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Huge Subserosal Leiomyoma fed by serpentine omental blood vessels 巨大的浆膜下平滑肌瘤由蛇形大网膜血管喂养
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32926
S. Maskey, G. Gurung, J. Baral, P. Paudyal
{"title":"Huge Subserosal Leiomyoma fed by serpentine omental blood vessels","authors":"S. Maskey, G. Gurung, J. Baral, P. Paudyal","doi":"10.3126/njog.v15i2.32926","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32926","url":null,"abstract":"Leiomyoma is considered the most common benign tumor of genital tract with variable presentation and diverse operative findings. We are presenting a case of asymptomatic huge subserosal pedunculated leiomyoma in a 37 years unmarried nullipara lady diagnosed as highly vascular abdominopelvic mass preoperatively as suggested by imaging studies but of uncertain origin, imposing surgical challenge due to diagnostic dilemma and its vascularity. Laparotomy revealed solid mass of 26 x 24 cm occupying whole abdomen covered with torturous dilated serpentine vessels derived from omentum. The mass was arising from the fundus of bulky uterus with small pedicle suggesting suserosal pedunculated leiomyoma. Myomectomy with infracolic omentectomy with round ligament plication was done and her post operative recovery was smooth. Histological examination confirmed it as leiomyoma. \u0000Keywords: Omentum, Pedunculated Leiomyoma, Serpentine","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"169 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78012649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cervical pregnancy: A rare case report 宫颈妊娠:罕见病例报告
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32923
B. Shakya
{"title":"Cervical pregnancy: A rare case report","authors":"B. Shakya","doi":"10.3126/njog.v15i2.32923","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32923","url":null,"abstract":"Cervical pregnancy accounts for less than 1% of ectopic pregnancies, with the incidence of 1 in 1,000 to 95,000 pregnancies. Here is a case report of 25 years G2P1 lady who presented with cervical pregnancy at 8 weeks and 5 days period of gestation and underwent manual vacuum aspiration under ultrasound guidance. Improved ultrasound resolution and earlier detection of these pregnancies have led to the development of more conservative treatments that attempt to limit morbidity and preserve fertility. \u0000Keywords: cervical pregnancy; manual vacuum aspiration; preserve fertility.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90621347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Female genital tuberculosis: Histopathological study 女性生殖器结核:组织病理学研究
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32907
Reetu Sharma, P. Sherpa, S. Kc
{"title":"Female genital tuberculosis: Histopathological study","authors":"Reetu Sharma, P. Sherpa, S. Kc","doi":"10.3126/njog.v15i2.32907","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32907","url":null,"abstract":"Aims: To find out the occurrence of genital tuberculosis in submitted samples of female genital tract, histopathological changes and age distribution. \u0000Methods: A retrospective study of 300 cases of extrapulmonary tuberculosis out of which 11 are of female genital tract based on laboratory record which was done from 2011 to 2018 at Patan Academy of Health Science, Lalitpur, Nepal. Descriptive analysis performed using MS Excel and SPSS 16. \u0000Results: Out of 30,000 biopsies 300 cases were of extrapulmonary tuberculosis. Out of 300 extrapulmonary tuberculosis females affected were 61%; out of these female patients 3.6% (n=11) were of female genital system. Maximum numbers of the cases lie in the age group 30-39 years. Lymph nodes comprised of 58%, followed by Gastrointestinal and Skin in 10% each. Out of all female genital tuberculosis 27% was seen in endometrium while majority (73%) was seen in tubo-ovarian complex; all of them had epithelioid granuloma and 54% had caseous necrosis. Ziehl Neelson stain done for acid fast bacilli was positive in 2 cases (18%). \u0000Conclusions: The female genital TB constituted 0.04% of total biopsies with 3.6% samples of female patients of total extrapulmonary tuberculosis. The commonest sites affected by tuberculosis were seen to be fallopian tube, ovaries and endometrium. Histopathology with special stains remains the gold standard for diagnosing female genital tuberculosis in Nepal even though there is advanced diagnostic modalities like PCR, culture of tissue and/or fluid (menstrual/peritoneal). \u0000Keywords: caseous necrosis, epithelioid granuloma, female genital, tuberculosis","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"114 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80730995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Musculoskeletal pain syndrome in postpartum women 产后妇女肌肉骨骼疼痛综合征
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32901
Niharika S Chungade, Arati V Mahishale, A. Dalal, M. Angolkar
{"title":"Musculoskeletal pain syndrome in postpartum women","authors":"Niharika S Chungade, Arati V Mahishale, A. Dalal, M. Angolkar","doi":"10.3126/njog.v15i2.32901","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32901","url":null,"abstract":"Aim: To estimate the occurrence of musculoskeletal pain syndrome in postpartum women. \u0000Method and Measures: A cross sectional study was conducted from August 2018 to February 2020 among 115 postpartum women attending at a tertiary care hospital in north Karnataka. Standardized and pre validated questionnaires “Brief Pain Inventory” and “Visual Analogue Scale” were used for subjective rating of pain. Result expressed in frequency and percentage. \u0000Results: Musculoskeletal pain syndrome was present among 99% women and most common complaint was low back pain (74%). General activity, walking ability and mood were much interfered by pain. \u0000Conclusions: The results showed there is high occurrence of musculoskeletal pain syndrome in postpartum women at a tertiary care hospital; most common is low back pain. \u0000Keywords: Brief Pain Inventory, musculoskeletal syndrome, postpartum women, Visual Analogue Scale.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"34 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72999889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Dental caries and periodontal disease prevalence and oral hygiene practices among Chepang female of Nepal 尼泊尔Chepang女性龋齿和牙周病患病率及口腔卫生习惯
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32920
R. Pradhan, S. Poudyal, R. Lamichhane, Ujjwal Joshi
{"title":"Dental caries and periodontal disease prevalence and oral hygiene practices among Chepang female of Nepal","authors":"R. Pradhan, S. Poudyal, R. Lamichhane, Ujjwal Joshi","doi":"10.3126/njog.v15i2.32920","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32920","url":null,"abstract":"Aim: To explore the dental caries and periodontal disease and oral hygiene practice among the females in Chepang ethnic group. \u0000Methods: Questionnaire were developed regarding socio-behavioral aspects in the prevention and control of dental caries and periodontal diseases at an individual and population level; and mechanical and chemical plaque control in the simultaneous management of gingivitis and dental caries. Data were collected and analyzed. \u0000Results: Total 104 female patients were interviewed with their mean age of 30.1±12.7 (range: 11-70) years. 85.6% showed the regular brushing and 96.2% used the tooth brush and paste. 79% of the female brushes twice daily. Periodontal index and DMFT index showed good results. \u0000Conclusions: Despite of tooth brushing practice the prevalence of periodontal disease and DMFT were significant. This could be associated with many other factors. Education and motivation of the population is required to improve the oral hygiene, oral hygiene measures and to refrain from habits. \u0000Keywords: Caries, Chepang female, DMFT, Periodontal Index","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89608336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maternity services during COVID-19 Pandemic and lockdown at Provincial Public Hospital in Nepal 尼泊尔省公立医院在COVID-19大流行和封锁期间的产科服务
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32914
Murari Thakur
{"title":"Maternity services during COVID-19 Pandemic and lockdown at Provincial Public Hospital in Nepal","authors":"Murari Thakur","doi":"10.3126/njog.v15i2.32914","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32914","url":null,"abstract":"Aims: To assess the hospital delivery pattern during COVID 19 pandemics and lockdown. \u0000Methods: This is a retrospective study conducted at Provincial Public Hospital Janakpurdham, Nepal from April to July 2020. Data were collected from hospital record and descriptive analysis performed using MS Excel. \u0000Results: Total of 1536 women delivered in three month and caesarean section rate was 16.7% (257/1536). Previous caesarean section was the major contributor (46%) to the overall caesarean section rate. \u0000Conclusions: Maternity services were provided during COVID 19 pandemics and Lockdown. Cesarean section rate was near the recommended level. \u0000Keywords: Cesarean section, lockdown, pandemic, vaginal deliveries","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79090255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between antenatal care utilization with severe maternal and perinatal morbidity 产前保健利用与严重的孕产妇和围产期发病率之间的关系
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32918
S. Deshpande, Mohini Khedekar, Shrinivas N. Gadappa, Swati A. Badgire
{"title":"Association between antenatal care utilization with severe maternal and perinatal morbidity","authors":"S. Deshpande, Mohini Khedekar, Shrinivas N. Gadappa, Swati A. Badgire","doi":"10.3126/njog.v15i2.32918","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32918","url":null,"abstract":"Aim: To analyse association between adequate antenatal care utilization with severe maternal morbidity and severe perinatal morbidity. \u0000Methods: The prospective observational study was conducted in a Government medical college and hospital, Aurangabad from 1st October 2017 to 30th September 2019 after Institution Ethics Committee approval. Pregnancy after 28 weeks without pre-existing medical disorder and fetal anomaly were studied. The data were analyzed to find out the association between adequate antenatal care utilization and severe maternal and severe perinatal morbidity by using chi-squared test. \u0000Results: Among 500 participants, 243 (48.6%) had adequate visits. Women with inadequate antenatal care utilization were at higher risk of preterm delivery, severe maternal and perinatal morbidity. \u0000Conclusions: Inadequate antenatal care is can predict increased severity of maternal and perinatal morbidity. \u0000Keywords: Antenatal care utilization, focused antenatal care, severe maternal morbidity, severe perinatal morbidity","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90623702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Review of Perinatal Deaths in a Tertiary Care Hospital of Nepal 尼泊尔一家三级医院围产期死亡回顾
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32908
Rajshree Singh, R. Thakur, R. Manandhar, R. Khatri, Moon Thapa, B. Shrestha
{"title":"Review of Perinatal Deaths in a Tertiary Care Hospital of Nepal","authors":"Rajshree Singh, R. Thakur, R. Manandhar, R. Khatri, Moon Thapa, B. Shrestha","doi":"10.3126/njog.v15i2.32908","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32908","url":null,"abstract":"Aims: Perinatal mortality is a public health problem especially in developing countries like Nepal. This study is an attempt to assert the perinatal mortality status for the year 2016/2017 A.D. of Shree Birendra Hospital, a tertiary hospital. This study becomes imperative to comprehend the various shortcomings in the maternal and child health care, so as to remedy them effectively. \u0000Methods: This is a hospital record-based study conducted at Shree Birendra Hospital, Kathmandu, a tertiary care facility of the Nepal Army. The record of all perinatal death from 13th April 2016 to 12th April 2017 was reviewed. \u0000Results: Out of 1051 total births, there were 12 perinatal deaths with perinatal mortality rate of 11.42 per thousand births. Perinatal death was more prevalent in the age group 20-25 (58.33%), multiparous female (60%), period of gestation between 35-40 weeks (58.34%), male gender of baby (66.67%) but equal number of deaths was seen in both vaginal delivery and emergency LSCS. According to the Wigglesworth pathophysiological classification to classify perinatal deaths, conditions specific to neonate (33.3%) constituted as a significant cause perinatal death followed by stillbirths or neonatal deaths with congenital anomalies (25%) and conditions associated with prematurity (25%). \u0000Conclusions: Neonatal sepsis contributed to the major burden of perinatal mortality. Keeping detailed medical records, screening for Group B streptococcus in the third trimester, and using clinical autopsy can further strengthen obstetric and neonatal care. \u0000Keywords: early neonatal mortality rate, perinatal mortality, stillbirth","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82163275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Deeply Located Cul-de-sac Uterine Leiomyoma Resulting in Severe Pelvic Pain 深位子宫腔前平滑肌瘤导致严重盆腔疼痛
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32925
A. Agrawal, Huang Kuan-Gen
{"title":"Deeply Located Cul-de-sac Uterine Leiomyoma Resulting in Severe Pelvic Pain","authors":"A. Agrawal, Huang Kuan-Gen","doi":"10.3126/njog.v15i2.32925","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32925","url":null,"abstract":"A Cul-de sac FIGO Type 7 uterine myoma presenting with severe pelvic pain removed laparoscopically without significant blood loss and discharged on second day without complication. On follow up in one month she was free from pain. Though the location of uterine myoma can be unwieldy, laparoscopic myomectomy is feasible with patience and proper technique to give benefits of minimal invasive surgery to the patient. \u0000Keywords: laparoscopy, Myomectomy, Uterine Myoma","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88144961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medico Legal Issues in Obstetrics and Gynecology 产科和妇科的医学法律问题
Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32895
Savana Pradhan
{"title":"Medico Legal Issues in Obstetrics and Gynecology","authors":"Savana Pradhan","doi":"10.3126/njog.v15i2.32895","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32895","url":null,"abstract":"Aims: To highlight the principles and practicalities of the law and how medical negligence claims are addressed in court. \u0000Methods: Literature and legal case search. \u0000Results: This review discusses preventative modalities on legal complaints and summarizes the rationale and implementation of key legal standards used to rule medical negligence, namely, the Bolam, Montgomery and Bolitho principles. Practicalities describing relevant routine factors that impact health care delivery and medico-legal litigation are outlined with suggestions on how they may be effectively implemented. \u0000Conclusions: The improved knowledge of healthcare professionals on the up- to-date Clinical Guidelines along with the law of Land concerning medico Legal issues will be constructive in health service delivery by reducing the amount of litigation in Obstetrics and Gynecology. Appropriate use of informed consent, counseling, documentation and proper record keeping is a top priority. Telephone consultation and Telemedicine may attract various liability issues. Hospital administration policy of risk management including regular audits, near-miss investigation, mortality-morbidity discussions, and timely reviews of Clinical guidelines will help reduce litigation in these fields. Further research into medico-legal cases and policy making is a necessity. \u0000Keywords: Bolam, Bolitho, Medico legal, Montgomery, Prevention","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"143 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78558453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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