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Patil, Abhijeet Madhukar
- Uterine Reconstruction Following Vehicular Accident in 1 ½ Year Old Patient: A Rare Case
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PDF Views:118
Authors
Affiliations
1 Department of Obstetrics and Gynecology, Dr. Vasantrao Pawar Medical College and Research Centre, Vasantdada Nagar, Adgaon, Nashik, Maharashtra, IN
2 Department of General Surgery, Dr.Vasantrao Pawar Medical College and Research Centre, Vasantdada Nagar, Adgaon ,Nashik, Maharashtra, IN
1 Department of Obstetrics and Gynecology, Dr. Vasantrao Pawar Medical College and Research Centre, Vasantdada Nagar, Adgaon, Nashik, Maharashtra, IN
2 Department of General Surgery, Dr.Vasantrao Pawar Medical College and Research Centre, Vasantdada Nagar, Adgaon ,Nashik, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 2, No 1 (2015), Pagination: 65-66Abstract
Introduction: Uterine injuries following road traffic accidents are very rare and isolated and in the peadiatric age group are even rarer. Case Report: The patient, an 18 month old female child was referred to our hospital in the casualty with history of being run over by the rear wheel of a tractor 11 hours prior to admission. She was admitted with haemoperitoneum due to uterine transection. Reparative surgery was done. Discussion: Complete transection of uterus as a sole cause of haemoperitoneum in a road traffic accident has not been reported. Successful conservative surgery for the same has also not been reported in medical literature. It is our opinion that the good collateral circulation of the uterus and the presence of vital tissue after 16 hours of injury tipped the balance in favor of attempting conservative surgery with the principles of micro-surgery in mind.Keywords
Heamoperitoneum, Uterine Injury.Full Text
- Study of the Efficacy and Success Rate of Single Dose Oral Mifepristone and Vaginal Misoprostol v/s Vaginal Misoprostol Alone for Second Trimester Termination of Pregnancy
Abstract Views :180 |
PDF Views:103
Authors
Affiliations
1 Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
1 Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 5, No 2 (2018), Pagination: 216-221Abstract
Background: Second trimester abortions constitute 10-15% of all induced abortions and are considered to be less safe than first trimester abortions. The combination of mifepristone and misoprostol is now an established and highly effective method for second trimester abortion. Aim: To compare the efficacy and the success rate of single dose oral mifepristone plus vaginal misoprostol versus vaginal misoprostol alone for second trimester termination of pregnancy. Materials and Methods: A comparative study and was conducted in the Department of Obstetrics and Gynecology in a Tertiary Health Care Hospital. The study was carried out by dividing women into two groups (72 each). Group Areceived 200mg of oral Tablet Mifepristone and 400 of vaginal misoprostol (48 hours later) which was repeated every 4 hourly by 200 of vaginal misoprostol up to a maximum of 4 doses. Group B received 400 of vaginal misoprostol directly and the dose was repeated every 4 hourly by 200 of vaginal misoprostol up to a maximum of 4 doses. Results: The success rate in Group A was 98.6%, whereas in Group B was 84.7%. The mean induction abortion interval in Group A was lesser (6.2 hours) as compared to Group B (10.8 hours) (p value <0.00001). The mean dose of misoprostol in Group A was 613.88mcg compared to the Group B 1591.66mcg (p value <0.00001). Conclusion: Pretreatment with mifepristone significantly reduces the induction abortion interval (I-A-I) and the misoprostol dose.Keywords
Induction Abortion Interval I-A-I, Mifepristone, Misoprostol, Second Trimester, Termination.Full Text
References
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