Dexterity with Hysterectomies, a form of Art that a Surgeon Passes Down to his Disciples | Chapter 10| Medical Research and Its Applications Vol. 11

 

Objective: This study examines the indications, complications, and final histopathology reports of all hysterectomies performed under our care at Jordan University Hospital during the study period. The overarching aim is to underscore the critical importance of honing surgical skills during practice and follow-up. This objective should be a cornerstone in teaching hospitals that implement educational residency programs.

 

Background: Proper Supervised practice is fundamental for obtaining any handsome skill. The decision is the crucial part as via the physiological functions, the female is given an exclusive function of pregnancy and childbirth through the uterus to maintain human offspring, and this is crucial and exclusive for femininity.

 

Methods: This retrospective study encompasses all patients who underwent hysterectomy from January 2017 to January 2020.

 

Results: During the study period, 245 patients underwent hysterectomy. The leading indication was abnormal vaginal bleeding, followed by malignancy. The most frequent intraoperative complication was bladder injury, while postoperative complications were primarily wound infections and hematomas. Histopathological findings predominantly showed benign conditions, with malignancies being less common.

 

Conclusion: Hysterectomy is a frequently performed surgical procedure that can significantly enhance health and well-being and, in some cases, be lifesaving. Given the potential for serious complications, it is imperative that patients scheduled for this procedure undergo thorough and meticulous preoperative evaluation. Refining and perfecting surgical skills through dedicated practice and experience is essential in reducing complication rates. The gradual accumulation of surgical expertise is mirrored in a corresponding decline in the frequency of complications.

 

Author(s) Details

Kamil M. Fram
Department of Obstetrics and Gynecology, School of Medicine, The University of Jordan, Jordan.

 

Farah Fram
Department of Obstetrics and Gynecology, School of Medicine, The University of Jordan, Jordan.

 

Rand Fram
Department of Obstetrics and Gynecology, School of Medicine, The University of Jordan, Jordan.

 

Banan Tarawneh
Department of Obstetrics and Gynecology, School of Medicine, The University of Jordan, Jordan

 

Mahmoud Eid
Department of Obstetrics and Gynecology, School of Medicine, The University of Jordan, Jordan.

 

Tala Dabit
Department of Obstetrics and Gynecology, School of Medicine, The University of Jordan, Jordan.

 

Juman Lahham
Department of Obstetrics and Gynecology, School of Medicine, The University of Jordan, Jordan.

 

 

Basel Massad

Department of Obstetrics and Gynecology, School of Medicine, The University of Jordan, Jordan.

 

Sanad Abdallat
Department of Obstetrics and Gynecology, School of Medicine, The University of Jordan, Jordan.

 

Haider Chichan
Department of Obstetrics and Gynecology, School of Medicine, The University of Jordan, Jordan.

 

Akram Al-Hadidi
Department of Obstetrics and Gynecology, School of Medicine, The University of Jordan, Jordan.

 

Haya Barake
Department of Obstetrics and Gynecology, School of Medicine, The University of Jordan, Jordan.

 

Noor Tarawneh
Department of Obstetrics and Gynecology, School of Medicine, The University of Jordan, Jordan.

 

Please see the book here:- https://doi.org/10.9734/bpi/mria/v11/1646

Decades-Old Discovery: Misplaced CuT Uncovered During Hysterectomy | Chapter 1 | Medicine and Medical Research: New Perspectives Vol. 4

 

Introduction: Intrauterine contraceptive devices are vital for long-term contraception, but their potential complications, such as migration and embedment, can present diagnostic challenges.

 

Case Presentation: We present a case study of a 51-year-old woman with symptoms of excessive menstrual bleeding and recurrent abdominal pain. Despite initial ultrasound indications of an IUCD, further evaluations suggested a potential endometrial mass. Hindered by obesity-related imaging limitations, comprehensive clinical assessments guided management decisions.

 

Conclusion: The patient opted for laparoscopic hysterectomy, revealing a surprising finding: a misplaced copper intrauterine device embedded within the uterine fundus. This case emphasizes the complexities in diagnosing intrauterine abnormalities and underscores the importance of thorough evaluation and patient-centered care in treatment planning.

 

Author (s) Details

Anjani Dixit
Pristyn Care, Bengaluru, India.

 

Mitesh Mohan Hood
AGM-Medical Excellence, Pristyn Care, Gurgaon, Haryana, India.

 

 

Please see the book here:- https://doi.org/10.9734/bpi/mmrnp/v4/1766

Acellular Appendix Vermiform Mucinous Neoplasm: A Rare Clinical Entity | Chapter 6 | Medical Science: Trends and Innovations Vol. 12

Neoplasms of the appendix are infrequent and either asymptomatic or present with nonspecific symptoms, rendering their diagnosis extremely difficult. In female patients, these tumors are frequently misdiagnosed as gynecologic disorders, particularly when patients complain of right iliac fossa pain. Because of their rarity and absence of distinctive clinical characteristics, appendiceal tumors are not considered in the differential diagnosis by gynecologists during the evaluation of patients with pelvic masses.  This case report describes a 56-year-old female patient with a mass in the right lower pelvis that was initially presumed to be of ovarian nature according to preoperative imaging. Upon exploratory laparotomy, however, the uterus and adnexa were found to be macroscopically normal. The mass was subsequently discovered to be of appendiceal origin growing into the right adnexa's anatomical territory and closely associated with the atrophic right ovary. Appendix was resected intact and histopathology confirmed a tumor made up of acellular mucin. This case emphasizes the difficulty in preoperative diagnosis of appendiceal mucoceles, which are typically incidental radiologic findings and are typically diagnosed only at the time of surgery. The dilemma in diagnosis mandates that gynecologists and surgeons must be more vigilant to consider appendiceal pathology in the context of unexplained right lower quadrant or pelvic masses.

 

Author (s) Details

 

Panagiotis Tsikouras
Department of Obstetrics and Gynecology, Democritus University of Thrace, Greece.

 

Christina Pagaki
Department of Obstetrics and Gynecology, Democritus University of Thrace, Greece.

 

Konstantinos Nikolettos
Department of Obstetrics and Gynecology, Democritus University of Thrace, Greece.

 

Nektaria Kritsotaki

Department of Obstetrics and Gynecology, Democritus University of Thrace, Greece.

 

Sonia Kotanidou
Department of Obstetrics and Gynecology, Democritus University of Thrace, Greece.

Maria Kouroupi
Department of Pathology, Democritus University of Thrace, Greece.

 

Nikolaos Tsikouras
Department of Obstetrics and Gynecology, Democritus University of Thrace, Greece.

 

Aggeliki Gerede
Department of Obstetrics and Gynecology, Democritus University of Thrace, Greece.

 

Nikolaos Machairiotis
Department of Obstetrics and Gynecology, Attikon Hospital Kapodistrian University of Athens, Greece.

 

Nikolaos Nikolettos
Department of Obstetrics and Gynecology, Democritus University of Thrace, Greece.

 

 

Please see the book here:- https://doi.org/10.9734/bpi/msti/v12/4932

Healing through Movement: Physiotherapy after Total Abdominal Hysterectomy |Chapter 9 | Medical Science: Recent Advances and Applications Vol. 2

Purpose: The aim of this chapter is to highlight the role of physiotherapy in managing post-hysterectomy complications in a patient.

Presentation of Case: A 40-year-old female presented with post-surgical pain and reduced functional mobility following a total abdominal hysterectomy. She reported pain around the area of incision, limiting her ability to perform daily activities such as dressing, turning in bed, rising from a seated position, using the washroom, and climbing stairs. Structured physiotherapy interventions included pain management techniques, mobility exercises, core strengthening, and functional retraining.

Results: The Numerical Pain Rating Scale (NPRS) showed a decrease in pain scores over the course of physiotherapy, while the Patient Specific Functional Scale (PSFS) demonstrated an improvement in her ability to perform daily activities.

Conclusion: Physiotherapy played a key role in the post-operative rehabilitation of this patient, leading to significant improvements in pain and functional abilities. The use of the Numerical Pain Rating Scale (NPRS) and Patient Specific Functional Scale (PSFS) as outcome measures effectively tracked progress, demonstrating the positive impact of physiotherapy in post-hysterectomy recovery. This case highlights the importance of early intervention and individualized rehabilitation programs in optimizing patient outcomes.

 

Author (s) Details

 

Chakshu Mehta
College of Physiotherapy, Sumandeep Vidyapeeth Deemed to be University, Vadodara, India.

 

Tushara Nair
College of Physiotherapy, Sumandeep Vidyapeeth Deemed to be University, Vadodara, India.

 

Please see the book here:- https://doi.org/10.9734/bpi/msraa/v2/5134

Risk Assessment of Coronary Artery Disease Due to Hysterectomy in Type 2 Diabetic Women in Premenopausal Age Group | Chapter 8 | New Visions in Medicine and Medical Science Vol. 2

 Background: Women with diabetes mellitus have twice the risk of myocardial infarction (MI) than non-diabetic women of the same age group and bearing the risk of MI in a non-diabetic male of the same age.

 

Aim: The present study aimed to determine the impact of hysterectomy in women with type 2 diabetes mellitus in premenopausal age, on the risk of CAD.

 

Methods: A total of 181 type 2 diabetic women who underwent exercise treadmill ECG testing in the hospital during a 30 months period were studied. Based on an arbitrary cut off age of 48 yrs subjects were assigned in group 1: age < 48 yrs (premenopausal) and group 2: age

 48 years (postmenopausal). Based on exercise treadmill ECG results, they were sub grouped as without CAD (treadmill ECG test negative) and with CAD (treadmill ECG test positive).

 

Results: Age, duration of diabetes, hypertension and CAD were significantly more in postmenopausal group (p<0.05). Age, HDL-cholesterol and hysterectomy were significantly (p< 0.05) associated with premenopausal CAD. In postmenopausal CAD subgroup age, duration of diabetes, hypertension, HDL-cholesterol, sedentary physical activity and hysterectomy were significantly higher (p<0.05). In the multivariate analysis, hysterectomy was strongly associated (OR = 7.73, p = 0.016) with premenopausal CAD.

 

Conclusion: The study projects hysterectomy as a high risk factor for the CAD in premenopausal type 2 diabetics. More information from prospective long-term clinical trials targeted to answer the questions regarding the loss of premenopausal protection of CAD in diabetes and the optimal treatment strategies for both premenopausal diabetic women and CAD will help to guide therapy in the future.

Author(s) Details:

Basab Ghosh,
Dr. Basab's Diabetes Care, Opposite Ramnagar 3, T G Road Extension, Krishnanagar, Agartala – 799001, India.

Please see the link here: https://stm.bookpi.org/NVMMS-V2/article/view/13803

Comparison of Physical and Sexual Quality of Life before and After Hysterectomy and Its Effect on Demographic Factors | Chapter 5 | Research Highlights in Disease and Health Research Vol. 9

 The present study proposed to assess the effect of hysterectomy on quality of growth using certified questionnaires which includes tangible, emotional in addition to sexual aspects of growth.This was a prospective practical study in which all women meeting with elective hysterectomies in the area of Obstetrics and Gynaecology at Vardhman Mahavir Medical College and Safdarjung Hospital New Delhi from October 2017 to September 2019. All data was recorded on EXCEL spread page and analysis finished by SPSS-21.0 and Wilcoxon-test as appropriate.All aspects of physical and intercourse quality of history was found to have improved following hysterectomy. However, only sentimental wellbeing decayed. No association of demographic determinant on quality of existence. In present study SQOL-F questionnaire was used to assess the intercourse quality of existence. The mean period of beginning of monkey business was 3 months after section in majority of women. Out of that, 65.5% women begun their sexual activity at 12 weeks after section, 24.5% women at 15 weeks afterwards surgery and 10% of women at 10 weeks following in position or time surgery accompanying a mean of 12.3 weeks It might be due to the fear of vault turmoil during communication.Hysterectomy improves both material and sexual value of life after section, but the abdominal route raises sexual quality of history more than the vaginal route.

Author(s) Details:

Archana Kumari,
Department of Obstetrics and Gynaecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Sunita Malik,
Department of Obstetrics and Gynaecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Jugal Kishore,
Department Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Please see the link here: https://stm.bookpi.org/RHDHR-V9/article/view/10972

Extensive Icthyosis Uteri with in situ Carcinoma| Chapter 4 | Current Innovations in Medicine and Medical Science Vol. 6

 A excellent disorder known as icthyosis uteri causes the endometrium's whole surface expected replaced accompanying stratified squamous epithelium. Due to allure rarity, two cases of icthyosis uteri have been stated. The first case was a 70-period-old woman the one had lower abdominal pain and silvery PV (per vaginal) discharge for three months prior. The second case contained a 70-year-great hindrance who had been experience breathlessness and PV (per vaginal) spotting for a period.  In the first case, a gross test of the uterine cavity told an uneven and coarse endometrial surface, but in the second case, the endometrium was atrophic. In both cases, endometrial glands were entirely replaced by stratified squamous epithelium accompanying in situ malignant growth or severe dysplasia, in accordance with endometrium microscopy.  Cervix in both the cases demonstrated severe dysplasia or CIN (cervical following a time epithelial neoplasia) III.

Author(s) Details:

Jyoti Kiran Kudrimoti,
Department of Pathology, Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospitals, Pune, India.

Almas Sahir Chopdar,
Department of Pathology, Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospitals, Pune, India.

Shaila Chandrakant Puranik,
Department of Pathology, Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospitals, Pune, India.

Please see the link here: https://stm.bookpi.org/CIMMS-V6/article/view/8611

Abnormal Uterine Bleeding (AUB)-Pandora Box- Diagnostic Evaluation by Transvaginal Sonography (TVS), Hysteroscopy and Histopathology as Gold Standard | Chapter 4 | Highlights on Medicine and Medical Science Vol. 13

 Background: The term "Abnormal Uterine Bleeding (AUB)" refers to abnormal genital tract bleeding, which accounts for 10-15% of all Gynecology department outdoor patient visits. Endometrial polyps, endometrial hyperplasia, submucous fibroids, and anovulation are all common causes of AUB. The incidence of unnecessary surgical interventions and hysterectomies can be reduced if AUB is correctly diagnosed.

Goals and Objectives: The purpose of this study is to compare the utility of transvaginal sonography (TVS) to hysteroscopy in AUB patients.

Materials and Methods: A one-year prospective and comparative study was conducted at the Department of Obstetrics and Gynecology on 100 patients with AUB who attended the OPD. In all of the patients who presented with AUB, TVS and hysteroscopy were performed, and further procedures were performed as needed. The results were evaluated to see how well the TVS pick up rate compared to hysteroscopy, with the biopsy report serving as the gold standard.

Overall, it appears that hysteroscopy provides tissue diagnosis closure, but the p-value is not significant. Conclusion: Combining all three modalities aids in the proper diagnosis of AUB aetiology and improved patient care by decreasing unnecessary hysterectomies.

Author (S) Details

Monika Jindal
Department of Obstetrics and Gynecology, MMMCH, Kumarhatti, Solan-173229, India.

Monika Gupta
Department of Obstetrics and Gynecology, MMMCH, Kumarhatti, Solan-173229, India.

View Book :- https://stm.bookpi.org/HMMS-V13/article/view/2723