Role of general surgeon in gynecological emergencies
Journal Title: International Journal of Surgery Science - Year 2018, Vol 2, Issue 3
Abstract
Introduction: Acute abdominopelvic pain, specifically in female patients of reproductive age pose a diagnostic challenge. It’s in this context that general surgeon is often called to manage gynaecological emergencies (GE). In many cases, even after the medical history, physical examination, laboratory tests and imaging, the diagnosis can’t be concluded and diffcult in managing gynec emergencies, where a general surgeon plays vital role in both diagnostic and therapeutic management. Aim of study: This study was to investigate the contribution of general surgeon in GE in our hospital. Results: During the study period, 20 patients were included. The average age was 32 years, ranging from 16 to 60 years. The indications were dominated by ectopic pregnancies (40%). Ultrasonography was performed in all cases and helped clarify the diagnosis in 7 cases. Surgical exploration has readjusted the preoperative diagnosis in 11 cases. Laparoscopy was a therapeutic mean in 25% of cases (n = 5). The most performed of the gesture was adnexectomies followed by salpingectomies. No intraoperative complications were registered. The average hospital stay was 2 days for patients operated exclusively by laparoscopy with extremes of 1 and 4 days. All surgical specimens were examined by pathologists and no evidence of malignancy was found. No cases of operative morbidity and mortality associated with open & laparoscopy were noted. Conclusion: This study concludes that general surgeon plays a vital role in the management of gynecological emergencies offers significant benefits not only from diagnostic and therapeutic point of view but also in terms of reducing morbidity, mortality, post operative complications and length of hospital stay.
Authors and Affiliations
Dr. Dinesh L Jadhav, Dr. Anita S, Dr. S Ravikumar
Keywords
Related Articles
- EP ID EP529510
- DOI -
- Views 62
- Downloads 0
Non hodgkin’s lymphoma of the breast
Lymphomas of the breast are rare with incidence of 0.12 - 0.5% of all breast malignancies and 2.2% of extra nodal lymphomas 1, 2. Primary breast lymphoma has a reported incidence ranging from 0.04 - 0.5% of malignant bre...
Obstetric triage-time to prioritize emergency
Introduction: Triage concepts have shifted the focus of obstetric care to include obstetric triage units. This includes a standard clinical triage assessment by a midwife, within 15 min of attendance, leading to assignme...
Penile strangulation by metallic ring: A case report
Penile strangulation is an urological emergency. It occurs whenever any constricting object is placed for erotic or auto-erotic purposes or to intensify sexual performance. Any delay in management might lead to reduced b...
Approach to hospital acquired infection after spine surgery: A multimodal study perspective
Hospital acquired infection is responsible for long hospital stays, increased cost, and mortality. Multimodal studies have focussed on 5 causative factors- urinary catheters, vascular lines, pulmonary functions, surgical...
Effect of the different bacteria’s presenting in the ulcers of the take-up on skin grafting
Background and objective: Skin act as a barrier to fluid loss and provide important protection against invasion by micro-organisms. The main objective of the present study is investigated the effect of different bacteria...