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.

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 Study to Determine the Incidence of High HbA1c in Patients with Ischemic Stroke at Bilawal Medical College, Kotri, Sindh, Pakistan

2021 ◽  
pp. 20-24
Author(s):  
Atif Ahmed ◽  
Kuldeep Poorani ◽  
Mohammad Amjad Kalhoro ◽  
Nisar Ahmed Khokar ◽  
Abdul Ghaffar Dars
Keyword(s):  
Ischemic Stroke ◽  
Blood Glucose ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Ischemic Disease ◽  
Medical College ◽  
Cerebral Ischemic ◽  
One Year

Aim: To study the incidence of HbA1c elevation in patients with ischemic stroke whose blood glucose levels were normal within the last six months. Study Design: A cross-sectional study. Place and Duration: This cross-sectional study of the 96 patients with cerebral ischemic disease selected from the internal medicine department of Bilawal medical college Hospital Kotri, Sindh, Pakistan for one-year duration from August 2019 to August 2020. Methods: Crossectional study was conducted in the internal medicinal department of Bilawal Medical college Hospital, Kotri Sindh, Pakistan for the period of one year from August 2019 to August 2020. Total 96 study subjects were selected with cerebral ischemic disease, 62 were males and 34 were females. Many factors such as age more than 20 years, ischemic stroke and RBG (Random Blood Glucose) were also evaluated from each participant. SPSS 23.00 version was used for statistical analysis of research data. Results: 57.01 ± 13.4 years was the mean age of the patients. 62 (64.6%) patients were male and 34 (35.4%) were female. The male to female ratio was 2:1. HbA1c was elevated in 35 (36.5%) of 96 patients, while 61 (63.5%) had normal HbA1c.  The distribution of HbA1c elevation by gender showed that 20 (57.1%) patients with elevated HbA1c were men and 15 (42.9%) were women. Forty-three (70.5%) of 61 patients with normal HbA1c were male and 18 (29.5%) were female. Conclusion: it was concluded that glycated haemoglobin plays an important role for reducing the macro complication of Diabetes and the major macro complication observed was cerebral ischemic stroke among the people with elevated HbA1c.

scholarly journals A-V Fistula Blood Flow and Complications: A One Year Survey

2014 ◽  
Vol 15 (2) ◽  
pp. 110-113
Author(s):  
Tania Mahbub ◽  
Md. Nizamuddin Chowdhury ◽  
Ferdous Jahan ◽  
Aparna Das ◽  
Md. Motlabur Rahman ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cross Sectional Study ◽  
Visualization Technique ◽  
Colour Doppler ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Study Population ◽  
One Year ◽  
Venous Fistula

Background: Worldwide haemodialysis(HD) is the mostly used method of renal replacement therapy. Arteriovenous fistula use is on rise due to Fistula First Initiative due to least complications of fistulae than catheters.But they are also subjected to many complications. Thereby appropriate surveillance of the fistulae is important.Objectives: To measure the blood flow as well as fistula related complications in study population. Materials and Methods: This was a cross sectional study, conducted in the department of Nephrology, Dhaka Medical College Hospital during September 2010 to December 2011.Total 118 subjects were included in the study. Besides visualization technique colour Doppler ultrasonogram of fistula and  echocardiography were performed for each patients. Results: Most of the patients had adequate fistula flow. Aneurysm was most common complication. Many subjects were suffered from primary and secondary fistula failure. Conclusion: Arterio-Venous fistula is subjected to many complications and appropriate surveillance should be launched to detect complications and to prevent fistula failure.DOI: http://dx.doi.org/10.3329/jom.v15i2.20681 J MEDICINE 2014; 15 : 110-113

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.

Age, Gender and Common Site of Haematoma Formation among Acute Subdural Hematoma Patients: Experience of 48 Cases in Bangladesh

2021 ◽  
Vol 17 (2) ◽  
pp. 54-57
Author(s):  
Kalim Uddin ◽  
Md Abdus Salam ◽  
Ashraful Haque ◽  
Amir Md Khan ◽  
Md Mahfuzur Rahman ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Cross Sectional Study ◽  
Acute Subdural Hematoma ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Male And Female ◽  
Medical College ◽  
And Gender ◽  
One Year

Background: Acute subdural hematoma can occurs in different age group of patients in both male and female. Objective: The purpose of the present study was to observe the age and gender distribution among acute subdural hematoma patients. Methodology: This cross-sectional study was carried out in the Neurosurgery Department of Dhaka Medical College Hospital, Dhaka, Bangladesh from January 2011 to August 2012 for a period of one year and eight months. Patients with acute subdural hematoma who fulfil the inclusion criteria for surgery and got admitted were selected as study population. Acute Subdural hematoma patient of any age, both sex with GCS 5 to 13, thickness of hematoma more than l0 mm, midline shift more than 5 mm, pupil reacting to light and patient presented within 72 hours of injury were included for this study. At admission, a detailed history of the illness was taken from the patient or attendant, thorough general and neurological examinations were carried out and were recorded. Result: A total number of 48 patients were recruited for this current study. The mean age of the patients was 32.39±11.63 years and their age ranged from 10 to 56 years. The male and female ratio was 5:1. Out of 48 patients 17(31.25%) cases were fronto-temporal. Temporo-parietal were 16(33.3%) patients. Fronto-temporo-parietal were 7(14.5%) cases. Parietal were 5(10.41%) cases. Frontal were 3 (6.25%) case. Conclusion: In conclusion majority of the patients are male young adults presented with fronto-temporal and temporo-parietal region of shull. Journal of Science Foundation 2019;17(2):54-57

scholarly journals Septic Abortion and Associated Morbidity and Mortality

2013 ◽  
Vol 12 (3) ◽  
pp. 20-22
Author(s):  
Adiba Malik ◽  
Kamrun Nessa ◽  
Rokeya Begum
Keyword(s):  
Health Workers ◽  
Lower Class ◽  
Urban Slum ◽  
Morbidity And Mortality ◽  
Major Surgery ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
One Year ◽  
Septic Abortion

Background: In Bangladesh a large number of women attending the major urban hospitals with the complications directly due to abortion like, hemorrhage, fever, peritonitis, visceral injuries. Among all types of abortion, septic abortion is a significant health problem with short and long term complications that affect the quality of life of those fortunate enough to avoid mortality. Aim: This study was conducted to assess the septic abortion related morbidity and mortality in a tertiary level hospital in one year. Methods: This study was a cross sectional observational study in the Department of Obstetrics and Gynaecology, Chittagong Medical college hospital form October 2008 to September 2009, where 60 patients of septic abortions in above period were collected by history examination, management, complications and associated morbidity and mortality. Results : 58.3% of septic abortion patients came from lower class, 70% of them were residing in urban slum area, 96.7% were married 44% of them were illiterate, 85% of them did not use any contraceptive methods although they didn't want to increase their family. 78.3% needed surgical treatment, 23.7% needed major surgery like laparotomy, average duration of hospital stay was 12.08 days and 8.33% patients came with septicemic shock and died. Conclusion: Septic abortion is an important contributor to maternal morbidity and mortality, increasing the burden not only the patients but health workers and their resources. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 20-22

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

Contraceptive Practice among the Women of Reproductive age in a Selected Hospital of Dhaka City

2014 ◽  
Vol 22 (Number 1) ◽  
pp. 36-41
Author(s):  
A Nasreen ◽  
M Begum ◽  
K S Anwar ◽  
A Mazid ◽  
S H Khan
Keyword(s):  
Study Data ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
College Hospital ◽  
Cross Sectional ◽  
Barrier Methods ◽  
Face To Face ◽  
Medical College ◽  
One Year ◽  
Structured Questionnaire

A cross sectional descriptive study was conducted among women of reproductive age who were attending Gynae out-patient department of Holy Family Red Crescent Medical College Hospital. The study was carried out from 2nd week of February to 2nd week of March, 2013. Total 250 women were selected purposively for the study. Data was collected by face to face interview using structured questionnaire, Mean age of the respondents were 26.6 (60%) years and 41% of the respondents were in age group 15-19 years. Most of the respondents (60%) age at marriage were from 21-30 years. Maximum (60%) respondents had their conjugal life up to 10 years. Among the respondents house wives were 50% and 38.4% were well educated. Most of the women (60.4%) got their 1st child within 3-5 years of their married life. About 42.8% women had 2 children and only 1.6% had 5 children. All respondents (100%) had knowledge about contraceptives, oral pill and barrier methods were known to all. Among 250 respondents, 156 (62.4%) were using contraceptives and 94 (37.6%) were not practicing any contraceptives. Among the contraceptives users 48.7% were using oral contraceptives and 16.7% were using Infra uterine device. Maximum 59% respondents were using contraceptives for less than one year.

scholarly journals Inherited Haemoglobin Disorders Among Apparently Healthy Individuals- An Analysis of 105 Cases

2015 ◽  
Vol 10 (2) ◽  
pp. 90-94
Author(s):  
Masuma Ahmed Salsabil ◽  
Manirul Islam ◽  
Dilshad Jahan ◽  
Mohiuddin Ahmed Khan
Keyword(s):  
Armed Forces ◽  
Healthy Individuals ◽  
College Hospital ◽  
Cross Sectional ◽  
Beta Thalassaemia ◽  
Medical College ◽  
Haemoglobin Disorders ◽  
Thalassaemia Trait ◽  
One Year ◽  
Apparently Healthy

Introduction: Inherited hemoglobin disorders present a significant health problem all over the world. Due to migration, this problem is increasing day by day. No definitive data regarding the frequency of hereditary haemoglobin disorders are available in Bangladesh. Iron deficiency is most widely prevalent in the country and beta thalassaemia is also common.Objective: The aim of the study is to determine the relative frequency of inherited haemoglobin disorders among apparently healthy individuals in two different institutes.Methods: This observational cross-sectional prospective study was carried out in the Department of Haematology of Dhaka Medical College Hospital (DMCH), Dhaka for a period of one year from January 2010 to December 2010. Apparently healthy physicians, staffs and students of Dhaka Medical College (DMC) as well as students of Dhaka University (DU) between 18 to 35 years age irrespective of sex were included in the study. Blood samples of specific amount were taken from all these individuals for estimation of CBC, red cell variables and Hb electrophoresis.Results: A total number of 105 respondents were enrolled in this study with the mean age of 25.2 years and female (52.2%) predominance. Hb electrophoresis revealed normal Hb pattern in 89.4% individuals, HbE trait in 4.8%, beta thalassaemia trait in 3.8%. One each of Hereditary Persistence of Fetal Haemoglobin (HPFH) and heterozygous Hb-D Punjab were detected constituting 2.0%. In this present study, a total of 10.6% abnormal Hb pattern was detected.Conclusion: The finding of abnormal Hb pattern on Hb electrophoresis in this study among apparently healthy individuals indicates the high frequency of inherited haemoglobin disorders especially HbE and beta thalassaemia trait in Bangladesh which warrants detection of these disorders and subsequent appropriate genetic counseling.Journal of Armed Forces Medical College Bangladesh Vol.10(2) 2014

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