Purpose Breech presentation is the most common abnormal presentation occurring in 3-4% of all deliveries. Incidence of caesarean section for breech presentation has increased markedly in the last few decades. Attempting external cephalic version (ECV) reduces the chance of noncephalic presentation at term, thus reducing the rate of caesarean sections. Methods Prospective study was conducted in secondary healthcare centre, in rural setup from August 2013 to August 2015. A total of 52 patients were enrolled into the study. Results ECV was successful in 32 out of 52 patients with overall success of 61.5%. Out of the 32 successful ECVs, 24 patients delivered vaginally (75%) (p value 0.00), 6 Raj Lakshmi Nalam is a Consultant,
Background: VCD is a rare complication following hysterectomy. Signicance of this condition lies with the potential of evisceration of
abdominal and pelvic contents resulting in additional morbidity. Case presentation: A57 years old multiparous female presented to casuality with
severe pain abdomen and vaginal discharge. With history of undergoing Total Laparoscopic Hysterectomy 6 months back. On examination small
intestines were in vagina, with 2 cms defect in vault. Patient was stabilized and the defect was closed vaginally. Conclusion: VCD is a rare
complication that should be kept in mind when patient presents with sudden onset lower abdominal or pelvic pain along with vaginal discharge
following hysterectomy. In absence of any bowel pathology, vaginal closure is a safe treatment option.
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