Aims and objectives:To compare the efficacy of VIA and Pap smear for detection of premalignant and malignant lesions of cervix. Materials and methods:Two hundred and forty women atten ding outpatient department of obstetrics and gynecology were subjected to detailed history taking, clinical examination, Pap smear and VIA, and biopsies were indicated.Results: Of 240 patients, 27 patients (11.3%) were Pap posi tive and 28 patients (11.7%) were VIA positive. A total of 39 patients in whom either test was positive, had undergone cervical biopsy. Sensitivity of VIA and Pap smear was 92 and 84% respectively and specificity of VIA and Pap smear was 64.3 and 57% respectively. Conclusion:The study concluded that sensitivity of VIA is comparable to Pap. Therefore, VIA is an efficacious and cost effective method to screen premalignant and malignant lesions of cervix, especially in developing countries like ours.
Acute uterine inversion is a rare and life-threatening entity. Incidence varies widely from 1:2,000 to 1:23,000 deliveries. It is folding of the fundus into the uterine cavity so that the uterus is turned inside out. Most cases of uterine inversion occur due to mismanagement of third stage of labor. Classical presentation is postpartum hemorrhage and associated profound shock. Correct and early diagnosis coupled with employment of early resuscitation measures together with attempt to replace the uterus either manually or by hydrostatic method is the key to success to their management. We share our experience of such series of cases who presented at our tertiary care center between August 2013 to October 2018.
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