ABSTRACT
Fine Needle aspiration of parotid gland swellings is commonly done as a first line investigation. Fine needle aspiration of one such cystic lesion in a 45 years old female was performed. The cytopathological appearance of the aspirate turned out to be typical of Hydatid Cyst. The case is reported with review of literature
ABSTRACT
Objective: To evaluate the results of surgical repair of VVF through transabdominal and transvaginal routes
Study Design: Prospective study
Place and Duration of Study: This study was carried out in Teaching Hospital, Ghazi Khan Medical College, DG Khan from June 2009 to May 2014
Patients and Methods: Total 26 patients of VVF with age range of 22-60years were included in the study.Fistulas had two types, simple and complex, according to site, size and aetiology . Simple VVFs were repaired through the vaginal route and complex ones through abdominal route. Patients were assessed at an interval of twoto three weeks to start with, twice after three-months and thereafter depending oncomplaints
Results: Sixteen [61%] patients had simple fistulas, while 10 [38%] patients had complex fistulas and one of the patients had complex fistula associated with rectal communication who was excluded . The most common cause was trauma during obstructed labour in 12[47%] patients, whereas the other common cause was hysterectomy. Sixteen [61%] patients were approached through transvaginal route, out of them 9 had supratrigonal and 7 trigonal fistulas. Ten [38%] patients with complex fistulas were approached by abdominal route. Duration of the surgery, blood loss, pain after surgery and stay in hospital was found to be shorter in transvaginal surgery. Two patients have failed repair with significant complications, a success rate of 92% was achieved. At a follow-up of one year 24 women had uneventful, active sexual life while 2 of them had some degree of pain during sexual intercourse
Conclusion: It's concluded that both the routes of VVF repair has a similar successrate