Keyword(s):  
Ectopic Pregnancy ◽  
Clinical Presentation ◽  
Previous History ◽  
First Trimester ◽  
Near Miss ◽  
Obstetrics And Gynaecology ◽  
Maternal Morbidity And Mortality ◽  
History Of ◽  
Β Hcg ◽  
A Prospective Study

Background: Ectopic pregnancy is one in which the fertilized ovum is implanted and develops outside the endometrial cavity. It is an important cause of maternal morbidity and mortality in first trimester. The present study was conducted to study the risk factors, clinical presentation and management of ectopic pregnancy in RIMS, Ranchi, Jharkhand, India.Methods: This was a prospective study conducted in the department of obstetrics and gynaecology, RIMS, Ranchi, Jharkhand during May 2017 to September 2018. A total of 90 cases were included in the study.Results: 80% of the patients presented with amenorrhoea, 98% had abdominal pain and 69% had vaginal bleeding. Ultrasonography revealed hemoperitoneum in about 93% patients. 16 (18%) patients had history of infertility whereas 10 patients (11%) had taken treatment of infertility.6 (7%) patients had history of STD or PID.14 (16%) had undergone bilateral tubectomy.2 (2%) had history of IUCD insertion and 12 (13%) patients had undergone previously lscs. 54 patients (60%) had undergone D and C and 6 patients (7%) had a previous history of ectopic pregnancy. 68 (76%) underwent only salpingectomy.12 (13%) had salpingo-oophorectomy and 10 (11%) had salpingectomy with contralateral tubectomy.Conclusions:Diagnosis of ectopic pregnancy requires clinical suspicion and supportive investigations like UPT, ultrasonography, β HCG and laparoscopy. It is an important cause of admission to RIMS as maternal near miss cases.Background: Ectopic pregnancy is one in which the fertilized ovum is implanted and develops outside the endometrial cavity. It is an important cause of maternal morbidity and mortality in first trimester. The present study was conducted to study the risk factors, clinical presentation and management of ectopic pregnancy in RIMS, Ranchi, Jharkhand, India.Methods: This was a prospective study conducted in the department of obstetrics and gynaecology, RIMS, Ranchi, Jharkhand during May 2017 to September 2018. A total of 90 cases were included in the study.Results: 80% of the patients presented with amenorrhoea, 98% had abdominal pain and 69% had vaginal bleeding. Ultrasonography revealed hemoperitoneum in about 93% patients. 16 (18%) patients had history of infertility whereas 10 patients (11%) had taken treatment of infertility.6 (7%) patients had history of STD or PID.14 (16%) had undergone bilateral tubectomy.2 (2%) had history of IUCD insertion and 12 (13%) patients had undergone previously lscs. 54 patients (60%) had undergone D and C and 6 patients (7%) had a previous history of ectopic pregnancy. 68 (76%) underwent only salpingectomy.12 (13%) had salpingo-oophorectomy and 10 (11%) had salpingectomy with contralateral tubectomy.Conclusions: Diagnosis of ectopic pregnancy requires clinical suspicion and supportive investigations like UPT, ultrasonography, β HCG and laparoscopy. It is an important cause of admission to RIMS as maternal near miss cases.

scholarly journals VAGINAL DISCHARGE

2011 ◽  
Vol 18 (04) ◽  
pp. 598-603
Author(s):  
SHAHIDA SHAIKH ◽  
SALEEM AKHTER SHAIKH ◽  
INAYAT MAGSI
Keyword(s):  
Vaginal Discharge ◽  
Tertiary Care ◽  
Care Hospital ◽  
College Hospital ◽  
Internally Displaced ◽  
Syndromic Management ◽  
Sexually Transmitted ◽  
Medical College ◽  
Abnormal Growth ◽  
History Of

Objective: To observe the results of syndromic management in women living in IDPs camps complaining of chronic vaginal discharge. Design: Descriptive study. Setting: Medical Camps at Larkana set by Chandka Medical College Hospital for Internally Displaced Persons (IDPs) due to floods. Period: 1st September 2010 to 31st December 2010. Material and Methods: Total 200 symptomatic patients aged from 20 to 50 years suffering from chronic vaginal discharge having history of more than 6 months duration were included in the study. Asymptomatic as well as pregnant women and patients with abnormal cervix and having abnormal growth on cervix were excluded from the study. A detailed history and examination (including speculum and vaginal) was done and a proforma was filled. All these patients were given empirical treatment recommended by WHO as syndromic management consisting of stat doses of antifungal along with antibiotics, where no laboratory tests are required before treatment. Results: Next to vaginal discharge which was main symptom in all patients, the other symptoms like dusparunia, dysuria, itching ,lower abdomen pain and low backache was reported 9%, 16%, 20%, 24% and 31% respectively. Also 8% patients reported post coital bleeding. All patients were married and the mean age of the patients was 28+0.2 years and 15% of them were over 40 years. Mean parity was 4±1.Vaginal infection improved in 65% of the patients excellently with a first line single course of antibiotic and percentage raised up to 88% with second course. 19(9.5%) patients couldn’t be followed as they left that camp and 5(2.5%) patients who did not improve with two courses of antibiotics had big cervical erosions, referred to nearby tertiary care hospital for further management. Conclusions: IDPs live in poor conditions in camps without basic facilities and where it is difficult to perform bedside tests like microscopy, Potassium Hydroxide, wet mount films and tests for Sexually transmitted diseases like Chlamydia and gonorrhea are not available, syndromic management there is a rational way of treating cases of chronic vaginal discharge to get quicker response in such desperate women. 

scholarly journals Clinical evaluation of total abdominal hysterectomy - a prospective study in a tertiary care hospital

2015 ◽  
Vol 6 (2) ◽  
pp. 76-77
Author(s):  
Shirin Akhter ◽  
Rumana Nazneen
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Before And After ◽  
A Prospective Study

Total abdominal Hysterectomy are gradually rising in our country. This study has been designed to find out the common indications of abdominal hysterectomy in a tertiary care hospital,. to know the clinical characters of the patients and. o elucidate postoperative complication of abdominal hysterectomy.Methodology : Cross- sectional observational study was done during 1st October 2007 to 30th September 2008. Holy Family Red Crescent Medical College Hospital (HFRCMCH). Total 100 patients were selected following enclusion & exclusion criteria hyperposive sampling. Data were recorded before and after operation and analyzed by SPSS version 15.Result : In the present study patients with leiomyoma of uterus was found to be the major indication of hysterectomy followed by dys functional uterine bleeding (DUB) 18.0%, Pelvic inflammatory disease (PID) 14.0%, chronic cervicitis 10.0%, adenomyosis 10.0%, pelvic endometriosis 6.0%, cervical polyp 2.0%, ovarian cysts 1.0% and chriocarcinoma 1.0%. Mean duration of operation (hour) and hospital stay was 1.15 hours and 7.48 days respectively. Most common complication of present series was fever 20.0% followed by 13.0% had wound infection, 6.0% UTI and 2.0% wound dehiscence.Conclusion : Hysterectomy is now the most widely performed major operation in gynaecology. Indication and post operative complications of hysterectomy varies from region to region.Northern International Medical College Journal Vol.6(2) 2015: 76-77

scholarly journals A PROSPECTIVE STUDY ON CLINICO-PATHOLOGY OF VARICOSE VEINS AND ITS' SURGICAL MANAGEMENT

2020 ◽  
pp. 1-10
Author(s):  
Om Prakash ◽  
K. Govardhanan
Keyword(s):  
Prospective Observational Study ◽  
Varicose Veins ◽  
College Hospital ◽  
Medical College ◽  
Experienced Radiologist ◽  
Associated Symptoms ◽  
Observational Study Design ◽  
The Government ◽  
A Prospective Study ◽  
Symptoms And Signs

Background: Varicose veins primarily considered to be a cosmetic problem have been widely mistaken to be medically unimportant and given low priority for treatment. The associated pain, swelling, open ulceration and other morbidities increase cost of its management. The debilitation adds on to the time lost from work and wages. Aim: To study the aetiogenesis, pathology, presentation, complications, and management of varicose veins in the study populations. Methods: The current study followed a prospective observational study design among 60 patients visiting Meenakshi Medical College Hospital and Research Institute with symptoms and signs of varicose veins and clinically diagnosed as having varicose veins. Various presentations and complications and treatments were noted and finally followed up for minimum of 6 months. Results and Conclusion: It is found that varicose veins and their associated symptoms and complications constitute the most common chronic vascular disorders leading to surgical treatment. The incidence is on the rise. It is more common in middle- aged group and in males. Patients presented with spectrum of symptoms and signs, dilated and tortuous veins being more common presentations. Long saphenous system is the most common venous system affected. Ankle (lower perforator being the most common incompetent perforators. The outcome of cases of primary varicose vein depends on a thorough and complete clinical examination and duplex scan by an experienced radiologist. Operative line of treatment is a primary procedure in the management of varicose veins of lower Stripping of LSV up to knee and non-stripping of SSV is associated with less morbidity. Accurate assessment reduces the risk of recurrent varicose veins. There must be ample support from the Government so that even the poor will be benefited from the newer modality of treatment of varicose veins.

scholarly journals Familial Trend and Socioeconomic Status of the Hypertensive Patients attending at Hypertension Clinic

2012 ◽  
Vol 13 (1) ◽  
pp. 10-15
Author(s):  
Kazi Jahangir Hossain ◽  
Nazma Parvin ◽  
A Wazed ◽  
Md Shamsul Alam ◽  
Md Mustafa Kamal
Keyword(s):  
Socioeconomic Status ◽  
College Hospital ◽  
Hypertensive Patients ◽  
Positive History ◽  
Medical College ◽  
First Degree Relatives ◽  
Hypertension Clinic ◽  
History Of ◽  
Prevention Of Hypertension ◽  
Second Degree

The aim of the study was to investigate familial trend and socioeconomic status of the hypertensive patients attending at the Hypertension Clinic of Dhaka Medical College Hospital, Dhaka. The study period was from July 2009 to June 2010.  A total of 417 patients were recruited of which 245 were male and 172 female respectively, and selected consecutively on the basis of defined criteria.  The research instrument was an interviewer-administered questionnaire. For assessment of familial trend of hypertension, first and second degree relatives of the respondents were investigated.   Results showed that majority of the respondents were educated of which 22.1%(n=92), 18.2%(n=76), 19.9%(83) and 13.7%(n=57) were secondary, higher secondary, graduate and postgraduate educated respectively. In profession, 64.4%(n=111) female had household works, and 56.8%(n=139) male were in service and 41.2%(n=101) businessmen and had monthly income of  Tk. 10,000 to 80,000. The mean age of them was 47.4±6.9 years and BMI was 25.5±3.0 kg/m2. The nutritional status of them were normal in 40.5%(n=169) and rest had different degree of malnutrition.  In malnutrition, 53.1%(n=130) male were overweight, 2.9%(n=7) obese and 0.8%(n=2) undernourished; and 51.2%(n=88) female were overweight, 11.0(n=19) obese and 1.2%(n=2) undernourished respectively.   About 70.5%(n=294) of the studied hypertensive patients had positive history of hypertension in first and second degree relatives of which 17.3%(n=72) had single member positive history of hypertension, 18.2%(n=76) two, 16.8%(n=70) three, 14.1%(n=69) four and 4.1%(n=17) five members. In single member positive, most of them were in first degree relatives; in two members, 67.1%(n=51) were in first degree relatives and 27.6%(n=21) in both first and 2nd degree relatives; in three members, 64.3%(n=45) were in 1st degree and 31.4%(n=22) in both 1st and 2nd degree; in four members, 31.9%(n=22) were in 1st degree relationship, 17.4%(n=12) in 2nd degree and 50.7%(n=35) in both 1st and 2nd degree; and in five members, 17.6%(n=3) and 82.4%(n=14) in second degree, and both 1st and 2nd degree relatives respectively. Heath education and behavioral change intervention programs among the hypertensive population may be one of the most important applicable ways to control and/or prevention of hypertension and its complications in Bangladesh. DOI: http://dx.doi.org/10.3329/jom.v13i1.5941 JOM 2012; 13(1): 10-15

Heterotopic Ossification of Peripheral Nerve (“Neuritis Ossificans”): Report of Two Cases

Neurosurgery ◽  
2002 ◽  
Vol 51 (1) ◽  
pp. 244-246 ◽  
Author(s):  
David H. George ◽  
Bernd W. Scheithauer ◽  
Robert J. Spinner ◽  
Ueli Buchler ◽  
Timothy E. Cronin ◽  
...  
Keyword(s):  
Heterotopic Ossification ◽  
Peripheral Nerves ◽  
Clinical Presentation ◽  
Myositis Ossificans ◽  
Tibial Nerve ◽  
Nerve Sparing ◽  
Experienced Pain ◽  
Local Trauma ◽  
History Of ◽  
Bone Deposition

Abstract OBJECTIVE AND IMPORTANCE Heterotopic ossification (“neuritis ossificans”) is among the least frequently encountered reactive lesions in peripheral nerves. Only two cases have been described previously, one in the median nerve of a 34-year-old man, and the other in the ulnar nerve of an adult woman. The architecture of this lesion is distinctly zonal. Consisting of a central fibroblastic core, an intervening zone of osteoid production, and a peripheral layer of ossification, the pattern is remarkably similar to that of myositis ossificans. This similarity and the occurrence of the process in superficial nerves have led to speculation that trauma plays a role in its pathogenesis; this hypothesis remains unproved. We describe two additional cases of neuritis ossificans. CLINICAL PRESENTATION One patient, a 41-year-old man, experienced pain and numbness in the left leg for several months but had no history of local trauma. A mass was detected in the saphenous nerve. The second patient, a 16-year-old boy, noted subacute onset of pain in the popliteal fossa and decreased sensation in the distribution of the lateral sural cutaneous nerve. A mass was found within the tibial nerve at the knee level. INTERVENTION In each patient, resection of the mass required sacrifice of a segment of the nerve. CONCLUSION In each patient, the mass was composed of fibrovascular tissue with osteoid and bone deposition arranged in a zonal pattern. The ossifying process was intraneural but encased rather than directly involving nerve fascicles. These exceptionally intact examples of neuritis ossificans underscore its resemblance to myositis ossificans. Nerve-sparing resection of such masses is not always possible.

scholarly journals Early detection of cervical intraepithelial lesions by simple visual inspection after acetic acid among women in Rajshahi medical college hospital

1970 ◽  
Vol 10 (4) ◽  
pp. 240-244 ◽  
Author(s):  
N Yusuf ◽  
F Islam ◽  
H Akhter ◽  
MA Ali ◽  
JA Khanam
Keyword(s):  
Visual Inspection ◽  
Invasive Carcinoma ◽  
Final Diagnosis ◽  
Epidemiological Studies ◽  
College Hospital ◽  
Medical College ◽  
Cervical Intraepithelial Lesions ◽  
Carcinoma Of Cervix ◽  
History Of ◽  
Intraepithelial Lesions

Aim: To evaluate the performance of visual inspection of acetic acid (VIA) in the detection of precancerous and early cancerous lesions of cervix. Materials and methods: Total 5593 eligible women who randomly came to the Gyenae out patient department (OPD) of RMCH (Rajshahi Medical College Hospital) were examined by VIA. Detection of well defined, opaque, acetowhite lesions close to the squamocolumner junction or in transitional zone or dense acetowhitening of ulceroproliferative growth on the cervix constituted a positive VIA. Those who had abnormal results in screening test & those who had clinically suspicious lesions were sent for colposcopic evaluation (n= 442) & directed biopsy were taken from colposcopically suspected areas (n=214). The final diagnosis was based on histology. Results: Out of 5593 patients, 442 (7.20%) were VIA positive. 442 patients were colposcopically evaluated .Among them, 228 (51.58%) were normal and 202(45.70%) had different stages of cervical intraepithelial lesions (CIN) and 12 ( 2.71 % ) had carcinoma of cervix. Out of 214 patients biopsied, 23.36 % patients had a final diagnosis of CIN lesions, 5 (2.33%) had carcinoma in-situ & 17 cases (7.94%) had invasive carcinoma. Besides to find out the predictable factors of cervical lesions data have been collected from VIA positive patients regarding age of first coitus and first delivery, history of extra marital exposure and STI, use of contraceptive methods and family history of cancer. Age of first coitus between 12 to 15 years and 16 to 20 years were observed among 203 (46 %) and 40 % (177) women respectively. More than half of the patients (62%) were experienced with their first delivery within the age 15-20 years which was below 15 years of 12 % (53) patients. Fifty four percent patients used OCP and barrier methods used were only 10 %. Family history of cancer was observed among 09 % women. 58% patients were belonged to lower middle class and upper group were only 9% (table 1) Conclusion: In our study detection of different grades of intraepithelial lesions (CIN-I, CIN-II, CIN-III, invasive carcinoma) of cervix by VIA was comparable to that of colposcopy. So VIA is suitable for detection of precursor lesions of cervical cancer in low resource settings and also for diagnosis, follow up treatment and epidemiological studies of cervical cancer. Key words: Visual inspection; VIA; cervical carcinoma; colposcopy; screening; epidemiological studies. DOI: http://dx.doi.org/10.3329/bjms.v10i4.9494 BJMS 2011; 10 (4): 240-244

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