Expectant Management of Ectopic Pregnancy : Analysis of Four Cases

Expectant management of ectopic pregnancy is infrequently used. Used in a select group of patients, the result in terms of success of treatment, tubal patency , later intrauterine pregnancy are comparable to medical and surgical management.We report 4 cases of ectopic pregnancy managed expectantly in one year period and present a review of literature.

Myoconjunctival enucleation for enhanced implant motility. result of a randomised prospective study.

PURPOSE: Implant motility and cosmetic appearance of the eye after enucleation have remained major considerations whenever mycoconjunctival enucleation is planned. Despite major advances in surgical technique and the availability of a variety of implant materials and shapes, there is lack of consensus on the best material and type of implant. This study was conducted to compare routine and myoconjunctival techniques of enucleation in terms of motility index. METHODS: Thirty consecutive patients scheduled for enucleation for non-malignant indications were randomly assigned to one of the two groups- routine and myoconjunctival techniques. The postoperative results were compared for the motility of implant and the complications. RESULTS: The two techniques showed no difference in rates of complications, but implant motility was significantly better with the myoconjunctival technique. Implant extrusion or migration was not seen. CONCLUSION: We recommend the use of myoconjunctival enucleation for enhanced motility and cosmesis.

Malaria, leprosy and dapsone.

Although the preventive action of dapsone against P. falciparum malaria was known for many years, there was no report about the incidence of P. falciparum malaria in leprosy patients treated with dapsone, especially from areas of Southeast Asia where both leprosy and malaria are endemic. Therefore, two clinic-based malaria surveys were undertaken at a gap of 12 years, comprising 506 lepromatous leprosy patients and 499 febrile nonleprosy control subjects. Both the surveys showed that the lepromatous patients treated with MDT had only P. vivax malaria (incidence comparable to the febrile nonleprosy controls) with complete freedom from P. falciparum. On the contrary, control sujects not taking any-leprosy drugs and staying with the leprosy patients at the same beggars' home, had both P. vivax and P. falciparum malaria. It is postulated that dapsone provided protection against P. falciparum among leprosy patients.

Squamous cell carcinoma in situ arising in mature cystic teratoma.

Mature cystic teratomas of ovary are common tumors. A few may exhibit malignant degeneration, most of these being invasive squamous cell carcinoma. We report a rare case of pure squamous cell carcinoma in situ in benign cystic teratoma.