BACKGROUNDEver since the inception of caesarean section, this particular surgery had been innovated and re-innovated to provide better results and decrease the mortality rates as well as post-operative morbidity rates. This study is to determine a clear advantage of MisgavLadach method, over conventional caesarean section. Our study was non randomized controlled trial study, designed to determine the prospects of Misgav-Ladach method over conventional caesarean section; Hence, every patient's retrospective analysis, preoperative and post-operative important parameters were being compared. The statistic applied was simple comparison between group A (caesarean section) and group B (Misgav-Ladach method) on different assessing parameters. MATERIALS AND METHODSThis non randomized controlled trial study was conducted in Department of OBG-GYN in Rama Medical College Hospital and Research Centre. Sample size was 50 in each group. Group A and Group B, each consisting fifty patients; Group A included fifty women to whom conservative lower segment caesarean section was performed. Group B consisted fifty women two whom caesarean section was performed by Misgav-Ladach method. Patients with previous caesarean section were excluded. Both the groups were compared on different parameters like extraction time, operation duration, mode of delivery, etc. Data was analysed in SPSS version 16.0 (Statistical Package for Social Science). RESULTSThere was significant reduction in operating time, including extraction time in group B. There was no significant difference in terms of febrile morbidity, but rate of wound sepsis and wound dehiscence were significantly low in group B. Short hospital stay, early enteral feeding, lesser analgesia were noted in group B. The results of this study were highly encouraging. CONCLUSIONThis study makes a lucid indication over superiority of Misgav-Ladach method over the conventional method of caesarean section. Though some parameters studied in this study were more or less same in both methods, there was improvement in extraction time, operation duration, wound sepsis, wound dehiscence, hospital stay, enteral feeding, analgesia, etc. in Misgav-Ladach method. Our study yielded highly encouraging results comparable with other studies. Further studies should be carried out on much larger sample of patients for a more lucid and exact conclusion.
BACKGROUNDEven in today's scenario, post-menopausal women are blindly treated with Hormone Replacement Therapy to alleviate the symptoms without proper judgment of its side effects. This study was carried to evaluate the role of phytoestrogens as a therapeutic alternative to Hormone Replacement therapy in post-menopausal women.
This prospective study was carried out in the orthopaedic department of a medical college to evaluate the accuracy of clinical diagnosis by knee arthroscopy. The reliability of clinical assessment (history and physical examination) was determined by comparing the initial pre-operative diagnosis with the post-operative diagnosis as determined by arthroscopy. The study group included 50 patients (50 knees) scheduled for arthroscopic surgery for suspected internal derangements of knees. The primary preoperative diagnosis was fully correct in 16 cases (32%), partially correct in 16 cases (32%), and incorrect in 18 cases (36%), with an overall accuracy of 81%, sensitivity 82% and specificity 62%. The most common preoperative diagnosis was Medial Meniscal tear and Anterior Cruciate Ligament tear. The results of clinical assessment were comparable to the published reports. Though the present study suggests that the diagnostic value of arthroscopy is higher than clinical examination but it also makes it apparent that the two techniques complement each other and are more accurate when taken together than individually.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.