RESUMEN
Objective: to study the role of bilateral internal iliac ligation in arresting postpartum Hemorrhage
Material and Methods: the study was carried out from 1st July 2012 to 30th June 2014 in the department of Obstetrics and Gynecology unit 11, Services Institute of Medical Sciences / Services Hospital Lahore. Total births were 4496 in the duration of two years. Out of them 3366 were caesarean section and 1130 were spontaneous vaginal deliveries. Total massive postpartum hemorrhage that is blood loss > 1 liter was in 46 patients. Internal iliac ligation was carried out in fifteen patients. In all these patients they were failed medical treatment. Even after B-Lynch suture and abdominal hysterectomy bleeding did not stop
Results: total patients enrolled in the study were fifteen. Two [13%] patients were primigravida in which uterus was saved and bilateral internal iliac ligation was done due to uterine atony. In five [33%] patients due to uterine rupture and in eight [53%] patients due to morbidly adherent placenta there was massive hemorrhage and bilateral internal iliac ligation was done. In thirteen [86%] patient's total abdominal hysterectomy was done along bilateral internal iliac ligation. In five [33%] patients packs were inserted after ligation at bladder base in case of morbidly adherent placenta. Packs were removed after 48 hours in second laparotomy. All the patients were saved and discharged in satisfactory condition except one who already came with disseminated intracoagulation disorder. Among complications in three [20%] patients there was injury to bladder that was stitched and in seven [46%] patients there was wound infection
Conclusion: early resort of bilateral internal iliac ligation effectively prevents hysterectomy in women with atonic uterus and in uterine rupture and morbidly adherent placenta it saves the life if done on time
RESUMEN
Objectives: to determine the frequency of various causes of primary infertility in females undergoing laparoscopy
Material and Methods: a total of 80 cases were included in this study. Laparoscopy was performed and the findings of endometriosis, pelvic adhesions, pelvic tuberculosis, ovulatory disorders, pelvic inflammatory disease, fibroid uterus and other ailments were recorded
Results: in this study normal pelvic findings were observed in 46.25% patients, Endometriosis was found in 11 % patients, pelvic adhesions 17% patients, an ovulatory disorders in 11 % patients, fibroid in 7.5% patients, fibroid and adhesions in 3.8% patients and fibroid and endometriosis in 2.5% patients
Conclusion: diagnostic laparoscopy is a valuable technique and a mandatory invasive investigation for complete assessment of female infertility
RESUMEN
Objective: to determine the frequency of beta thalassemia trait in anemic pregnant women in order to assess the gravity of this disease, to identify high risk group and to prevent complications of thalassemia in newborn
Material and Methods: three hundred and forty [340] anemic pregnant women, anemia confirmed on complete blood count laboratory report, were selected. Their peripheral blood smear, RBC indices and hemoglobin electrophoresis were sent to assess for the presence of beta thalassemia trait
Results: frequency of beta thalassemia trait in pregnant anemic women was found to be 5.3% using hemoglobin electrophoresis as gold standard for detection of beta thalassemia trait
Conclusion: study showed that 5.3% of pregnant anemic women had beta thalassemia trait