Nepal Journal of Obstetrics and Gynaecology最新文献_第8页

Hysteroscopy in Abnormal Uterine Bleeding 子宫异常出血的宫腔镜检查

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32913

B. Pradhan, Isha Pun, Sushma Lama

{"title":"Hysteroscopy in Abnormal Uterine Bleeding","authors":"B. Pradhan, Isha Pun, Sushma Lama","doi":"10.3126/njog.v15i2.32913","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32913","url":null,"abstract":"Aims: To evaluate the role of hysteroscopy in abnormal uterine bleeding in women of reproductive age group and to correlate the hysteroscopic findings with histopathology. \u0000Methods: The study was carried out in the Department of Obstetrics and Gynecology at Patan Academy of Health Sciences, Kathmandu. Thirty patients of age group 20-61years with abnormal uterine bleeding were included. Demonstrable pelvic pathology like cancer of cervix, vagina or endometrium and active pelvic inflammatory disease (PID) were excluded. All patients were assessed using hysteroscopy and findings were correlated with histopathology. \u0000Results: On hysteroscopy, endometrium was normal in 30%, hyperplastic in 30%, polyps found in 20% and atrophic in 10%. Endometrial polyp and submucous fibroid was seen in 6.7% cases and 3.3% cases each. On confirmation by histopathology the findings were: normal endometrium in 40% cases, hyperplastic in 40%, polyp in 16.7% and atrophic in 3.3%. Submucous fibroid and suspicious endometrium came to be endometrial hyperplasia on histopathology. \u0000Conclusions: Hysteroscopy has more than 90% diagnostic accuracy to diagnose endometrial morphology and diagnostic agreement of endometrial finding is 63.33%. \u0000 Keywords: abnormal uterine bleeding, hysteroscopy, predictive value","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"267 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77796201","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

Exteriorization of uterus versus intrabdominal uterine closure at Caesarean delivery 剖宫产术中子宫外置与腹内子宫关闭的比较

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32917

B. Lamichhane, Shreesiya Pokharel

{"title":"Exteriorization of uterus versus intrabdominal uterine closure at Caesarean delivery","authors":"B. Lamichhane, Shreesiya Pokharel","doi":"10.3126/njog.v15i2.32917","DOIUrl":"https://doi.org/10.3126/njog.v15i2.32917","url":null,"abstract":"Aims: To assess the intraoperative and post-operative complications of exteriorization repair with intrabdominal repair of uterus during caesarean delivery. \u0000 Method: This was a prospective comparative study of 150 caesarean deliveries. Randomization of the cases was irrespective of age, parity, indication and elective or emergency and was performed by two surgeons. Total of 150 cases were considered in the study and 75 cases performed by each surgeon were selected. One surgeon performed the surgery as intrabdominal repair while the other exteriorized the uterus for closure. Descriptive parameter and t-test were used. \u0000Results: Intraoperative complications like intraoperative nausea, vomiting, pain were more commonly associated in cases in which uterus was exteriorized. In regards to severity of blood loss in either group there was no significant difference in either group (1.28±1.00, 1.23±0.98). The study revealed no significant difference in febrile morbidity and wound infections in either group. \u0000Conclusions: There is no significant difference in the post-operative morbidity between the two groups but intraoperative peritoneal stretching pain was more when uterus was exteriorized. \u0000Keywords: caesarean delivery, exteriorization, intrabdominal repair, uterine closure","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83249101","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

Outcome of total laparoscopic hysterectomy in women with previous caesarean section 有剖宫产史妇女腹腔镜全子宫切除术的疗效

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI: 10.3126/njog.v15i2.32904

B. Neupane, G. Karki, H. Pokharel, P. Dahal, G. Bhandari

引用次数: 0

Clinical profile of endometrial histopathological patterns in Abnormal Uterine Bleeding 异常子宫出血的子宫内膜组织病理学模式的临床特征

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29341

S. Chauhan, K. Radhakrishnan

{"title":"Clinical profile of endometrial histopathological patterns in Abnormal Uterine Bleeding","authors":"S. Chauhan, K. Radhakrishnan","doi":"10.3126/njog.v15i1.29341","DOIUrl":"https://doi.org/10.3126/njog.v15i1.29341","url":null,"abstract":"Aims: To study the association of clinical profile of patients with Abnormal Uterine Bleeding with the different endometrial histopathological patterns Methods: A retrospective cross-sectional study was done in the department of Obstetrics and Gynaecology at a hospital in Karnataka, India from January 2017 to January 2019. Medical records were reviewed for all the cases of abnormal uterine bleeding who underwent endometrial biopsy. Results: There were 148 records of endometrial biopsies; >55% were in 41-50 years age group; 28% had postmenopausal bleeding; and 28% presented with menorrhagia. Menorrhagia and menometrorrhagia were equally common under 50 years of age. The various physiological patterns of endometrium (proliferative, secretory & menstruating endometrium) were noted in more than half the cases (51%). Proliferative endometrium was in 37%, followed by hyperplasia without atypia in 22% and only 3% showed malignancy; all of whom were in the postmenopausal group. Even in women with post menopausal bleeding, proliferative pattern was the commonest (33%), followed by atrophic endometrium and malignancy. Atypical hyperplasia was found to be most commonly associated with post menopausal bleeding. Conclusions: Both physiological and non physiological endometrial patterns were seen almost equally among the AUB cases. The knowledge of endometrial pattern in a case of AUB helps to decide a plan of management. Endometrial sampling plays a very important role in management of AUB, especially in the age group of more than 40 yrs; i.e, the peri and post-menopausal age groups, where incidence of malignant or pre malignant conditions was noted to be the highest.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"70 1","pages":"50-54"},"PeriodicalIF":0.0,"publicationDate":"2020-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75737894","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

Vesicovaginal Fistula Post Caesarean Hysterectomy 膀胱阴道瘘后剖宫产子宫切除术

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29351

M. Maharjan, A. Karki, G. Dangal, H. Pradhan, R. Shrestha, Rekha Poudel, N. Bajracharya, S. Shrestha, K. Tiwari, S. Bharati

引用次数: 0

Yolk sac diameter as a prognostic factor for first trimester pregnancy outcome 卵黄囊直径作为早期妊娠结局的预后因素

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29339

A. Bhattarai, G. Baral

{"title":"Yolk sac diameter as a prognostic factor for first trimester pregnancy outcome","authors":"A. Bhattarai, G. Baral","doi":"10.3126/njog.v15i1.29339","DOIUrl":"https://doi.org/10.3126/njog.v15i1.29339","url":null,"abstract":"Aims: To evaluate yolk sac diameter as a predictor of first trimester pregnancy outcome. \u0000Methods: This was a prospective observational study conducted at Paropakar Maternity and Women’s Hospital from October 2017 to October 2018. Pregnant women in between seven and ten weeks of gestation were enrolled. Transabdominal sonography was performed to measure yolk sac diameter and followed up till 12 weeks of gestation to see the outcome. Sensitivity, specificity, positive predictive value and negative predictive value were calculated for yolk sac diameter with regards to abnormal pregnancy outcome. \u0000Results: There were 80 cases enrolled and a significant positive correlation was found between yolk sac diameter and gestational age. Abnormal yolk sac diameter, irrespective of gestational age, had sensitivity of 92.95%, specificity 66.66%, positive predictive value 95.6% and negative predictive value of 54.54% in predicting abnormal pregnancy outcome. \u0000Conclusions: The measurement of yolk sac diameter between seventh and tenth weeks of gestation can predict first trimester pregnancy outcome. This is useful while counseling pregnant women regarding risk of abnormal outcome and need for follow up ultrasonography. \u0000Keywords: first trimester; pregnancy outcome; prognostic factor; yolk sac diameter","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81246149","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: 3

Comparison of Outcome of Teenage Pregnancy with Non- teenage pregnancy 少女怀孕与非少女怀孕结局的比较

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29336

Deepanjali Sharma, Sailaja Ghimire, Meena Jha, G. Baral

引用次数: 0

Outcome of Trans-obturator Tape Procedure in the treatment of Stress Urinary Incontinence at Kathmandu Model Hospital 加德满都模范医院经闭孔带手术治疗压力性尿失禁的效果

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29335

R. Shrestha, G. Dangal, S. Bharati, A. Karki, H. Pradhan, K. Bhattachan, Rekha Poudel, N. Bajracharya, K. Tiwari

{"title":"Outcome of Trans-obturator Tape Procedure in the treatment of Stress Urinary Incontinence at Kathmandu Model Hospital","authors":"R. Shrestha, G. Dangal, S. Bharati, A. Karki, H. Pradhan, K. Bhattachan, Rekha Poudel, N. Bajracharya, K. Tiwari","doi":"10.3126/njog.v15i1.29335","DOIUrl":"https://doi.org/10.3126/njog.v15i1.29335","url":null,"abstract":"Aims: To evaluate the improvement in the quality of life of women with stress urinary incontinence who were treated with trans-obturator tape procedure. Methods: This is a cross-sectional study of treatment of stress urinary incontinence using trans-obturator tape at Kathmandu Model Hospital from February 2018 to December 2019. The outcome of the procedure in terms of improvement in quality of life and surgical complications were assessed. Results: Out of 16 cases of stress urinary incontinence half of them were post-menopausal. One each had intra-operative bladder injury, urinary retention and urinary tract infection; 14 cases improved completely by a week, one had some improvement and one didn’t improve. At six months follow-up one case had no improvement and one developed urge incontinence. Conclusions: Trans-obturator tape has been found a good procedure for the treatment of stress urinary incontinence in our setting and hence led to high rate of improvement in quality of life with minimal and minor complications.","PeriodicalId":30234,"journal":{"name":"Nepal Journal of Obstetrics and Gynaecology","volume":"16 1","pages":"24-27"},"PeriodicalIF":0.0,"publicationDate":"2020-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86832648","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

Primary Malignant Melanoma of Uterine Cervix 宫颈原发性恶性黑色素瘤

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29352

R. Shrestha, Purbesh Adhikari, S. P. Rimal, P. Basnet, P. Rijal, M. Regmi

引用次数: 1

Changing scenario during COVID-19 pandemic COVID-19大流行期间不断变化的情景

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-06-07 DOI: 10.3126/njog.v15i1.29332

G. Baral

引用次数: 0