scholarly journals Factors of Post-operative wound infection in abdominal surgeries of Obstetrics and Gynaecology department

2012 ◽  
Vol 18 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Jahanara Rahman ◽  
Nasreen Sultana ◽  
Munir Hasan ◽  
Hosne Ara Begum
Keyword(s):  
Wound Infection ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
College Hospital ◽  
Cross Sectional ◽  
E Coli ◽  
Medical College ◽  
National Medical ◽  
Wound Discharge ◽  
Operative Wound

A cross-sectional descriptive study was carried out in Obstetrics and Gynecology department, unit I of Dhaka National Medical College Hospital between June 2010 and May 2011. The objectives of the study were to find out the predisposing factors and to identify the organism causing post-operative wound infection. Out of 530 patients who underwent major abdominal surgery, 40 developed wound infection and were included in this study. Mean age of the population was 29.73 SD± 94, ranges 18 to 60 years, all were female, 75% of them were literate and 55% respondents came from middle class and affluent society. Sixty percent population was multiparous. Anaemia and raised blood sugar was found in 70% and 27% of the population respectively. The respondents under went caesarean section (71%), total abdominal hysterectomy (27%) and laparotomy (2%). Wound infection appeared within 5th day, 6th to 10th day and beyond 10th day of operation in 22.5%, 52.5% and 25% cases respectively. Wound discharge was serosanguinous in 50% cases. Bloody, purulent and no discharge was found in 10%, 30% and 10% wound respectively. Growth of Staphylococcus was noticed in 30% culture wound swab. Besides this, E coli, Pseudomonas, Klebsiella, Mycobacterium tuberculosis and other Coliform bacilli was found in 20%, 5%, 5%, 2.5% and 2.5% of growth. In 35% cases no growth of organism took place. DOI: http://dx.doi.org/10.3329/jdnmch.v18i1.12239 J. Dhaka National Med. Coll. Hos. 2012; 18 (01): 39-42

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 HISTOMORPHOLOGICAL SPECTRUM OF LESIONS OF HYSTERECTOMY SPECIMENS IN GCS MEDICAL COLLEGE, HOSPITALAND RESEARCH CENTER, AHMEDABAD : A STUDY OF 100 CASES

2020 ◽  
pp. 80-82
Author(s):  
Shweta Shah ◽  
S.K. Suri ◽  
Ami Shah
Keyword(s):  
Retrospective Study ◽  
Age Groups ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Medical College Hospital ◽  
Research Centre ◽  
Age Group ◽  
Gynaecological Surgery ◽  
College Hospital ◽  
Medical College

Background: Most frequently performed gynaecological surgery is hysterectomy. The prevalence of hysterectomy varies within different regions. There are mainly two types of hysterectomies according to which part of uterus is removed. The main types of hysterectomy are total and subtotal or partial hysterectomy. The hysterectomy can be performed by three routes abdominal, laproscopic and vaginal hysterectomy. The main objective of our study is to know most common pathology and different age groups of the patients underwent hysterectomy. Materials and Methods: In this retrospective study was carried during period 6 months, at GCS medical college, hospital and research centre, Ahmedabad. Total 100 hysterectomy specimens were analyzed for histopathological lesions. We had taken the clinical and histopathological findings of these cases from the records of department of pathology, GCS medical college , hospital and research centre. Results: In our study of 100 cases, most common age group underwent hysterectomy was 40-49 years and least common age group was 20-29 years. Type of hysterectomy performed most commonly in this study was total abdominal hysterectomy with bilateral salpingoophorectomy. Most of lesions were seen in the myometrium 42 cases (42%), Endometrium 32 cases (32%), Cervix 16 cases (16%) and Ovary 10 cases (10%). Hysterectomy remains the widely used treatment modality.

scholarly journals Postoperative complications and its management after total laryngectomy

2014 ◽  
Vol 19 (2) ◽  
pp. 82-86 ◽  
Author(s):  
Kazi Atikuzzaman ◽  
Khabir Uddin Ahmed ◽  
Mahmudul Hassan
Keyword(s):  
Wound Infection ◽  
Total Laryngectomy ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Pharyngocutaneous Fistula ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Carcinoma Larynx ◽  
Male Patients

Objectives: To find out the pattern of complications, frequency, risk factors and the management after total laryngectomy. Methods: It was a cross sectional study done in the Department of Otolaryngology & Head- Neck Surgery, Shaheed Suhrawardy Medical College Hospital, Dhaka from July 2007 to Dec 2009. 15 patients undergoing total laryngectomy for histologically proven Carcinoma larynx were included in this study. Patients were reviewed after surgery and any complication that occurred was recorded. The presentation, diagnosis and management of these complications were discussed after total laryngectomy. Results: There were 15 male patients, 3 non radiated cases and 12 post irradiated cases. Age of patients ranged from 35-75 years. Complications included wound infection (04), pharyngocutaneous fistula (03), flap necrosis (01), pharyngeal stenosis (01), stomal stenosis (01) and stomal recurrence (01). Conclusions: Wound infection and pharyngocutaneous fistula are most common complications after total laryngectomy. Preoperative radiotherapy is an important risk factor for development of pharyngocutaneous fistula in total laryngectomy patients. DOI: http://dx.doi.org/10.3329/bjo.v19i2.16366 Bangladesh J Otorhinolaryngol 2013; 19(2): 82-86

scholarly journals Evaluation of total abdominal hysterectomy over the decade in Holy Family Red Crescent Medical College Hospital - A retrospective observational study

2016 ◽  
Vol 44 (2) ◽  
pp. 87-91
Author(s):  
Rumana Nazneen ◽  
Fahmida Monir ◽  
Salma Yeasmin ◽  
Sharmin Akhter ◽  
Lipy Bakshi ◽  
...  
Keyword(s):  
Observational Study ◽  
Uterine Fibroids ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Retrospective Observational Study ◽  
College Hospital ◽  
Common Indication ◽  
Medical College ◽  
Life Threatening ◽  
Post Menopausal

Hysterectomy is the commonest major surgical procedure in Gynaecology & usually performed to improve quality of life rather than to cure life-threatening conditions. The rates differ between countries depending on differences in morbidity, health economical aspects, traditions and attitudes. This retrospective observational study was carried out from 2001-2010 & included all cases of abdominal hysterectomy done for benign and non emergency conditions in the department of Obstetrics & Gynaecology, Holy Family Red Crescent Medical College and Hospital, Dhaka with the intention to assess the proportion and the indications of total abdominal hysterectomy over a 10-year period. Percentage of the total abdominal hysterectomy remained between 50-70% of the total major operations over the decade. Fibroid was found to be the most common indication among the admitted patients (around 36%) with highest percetage in 2006 and 2007 (43% and 46% respectively). Next important indication was dysfunctional uterine bleeding (20%) followed by pelvic inflammatory disease (13%), ovarian mass (5%), endometriosis & adenomyosis (4%) and post menopausal bleeding (2%). The majority of hysterectomies were abdominal and the most common indication was uterine fibroids. The overall rate for hysterectomy remained reasonably stable.Bangladesh Med J. 2015 May; 44 (2): 87-91

scholarly journals Clinico-Pathological Study of Hysterectomy Specimens in Kathmandu Medical College Teaching Hospital

2018 ◽  
Vol 3 (2) ◽  
pp. 423-426
Author(s):  
Sailesh Bahadur Pradhan ◽  
Mamata Sedhain ◽  
Sneh Acharya ◽  
Sailuja Maharjan ◽  
Samikchhya Regmi
Keyword(s):  
Teaching Hospital ◽  
Histopathological Examination ◽  
College Teaching ◽  
Abnormal Uterine Bleeding ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Uterine Bleeding ◽  
Cross Sectional ◽  
Medical College ◽  
Chronic Cervicitis

Introduction: Uterus is subjected to many non-neoplastic and neoplastic diseases. Hysterectomy is the commonest gynecological surgery done for the management of the pathologies of the female reproductive system. Histopathological examination of hysterectomy specimens is done routinely which has both diagnostic and therapeutic significance.Objective: To study the common pathologies identified in hysterectomy specimens and to correlate them with the clinical findings.Methodology: A cross sectional study was carried out among all the hysterectomy specimens irrespective of primary lesion sent for histopathological examination from January 2016 to December 2017 in Department of Pathology, Kathmandu Medical College Teaching Hospital (KMCTH). Relevant history was taken from the requisition form. Ethical clearance was obtained from the Institutional Review Committee of KMCTH.Results: A total of 198 cases were studied. The most common pathology encountered was leiomyoma (60.0%) followed by adenomyosis (14.0%). Atrophic endometrium was seen in 24.3% cases. Chronic cervicitis was found in most of the cases (96.5%) along with endocervical polyp in 8.1% cases. Leiomyoma was found to be the most common indication for hysterectomy comprising 48.0% followed by abnormal uterine bleeding (24.75%) and utero-vaginal prolapse (18.25%). Hysterectomy was most commonly performed in the age group of 41 - 50 years and total abdominal hysterectomy with bilateral salpingo-oophorectomy was found to be the commonest procedure done comprising 8 0.0%.Conclusion: Leiomyoma was found to be the most common pathology in myometrium and chronic cervicitis in cervix. Abnormal uterine bleeding and vaginal prolapsed were also found to be common. Lesions which can be managed conservatively do need hysterectomy or not, is a matter of great concern. BJHS 2018;3(2)6:423-426.

scholarly journals A study to evaluate the pattern of microorganisms causing early post-operative wound infection in patients undergoing orthopaedic surgery with implant for closed fracture or disease in medical college and hospital, Kolkata

2020 ◽  
Vol 6 (6) ◽  
pp. 1204
Author(s):  
Subhankar Mukherjee ◽  
Jayanta Mukherjee ◽  
Sanjay Kumar ◽  
Subarna Misra ◽  
Ranajit Bhatta ◽  
...  
Keyword(s):  
Wound Infection ◽  
Orthopaedic Surgery ◽  
Hip Prosthesis ◽  
Isolation And Identification ◽  
Cross Sectional ◽  
Medical College ◽  
Orthopaedic Patients ◽  
Operative Wound

<p class="Default"><strong>Background:</strong> For all orthopaedic surgical procedures with implant, infection at the operative site has always been recognized as a potential complication. The present study was done to evaluate the pattern of causative microorganisms in post-operative infection after orthopaedic surgery with implant in Medical College and Hospital, Kolkata.</p><p><strong>Methods: </strong>This study was Institution based cross-sectional observational case study. Patients population were selected from the patients, who were admitted or came for follow up in the Department of Orthopaedics, who had undergone surgery with implant for close fracture and disease and developed early (&lt;3 months) post-operative wound infection The samples were collected and were sent to the Department of Microbiology, Medical College &amp; Hospital, Kolkata for isolation and identification of the microorganisms and their antimicrobial susceptibility were done.<strong></strong></p><p><strong>Results:</strong> Maximum infections were detected and wound swabs were sent for culture in 2<sup>nd</sup> week of surgery followed by 3rd week. Only 10% (8 cases) had infection beyond 8 weeks. Plates with screws were used in 37 cases (46%) and nails in 15 cases (19%). It was been seen that infection in case of hip prosthesis were significant that is 8% (6 cases) which included four cases of hemiarthroplasty and two cases of total hip arthroplasty.</p><p><strong>Conclusions:</strong> The data suggests that there is preponderance of Gram- negative infections in operated orthopaedic patients, but <em>Staphylococcus aureus </em>predominates the infectious agents as the sole pathogen. <em>Klebsiella </em>species<em> </em>and <em>pseudomonas </em>species<em> </em>are second and third most common pathogens respectively.</p>

scholarly journals Evaluation of Pre-Operative Risk Factors for Post-Surgical Wound Infection in Elective Operation

2017 ◽  
Vol 5 (1-2) ◽  
pp. 15-20
Author(s):  
Md Shahidul Islam ◽  
Mitheel Ibna Islam ◽  
Md Jamal Saleh Uddin ◽  
Abul Kalam Md Faruq ◽  
Samar Chandra Saha ◽  
...  
Keyword(s):  
Risk Factors ◽  
Wound Infection ◽  
Surgical Site Infections ◽  
Final Analysis ◽  
Urinary Stones ◽  
Diabetic Patients ◽  
College Hospital ◽  
Cross Sectional ◽  
Elective Operation ◽  
Operative Wound

Background & Objective: Postoperative surgical site infections (SSIs) are still among the most common serious complications of surgery in terms of cost and consequences. Different risk factors like age, sex, nutrition, immunity, operation type, duration of stay in hospital and presence of hair on the skin may involve with SSIs. This study was intended to determine the risk factors for surgical site infections in a tertiary level hospital. Methods: This Cross Sectional observational study was carried out in the Department of Surgery, Rajshahi Medical College Hospital, Rajshahi, over a period of 12 months from May 2009 to April 2010. A total of 232 patients (aged 18 years onwards) of either sex scheduled for elective operation were included in the study. Common indications for operation were chronic calculus cholecystitis, stoma in situ, inguinal hernia, renal/urinary stones and benign prostatic hyperplasia and so on. As two patients were discharged on request on 2nd postoperative day, 230 patients were left for final analysis. The patients were followed till discharge. Results: Of the total 230 patients, 21(9.1%) developed post-operative wound infection. The incidence of wound infection was significantly higher in older patients (p = 0.014). However sex did not have any influence on wound infection. The malnourished patients (underweight in terms of BMI) developed SSIs more frequently than their normal or overweight counterparts (p < 0.001). Diabetic patients developed post-operative wound infection more often than the non-diabetics(p = 0.072). The incidence of post-operative wound infection was not found to be associated with shaving of hair on the skin over the operative site (p = 0.378). Contaminated wounds encountered SSI significantly more than the clean wounds did (p = 0.001). Conclusion: The study concluded that one in every ten patients undergoing abdominal surgery may develop postoperative wound infection and factors commonly associated with wound infection are older age, underweight, diabetes, contaminated wound, longer preoperative and postoperative hospital stay. The study suggests that reducing the factors of SSI (as far as practicable) will reduce the incidence of SSI. Ibrahim Card Med J 2015; 5 (1&2): 15-20

scholarly journals Study on Rationality of Abdominal Hysterctomy With Its Clinical Correlations And Histopathological Outcome

2013 ◽  
Vol 20 (Number 1) ◽  
pp. 3-7
Author(s):  
F Begum ◽  
S F Siddique ◽  
T Begum ◽  
R A Begum
Keyword(s):  
Surgical Techniques ◽  
Prophylactic Antibiotic ◽  
Abdominal Hysterectomy ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Post Menopausal ◽  
One Year ◽  
Chronic Cervicitis ◽  
Cervical Polyp

A cross sectional prospective study was done on 104 patients admitted in the Department of Obstetrics and Gynaecology, Holy Family Red Crescent Medical College Hospital during specific period of one year. The practice of hysterectomy dates back to the middle of 19th century following myomectomy. The indications for hysterectomy were to save life of the patient, relieve sufferings or to correct deformity of organs. Pre-tested structured clinical data sheet was used to obtain necessary data along with records of histopathological reports. The patients who undergone abdominal hysterectomy were mostly between the age 41 to 45 years with Inclusion criteria of Leiomyoma, dysfunctional uterine bleeding. chronic cervicitis, adenomyosis, pelvic inflammatory disease, cervical polyp, post-menopausal bleeding, pelvic endometriosis, choriocarcinoma and ovarian cyst. Most frequent indication was leiomyoma and the chief complain was menorrhagia. Both ovaries had to be removed in most of the patients (72) out of total 104 cases. In some cases one ovary was preserved as per clinical indications. The complications of hysterectomy in present study was found 24% which was much lower than the other studies done earlier as 37% and 35%14. This finding may be due to increased use of prophylactic antibiotic, surgical techniques and improvement of overall aseptic and antiseptic measures taken pre, per and post operative period.

“Evaluation of Urosepsis and Bacteriuria in Patients Undergoing PCNL and URS”

2021 ◽  
Vol 8 (09) ◽  
pp. 5584-5590
Author(s):  
Bivash Boran Biswas ◽  
Mousumi Malakar ◽  
Sazzad Bin Shahid ◽  
Sayem Hossain ◽  
Khan Nazrul Islam ◽  
...  
Keyword(s):  
Blood Culture ◽  
Urine Culture ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Resistant Organism ◽  
College Hospital ◽  
Cross Sectional ◽  
E Coli ◽  
Medical College ◽  
Sensitivity Pattern

Urosepsis usually develops from a community or nosocomial acquired urinary tract infection (UTI) or during the procedure of various urinary disease such ureterorenoscopy (URS) and percutaneous nephrolithotomy (PCNL). Urosepsis is associated with bacteriuria, Urosepsis due to manipulation during or after percuteneous nephrolithotomy (PCNL) or ureterorenoscopy (URS) or push bang stenting can be catastrophic despite prophylactie antibiotic coverage. This cross sectional study was carried out in Dhaka Medical College Hospital, Dhaka, Bangladesh during the period of July 2011 to June 2013. Sampling technique was purposive and sample size was 70. Among them 23 patients for PCNL and 47 patients for URS were selected by selection criteria. Data were collected by interview of the patients, clinical examinations and laboratory investigations using the research instrument. Data were processed and analyzed using software SPSS (Statistical Package for Social Sciences) version 11.5. Incidence of bacteriuria and urosepsis were measured according to urine and blood culture report. Sensitivity pattern was also observed. According to this study, the incidence of bacteriuria and urosepsis were 17.1% and 5.7% respectively, Of the 70 patients, 12(17.1%) exhibited bacterial growth on urine culture, These 12 patients were then subjected to blood culture and 4(33.3%) of them were found positive. Most (83.4%) of the urine and blood infections (75%) were caused by E. coli. Some widely used antibiotics like moxicillin, Cephalexin and Ciprofloxacin were found 100% resistant in urine culture. Few sensitive antibiotics were Tobramycin (100 %), Amikacin and Ceftazidime (75%). Almost same sensitivity pattern was found in blood culture. In urosepsis, as in other types of sepsis. Urosepsis after PCNL and URS is an important and potentially catastrophic complication. Percuteneous nephrolithotomy (PCNL), Ureterorenoscopy (URS) occurs frequently in this institution. Although the incidence of urosepsis and bacteriuria with resistant organism is low, but it is a burning issue in management in urology practice. The apparent increase in ciprofloxacin resistant organisms appears to be associated with the increased rate of ciprofloxacin resistant organisms are observed in the general population.

scholarly journals Detection of resistance gene marker intl1 and antimicrobial resistance pattern of E. coli isolated from surgical site wound infection in Holy Family Red Crescent Medical College Hospital

2012 ◽  
Vol 4 (2) ◽  
pp. 19-23 ◽  
Author(s):  
Mohammad Murshed ◽  
Sabeena Shahnaz ◽  
Mohammad Abdul Malek
Keyword(s):  
Wound Infection ◽  
Resistance Gene ◽  
Multidrug Resistant ◽  
Medical College Hospital ◽  
Resistance Pattern ◽  
Gene Marker ◽  
College Hospital ◽  
Extended Spectrum Beta Lactamase ◽  
E Coli ◽  
Medical College

This study was carried out to determine the presence of resistance gene intl1 in E. coli isolated from surgical site wound infection in Holy Family Red Crescent Medical College Hospital. A total of 90 samples were collected from the different wound sites of patients admitted in surgical ward. The most predominant organism was E. coli 48(53.33%); followed by S. aureus 23(25.56%) and Pseudomonas 12(13.33%). Most of the isolated strains of E. coli were multidrug resistant. 46(96%) strains were shown resistant to ampicillin and most potent drug against E. coli was found to be imepenem. The extended spectrum Beta-lactamase (ESBL) producing E. coli were 21(43.75%).The resistance gene marker intl1 was detected in 32(67%) E. coli isolates.DOI: http://dx.doi.org/10.3329/bjmm.v4i2.10827 

Sign in / Sign up

Export Citation Format

Share Document