ABSTRACT
Objective To report a case of early pregnancy loss with septate uterus, successfully managed by hysteroscopy guided suction & evacuation of product of conception along with removal of uterine septum in same sitting. Case report. Tertiary care hospital. One woman with early pregnancy loss with septate Design Setting Patient uterus. Hysteroscopy guided suction & evacuation of product of conception along with removal of uterine septum Intervention in same sitting. Hysteroscopy guided suction & evacuation of product of conception followed by septum removal with Result hysteroscopic scissor was performed, with minimal blood loss, in same sitting. Products of conception were sent for pathologic examination. There were no intra-operative or postoperative complications. Even though the role of septum as a Conclusion contributing factor to miscarriage in not certain, early pregnancy loss may be seen in patients with septate uterus. Blind removal of POCs with dilatation & curettage, may be complicated with retained products of conception (RPOC) or intrauterine adhesion formation, which can lead to adverse fertility outcomes in the future. Also removal of septum, which may or may not be the cause, is often performed before further pregnancy. This requires another admission & exposure to anaesthesia, along with added cost. Hysteroscopy guided resection of POC with septum removal in same sitting has been associated with complete tissue removal under vision, less damage to surrounding endometrium, cost effective combination of two surgical procedures & earlier time to conception compared with 2 sitting procedure (dilation and curettage than septum removal). Thus, hysteroscopy guided suction & evacuation of POC & septum removal in same sitting can be considered as an alternative surgical technique for management of early pregnancy loss in patients diagnosed with septate uterus. This case report demonstrates the successful application of hysteroscopic procedure in a case of early pregnancy loss with septate uterus.
ABSTRACT
At the Chennai Coast in Tamil Nadu, India, research is done. Finding out whether Marina Beach and Elliott's Beach are suitable for ecotourism is the study's main goal. For the research using the ecotourism suitability index methodology, land use, land cover, erosion, accretion, beach type, beach width, proximity to bus stop, proximity to train station, and suspended sediment load have all been taken into account. The suitability index of eco tourism is assigned into 4 (four) classes, which are: Class S1 (Highly suitable), Class S2 (Quite Suitable), Class S3 (Suitable with condition) and Class N (Not Suitable). Result of analysis indicates that coast area of Marina Beach and Elliots beach area comes in the class of Highly suitable (S1) by score total of 129 or 95.5 % and 116 or 85.9 % respectively. According to the research, Marina Beach has a sand feature as a land use land cover, 213 metres of beach width, good clarity (500 mg/L), is located 361 metres from a bus stop and 681 metres from a train station, has moderate erosion, and has not experienced any accretion. The beach type is white sand. Likewise, Elliots Beach has a sand feature as a land use land cover, with 222 metres of beach width, good clarity (600 mg/L), 642 metres from the bus stop, and 2351 metres from the railway station, which is high. There is moderate erosion and no accretion, and the sand is of the beach type, which is white. Marina beach has high tourism suitability index as compared to Elliot's beach. By considering marina beach, all the eight parameters are considered to be ne whereas Elliot's beach has far away accessibility this is the main reason for lowering the tourism suitability.