ABSTRACT
Objective: To audit indications and outcome of hysterectomies in Fatima Hospital Baqai Medical University Karachi so as to improve the quality of care provided to patients. Study Design: Descriptive observational study. Place and Duration of Study: Department of Obstetrics and Gynaecology, Fatima hospital, Baqai Medical University Karachi from November 2009 to November 2011
Patients and Methods: All patients undergoing hysterectomy for gynaecological conditions from 2009 to 2011were included in the study
Results: Hysterectomies for gynaecological conditions accounted for184 cases during the study period. Mean age of patient was 49 [range 30-60 years]. Mean parity was 6 [range 0-11]. The most common indication for hysterectomy was fibroid uterus 56[30.4%] cases, dysfunctional uterine bleeding 38 [20.6%] cases, and uterovaginal prolapse 10 [5.4%] cases. Abdominal hysterectomy accounted for 174[96.6%] and vaginal hysterectomy accounted for 10 [5.4%] cases. Twenty six [14%] patients were found to be suffering from hypertension, 6[3.3%] patients were suffering from diabetes mellitus. Wound infection occurred in 11 [6%] cases. No mortality was associated with hysterectomy during the study period. The duration of hospital stay was less in vaginal route as compared to abdominal
Conclusions: An audit should be carried out every year to improve the level of care of patients and also the expertise of surgeon should be checked. The study has shown that hysterectomy is a safe procedure but the high morbidity associated with this procedure is bothersome. The other options like endometrial ablation, intrauterine hormonal device like mirenaetc should also be considered. More efforts should be made on vaginal hysterectomies as it is economical and morbidity is less with it
ABSTRACT
It is known that most cases of Ovarian Hyperstimulation Syndrome [OHSS] are associated with the therapies for ovulation induction. However, OHSS may rarely be associated with a spontaneous ovulatory cycle, usually in the case of multiple gestations, hypothyroidism or polycystic ovarian syndrome. We report a case of moderate OHSS in spontaneously conceived twin pregnancy in a 24 years old woman. The clinical picture showed amenorrhea, nausea, vomiting, abdominal pain and moderate ascites. After examinations, imaging and laboratory investigations, the diagnosis was established. The patient was managed expectantly with no complications. Although spontaneous ovarian hyperstimulation is a rare entity, it is important that the physician recognizes this condition. Prompt diagnosis and successful management is likely to avoid serious complications, which may develop rapidly
ABSTRACT
Objective: To identify the frequency of gastroesophageal reflux disease in children with chronic cough aged 2 months to 2 years
Methods: This cross sectional survey was conducted in 75 children between 2 months to 2 years in the department of pediatrics, Shaikh Zayed Hospital, Lahore. Children having chronic cough of > 4 weeks duration included in study and were admitted in ward and barium swallow was done in the Radiology Department
Results: Total 75 of chronic cough were included in this study, out of these 75 patients GERD was diagnosed in 29 [39%] on barium study. Out of these 29 patients, 20[27%] were in the age group of 2-9 months, 9[12%] were between 10-17 months. No patients of age group 18-24 months were diagnosed as GERD on barium study. In this 29 patients, 18[24%] patients were male and 11[15%] were female
Conclusion: Gastro esophageal reflux disease is one of the most common reasons for chronic cough seeking consultation of pediatricians. Early diagnosis and management of GERD can lead to decrease morbidity in children