Gynaecological hysterectomy; indications, morbidity and mortality at a tertiary care hospital

The aims of study are [1]To make an audit of hysterectomies by either route in a teaching hospital.[2]To determine the morbidity and mortality associated with this procedure. Descriptive study. Gynae and Obstetrics units, Independent University Hospital Faisalabad. From 1-1-2006 to 31-12-2008. Retrospective collection of data by convenience sample technique. 27% cases were due to fibroids, 22% were due to uterovaginal prolapse, 19% [DUB], 13% [chronic PID]. The complications were 28% [UTI] by abdominal route and 13.3% were by vaginal route, 26.6% wound infection and 2.6% in vaginal hysterectomy, rest of complications were comparable by both routes. Vaginal hysterectomy has more promising results but is reserved for specific indications

Infertility: still an enigma; an overview of infertile couples in outpatients of gynae

[1] To find out the major causative factors in primary versus secondary infertility in study group. [2] To suggest an easy plan of investigation for an infertile couple. Descriptive study. Gynecology and Obstetric Unit in Independent University Hospital, Faisalabad. Two years from Jan 2008 to Dec 2009. Convenience sample technique was used to collect the patients. Anovulation had contributed 20% in primary infertility and 16% in secondary infertility. Tubal factor was more common in secondary infertility. Male factor was 40% in primary infertility and 16% secondary infertility. Counseling, reassurance and efficient, timely and appropriate management plan is essential to minimize the distress of infertile couples

Multiple Pregnancy; frequency of maternal and fetal complications

To determine the frequency of maternal and fetal complecation in multiple pregnancy. Observational study. In the department of obstetric and gynecology unit I Allied Hospital Faisalabad. One year from 22-07-2003 to 22-07-2004. Fifty patient included in the study. These patient's were examined throughly and relevant information recorded in a performa giving detailed history, clinical examination, investigations and type of management. Anemia was the most common prenatal complication followed by preterm labour, PIH and preeclampsia PROM in 8 patients, IUGR in one patient. The most common intrapartum complication was postpartum hemorrhage followed by retained placenta cord prolapse and shoulder presentation. About 12 babies required admission and perinatal deaths occurred in 9 twins. Multiple pregnancy are at high risk of antipartum and intrapartum complications. The study also proved that multiple pregnancy associated with increased risk of anemia preterm labour, PIH preeclampsia, IUGR and postpartum hemorrhage and also associated with increased perinatal mortality and morbidity

Congential adrenal hyperplasia

Congenital Adrenal Hyperplasia is the most common cause of female intersex and is an autosomal recessive disorder resulting in enzyme deficiency 21-hydroxylase. The case series describes three such cases that are investigated and managed at Independent University Hospital Faisalabad

Abdominal hysterectomy; performed by postgraduate [PG] trainees

[1] To audit cases of abdominal hysterectomy performed by post graduate tainees. [2] To evaluate mortality and morbidity rate. An observational Study. Department of Obstetrics and gynaecology, Allied Hospital Faisalabad. From 01-01-2005 to 30-06-2006. 120 cases of abdominal hysterectomies done for non obstetric and benign gynaecological conditions were selected for study. The most common indications for hysterectomy was DUB [43.3%]. Overall intra operative complications developed in 5 patients [4.1%]. Post operative complications developed in 9 patients [7.5%]. The mean duration of hospital stay was 5.5 days. No case of death was recorded in the study. This study demonstrates that abdominal hysterectomy can be safely done even during the learning curve of the post graduate trainees with the low complication rate, shorter hospital stay and without significant mortality