Indications for a hysterectomy at Jordan university hospital; a teaching hospital experience

The indications for hysterectomy have changed due to the introduction of many alternatives. However, it is still the most common major gynecological operation. Therefore, this study was conducted to study the indications for a hysterectomy in a teaching hospital. This is a retrospective study analyzing the indications for hysterectomy in a teaching hospital over a period of two years [2008-2009]. In total, 148 hysterectomies were analyzed. The case notes of these patients were reviewed. The mean age was 46.6 year. Bleeding disorders, uterine fibroids, and abdominal pain were the most frequent indications accounting for 68%. Only 15% were performed due to malignant or premalignant conditions. The final histopathology reports revealed that the most common finding in the uterine specimens was fibroid, which was reported in 50 patients [33.78%], followed by adenomyosis which was reported in 38 patients [25.68%]. About 90% of our hysterectomies were carried out through an abdominal route and 10% by the vaginal route. We reported no major complication that endanger the life of the patient as most of the complications were the usual minor postoperative ones ranging from wound infection in 9% to fever and abdominal pain in 1%. The vast majority of hysterectomies were performed to relieve the symptoms of pain, bleeding, or both which means that the indication can be summarized due to discomfort and inconvenience rather than threaten life. It is very clear that age has an important influence on the relative frequency of the indications which are flexible rather than absolute

Interventional angiography in management of liver neoplasms

30 patients with primary liver neoplasms were subjected to one or more settings of chemoembolisation using adriamycin with lipiodol ultrafluid and gelfoam powder. Chemoembolisation of primary liver neoplasms proved powder. Chemoembolisation of primary liver neoplasms proved to give better survival than the non-treated patients as well as to patients treated by ordinary chemotherapy, intraarterial infusion therapy and embolisation in all stages. Chemoembolisation gave rather better results than surgery in cases of stage II, yet surgical procedures proved to give the best results in patients of stage I

Evaluation of routine early pregnancy ultrasonography

Study of 750 pregnant woman who were subjected to routine early pregnancy sonography scan is presented. The ultrasonic scan calculated accurately [to within + 14 days] the date of delivery in about 90% of women who were unsure of their dates. Clinical estimation of gestational age compared well with ultrasonic calculation in singleton pregnancies. Sonography diagnosed all the lethal congenital anomalies met with in the early pregnancy sonography scan. The early pregnancy scan proved of value for the women who are uncertain of their last menstrual period and for those with known early pregnancy risks as well. Optimal information is obtained when the procedure is done between the 14th and 18th weeks of gestation

Evaluation of the fetal binocular distance as a new biometry for estimation of the gestational age

This study was carried out on 300 pregnant women, for the evaluation of a rather new fetal biometry, the binocular distance, in the prediction of the gestational age, to plot a curve and put a nomogram for its value at various weeks of gestation. Its accuracy was 76.3% to within + 1week