RESUMEN
To analyze various clinical presentation and the surgical management of ovarian pathology in young girls ranges from 15-25 years. Case series. Gynae Department 1, Lahore General Hospital Lahore. From January 2008 to December 2009. All young girls in the age group mentioned above having an ovarian pathology and managed during study period were included. Age of patients, presenting symptoms, USG findings, surgical management and finally histological diagnosis were noted. There were 20 cases with ovarian lesions. Most of patients presented at the age of 20-25 years [55%]. Mass abdomen seen in [30%] cases, followed by pain abdomen in [20%]. Lapratomy was done in most of cases and main aim was toward ovary sparing surgery as Cystectomy was done in [50%] cases and Oophorectomy was done in [30%] cases. 85% cases were benign on histology report and 15% were malignant. Ovarian tumors are rare in young age group. Benign lesions such as simple ovarian cysts are very common in this age. In young girls main interest is toward conservative and fertility sparing surgery
Asunto(s)
Humanos , Femenino , Adolescente , Adulto , Niño , Neoplasias Ováricas/patología , Neoplasias Ováricas/cirugía , Quistes Ováricos/epidemiología , FertilidadRESUMEN
Polyhydramnios is though an uncommon problem but very distressing for patient. To locate the causative factors and neonatal outcome in polyhydramnios. Case series. Department of Obstetrics and Gynaecology unit 1, Lahore General Hospital, Lahore. From January 2004- December 2005. Total 82 diagnosed cases of polyhydramnios in 3[rd] trimester were included in this study. According to the results of this study polyhydramnios can occur in primigravida as well as multigravida. Causative factor are mainly idiopathic after which the most important is fetal defects. Diabetes is also associated finding with polyhydramnios in 26.8% cases. The impact of polyhydramnios on neonatal outcome is that most of the babies were born without any significant effect. There were only 26 babies [31.5%] in which anomalies were present and neural tube defects were common. Idiopathic polyhydramnio being the most common type. Improved prenatal and antenatal screening and early detection of congenital anomalies may help to minimize the morbidity of the patient
Asunto(s)
Humanos , Líquido Amniótico/fisiología , Resultado del Embarazo , Ultrasonografía , Recién Nacido , Anomalías Congénitas/diagnóstico , Presentación en Trabajo de PartoRESUMEN
To determine congenital anomalies in newborn and associated maternal risk factors. Cross sectional observational study. Department of Gynecology and Obstetrics unit 1 Lahore General Hospital Lahore. From Jan 2007-Dec 2007. All the women who have given birth to babies with congenital abnormalities were recorded. Diagnosis of neonatal congenital anomalies was based on clinical evaluation of newborn by experienced neonatologist. During the study period, 2872 patients delivered, of which 48 had congenially malformed babies, makes the prevalence of 16 per 1000 births. Congenital anomalies were most commonly 52.26% seen in the 21 -30 years. The most frequent associated risk factor was history of consanguineous marriage in 45.83%. Neural tube defects were found to be commonest type of anomaly. Among the most frequent neural tube defect was hydrocephalus and anencephaly. The commonest associated risk factor was consanguineous marriage the frequency of which may be reduced by creating awareness regarding the avoidance of consanguineous marriages. NTD were the most prevalent anomaly detected and early prenatal diagnosis is helpful in decreasing the indirect prevalence of perinatal mortality by offering early termination