ABSTRACT
Objective: In this study our main goal is to evaluate thedemographic profile and operative findings after conventionalsurgery in rectal cancer patients.Method: This quasi experimental study was carried out at Thedepartment of General Surgery and Colorectal unit ofBangabandhu Sheikh Mujib Medical University (BSMMU),Dhaka and Somorita Hospital, Dhaka from July 2005 to June2007 where patients who having carcinoma involving themiddle and lower third of the rectum were evaluated. Duringthe study patients were divided into two groups: Group A:Patients undergone total mesorectal excision (TME) and GroupB: Patients undergone conventional operative method. Allpatients were operated under general anesthesia, placed inLloyd- Davies position.Result: In the study, most of the patients belong to 21 - 30years age group and 46.7% patients of Group-A and 56.6% ofGroup-B were males. The rest 52.8% of Group-A and 43.4% ofGroup-B were females. Sexual function preoperatively wellmaintained in 50 (94.3%) patients of group A and 51 (96.2%)patients of group B. Also, local recurrence rate in Group A ratewas 5.7% and in group B was 20.8%.Conclusion: We can conclude that, for management of rectalcancer conventional surgery has some limitation which canaffect the patient’s recovery and health condition. Further studyis needed for better outcome.
ABSTRACT
Postpartum haemorrhage accounts for nearly 28% of maternalmortality in developing countries. This prospective study ofthird stage bleeding prevention was conducted among the 96patients, who got admitted into the OBGY units of DhakaMedical College Hospital for normal vaginal delivery. 96patients were allocated to receive either 600 µg misoprostolorally (57 patients) or rectally (37 patients) 5 min after cordclamping and cutting. The primary objective was to find outwhether there was any dissimilarity present between these tworoutes of misoprostol in case of blood loss in third stage oflabor. A total of 59 patients received 600 mug of misoprostolorally, while 37 rectally. Both groups were comparable indemographic and parital data.
ABSTRACT
Objective: In this study our main goal is to evaluate theincidence of cholelithiasis in different age group.Method: This prospective study was done at Department ofSurgery, Rangpur Medical College Hospital Rangpur,Bangladesh from 1 July 2006 to 30 June 2008 where total 200patients were evaluated, of which 48 patients were male andremaining 152 patients were female.Results: In the study most of the patients where female 76%and 60.72% female patients took hormonal contraceptives.Also, 75% male patients had multiple stones whereas femalehad 71.71%.Conclusion: From our study we can conclude that,cholelithiasis is the commonest disease of hepatobiliary systemwhich is more common in female than male. In female the peakage group is 31-50 years where as in male it is 41-60 years.Various etiological factors are responsible for development ofcholelithiasis. Further study is needed for better outcome.
ABSTRACT
Ectopic pregnancy is a significant health problem in the world,which affect 1.2% of women of reproductive age; causingsignificant morbidities and mortality. Most ectopic pregnanciesare located in the ampullary, fimbriae or isthmic part of thefallopian tube. Mifepristone (antiprogesteron) followed by a lowdose of Misoprostol (prostaglandin E1, analogue) has beenused for medical termination of early pregnancy after embryoreaching endometrial cavity. But there have been many reportsof misuse of this combination drug. Here we report- fifteencases of rupture ectopic pregnancy after misuse ofcombination drug in very early pregnancy as an over thecounter drug without looking for ectopic pregnancy.