Management of Ileal Perforation Using Apache – Ii Scoring: A Prospective Study

Agrawal, Gaurav; Mittal, Megha; Agrawal, Amit; Agrawal, Kushal

doi:10.14260/jemds/2016/1197

Cited by 1 publication

(1 citation statement)

References 13 publications

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“…Agrawal et al also reported that in their series of 14 women there was no case of histologically proven malignancy. 9 Mumtaz et al reported degeneration in 3 patients out of 26 patients in their series. 4 The scar integrity following CM was excellent in 93.3% cases who underwent repeat CS with us.…”

Section: Discussionmentioning

confidence: 85%

Making caesarean myomectomy safe and feasible: a 12 year single center experience

Agrawal¹,

Agrawal²,

Lobo³

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: To standardize our protocol of caesarean myomectomy to make it safe and feasible for all patients.Methods: This prospective study was conducted in Aarogya Hospital and test tube baby Centre, Raipur from 1st January 2008 to 1st August 2020. Total 45 patients who had documented fibroid in index pregnancy and consented for the procedure were included. B- Lynch sutures were prophylactically applied in all cases to prevent PPH.Results: Our maximum patients were between the age of 20-30 years (66.67%) and 75.56% were primigravida. 44.45% cases were of intramural fibroids and in 53.34% cases the size of myoma was >5 cm. Malpresentation was seen in 15.56% cases. 62.22% myomas were removed through single incision. 33.33% patients had uneventful second CS with us with excellent scar healing in 93.33% cases. 20% cases had secondary infertility and are advised further evaluation to find cause of infertility.Conclusions: The decision to proceed with elective myomectomy at time of CS should be approached with proper pre-operative evaluation of the patient, thorough counseling for hysterectomy if required, expert team, arrangement of blood and adequate correction of medical factors like anemia, hypertension, and diabetes mellitus. Prophylactic application of B -Lynch sutures in all the cases made a dramatic improvement in tone of uterus which we observed intra operatively.

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Section: Discussionmentioning

confidence: 85%