Objective:The study was undertaken to compare the efficiency and outcome of Laparoscopic Assisted Vaginal Hysterectomy (LAVH) and Vaginal Hysterectomy (VH) in terms of operative time, cost, estimated blood loss, hospital stay, quantity of analgesia use, intra- and postoperative complication rates and patients recovery.Materials and Methods:A total of 500 diabetic patients were prospectively collected in the study period from January 2005 through January 2009. The performance of LAVH was compared with that of VH, in a tertiary care hospital. The procedures were performed by the same surgeon.Results:There was no significant difference in terms of age, parity, body weight or uterine weight. The mean estimated blood loss in LAVH was significantly lower when compared with the VH group (126.5±39.8 ml and 100±32.8 ml), respectively. As to postoperative pain, less diclofenac was required in the LAVH group compared to the VH group (70.38±13.45 mg and 75.18±16.45 mg), respectively.Conclusions:LAVH, is clinically and economically comparable to VH, with patient benefits of less estimated blood loss, lower quantity of analgesia use, lower rate of intra- and postoperative complications, less postoperative pain, rapid patient recovery, and shorter hospital stay.
A case of term alive intra abdominal ectopic pregnancy. This case is a rarity that a few Gynaecologists encounter during their professional carrier. Initially it was diagnosed as a case of hyperamesis graviderum and was treated conservatively. Confirm diagnosis was done during laparotomy, a female baby was delivered and the patient recovered uneventfully.
Dhaka Zoo with 2000 animal heads of 184 species from significant genetic diversity and five million visitors' influx round the year is placing it a public health important spot. This study was conducted to investigate cryptococcosis in animals at Dhaka Zoo to ascertain animal health, welfare and public health safety standard. One hundred and two opportunistic tissue samples were collected and preserved in 10% neutral buffered formalin at necropsy for 36 animals of 25 different species from Dhaka Zoo during the study period. Twenty five among the study animals were found suffering from granulomatous diseases, of them nine cases were identified cryptococcosis first ever in Bangladesh. Clinical history, nodular lesions on necropsy findings, granulomatous reactions with fungal spores & both Langhang's & foreign body giant cells on histopathology and characteristic spores with wide gelatinous band around endospores on special staining revealed cryptococcosis in eight rhesus macaques (Macaca mulatta) and one greater kudu (Tragelaphus strepsiceros). Present study provides evidence of existing cryptococcosis and similar long standing zoonotic diseases in majority of rest of the animals with health risk that shades health safety standard at Dhaka zoo.
Dhaka Zoo with 2000 animals of 184 species and five million visitors a year is important from a public health point of view. This study was conducted to investigate coccidioidomycosis in captive animals at Dhaka Zoo. One hundred and two tissue samples were collected and preserved in 10% neutral buffered formalin at necropsy of 36 animals of 25 species. Twenty five animals were suffering from granulomatous diseases, of which ten were identified as coccidioidomycosis. Clinical history, nodular lesions at necropsy, granulomatous lesions on histopathology and characteristic spores on special staining confirmed coccidioidomycosis in six rhesus macaques (Macaca mulatta), one horse (Equus caballus), one common langur (Presbytis entellus), one beisa oryx (Oryx beisa beisa) and one reticulated python (Python molurus). It is suggested that coccidioidomycosis in captive animals threatens human and animal health. (Bangl. vet.
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