tag:blogger.com,1999:blog-22882967425454185462024-02-19T08:20:43.123+05:30DR.MUKESH RAGHAVMEDICAL GYNAECOLOGY AND OBSTETRICS PHOTOGRAPHS FOR THE INTEREST OF UNDER GRADUATE AND POST GRADUATE STUDENTS AND FACULTY IN GENERAL.
© Dr. Mukesh RaghavMUKESH RAGHAVhttp://www.blogger.com/profile/10395658842661207678noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-2288296742545418546.post-64448556852313397822011-08-14T20:05:00.000+05:302011-08-14T20:05:21.741+05:30Degeneration of Fibroid Uterus<div dir="ltr" style="text-align: left;" trbidi="on"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEinEv4FYh96Ey1JJugvmQZrJVyXfkVeFLnO1c0gPnId8thlFnyY6cicUG6gsBmx2By4b3Tbtk9C1Gz7eeszl5VM3bvwRx8aozTCXmrolvR3i6vDph2ApcTOVfYRwTOtD5JHyJX68wiapCIM/s1600/Untitled-Scanned-14.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="267" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEinEv4FYh96Ey1JJugvmQZrJVyXfkVeFLnO1c0gPnId8thlFnyY6cicUG6gsBmx2By4b3Tbtk9C1Gz7eeszl5VM3bvwRx8aozTCXmrolvR3i6vDph2ApcTOVfYRwTOtD5JHyJX68wiapCIM/s400/Untitled-Scanned-14.jpg" width="400" /> </a></div><div class="separator" style="clear: both; text-align: center;"><br />
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</div>MUKESH RAGHAVhttp://www.blogger.com/profile/10395658842661207678noreply@blogger.com0tag:blogger.com,1999:blog-2288296742545418546.post-8594403334597333532011-08-12T19:37:00.002+05:302011-08-13T14:54:12.565+05:30Medical treatment of Fibroid uterus ( pros and cons )<div dir="ltr" style="text-align: left;" trbidi="on"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgYEb-8CpjYpr11a85rv5FC0muRcnZ-2fvQJWMtShdqHKJN_s2YhPSw_XPG2qOoB_lSbNrKJESTldn0GxlqZSQQ_5fu90Mk8yShsrB_lSR1wOcoksMCJshRPxpWSYRfecYj6SkelllFysKJ/s1600/Untitled-Scanned-11.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="268" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgYEb-8CpjYpr11a85rv5FC0muRcnZ-2fvQJWMtShdqHKJN_s2YhPSw_XPG2qOoB_lSbNrKJESTldn0GxlqZSQQ_5fu90Mk8yShsrB_lSR1wOcoksMCJshRPxpWSYRfecYj6SkelllFysKJ/s400/Untitled-Scanned-11.jpg" width="400" /></a></div><span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> </span></span><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghH8hBeVHnNR605nAfrOQW0U7UZ4HYn2n-hQKuP9sZt1ZaU1oZMoDHfuZmBEgY9rjmUQEBIkw9DkCa1vj7G5rvv4VxSNv16X26D0aKEPNzZTKDOLpxpFw67zrcpY_1qpv60Ra1VfmJmDDY/s1600/Untitled-Scanned-26.jpg" style="margin-left: 1em; margin-right: 1em;"></a><span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> Consultant, if indicate and at the last , on willingness of patient may prescribe drugs called gonadotropin-releasing hormone agonists (GnRH agonists) to treat fibroids. Most fibroids shrink by one-third to one-half of their original size after two to three months of treatment with these drugs. </span></span><br />
<div style="line-height: 150%; text-align: center;"><span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> Smaller fibroids may cause fewer problems and they are often easier to remove surgically.</span></span></div><div style="line-height: 150%; text-align: center;"><span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> Women should not take GnRH agonists for more than six months. After that, the drugs can cause rapid bone loss, leading to osteoporosis. </span></span></div><div style="line-height: 150%; text-align: center;"><span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> Fibroids generally start to grow again once drug treatment stops. Most women stop having menstrual periods while they are taking GnRH agonists.</span></span></div><div style="line-height: 150%; text-align: center;"><span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> GnRH agonists are drugs that are chemically similar to gonadotropin-releasing hormone (GnRH). This hormone is produced by the hypothalamus, a region in the brain. </span></span></div><div style="line-height: 150%; text-align: center;"><span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> </span></span><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghH8hBeVHnNR605nAfrOQW0U7UZ4HYn2n-hQKuP9sZt1ZaU1oZMoDHfuZmBEgY9rjmUQEBIkw9DkCa1vj7G5rvv4VxSNv16X26D0aKEPNzZTKDOLpxpFw67zrcpY_1qpv60Ra1VfmJmDDY/s1600/Untitled-Scanned-26.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="271" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghH8hBeVHnNR605nAfrOQW0U7UZ4HYn2n-hQKuP9sZt1ZaU1oZMoDHfuZmBEgY9rjmUQEBIkw9DkCa1vj7G5rvv4VxSNv16X26D0aKEPNzZTKDOLpxpFw67zrcpY_1qpv60Ra1VfmJmDDY/s400/Untitled-Scanned-26.jpg" width="400" /></a><span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> GnRH stimulates the release of other hormones from the pituitary gland, a pea-sized gland at the base of the brain. These other hormones are luteinizing hormone and follicle-stimulating hormone. They, in turn, stimulate the ovaries to produce estrogen. GnRH agonists block that process, shutting down estrogen production. Deprived of estrogen, fibroids shrink.</span></span></div><div style="line-height: 150%; text-align: center;"><span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> Some are also approved to treat fibroids in women with anemia (low blood count) who are planning to undergo surgery. </span></span></div><div style="line-height: 150%; text-align: center;"><span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> Doctors may use these drugs in more than one way to treat fibroids.</span></span></div><ul style="text-align: center;" type="disc"><li class="MsoNormal" style="color: black; line-height: 150%;"><span style="font-size: x-large;"><span style="font-family: "Times New Roman","serif"; line-height: 150%;">If a woman is close to menopause, a doctor may prescribe GnRH agonists for a few months to shrink her fibroids. After menopause, fibroids shrink naturally because estrogen levels in the body decline. </span></span></li>
<li class="MsoNormal" style="color: black; line-height: 150%;"><span style="font-size: x-large;"><span style="font-family: "Times New Roman","serif"; line-height: 150%;">A doctor may prescribe GnRH to shrink fibroids before a woman has surgery. Smaller fibroids may make it possible for a woman to have a vaginal hysterectomy instead of an abdominal one. She may also be able to have laparoscopic surgery, which requires a shorter hospital stay and has a faster recovery time. </span></span></li>
</ul><div style="line-height: 150%; text-align: center;"><span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> By blocking estrogen production, GnRH agonists mimic a process that occurs naturally at menopause. The side effects of these drugs are similar to the problems many women have when they go through menopause. </span></span></div><div style="line-height: 150%; text-align: center;"><span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> The most common problem (experienced by about 19 out of 20 women) is hot flashes-episodes of suddenly feeling very warm in the face or upper body. During a hot flash, a woman may blush, perspire, or feel her pulse racing. A cold chill may follow the hot flash. Hot flashes are caused by declining or unstable estrogen levels in the body.</span></span></div><div style="line-height: 150%; text-align: center;"><span style="font-size: x-large;"><span style="color: black; line-height: 150%;">Other less common side effects of GnRH agonists include:</span></span></div><ul style="text-align: center;" type="disc"><li class="MsoNormal" style="color: black; line-height: 150%;"><span style="font-size: x-large;"><span style="font-family: "Times New Roman","serif"; line-height: 150%;">vaginal dryness </span></span></li>
<li class="MsoNormal" style="color: black; line-height: 150%;"><span style="font-size: x-large;"><span style="font-family: "Times New Roman","serif"; line-height: 150%;">irregular vaginal bleeding </span></span></li>
<li class="MsoNormal" style="color: black; line-height: 150%;"><span style="font-size: x-large;"><span style="font-family: "Times New Roman","serif"; line-height: 150%;">headaches </span></span></li>
<li class="MsoNormal" style="color: black; line-height: 150%;"><span style="font-size: x-large;"><span style="font-family: "Times New Roman","serif"; line-height: 150%;">thinning of the hair </span></span></li>
<li class="MsoNormal" style="color: black; line-height: 150%;"><span style="font-size: x-large;"><span style="font-family: "Times New Roman","serif"; line-height: 150%;">pain in the bones, joints, and muscles </span></span></li>
<li class="MsoNormal" style="color: black; line-height: 150%;"><span style="font-size: x-large;"><span style="font-family: "Times New Roman","serif"; line-height: 150%;">sleep problems </span></span></li>
<li class="MsoNormal" style="color: black; line-height: 150%;"><span style="font-size: x-large;"><span style="font-family: "Times New Roman","serif"; line-height: 150%;">mood changes </span></span></li>
<li class="MsoNormal" style="color: black; line-height: 150%;"><span style="font-size: x-large;"><span style="font-family: "Times New Roman","serif"; line-height: 150%;">loss of sex drive </span></span></li>
</ul><div style="line-height: 150%; text-align: center;"><span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> Doctors may also prescribe synthetic hormones to reduce heavy bleeding caused by fibroids. Progestogen is a synthetic version of the female hormone progesterone, which-like estrogen-is made by the ovaries. Androgens (male sex hormones) may also be used to control excessive bleeding caused by fibroids. </span></span></div><div style="line-height: 150%; text-align: center;"><span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> These synthetic hormones do not shrink fibroids.</span></span></div><div style="line-height: 150%; text-align: center;"><span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> Some doctors may prescribe a GnRH agonist in combination with a low dose of estrogen or progestogen. Low doses of these hormones may reduce the side effects of GnRH agonists, which may allow women to be treated safely with these drugs for a longer time.</span></span><br />
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<span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> Fibroid Uterus are increasing in rate of frequency that other drugs are coming in the picture for the treatment.</span></span><br />
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<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghH8hBeVHnNR605nAfrOQW0U7UZ4HYn2n-hQKuP9sZt1ZaU1oZMoDHfuZmBEgY9rjmUQEBIkw9DkCa1vj7G5rvv4VxSNv16X26D0aKEPNzZTKDOLpxpFw67zrcpY_1qpv60Ra1VfmJmDDY/s1600/Untitled-Scanned-26.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><br />
</a></div><span style="font-size: x-large;"><span style="color: black; line-height: 150%;"> In context to Surgical treatment ( if not contraindicated ) the medical treatment is the only remedy available .</span></span></div></div>MUKESH RAGHAVhttp://www.blogger.com/profile/10395658842661207678noreply@blogger.com0tag:blogger.com,1999:blog-2288296742545418546.post-69651768329842948492011-07-10T16:55:00.000+05:302011-07-10T16:55:41.425+05:30CONGENITAL ANOMALY OF ONE UPPER LIMB IN NEWBORN<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhLhprfO5QHPlpVBbuKKFvfg0NddPZDRa5q_E05i0uBCkdXA-7lHhmX-f_kQu5lQH1_8ZY3ghMHF8xeHMZMnMKT-ujavWz9uRDmeyuEkb5eDXV4yMN3Z_Q4HeSVwwEnm0CjKx3-_Ms4bUst/s1600/Untitled-Scanned-24.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhLhprfO5QHPlpVBbuKKFvfg0NddPZDRa5q_E05i0uBCkdXA-7lHhmX-f_kQu5lQH1_8ZY3ghMHF8xeHMZMnMKT-ujavWz9uRDmeyuEkb5eDXV4yMN3Z_Q4HeSVwwEnm0CjKx3-_Ms4bUst/s640/Untitled-Scanned-24.jpg" width="412" /></a></div><span class="Apple-style-span" style="font-size: large;">Really a horrible situation for the mother to have such a type of newborn delivered , but without knowing the cause ,who can help . Go on routine checkup , if patient afford . In most of the cases it is phenotype defects associated with some somatic abnormality also.</span><div><span class="Apple-style-span" style="font-size: large;"> Now Thallidomide is no more in picture , otherwise also this new born was having an imperforated anus , the priority of parents was to get rid off later disease , operative intervention was done , but all in vain . Patient expired on Eleventh day of delivery , giving parents physical, mental , economical and social losses.</span></div>MUKESH RAGHAVhttp://www.blogger.com/profile/10395658842661207678noreply@blogger.com1tag:blogger.com,1999:blog-2288296742545418546.post-9870050373135826002011-06-26T13:00:00.000+05:302011-06-26T13:00:15.611+05:30Bilateral Hydrosalpinx<div dir="ltr" style="text-align: left;" trbidi="on"><br />
<span lang="EN" style="font-size: 18.0pt; mso-ansi-language: EN;"><span style="mso-spacerun: yes;"> </span>A Hydrosalpinx is a distally blocked fallopian tube filled with serous or clear fluid . The blocked tube may become substantially distended giving the tube a retort like shape. The condition is often Bilateral and predisposing symptom is infertility.<o:p></o:p></span><br />
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</div><span lang="EN" style="font-size: 18.0pt; mso-ansi-language: EN;"><span style="mso-spacerun: yes;"> </span>Symptom can vary from Abdominal pain, Pelvic pain and infertility. IUD’s , endometriosis and abdominal surgery are sometimes<span style="mso-spacerun: yes;"> </span>associated with the problem . <o:p></o:p></span><br />
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;"><span lang="EN" style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>As a reaction to injury, the body rushes inflammatory cells into the area, and inflammation and later healing result in loss of the fimbria and closure of the tube. These infections usually affect both fallopian tubes, and although a hydrosalpinx can be one-sided, the other tube on the opposite side is often abnormal. By the time it is detected, the tubal fluid usually is sterile, and does not contain an active infection. The diagnosis can be done by Ultra sonography , HSG and laparoscopy .<o:p></o:p></span></div><div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;"><span lang="EN" style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-ansi-language: EN; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>As PID is the major cause of hydrosalpinx formation, steps to reduce sexually transmitted disease will reduce hydrosalpinx. Also, as hydrosalpinx is a sequel to a pelvic infection, adequate and early antibiotic treatment of a pelvic infection .<o:p></o:p></span></div></div>MUKESH RAGHAVhttp://www.blogger.com/profile/10395658842661207678noreply@blogger.com1tag:blogger.com,1999:blog-2288296742545418546.post-62473799438358498362011-06-22T18:40:00.002+05:302011-06-22T22:33:29.875+05:30BRAIN AND SPINAL CORD DEFECTS IN NEWBORN<div dir="ltr" style="text-align: left;" trbidi="on"><br />
<div style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><span class="Apple-style-span" style="font-size: large;"> </span><span class="Apple-style-span" style="font-size: large;"> </span><span class="Apple-style-span" style="font-size: large;">Brain damage can be fatal or result in Mild or severe disability, Mental retardation , Seizures and paralysis., while spinal cord defects result in Paralysis , Incontinence and loss of sensation of various part of body.</span></div><br />
<a 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" 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" width="206" /></a><span class="Apple-style-span" style="font-size: large;"> </span><span class="Apple-style-span" style="font-size: large;"> What a horrible situation for a mother after giving birth to a live new born , but having defects that too of Brain and Spinal Cord.</span><br />
<span class="Apple-style-span" style="font-size: large;"> Usually these defects can occur early or in late foetal development. Typical Symptoms after birth are Intellectual disability , Paralysis , Incontinence.</span><br />
<span class="Apple-style-span" style="font-size: large;"> The diagnosis can only be confirmed by CT Scan or MRI.</span><br />
<a 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" 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" width="205" /></a><span class="Apple-style-span" style="font-size: large;"> Some defects can be repaired surgically , but Brain and Spinal Cord damage is permanent.</span><br />
<span class="Apple-style-span" style="font-size: large;"> Neural tube defects develops with in first week of pregnancy ., others such as Proencephaly and hydranencephaly develope late in pregnancy.</span><br />
<span class="Apple-style-span" style="font-size: large;"> Many of the Brain and spinal cord defects results in visible abnormality in the Head or Back.</span><br />
<span class="Apple-style-span" style="font-size: large;">Then only parents starts worrying and take the advice of doctors , but cost of treatment is beyond the middle class families, in contrast Chances of Morbidity and Mortality, can not be ruled out. </span></div>MUKESH RAGHAVhttp://www.blogger.com/profile/10395658842661207678noreply@blogger.com6tag:blogger.com,1999:blog-2288296742545418546.post-22094035184928011862011-06-20T14:11:00.000+05:302011-06-20T14:11:04.326+05:30Endometrial malignancy<div dir="ltr" style="text-align: left;" trbidi="on"><span class="Apple-style-span" style="font-size: large;"> Endometrial malignancy is the most rare tumour of Uterus , particularly in India. The prevalence is in child bearing age group and in menopausal women.</span><br />
<span class="Apple-style-span" style="font-size: large;"> The major Symptoms and Signs are :-</span><br />
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<ul style="text-align: left;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj8rVVn5l29rDLQYnLuPPq-j1k_B6Aa8LoM0V4iI3WcxB-jvuRlsGwA2P_khrDtYeL1whu3hOCBnSrxPPFpJ4Z4udyRbVJb3z5g5mkxSDzbrdgmb2njez43VVd9LG2Z8oezGMInb0rA2_GN/s1600/Untitled-Scanned-31.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="272" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj8rVVn5l29rDLQYnLuPPq-j1k_B6Aa8LoM0V4iI3WcxB-jvuRlsGwA2P_khrDtYeL1whu3hOCBnSrxPPFpJ4Z4udyRbVJb3z5g5mkxSDzbrdgmb2njez43VVd9LG2Z8oezGMInb0rA2_GN/s400/Untitled-Scanned-31.jpg" width="400" /></a>
<li><span class="Apple-style-span" style="font-size: large;"> Bleeding leads to an evaluation of the endometrium . In the vast majority of cases , no gross evidence of disease is noted.</span></li>
<li><span class="Apple-style-span" style="font-size: large;"> The uterus may be of normal size upon pelvic examination, or may be enlarged in size.</span></li>
<li><span class="Apple-style-span" style="font-size: large;"> Cancer can be present upon cervical evaluation and , less frequently, in the upper part of vagina or peri uretheral region . In current practice , occult cervical involvement is very unusual , as is clinically metastasis , such as in the vagina. Multiple epidemiological risk factors have been identified in patients who have adenocarcinoma of the endometrium.</span></li>
<li><span class="Apple-style-span" style="font-size: large;"><b>Endogenous Factors : </b> <b>Obesity</b> I</span><span class="Apple-style-span" style="font-size: large;">ncreases the risk of devepoling endometrial cancer, and some stidies suggest that a 2 to 3 fold increase in risk occurs if an individual is more than 60 lb. heavier than the ideal weight for that person. <b>Nulliparity</b> Also increases risk many folds in comparison to parous women . <b>Late Menopause A</b>ged above 55 years also appears to have an increased risk.</span></li>
<li><span class="Apple-style-span" style="font-size: large;"><b>Unopposed estrogen </b></span> <span class="Apple-style-span" style="font-size: large;"> Unopposed oestrogen , incrases the risk of cancer several times.</span></li>
</ul><div><span class="Apple-style-span" style="font-size: large;"> Obesity is known to increase endogenous oestrogen because of the presence of fat that in turn is responsible for the conversion of androstenedione to oestrogen compounds at a much higher rate than if fat is not present.</span></div><div><span class="Apple-style-span" style="font-size: large;"> Anovulation , which may be secondary to unopposed oestrogen , also appears to contribute to this situation.</span></div><div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi5us7h3MkH9nq3g-tQLHHNGUaDlmYVUof3Co9g7_skFozsk3GDyQWXWVHRkSBjuGMwcFkwVvNg7PhrlMyyBkLEezIcx14X4RF4ECI04dbVutxuvde7ogY4k7x-wG7kYQr4lt6NlYAGrTwL/s1600/Untitled-Scanned-07.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="257" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi5us7h3MkH9nq3g-tQLHHNGUaDlmYVUof3Co9g7_skFozsk3GDyQWXWVHRkSBjuGMwcFkwVvNg7PhrlMyyBkLEezIcx14X4RF4ECI04dbVutxuvde7ogY4k7x-wG7kYQr4lt6NlYAGrTwL/s400/Untitled-Scanned-07.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><br />
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</div><ul style="text-align: left;"><li><span class="Apple-style-span" style="font-size: large;"><b> Tamoxifen </b> The most widely used anticancer drug is tamoxifen, and this drug has been suggested by some studies to cause an increased incidence of adenocarcinoma of the endometrium.</span></li>
<li><span class="Apple-style-span" style="font-size: large;"><b>Combined Oral Contraceptives</b> In contrast to tamoxifen , incresing data indicates that the use of combination oral contraceptives ( OCs) decreases the risk of developing endometrial malignancy.</span></li>
<li><span class="Apple-style-span" style="font-size: large;"><b>Cigarette Smoking </b> Smoking apparently decreases the risk of developing </span><span class="Apple-style-span" style="font-size: large;">endometrial malignancy.</span></li>
<li><span class="Apple-style-span" style="font-size: large;"><b>Associated medical condition </b>Some associated medical conditions have been found to increase the incidence of </span><span class="Apple-style-span" style="font-size: large;">endometrial malignancy. Studies suggest that , the women , who have had Breast cancer have more risk of subsequently developing </span><span class="Apple-style-span" style="font-size: large;">endometrial malignancy.</span></li>
<li><span class="Apple-style-span" style="font-size: large;"><b>Family History </b>Individuals with a family history of endometrial cancer appears to have an increased risk .</span></li>
<li><b style="font-size: x-large;">Phenotype Characteristics </b><span class="Apple-style-span" style="font-size: large;">At one time , a classical phenotype was thought to exist for a woman who would develop endometrial malignancy. This phenotype included patients with <i>Obesity</i> , <i>Nullipara</i> , and <i>anovulatory in many instances</i>. More recently, the existense of 2 pathogenic types of endometrial malignancy were appreciated. These women are Obese and have <i>hyperlipidemia</i>, Signs of <i>hyper oestrogenism</i>, <i>Uterine Bleeding</i> ,<i> Infertility</i> and <i>late onset of menopause . </i>They may have <i>Hyperplasia of the ovary and endometrium. </i>These patients are tends to be <i>White</i> , <i>Obese</i> , <i>nulliparous</i>, and have well-differentiated superficially invasive cancers that are sensitive to progesterone. They have a very favourable prognosis, and extrauterine disease is unusual in this group of patients. Fortunately, most women with endometrial cancer are in this category.The diagnosis can be made by the symptoms, signs and following diagnostic adds.</span></li>
<li><span class="Apple-style-span" style="font-size: large;"><b>Vaginal ultrasonography </b> One of the difficulties with using the endometrial stripe as a criterion for further diagnostic tests (eg. endometrial biopsy) is that several conditions may be present that yield a false reading on the endometrial stripe. This is particularly true in a patient who might have an endometrial polyp, is obese or diabetic, or who has been taking tamoxifen.</span></li>
<li><span class="Apple-style-span" style="font-size: large;"><b>Hydroultrasonography </b>If a thickened endometrium is present, obtain a hydroultrasonogram to make sure a false positive result is not present. This is accomplished by placing a small volume of saline into the endometrial cavity and then repeating the vaginal ultrasonogram. If </span><span class="Apple-style-span" style="font-size: large;">Vaginal Ultrasonogram shows significant endometrial thickness , an ultrasonogram can help differentiate other pathology from endometrial thickness.</span><span class="Apple-style-span" style="font-size: large;"> </span></li>
<li><span class="Apple-style-span" style="font-size: large;"><b>Other diagnostic adds are : </b></span></li>
<li><span class="Apple-style-span" style="font-size: large;"><b> Endometrial Biopsy.</b></span></li>
<li><span class="Apple-style-span" style="font-size: large;"><b> Hystroscopically directed Biopsy.</b></span></li>
<li><span class="Apple-style-span" style="font-size: large;"><b> CT </b>Scan of Abdomen & Pelvis.</span></li>
<li><span class="Apple-style-span" style="font-size: large;"> MRIs ( Not to be performed routinally ) On all the relevent examination , surgery is to be planned , the routine investigation must be carried out and proceed for Surgery as, surgeon feels good for patient -</span></li>
</ul></div><div><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjshGWLw0BHDrdtxGZ4iRRxjfpbey3M1UwNyNOhbfLxtf3KL8GKFjzxWFXZd8qxGtpL-CpybB-tiALUkyoqsIMyBnTtXhS_5LyFdADAgmherhONwP_SEFz0dSDd1eDs-qHcAukQYAbtIFUf/s1600/HPR+endo.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjshGWLw0BHDrdtxGZ4iRRxjfpbey3M1UwNyNOhbfLxtf3KL8GKFjzxWFXZd8qxGtpL-CpybB-tiALUkyoqsIMyBnTtXhS_5LyFdADAgmherhONwP_SEFz0dSDd1eDs-qHcAukQYAbtIFUf/s400/HPR+endo.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span class="Apple-style-span" style="color: red;">HYSTO PATHOLOGY OF ENDOMETRIAL MALIGNANCY</span></td></tr>
</tbody></table><ol style="text-align: left;"><li> <span class="Apple-style-span" style="font-size: large;"> Exploratory Laparotomy</span></li>
<li><span class="Apple-style-span" style="font-size: large;"> Total Abdominal Hysterectomy</span></li>
<li><span class="Apple-style-span" style="font-size: large;"> Bilateral Salpingo oophrectomy</span></li>
<li><span class="Apple-style-span" style="font-size: large;"> Peritoneal Cytology</span></li>
<li><span class="Apple-style-span" style="font-size: large;"> Para aortic Lymphadenectomy etc. Staging is then determined based on surgical pathologic findings. Subsequent therapy , if needed is then determined , depending on the surgical pathological findings of the operative procedure. The goals of Pharmacotherapy is to eradicate the carcinoma , to reduce morbidity , and to prevent complications.</span></li>
</ol></div></div>MUKESH RAGHAVhttp://www.blogger.com/profile/10395658842661207678noreply@blogger.com5tag:blogger.com,1999:blog-2288296742545418546.post-58375240206305313972011-06-18T16:00:00.001+05:302011-06-18T16:24:17.242+05:30MACERATED FOETUS<div dir="ltr" style="text-align: left;" trbidi="on"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0SePjER0JadxR5dTKVJvZtXyuZz49nDASAmc5wnJoff5DMAc_Q9LnXP_lKJe3mGhbou9SWLuJp8KAJE_K2Bm1jPCE5jb9EZs8Smj1TKiYBWL7RXAT4pPVNQLlEzrXHyoCPXDF2zHjNVzq/s1600/Untitled-Scanned-15.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0SePjER0JadxR5dTKVJvZtXyuZz49nDASAmc5wnJoff5DMAc_Q9LnXP_lKJe3mGhbou9SWLuJp8KAJE_K2Bm1jPCE5jb9EZs8Smj1TKiYBWL7RXAT4pPVNQLlEzrXHyoCPXDF2zHjNVzq/s400/Untitled-Scanned-15.jpg" width="253" /></a></div><span style="font-size: large;">Foetal</span> <span style="font-size: large;">death is the cessation of foetal life prior to expulsion from womb of the mother. , irrespective of duration of pregnancy. The causes for foetal death in majority of cases are Placental and umbilical in origin. Few are as follows :-</span><br />
<ul style="text-align: left;"><li><span style="font-size: large;">Infection</span></li>
<li><span style="font-size: large;">cord compression</span></li>
<li><span style="font-size: large;">cord prolapse</span></li>
<li><span style="font-size: large;">Placental abruption </span></li>
<li><span style="font-size: large;">Placenta previa</span></li>
<li><span style="font-size: large;">circumvallete placenta</span></li>
<li><span style="font-size: large;">Placental Insufficiency</span></li>
<li><span style="font-size: large;">Maternal Medical and obstetrical disease</span></li>
<li><span style="font-size: large;">congenital malformation of foetus</span></li>
<li><span style="font-size: large;">Erythroblastosis foetalis </span></li>
</ul><span style="font-size: large;">Death of foetus in utero is accompanied by changes of maceration. Seen here is one of the earliest chances, which is slippage of the skin , as this process advances , the skin become reddened.</span><br />
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgJWaRMUNbFhcYGhr4vHd0wZ5rQgrba9VMSMKJJ2bF3Oa1wfkUlQmSKTL3bB-_kS5JlVAmULAIVPKlzbYiFTQjjP7vw3CknkpoUq-eDLgj4bHZJPNay9mzHErQ09ncuoP77uJ7_RMyIE3u2/s1600/Untitled-Scanned-09.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgJWaRMUNbFhcYGhr4vHd0wZ5rQgrba9VMSMKJJ2bF3Oa1wfkUlQmSKTL3bB-_kS5JlVAmULAIVPKlzbYiFTQjjP7vw3CknkpoUq-eDLgj4bHZJPNay9mzHErQ09ncuoP77uJ7_RMyIE3u2/s400/Untitled-Scanned-09.jpg" width="251" /></a><span style="font-size: large;"> The worst consequences are because of Meconium spillage in amniotic fluid , being aspirated or reflex gasping effort by the foetus.</span><br />
<span style="font-size: large;"> Meconium in turn enters in lungs of the foetus and causes respiratory distress leading to foetal death in utero.</span><br />
<span style="font-size: large;"> As time passes the process of maceration starts and in such cases delivery has to be planned carefully , otherwise Mother has to bear the consequences . The Mental trauma , she will never forget and physically she is the only one , who will suffer the most., No doubt , whole family in turn suffers the loss financially , socially and mentally too. !!</span></div>MUKESH RAGHAVhttp://www.blogger.com/profile/10395658842661207678noreply@blogger.com4tag:blogger.com,1999:blog-2288296742545418546.post-74502156907119281532011-06-17T19:02:00.002+05:302011-06-18T14:49:31.648+05:30Conjoined Twins..Big tension for parents !<div dir="ltr" style="text-align: left;" trbidi="on"><br />
<div class="MsoNormal" style="text-align: justify;"><span style="font-family: 'Times New Roman',serif; font-size: 18pt; line-height: 115%;"> Conjoined Twins are extremely rare a birth defect and may be mistaken for interlocking of twins. In all cases of mono amniotic twins the possibility of conjoined twins , should be considered.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: 'Times New Roman',serif; font-size: 18pt; line-height: 115%;"> Antenatal Ultra sonography shows , both twins facing each other or on repeated examination heads are at same level and plane. The Thoracic cages are in unusual proximity . There is no change in relative foetus position with time or manipulation.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: 'Times New Roman',serif; font-size: 18pt; line-height: 115%;"> An X-Ray abdomen may be performed with radi-opaque dye in amniotic fluid to confirm diagnosis.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjFWog-P_j0BxPGErIKbSWX8Z6KhlEbPlFuaR5NHic6B4pIPr19BvHiCb8PuZRcOclk0lcT6xcDiJPP5DcFGZfdxCEOnAFjnXlEZfSLslQ4PbO7zDCDWh2lESbQIA20mbBV6h7MHYbCKAC4/s1600/Untitled-Scanned-29.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjFWog-P_j0BxPGErIKbSWX8Z6KhlEbPlFuaR5NHic6B4pIPr19BvHiCb8PuZRcOclk0lcT6xcDiJPP5DcFGZfdxCEOnAFjnXlEZfSLslQ4PbO7zDCDWh2lESbQIA20mbBV6h7MHYbCKAC4/s640/Untitled-Scanned-29.jpg" width="432" /></a><span style="font-family: 'Times New Roman',serif; font-size: 18pt; line-height: 115%;"> Spontaneous delivery may occur in extreme premature cases. Caesarean section offers a safe method of delivery for the mother and should be done , where the diagnosis is confirmed., usually obstructed labor is encountered.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: 'Times New Roman',serif; font-size: 18pt; line-height: 115%;"> After Caesarean section , the outcome of foetus ,if alive is a big burden to the middle class families., If they can take risk / afford the cost of operation and outcome of operation may or may not be good., but one should be optimistic.<o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-family: 'Times New Roman',serif; font-size: 18pt; line-height: 115%;"> Otherwise the conjoined Twins are heaven for the foetus and hell for the life of the parents. , now they have to suffer particularly mother.<o:p></o:p></span></div></div>MUKESH RAGHAVhttp://www.blogger.com/profile/10395658842661207678noreply@blogger.com4tag:blogger.com,1999:blog-2288296742545418546.post-48949394991767564252011-06-12T12:39:00.000+05:302011-06-12T12:39:25.743+05:30THIS BLOG IS BEING SEEN IN THREE DIFFERENT COUNTRIES.<div dir="ltr" style="text-align: left;" trbidi="on"><div class="widget-content"> <a href="http://s06.flagcounter.com/more/Jb"><img alt="free counters" border="0" src="http://s06.flagcounter.com/count/Jb/bg=FFFFFF/txt=000000/border=CCCCCC/columns=2/maxflags=12/viewers=0/labels=0/" /></a> </div></div>MUKESH RAGHAVhttp://www.blogger.com/profile/10395658842661207678noreply@blogger.com1tag:blogger.com,1999:blog-2288296742545418546.post-67560360284652277602011-06-04T20:39:00.004+05:302011-06-18T14:17:34.560+05:30HYDROSALPINX ( A Review )<div dir="ltr" style="text-align: left;" trbidi="on"><div style="text-align: justify;"><span style="font-size: large;"> A hydrosalpinx is a distally blocked fallopian tube filled with serous or clear fluid. The blocked tube may become substantially distended giving the tube a characteristic sausage-like or retort-like shape. The condition is often bilateral and the affected tubes may reach several centimeters in diameter. The blocked tubes cause infertility .</span></div><div class="MsoNormal" style="margin: auto 0in 0pt; mso-margin-bottom-alt: auto; text-align: justify;"><span style="font-family: "Times New Roman", serif;"><span style="font-size: large;"> The major causes for distal tubal occlusion is Pelvic Inflammatory diseases (PID), usually as a consequence of an ascending infection by Chlamydia or gonorrhea. However, not all pelvic infections will cause distal tubal occlusion. tuberculosis is an uncommon cause of hydrosalpinx formation.</span></span></div><div class="MsoNormal" style="margin: auto 0in 0pt; mso-margin-bottom-alt: auto; text-align: justify;"><span style="font-family: "Times New Roman", serif;"><span style="font-size: large;"> While the ciliae of the inner lining (endosalpinx) of the fallopian tube beat towards the uterus, tubal fluid is normally discharged via the fimbriated end into the peritoneal cavity from where it is cleared. If the fimbriated end of the tube becomes agglutinated, the resulting obstruction does not allow the tubal fluid to pass; it accumulates and reverts its flow downstream, into the uterus, or production is curtailed by damage to the endosalpinx. This tube then is unable to participate in the reproductive process: sperm cannot pass, the egg is not picked up, and fertilization does not take place.</span></span></div><div class="MsoNormal" style="margin: auto 0in 0pt; mso-margin-bottom-alt: auto; text-align: justify;"><span style="font-family: "Times New Roman", serif;"><span style="font-size: large;"> Other causes of distal tubal occlusion include adhesion formation from surgery, endometriosis and cancer of the tube, ovary or other surrounding organs.</span></span></div><div class="MsoNormal" style="margin: auto 0in 0pt; mso-margin-bottom-alt: auto; text-align: justify;"><span style="font-family: "Times New Roman", serif;"><span style="font-size: large;"> A hematosalpinx is most commonly associated with an ectopic pregnancy. A pyosalpinx is typically seen in a more acute stage of PID and may be part of a tuboovarian abscess (TOA).</span></span></div><div class="MsoNormal" style="margin: auto 0in 0pt; mso-margin-bottom-alt: auto; text-align: justify;"><span style="font-size: large;"><span style="font-family: "Times New Roman", serif;"> Tubal phimosis</span><span style="font-family: "Times New Roman", serif;"> refers to a situation where the tubal end is partially occluded, in this case fertility is impeded, and the risk of an ectopic pregnancy is increased.</span></span></div><div class="MsoNormal" style="margin: auto 0in 0pt; mso-margin-bottom-alt: auto; text-align: justify;"><span style="font-family: "Times New Roman", serif;"><span style="font-size: large;"> The Symptoms can vary. Some patients have lower often recurring abdominal pain or pelvic pain, while others may be asymptomatic. As tubal function is impeded , infertility is a common symptom. Patients who are not trying to get pregnant and have no pain, may go undetected. IUDs , endometriosis , and abdominal surgery sometimes are associated with the problem. </span></span></div><div class="MsoNormal" style="margin: auto 0in 0pt; mso-margin-bottom-alt: auto; text-align: justify;"><span style="font-family: "Times New Roman", serif;"><span style="font-size: large;"> As a reaction to injury, the body rushes inflammatory cells into the area, and inflammation and later healing result in loss of the fimbria and closure of the tube. These infections usually affect both fallopian tubes, and although a hydrosalpinx can be one-sided, the other tube on the opposite side is often abnormal. By the time it is detected, the tubal fluid usually is sterile, and does not contain an active infection.</span></span></div> <br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><img border="0" height="261" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg0XuZGG00DeAxJvWo-Qj4DzlLx68t-RPllCxKQMnl1MtbK09LSJ0O2MQwNHCAFeBL1rgvnUPD4i2xny30YbnQetNcHIVy1U1WmycX8EWv1EEzA7xqqqQ6z9SKiMJjXjTFYKRnO8LbyGOrs/s400/Untitled-Scanned-16.jpg" t8="true" width="400" /></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="color: red;">SPECIMEN OF TOTAL ABDOMINAL HYSTERECTOMY WITH BILATERAL HYDROSALPINX</span></td></tr>
</tbody></table> <br />
<div class="MsoNormal" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; margin: auto 0in 0pt; mso-margin-bottom-alt: auto; text-align: justify;"><span style="font-family: "Times New Roman", serif;"><span style="font-size: large;"> Hydrosalpinx may be diagnosed using ultra sonography as the fluid filled elongated and distended tubes display their typical echolucent pattern. However, a small hydrosalpinx may be missed by sonography. During an infertility work-up a hysterosalpingogram (HSG), an X-ray procedure that uses a contrast agent to image the fallopian tubes, shows the retort-like shape of the distended tubes and the absence of spillage of the dye into the peritoneum. If, however, there is a tubal occlusion at the utero-tubal junction, a hydrosalpinx may go undetected. When a hydrosalpinx is detected by an HSG it is prudent to administer antibiotics to reduce the risk of reactivation of an inflammatory process.</span></span></div><div class="MsoNormal" style="margin: auto 0in 0pt; mso-margin-bottom-alt: auto; text-align: justify;"><span style="font-family: "Times New Roman", serif;"><span style="font-size: large;"> When a Laparoscopy is performed, the surgeon will note the distended tubes, identify the occlusion, and may also find associated adhesions affecting the pelvic organs. A laparoscopy not only allows for the diagnosis of hydrosalpinx, but also presents a platform for intervention .</span></span></div><div class="MsoNormal" style="margin: auto 0in 0pt; mso-margin-bottom-alt: auto; text-align: justify;"><span style="font-family: "Times New Roman", serif;"><span style="font-size: large;"> It is a preventable disease , as PID is the major cause of hydrosalpinx formation, steps to reduce sexually transmitted disease will reduce hydrosalpinx. Also, as hydrosalpinx is a sequel to a pelvic infection, adequate and early antibiotics treatment of a pelvic infection is called for.</span></span></div><div class="MsoNormal" style="margin: auto 0in 0pt; mso-margin-bottom-alt: auto; text-align: justify;"><span style="font-family: "Times New Roman", serif;"><span style="font-size: large;"> It can be managed by tubal infertility due to hydrosalpinx underwent tubal corrective surgery to open up the distally occluded end of the tubes (salpingostomy) and remove adhesions (adhesiolysis). Unfortunately, pregnancy rates tended to be low as the infection process often had permanently damaged the tubes, and in many cases hydrosalpinges and adhesions formed again. Further, ectopic pregnancy is a typical complication. Surgical interventions can be done by laparotomy or laparoscopy.</span></span></div><table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSkl7cAshuy1opeI6hA5PrSfXI12jFviWTq4fgbTYB06LghuofN1C2tCegmkvI2CB2ARI0ii9zfKaFD_4hQ9QZDBWDmBnKdSxf1218ISREsWCNzewhT-X2vPC-XCWMrCArf6Og8dZW6oa9/s1600/Oviduct-histo.jpg" imageanchor="1" style="clear: left; cssfloat: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="276" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSkl7cAshuy1opeI6hA5PrSfXI12jFviWTq4fgbTYB06LghuofN1C2tCegmkvI2CB2ARI0ii9zfKaFD_4hQ9QZDBWDmBnKdSxf1218ISREsWCNzewhT-X2vPC-XCWMrCArf6Og8dZW6oa9/s400/Oviduct-histo.jpg" t8="true" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="color: red;">ENDO SALPINX ON HYSTO PATOLOGICAL EXAMINATION</span> </td></tr>
</tbody></table><div class="MsoNormal" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; margin: auto 0in 0pt; mso-margin-bottom-alt: auto; text-align: justify;"><span style="font-family: "Times New Roman", serif;"><span style="font-size: large;"> Non-infertile patients who suffer from severe chronic pain due to hydrosalpinx formation that is not relieved by pain management may consider surgical removal of the affected tube(s) or even a hysterectomy with removal of the tubes, possibly ovaries.</span></span></div><div class="MsoNormal" style="margin: auto 0in 0pt; mso-margin-bottom-alt: auto; mso-outline-level: 3; text-align: justify;"><span style="font-size: large;"><span style="font-family: "Times New Roman", serif;"> I will like to add that , w</span><span style="font-family: "Times New Roman", serif;">ith the advent of IVF which bypasses the need for tubal function a more successful treatment approach has become available for women who want to conceive. IVF has now become the major treatment for women with hydrosalpinx to achieve a pregnancy.</span></span></div><div class="MsoNormal" style="margin: auto 0in 0pt; mso-margin-bottom-alt: auto; text-align: justify;"><span style="font-family: "Times New Roman", serif;"><span style="font-size: large;"> A number of studies have shown that IVF patients with untreated hydrosalpinx have lower conception rates. It has been assumed that the tubal fluid that enters the endometrial cavity alters the local environment or affects the embroy in a detrimental way. Thus, many specialists advocate that prior to an IVF attempt, the hydrosalpinx should be removed., or the couple can be advised adoption of legitimate new born , because in our country , a couple planning for IVF , spends a lot , so as not to afford IVF.</span></span></div><div class="MsoNormal" style="margin: auto 0in 0pt; text-align: justify;"><br />
</div> <span style="font-size: large;"></span><br />
<div class="separator" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; clear: both; text-align: center;"></div></div>MUKESH RAGHAVhttp://www.blogger.com/profile/10395658842661207678noreply@blogger.com7tag:blogger.com,1999:blog-2288296742545418546.post-85633165711495454952011-05-31T18:12:00.000+05:302011-05-31T18:15:53.673+05:30SQUAMOUS CELL CARCINOMA OF VULVA<div dir="ltr" style="text-align: left;" trbidi="on"><div class="separator" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; clear: both; text-align: left;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj1KUlrB8YJt9QML-LFs9kESqBuaajeKt0HoWNrhllAT0wiz2n_s5HriEJ0LWcT0KzUOI38rcuBMREiAgUJu9cldBM0EMV1ich8-nmRCGWID8hHxPE2lr55B7yJSJWr5svKIN3w829WbZev/s1600/Untitled-Scanned-22.jpg" imageanchor="1" style="cssfloat: left; height: 369px; margin-left: 1em; margin-right: 1em; width: 290px;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj1KUlrB8YJt9QML-LFs9kESqBuaajeKt0HoWNrhllAT0wiz2n_s5HriEJ0LWcT0KzUOI38rcuBMREiAgUJu9cldBM0EMV1ich8-nmRCGWID8hHxPE2lr55B7yJSJWr5svKIN3w829WbZev/s320/Untitled-Scanned-22.jpg" t8="true" width="288" /></a><span style="font-family: "Times New Roman", "serif";"><span style="font-size: large;">Squamous<span style="mso-spacerun: yes;"> </span>Cell carcinoma of vulva at younger age , is a very rare lesion mostly encountered in advanced years of life. Surgery treatment is unpalatable to the patient, when the patent is of younger age group. Such a case is presented here –</span></span></div><div class="MsoNormal" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; margin: auto 0in 0pt;"><span style="font-size: large;"><span style="font-family: "Times New Roman", "serif";">Patient ‘L’ , aged 18 rears, para one presented with the complaint of gradually enlarging swelling over Labia minora since last five months. There was no history of pruritus Vulvae, contact or Syphilis. There was no family history of such a disease.</span><span style="font-family: "Times New Roman", "serif";">Her menstrual cycle was normal with average flow and it was painless. She had full term normal delivery one and half years back., there was no history of abortion or pre mature delivery.</span></span></div><div class="MsoNormal" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; margin: auto 0in 0pt;"><span style="font-family: "Times New Roman", "serif";"></span><span style="font-family: "Times New Roman", "serif";"><span style="font-size: large;">On General examination , nothing abnormal was detected ,except mild anaemia, no lymphadenopathy or Lymphoedema. He Fasting Sugar was 84 mg% , VDRL test was non reactive. On local examination a hypertrophic irregular growth measuring 2 x 1 cms. , was present on Labia minora with , which was bleeding on touch </span></span></div><div class="MsoNormal" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; margin: auto 0in 0pt;"><span style="font-family: "Times New Roman", "serif"; font-size: 14pt;"><span style="font-size: large;">Excisional Biopsy done in which whole of<span style="mso-spacerun: yes;"> </span>the Labia Minora along with the growth removed , as patient was deadly against Vulvectomy. Mean while with in a week the</span> <span style="font-size: large;">wound healed well.</span></span></div><div class="MsoNormal" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; margin: auto 0in 0pt;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiUCYv6xliUVk6AeBM99Rdof_17_ORPpfcAt0FSgLpiLT1gI13YEvVQBu32Z1dothZMW6yk14ANLLwcFfvZZ2uN4sKtY7bH5_Eq_NV3pcRThJUcTmz7oGwawB9_cfsONCXtFefOEmw3NjbT/s1600/sqims+cell+carcinoma.jpg" imageanchor="1" style="clear: right; cssfloat: right; float: right; height: 642px; margin-bottom: 1em; margin-left: 1em; width: 289px;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiUCYv6xliUVk6AeBM99Rdof_17_ORPpfcAt0FSgLpiLT1gI13YEvVQBu32Z1dothZMW6yk14ANLLwcFfvZZ2uN4sKtY7bH5_Eq_NV3pcRThJUcTmz7oGwawB9_cfsONCXtFefOEmw3NjbT/s320/sqims+cell+carcinoma.jpg" t8="true" width="288" /></a><span style="font-family: "Times New Roman", "serif";"><span style="font-size: large;">Hysto pathological report showed well differentiated Squamous Cell carcinoma.</span></span></div><div class="MsoNormal" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; margin: auto 0in 0pt;"><span style="font-family: "Times New Roman", "serif";"><span style="font-size: large;">Post operative radio therapy was planned and given, but un fortunately ,patient developed radiation reaction. The radio therapy was stopped. </span></span></div><div class="MsoNormal" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; margin: auto 0in 0pt;"><span style="font-family: "Times New Roman", "serif";"><span style="font-size: large;">On follow up clinical examination <span style="mso-spacerun: yes;"> </span>after Six months, <span style="mso-spacerun: yes;"> </span>did not reveal any sign of disease process. </span></span><span style="font-family: "Times New Roman", "serif"; font-size: 14pt;"></span></div><div style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none;"></div><br />
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<div class="separator" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; clear: both; text-align: center;"></div></div>MUKESH RAGHAVhttp://www.blogger.com/profile/10395658842661207678noreply@blogger.com6tag:blogger.com,1999:blog-2288296742545418546.post-33905488517004078592011-05-29T23:11:00.000+05:302011-05-29T23:11:35.565+05:30PERFORATION OF UTERUS BY IUCD<div dir="ltr" style="text-align: left;" trbidi="on"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhdW8wE6YwnG5SWcSJ0Bk0nkkW_dTjw49M1Bg90kkJ4fQF6jGP30JKBCCSWiRaAqdlk0gZuVl7T_LHCEdIn_nJGmm2scE_RqxgCHGxB6lNp8nwOoQ2mMlrQkNuAxwwCzB3uZQB-maaMyxD0/s1600/Untitled-Scanned-02.jpg" imageanchor="1" style="clear: right; cssfloat: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhdW8wE6YwnG5SWcSJ0Bk0nkkW_dTjw49M1Bg90kkJ4fQF6jGP30JKBCCSWiRaAqdlk0gZuVl7T_LHCEdIn_nJGmm2scE_RqxgCHGxB6lNp8nwOoQ2mMlrQkNuAxwwCzB3uZQB-maaMyxD0/s200/Untitled-Scanned-02.jpg" t8="true" width="143" /></a></div> <span style="font-family: "Times New Roman", "serif"; font-size: 16pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">Rapid population growth is a critical issue , at least for our country . Family welfare measures save women life preventing her from unintended pregnancies. Today our countries population has crossed 1.21 billion , while male population is 623.7 million and female population is 586.5 million, hence sex ratio comes out to be less females. Why less…??? Again a big debate without any solution.!! </span><br />
<div class="separator" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvwuhZE97up1U-yPFwIAluA4Ot33LAAEqQhJ0EcVncVHbuG89x_siR9PgSAL7sBd6ph43iObf0gCF3mNvUPLoPwHfS25e-ZBreDjixtyJ5NZFwmJ3vsQQF1tHsnuj7kacpVgW1hFzLXeEO/s1600/Untitled-Scanned-05.jpg" imageanchor="1" style="clear: left; cssfloat: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvwuhZE97up1U-yPFwIAluA4Ot33LAAEqQhJ0EcVncVHbuG89x_siR9PgSAL7sBd6ph43iObf0gCF3mNvUPLoPwHfS25e-ZBreDjixtyJ5NZFwmJ3vsQQF1tHsnuj7kacpVgW1hFzLXeEO/s200/Untitled-Scanned-05.jpg" t8="true" width="140" /></a></div><div style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none;"><span style="font-family: "Times New Roman", "serif"; font-size: 16pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"> Thinking minds must , go on churning their Brain. , and they are supposed to use there Grey matter and implement the right policy.? May I ask the policy makers that why they are paying more incentive to the mother’s , for deliveries and a very less amount is being paid as a incentive for the persons opting for permanent methods of contraception?? Everyone knows , m<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhoxIohs6ufoK-so8WnXCH68F0nKgOSHhUDTg9skP4kSuQGykSVr5eqgc8ShrgHA_kvrThRUnwu2AVNLyDL1A-srM5-kvCFYQ1AbF7UTKpA2SP9KdgghZo2nG2bAC6P5hjP0Wny9kX3QHGe/s1600/Untitled-Scanned-06.jpg" imageanchor="1" style="clear: right; cssfloat: right; float: right; height: 49px; margin-bottom: 1em; margin-left: 1em; width: 201px;"><img border="0" height="136" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhoxIohs6ufoK-so8WnXCH68F0nKgOSHhUDTg9skP4kSuQGykSVr5eqgc8ShrgHA_kvrThRUnwu2AVNLyDL1A-srM5-kvCFYQ1AbF7UTKpA2SP9KdgghZo2nG2bAC6P5hjP0Wny9kX3QHGe/s200/Untitled-Scanned-06.jpg" t8="true" width="200" /></a>ost population is leaving in rural area, where illliteracy and poverty are dominating factor . Contraception is not given much emphasis. Why...??The incidence of intrauterine device perforation is 0.87 per 1000 insertions. An intrauterine device (IUD) may perforate through the uterine wall into the pelvic or abdominal cavity or into adjacent organs. The accepted treatment for displaced IUDs is surgical removal because of the putative risk of adhesion formation or of damage to the intestine or urinary bladder. Whilst surgical procedures to remove a misplaced IUD must be performed on symptomatic patients, asymptomatic patients, under certain circumstances, may benefit from conservative management.To evaluate the predisposing factors, diagnosis and surgical treatment options of patients with intra-abdominal, mislocated intrauterine devices (IUDs). The diagnosis and management of Twenty one (21) patients with intra-abdominal, mislocated IUDs were analyzed in this study. Trained midwives inserted Fifteen (15) of the IUDs, while four ( 4 )were inserted by general practitioners and two (2) by specialist gynecologists. Fifteen (15) of the patients were diagnosed by gynecological examination and ultrasonography (USG), Abdominal X-ray( AP View ) , in addition, was required in the other Four (4) patients were managed by laparoscopy, whereas laparotomy was required in Two (2) patients . For all patients, laparoscopy was performed initially. No complication was encountered in any of the patients. Our humble submission is that , Persons who insert IUCDs should receive adequate training before certification, because inadequate pelvic examination before insertion and inexperience of the inserting person might be predisposing factors for uterine perforation. If IUCD strings are not visible during gynecologic examination , USG should be tried to locate the IUCD and pelvic X-ray used only when USG fails to locate the IUCD. , then Hystero salpingography should also be tried . Laparoscopy can be the first choice for removal. IUCD’s located in the intra-abdominal cavity have been shown to cause adhesions.!! Therefore, there is concern about the potential for extensive adhesion formation as well as medico legal implications if a device is not removed. The symptoms, age and medical history of the patient must be taken into account, as the benefits of surgery should be balanced against the risks. If the woman is asymptomatic the intra-abdominal IUCD can be removed by laparoscopy, in keeping with current guidelines. However if a Laparotomy is required, serious consideration should be given to the morbidity and mortality this would cause. In the meantime , the woman should be offered contraception emergency contraception if required. Previous perforation is not a contraindication to IUCD after an interval of 6 weeks from the initial insertion before reinsertion of an intrauterine method. The women must be discussed for temporary or permanent method of contraception. She and her husband must be counseled for permanent method as Vasectomy or Abdominal Tubectomy or if at all fails in counseling ., Motivation to be given for laparoscopic sterilization and Non Scalpal technique of vasectomy.Then and then we can think of checking the population explosion in our country. !!!</span></div></div>MUKESH RAGHAVhttp://www.blogger.com/profile/10395658842661207678noreply@blogger.com5tag:blogger.com,1999:blog-2288296742545418546.post-40265984538251209882011-05-28T22:56:00.000+05:302011-05-28T22:56:26.142+05:30SARCOMA BOTRYOIDES......<div dir="ltr" style="text-align: left;" trbidi="on"><span style="font-size: large;"> This is a special type of mixed Mesodermal tumour commonly arising from the cervix and rarely from vagina or the uterus. It is also Knows as Embryonal Rhabdomyosarcoma and usually occur in childhood up to the age of 5-8 years , but can occur in adults also. </span><br />
<span style="font-size: large;"> Vaginal Rhabdomyosarcoma in young girls are usually referred as grape like Sarcomas., usually they are symptom less masses.Main Symptoms if any are due to Metatastic changes, otherwise blood stained watery discharge, Anaemia , and cachexia are only the presenting one. </span><br />
<div style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhkGjKMoriZt5PESg2_Lkx_2nAQa7NU7S8s94-WT_2vKZ01aQKoM-3sLsAZA3Jc-J43rprJ723I7kJ_sMY9qA5slCfQvXdEEdTjHu6vqG0X7zGzvy_mbHp0joJF6fKeTnhLd6aGlc6cXy34/s1600/Untitled-Scanned-19.jpg" imageanchor="1" style="clear: left; cssfloat: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhkGjKMoriZt5PESg2_Lkx_2nAQa7NU7S8s94-WT_2vKZ01aQKoM-3sLsAZA3Jc-J43rprJ723I7kJ_sMY9qA5slCfQvXdEEdTjHu6vqG0X7zGzvy_mbHp0joJF6fKeTnhLd6aGlc6cXy34/s320/Untitled-Scanned-19.jpg" t8="true" width="205" /></a><span style="font-size: large;"> Only Vaginal examination reveals pinkish, grape like polypoidal soft growth arising from the cervix. Hysto pathology shows undifferentiated mesodermal and striated muscle fibres. The growth spreads by direct extension to other organs and via the blood stream to produce secondaries specially in lungs. The degree of malignancy varies but is usually high. </span></div><div style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none;"><span style="font-size: large;"> The typical sarcoma Botryoids seen in children is most often fatal, irresepective of treatment. Intravenous administration of Vincristine , actynomycin-D and Cyclophosphamide can be tried, after calculating the dose by surface area and body mass area of the patient. </span></div><span style="font-size: large;"> The result of radical surgery are very poor., hence because of local re occurence and distant metastasis , the prognosis is very poor.</span></div>MUKESH RAGHAVhttp://www.blogger.com/profile/10395658842661207678noreply@blogger.com7