ABSTRACT
Objective: To study the results of sacrohysteropexywith Prolene Mesh for treatment of uterovaginalprolapse in women who desire to preserve theiruterus
Study Design: Prospective observationalstudy
Place and duration of study: This study wascarried out in Allied Hospital, Faisalabad over aperiod of one year from April 2010 to April 2011
Methods: 12 women with uterovaginal prolapsewishing to retain their uterus underwentSacrohysteropexy with Prolene Mesh attached touterine isthmus and to the anterior longitudinalligament of the first or second sacral vertebra in atension free fashion. Subjective and objective cureof uterine prolapse and operative and postoperativecomplications were noted
Results: 12 patientsunderwent Sacrohysteropexy for uterovaginalprolapse during this study period. The mean age ofpatient was 30 years [range 16-40 years]. Ten[83.3%] were multipara while two [16.7%] werenullipara. All women had second degreeuterovaginal prolapse. The mean follow up periodwas 12 months. No women developed intra andpostoperative complications. No single case of mesherosion was detected success rate was 83.3%.Recurrent prolapse was recorded in 2 [16.7%]women which was symptomatic and required repeatsurgical treatment
Conclusion: Sacrohysteropexyis effective and safe procedure in women withuterovaginal prolapse who want to preserve theiruteri
ABSTRACT
A rare case of nonpuerperal uterine inversion caused by a large fundal leiomyoma in an unmarried girl presenting with heavy irregular vaginal bleeding, feeling of mass in vagina, severe dysmenorrhoea and retention of urine. Uterine inversion was diagnosed by clinical examination and radiological investigations. Her inversion was corrected by Haultain procedure performed abdominally
ABSTRACT
OBJECTIVE: 1. To evaluate various factors responsible for the disease. 2. Effectiveness of mother and child health activities and outcome of the management. DESIGN: Prospective study. PERIOD: [January 1989-Dec 1995. SETTING: Department of Obstetrics and Gynaecology Allied Hospital Faisalabad. PATIENTS AND METHODS: Out of 16952 total births, 249 patients had eclampsia and were managed according to the set protocol. The incidence of eclampsia was 1.4% and matena1 mortality was 13.6%. Eclamptic patients from rural area were 66.5% and that of urban area was 33.7%, 54% patients were primigravida and 46% were multigravidas. The percentage of ante, Intra and postpartum eclampsia were 56, 57, and 12 respectively. 45% patients had abdominal delivery, 30% had forceps delivery, 11% delivered at home, 8% had vaginal delivery in hospital and 6% expired undelivered. Community education programme created awareness about the importance of antenatal check up which led to early detection and treatment of pre-eclampsia thereby preventing development of eclampsia. Special programme of training the traditioinal birth attendants [TBA] to recoginized pre-eclampsia in early stage and to refer the patient to the hospital, and availability of reliable transport to bring the patient from periphery or patient's home to the hospital where prompt treatment be started by the experienced staff would certainly decrease the incidence of eclampsia and its adverse outcome