Aim: To assess effectiveness of Hayman suture to control postpartum haemorrhage due to placenta praevia during caesarean sectionMethods: It is a cross sectional observational study performed in Rajshahi Medical College Hospital, tertiary level hospital, from January 2016 to December 2016. It included 32 patients with PPH following placenta praevia during elective& emergency caesarean section (C/S). All 32 patients underwent horizontal compression suture (bilateral anteroposterior compression) of lower uterine segment. Vicryl 0 tapercut needle was used. All patients were followed postpartum for evaluation of uterine cavity and menstrual cycles.Results Hayman suture was applied in 32 cases. In 27 cases Hayman suture was the only intervention. Hayman with uterine artery ligation required in 2 cases. In 1 patient along with Hayman B-lynch compression suture was given and 2 patients required total hysterectomy.Conclusion: The quick and simple Hayman technique seems to be effective, safe, lifesaving method in stopping hemorrhage due to placenta praevia.TAJ 2017; 30(1): 66-69
Introductions: Minimally invasive surgery is now the standard surgical procedure for benign gynecological diseases and plays an increasing role in their treatment. This study presents a personal series of an evaluation of the laparoscopic surgical approach. Its outcomes in the surgical treatment of patients with benign gynecological diseases. Aim: The study aimed to evaluate the outcome of gynecological laparoscopy in a low-resource setting. Method: This cross-sectional study was conducted in a private hospital in Rajshahi, Bangladesh. It is a retrospective surgical series of patients performed by the author, which analyzes (n=24) female patient treated from 2019 to December 2020. Results: A number of 24 female patients were included in this study; their mean age was 32.6 years. Among them diagnostic laparoscopy was done in 13 patients. This is mostly due to primary sub-fertility and therapeutic laparoscopy in 11 patients (2 salpingectomy for ectopic pregnancy, 3 laparoscopically assisted vaginal hysterectomy, 1 myomectomy, 1 TLH, 1 laparoscopic adhesiolysis, 2 Ovarian cystectomy, and 1 left sided salpingoophorectomy was done for ovarian cyst). 1 laparoscopic procedure for LAVH was converted to laparotomy due to excessive bleeding. 20 patients were released without incident, but post-Surgical site infection occurred in 1 patient. There was no significant difference in operative complications, blood loss, or length of hospital stay compared to conventional laparoscopic surgery reported in the literature. The perioperative complications are minimal in this personal series. In this study, laparoscopic myomectomy and laparoscopic adhesiolysis for pelvic endometriosis. It took longer to perform using this approach compared with other procedures. Conclusion: Despite having many benefits over conventional procedures, gynecological laparoscopy has several limitations, especially in a low resource-poor setting (Lack of knowledge, Popularity among patients, Higher cost, Long learning curve, Instrumental backup). This paper reported a feasible and safe surgical approach to laparoscopic surgery for gynecological diseases.
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