ABSTRACT
Surgeons were facing considerable ethical dilemma during this COVID-19 pandemic-whichpatient to select for surgery and which patient to be deferred for a later date. Surgeons also had a difficult taskof protecting themselves and their team and perform a safe surgery without infecting the patient. There were also ethical issues of using Oxygen or an Intensive Care Unit (ICU) bed during this time for the surgical patient when it was in short supply. A critical factorwas balancing the benefit of surgery for the patient against the risk of contacting the COVID-19 virus and the complications of the disease process.
ABSTRACT
The Second wave of Coronavirus Disease 2019 (COVID-19) pandemic has brought about unprecedented mortality amongst the Medical Fraternity. According to the Indian Medical Association, 420 doctors have died during the Second Wave of COVID-19 and the reason is mostly due to late presentation, lack of hospital beds with ventilatory support, crisis in the regular oxygen supply along with deficiency in the availability of few antibiotics and lifesaving medicines. The main point to consider retrospectively now is where few deaths of the doctors preventable and what went wrong in the management during the Second wave of COVID-19
ABSTRACT
Persistent Muellerian duct syndrome is a very rare anomaly. A woman of 46-year-old was admitted with the history of lower abdominal pain, bleeding per vaginum and irregular menstrual cycles for last 6 months. An irregular non-tender mass of 16 x 10cm in size was palpable in suprapubic region. Per vaginal examination revealed two cervices and an incomplete vaginal septum. Ultrasound abdomen showed one uterus with endometrial cavity clearly delineated with a fibroid and an ovarian cyst in the left lumbar region. On laparotomy, 2 uterii along with a fibroid from the anterior wall of left uterus and a left ovarian cyst was seen. Patient had undergone total abdominal hysterectomy and adnexa removal. The specimen showed florid adenomyosis with leiomyoma of fibroid.