Pathological changes in the adnexa after falope ring tubal sterilization

The gross pathology and histopathological findings of the adnexa were studied in 15 females 10, 20 and 30 days after Falope-ring sterilization. Haemorrhage, necrosis and inflammatory reaction was observed in early specimens while fibrosis dominates in the late specimens. The insult involves the trapped loop with little or no involvement of the other parts of the adnexa, thus reversibility of the tubal patency has a good prognosis

Anaerobic infection after gynaecologic and obstetric operations clinico bacteriologic study

Anaerobic infection is the cause of significant morbidity and mortality in obstetrics and gynecology. To find the incidence of anaerobic wound infection following obstetric and gynecologic operations, 50 cases of infected wounds were studied. Specimens taken from septic wounds were examined macroscopically, microscopically and by culture on blood agar, Mac Conkey's cooked meat and Columbia blood agar. Anaerobes were isolated in 44% of obstetric cases and in 48% of gynecologic cases. Bacteroid fragilis was the most common anaerobic organism followed by peptococci and peptostreptoccoci. It is recommended to assume the presence of anaerobes in purulent surgical wounds when treatment has to be undertaken before the results of bacteriology are available