scholarly journals Ayurveda Interventions in the Management of Tubal Blockages- Case Studies

Author(s):  
Dr.Smita Naram ◽  

Failure to conceive within one or more years of regular unprotected coitus is defined as Infertility. Tubal blockage is one of the most common causative factors in female infertility. The prevalence is 19.1% in the fertility age group. This condition is not described in Ayurvedic classics as itself tubal blocks but Blockages of fallopian tubes can be better correlated with Vandhyatvadue to Artavbijavahasrotavrodha (Blockages in fallopian tubes). All three doshas are responsible for causing blockages. Normalizing the vitiated Vata-kapha-doshaleads to restoration of tubal function and easy conception. Here are two cases with bilateral tubal blockage which were treated successfully with certain Ayushakti herbal remedies and Uttarbasti (Intrauterine enema) with Ksharbasti. Recording and publishing this data is worthwhile as there are minimum chances of complication with assured results. With this treatment we can definitely avoid unnecessary use of hormones and IVF protocol and can give cost effective and promising results

2013 ◽  
Vol 3 (1) ◽  
pp. 59-66
Author(s):  
Pranav Kumar Santhalia ◽  
MK Gupta ◽  
D Uprety ◽  
K Ahmad ◽  
S Ansari ◽  
...  

Background: Hysterosalpingography (HSG) is the radiographic technique for evaluation of uterine cavity and fallopian tubes. It still remains the best imaging procedure for fallopian tubes despite the advent of newer modalities and is used primarily for the evaluation of female infertility.1,2 The purpose of the study was to assess the uterine and tubal abnormalities detected on radiographic HSG as causative factors of infertility and to describe their imaging features. Methods: This prospective cross sectional study was conducted at the Department of Radiodiagnosis and Imaging, BPKIHS, Dharan. Forty-four patients with infertility (both primary and secondary) referred for HSG were included. HSG was performed using non-ionic contrast medium under image intensifier fluoroscopic control during the follicular phase of menstrual cycle. Radiographic films were obtained and analyzed. Results: Out of the total 44 patient, 26 (59.0%) had primary infertility while 18 (41.0%) had secondary infertility. Tubal abnormalities were seen in 28 (63.6%) and uterine abnormalities in 2 (4.6%) patients. The most common tubal abnormality detected on HSG was tubal block (50.0%). Unilateral and bilateral tubal blocks were equally distributed (50.0% each). Proximal tubal block was observed in 8 (36.4%) and distal in 13 (59.1%) patients. Fifteen (34.1%) patients had hydrosalpinx. Conclusion: HSG is easy, safe, and cost-effective and plays vital role in the evaluation of female with infertility. The most common structural cause of female infertility found as per this study was tubal block. Nepalese Journal of Radiology / Vol.3 / No.1 / Issue 4 / Jan-June, 2013 / 59-66 DOI: http://dx.doi.org/10.3126/njr.v3i1.8810


2021 ◽  
pp. 4-9
Author(s):  
P Lakshmi ◽  
V Venkatarathnam ◽  
Ramesh Kumar

Background: Infertility is a major problem throughout the world. In a country like India, it is associated with a social stigma. The cause can be multifactorial and many couples are seeking medical help for infertility nowadays. As part of the female infertility workup, hysterosalpingography plays an important role. Methods And Material: A retrospective study was done in the department of Radiodiagnosis of a rural tertiary care hospital, India. All patients who were referred for hysterosalpingography study as part of infertility workup between January 2018 and December 2020 to the department of Radiodiagnosis were included in the study. Results: A total of 173 patients are included in the study. Out of these 173 patients, 3 women had repeat Hysterosalpingography studies. 43.2% of these studies are abnormal. 56.8% cases showed normal ndings. Tubal abnormalities were the most common accounting for 34.6% of the total studies. Uterine abnormalities were seen in 6.8% of the total studies. Both fallopian tube and uterine abnormalities were seen in 1.7%. Post-operative follow-up imaging was available for 3 patients. All three patients had a bilateral tubal block in the rst study and showed tubal patency in post recanalization HSG study. Conclusion: Hysterosalpingography is a lesser invasive procedure, cost-effective, and does not require anesthesia compared to laparoscopy. This is a huge advantage, especially in a rural setup. It can be considered as a screening investigation along with an ultrasound examination. Tubal blockage is the most common abnormality accounting for nearly one-third of the causes of infertility in our study. Tuberculosis should always be ruled out as a cause of tubal blockage in India where it is more prevalent.


2015 ◽  
Vol 6 (1) ◽  
Author(s):  
Rajput Shivshankar A ◽  
Mata Shweta ◽  
Dei L P ◽  
Donga S B ◽  
Shaikh Nilofar

Infertility is the most sensitive and cumbersome problem which haunts every couple. The major cause in infertility is female factor which is 30.20%. Among female factor the sub factors are ovarian, tubal, endometrial and uterine. Female Infertility due to tubal blockage is the 2nd most contributing factor, in 30% of the cases. So for this study, we considered only tubal infertility and to make a pin-pointed assessment criteria. The criteria for selection of patients and assessment of results were unilateral or bilateral tubal blockage diagnosed in hysterosalpingography (HSG).  Thus 18 patients in the age group of 20-40 years were registered for the study, with 75% primary infertility and 25% secondary infertility. Of these patients 16 completed the course of treatment. Patients having acute pelvic infection, hypersensitivity to chemical dye, congenital anomalies of vulva & vagina, CA cervix, STD or any debilitating diseases like T.B. were excluded. Apamagra Kshara Taila was selected for its Vata-Kapha Shamaka and Lekhana properties. The dose of Uttar Basti was 5 ml with duration of two consecutive cycles at the interval of three days. The tubal blockage was removed in 75% of the patients and 25% of the patients had conceived within the follow-up period of two months. The results suggest that Uttar Basti is a safer, cost effective and highly significant Ayurvedic treatment modality for tubal-blockage, with no apparent complications.


Author(s):  
Deepthi. P.V ◽  
Anila. M

Infertility is defined as failure to conceive within one or more years of regular unprotected coitus. Tubal blockage is one of the most common causative factors for female infertility. The prevalence of fallopian tubal obstruction was 19.1% in the fertility age group. In this case study patient suffered from infertility since 3yrs and diagnosed as primary infertility due to right tubal blockage after allopathic consultation. IUI has done thrice which went unsuccessful and was advised for IVF. But she was reluctant to do the same. So she approached OPD of GAVCH for W&C, Poojappura, Kerala for Ayurvedic management. Patient was managed with Ayurvedic treatment protocol including internal medications and purification therapies. The line of treatment was to normalize the Vata-kapha dosha and removes the Sroto avarodha in the fallopian tube. Uttaravasti delivers medicines close to Garbhashaya & Yoni especially in fallopian tubes. Taila can help to clear the Sroto rodha due to its Vyavayi, Vikashi and Sookshma property. Just after one cycle of treatment patient came with positive urine pregnancy test after one week of missed period. Then she took regular antenatal care from an allopathic hospital and delivered a healthy male baby of 2.8 kg.


2015 ◽  
Vol 6 (3) ◽  
Author(s):  
Hetal P Baraiya ◽  
Shilpa B Donga ◽  
Dei L P ◽  
Kashyap Chauhan

           Tubal blockage is one of the most essential causative factors for female infertility. It is the need of the era that a secure, more expenditure effectual and absolute therapy of this sensitive problem should be developed. This review study is an attempt to evaluate the efficacy of Kumari Taila Uttarabasti in tubal blockage. Patients of child bearing age with active marital life of 1 year or more having complaint of failure to conceive with at least one fallopian tube blocked diagnosed by Hysterosalpingography (HSG) were selected. The data of Total four studies of different scholars has been taken for review is being presented here. Out of total 67 registered patients, 61 patients completed the course of treatment, with 53.73% unilateral and 46.27% bilateral tubal blockage. Kumari Taila (5 ml) Intrauterine Uttarabasti was given for 6 days (with interval of three days in between), after completion of menses for two consecutive cycles. The tubal patency was found in 62.69% of patients and conception was achieved in 20.90% without any complication. Uttarabasti is an imperative and an exclusive Ayurvedic procedure stated in classics particularly for the management of Vandhyatva and other gynecological disorders. Kumari Taila Uttarabasti is a highly effective procedure for treating tubal blockage with no apparent evidence of complication. 


Author(s):  
Sonalika Hiremath ◽  
Santhosh Kumar S. ◽  
Sridevi Swamy

Infertility primarily refers to the biological inability of a person to contribute to conception. In women, it may also refer to the state when she is not able to carry a pregnancy to its full term. Female infertility is caused due to structural problems like blocked Fallopian tubes, defect in cervical canal, uterine fibroid or polyps. Hormonal imbalance leading .ovulation problems too can cause infertility. From Ayurvedic perspectives, Shukra Dhatu can get affected by various physical, mental causes and even by serious diseases. Poor quality Shukra Dhatu can cause infertility in males and females.


Energies ◽  
2018 ◽  
Vol 11 (8) ◽  
pp. 1978 ◽  
Author(s):  
Sanna Uski ◽  
Erkka Rinne ◽  
Janne Sarsama

Microgrids can be used for securing the supply of power during network outages. Underground cabling of distribution networks is another effective but conventional and expensive alternative to enhance the reliability of the power supply. This paper first presents an analysis method for the determination of microgrid power supply adequacy during islanded operation and, second, presents a comparison method for the overall cost calculation of microgrids versus underground cabling. The microgrid power adequacy during a rather long network outage is required in order to indicate high level of reliability of the supply. The overall cost calculation considers the economic benefits and costs incurred, combined for both the distribution network company and the consumer. Whereas the microgrid setup determines the islanded-operation power adequacy and thus the reliability of the supply, the economic feasibility results from the normal operations and services. The methods are illustrated by two typical, and even critical, case studies in rural distribution networks: an electric-heated detached house and a dairy farm. These case studies show that even in the case of a single consumer, a microgrid option could be more economical than network renovation by underground cabling of a branch in order to increase the reliability.


2021 ◽  
Author(s):  
Benjamin Butler ◽  
Justin Roberts ◽  
Matthew Kelsey ◽  
Steffen Van Der Veen

Abstract Multilateral wells have been proven over decades and have developed into a reliable and cost effective approach to mature field rejuvenation and extended commercial viability. This paper will discuss case studies demonstrating a number of techniques used to create infill multilateral wells in existing fields with a high level of reliability and repeatability. Techniques reviewed will cover cutting and pulling production casing to drill and case a new mainbore versus sidetracking and adding laterals to an existing mainbore. Discussion will also cover completion designs that tie new laterals into existing production casing providing significantly greater reservoir contact. Temporary isolation of high water-cut laterals brought into production later in the well's life through bespoke completion designs will also be discussed. Case studies will include discussion of workover operations, isolation methods, and lateral creation systems. Where available, resulting field performance improvements will also be discussed. In Norway, slot recoveries are commonly performed by cutting and pulling the 10-3/4" casing, redrilling a new mainbore, and running new casing. This enables junction placement closer to unswept zones and easier lateral drilling to targets. It does have drawbacks, however, related to the additional time required to pull the subsea xmas tree and challenges associated with pulling casing. In 2019, Norway successfully completed a 10-3/4" retrofit installation, whereas a sidetrack was made from the 10-3/4" and an 8-5/8" expandable liner was run down into the reservoir pay zone where two new laterals were created. The 8-5/8" liner saved time otherwise spent having to drill the section down to the payzone from the laterals. These wells have a TAML Level 5 isolated junction, Autonomous Inflow Control Devices (AICDs) in each lateral, and an intelligent completion interface across the junction, enabling active flow management and monitoring of both branches. In Asia, infill laterals were added to existing wellbores by sidetracking 9-5/8" casing and tying production back to the original mainbore. These dual laterals were completed with intelligent completions to enable lateral flow management and monitoring of both laterals. In Australia, dual laterals were created in a similar fashion; laterals are added to existing wells; however, a novel approach was used to manage water from existing lower mainbore laterals whereby they are shut in at completion and opened later when the new lateral is watered out. The older lateral now produces at lower water cut given the time allowed for water coning in the lateral to relax. Using this practice, production is alternated back and forth between the two laterals. In the Middle East, an older well has been converted from TAML Level 4 to Level 5 in order to prevent detected gas migrating into the mainbore at the junction. This conversion of a cemented junction well has enabled production to resume on this well. The well was converted to incorporate an intelligent completion to enable flow control of each lateral. This paper intends to provide insights into the various mature field re-entry methods for multilateral well construction, and a review of the current technology capabilities and well designs through the review of multiple case histories.


Author(s):  
Dale Millward

Effective pipeline design and regular maintenance can assist in prolonging the lifespan of subsea pipelines, however the presence of marine vessels can significantly increase the risk of pipeline damage from anchor hazards. As noted in the Health and Safety Executive – Guideline for Pipeline Operators on Pipeline Anchor Hazards 2009. “Anchor hazards can pose a significant threat to pipeline integrity. The consequences of damage to a pipeline could include loss of life, injury, fire, explosion, loss of buoyancy around a vessel and major pollution”. This paper will describe state of the art pipeline isolation tooling that enables safe modification of pressurised subsea pipelines. Double Block and Bleed (DBB) isolation tools have been utilised to greatly reduce downtime, increase safety and maximise unplanned maintenance, providing cost-effective solutions to the end user. High integrity isolation methods, in compliance with international subsea system intervention and isolation guidelines (IMCA D 044 / IMCA D 006), that enable piggable and unpiggable pipeline systems to be isolated before any breaking of containment, will also be explained. This paper will discuss subsea pipeline damage scenarios and repair options available to ensure a safe isolation of the pipeline and contents in the event of an incident DNV GL type approved isolation technology enables the installation of a fail-safe, DBB isolation in the event of a midline defect. The paper will conclude with case studies highlighting challenging subsea pipeline repair scenarios successfully executed, without depressurising the entire pipeline system, and in some cases without shutting down or interrupting production.


Author(s):  
Myron Koster ◽  
Irene Schrotenboer

There are challenges surrounding circularity and the application of bio-based material in construction, but also potentials. This paper aims to identify success and fail factors for the initiation phase of construction projects and shows what is essential to realize affordable circular and bio-based. This was specifically investigated for initiators of construction projects, like real estate professionals, property owners and developers. Based on case studies, we describe what these actors should focus on and pursue before the actual construction starts. For the purpose of this paper, research was done and interviews were held with people involved in exemplary projects (case studies). The interviews focused on choices that were made during the initiation phase that were decisive for the degree of circularity and the extent to which bio-based materials were applied. Motivations and consequences were covered. We found that are five essentials for successful circular bio-based construction. These five essentials form the outline of this paper: 1. AFFORDABLE cost-effective & inclusive reuse; 2. FLEXIBLE prepare for future functions; 3. PASSIVE stay cool & healthy with bio-based materials; 4. INTEGRAL continuously reflect on circular bio-based benefits; 5. TRADITIONAL OWNERSHIP keep it, simple. In one case, all five essentials were put into practice, while in the other cases it was a combination of three or four essentials. The five essentials and cases in this paper can be used as inspiration for product and process and could help realize affordable and feasible circular bio-based constructions. By focusing on the essentials, initiators have guidance to prevent valuable resources (including energy) going to waste, today and in the future.


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