Bonney's Gynaecological Surgery

Lopes, Tito; Spirtos, Nick M.; Naik, Raj; Monaghan, John M.

doi:10.1002/9781444325225

Cited by 17 publications

(21 citation statements)

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“…Worldwide rise in caesarean delivery (CD) rates during the last three decades has been a cause of alarm [ 1 ]. The rates of such delivery have increased dramatically in recent years, from 12% in 1990 to 24% in 2008 with no improvement in outcome for neonates [ 2 ]. The increasing rates of CD have been debated globally for over two decades, especially during the 1980s, when a peak was reached in industrialized Countries [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Caesarean delivery in the Limbé and the Buea regional hospitals, Cameroon: frequency, indications and outcomes

et al. 2016

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IntroductionNeonatal outcomes can be directly and indirectly affected by caesarean delivery (CD). Data on CD rates in semi-urban and rural hospitals in resource-limited settings are scarce and yet are needed to better guide the care of women and neonates in these settings. we carried out this study to determine the frequency of CD, its indications and the frequency of the various adverse neonatal outcomes (ANO) in the Limbe Regional Hospital (LRH) and the Buea Regional Hospital (BRH), Cameroon. We also assessed the relationship between the indication for CD and ANO in the said hospitals.MethodsThis was a hospital-based retrospective and prospective cross-sectional study using descriptive and analytic methods conducted in the LRH and the BRH maternity units within a nine months period in 2015. Informed consent was obtainedfrom mothers of the neonates. Data analyses were performed using Epi-Info 3.5.4 software.ResultsWe recruited 199 neonates born through CD. The prevalence of CD was 13.3% with cephalopelvic disproportion (CPD) being the most frequent (32.2%) indication for CD. There were 52 (26.1%) ANO following CD and respiratory distress was the most common 24 (46.2%) of all ANO. Emergency indications for CD were associated with more ANO 49 (34.5%) as compared to elective indications for CD 3 (5.3%) [p-value<0.001]. We noted a significant association between indications for CD and the various type of ANO, with CPD having the worse prognostic neonatal outcomes 30.8% [p-value=0.02].ConclusionThe prevalence of ANO associated with CD in our hospitals was high with a worrying prognosis. While the exact reasons are unknown, the creation of well-equipped neonatal units with trained staff, may contribute to reduce neonatal morbidity and fatalities. Furthermore, the association of CPD to worse prognostic neonatal outcomes calls for clinicians, to consider additional management options, such as antibiotic prophylaxis and oxygen therapy to the neonates, prior to CD.

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Section: Introductionmentioning

confidence: 99%

Caesarean delivery in the Limbé and the Buea regional hospitals, Cameroon: frequency, indications and outcomes

et al. 2016

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“…This is a well recognised technique at laparotomy, and there is no reason why it cannot be employed usefully at laparoscopy. 4,5 …”

Section: Dear Sirmentioning

confidence: 99%

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Minas

Gul

2014

The Obstetric & Gynaecologis

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“…Iatrogenic ureteric injury is a significant intra-operative concern for gynaecologists, owing to its proximity to the uterine arteries and cervix, retroperitoneal pelvic course, and at the infundibulopelvic ligament [1]. The overall incidence of iatrogenic ureteric injuries during gynaecological surgeries is less than 1%-2%, and even less during vaginal hysterectomy [2].…”

Section: Introductionmentioning

confidence: 99%

Transection of Duplex Ureter During Vaginal Hysterectomy

Davis

2020

Cureus

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Duplex ureter, an embryological developmental anomaly, can lead to intra-operative injuries, even by surgeons with a stronghold on normal ureteric anatomy. We describe the first case of an ectopic ureter transected during vaginal hysterectomy performed for pelvic organ proplase, due to its abnormally low implantation into the bladder, worsened by cystocoele. The injury was recognised, and the duplex ureter was diagnosed with cystoscopy and retrograde pyelography. A post-operative computed tomography urogram allowed us to map the exact course. In this case, there was injury to the ectopic, non-functional ureter, thus averting any further intervention. However, lower urinary tract injuries are serious complications with high morbidity, especially during delayed diagnosis. Knowledge of the ureter variants, meticulous tracing of the course, and use of post-operative cystoscopy could reduce these complications, particularly in face of increasing minimally invasive approaches.

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Bonney's Gynaecological Surgery

Cited by 17 publications

References 0 publications

Caesarean delivery in the Limbé and the Buea regional hospitals, Cameroon: frequency, indications and outcomes

Caesarean delivery in the Limbé and the Buea regional hospitals, Cameroon: frequency, indications and outcomes

Authors' reply

Transection of Duplex Ureter During Vaginal Hysterectomy

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