scholarly journals Caesarean section followed by ovariohysterectomy in a Bangladeshi domestic cat: A surgical intervention for management of dystocia due to partial primary uterine inertia

Author(s):  
Anup K. Talukder ◽  
Ziban C. Das ◽  
Mohammad A. Rahman ◽  
Mohammad T. Rahman ◽  
Abu N. M. A. Rahman
2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Selçuk Erkılınç ◽  
Ayla Sargın Oruç ◽  
Şevki Çelen ◽  
Mustafa Behram ◽  
Mustafa Uğur

AbstractThe most frequent surgical intervention in obstetric practice is a caesarean section, which is associated with several short- and long-term complications. Re-laparatomy after caesarean section is one of the most distressing of these complications and the reported incidence is 0.12–0.70%. The most common indications for re-laparatomy after caesarean section are bleeding, uterine atony, eventration and haematoma in the muscles. Herein, we report a case of entrapment of the small bowel caused by improper closure of the parieatal peritoneum after a caesarean section that required re-laparatomy. Closure of the parieatal peritoneum is recommended to avoid future development of adhesions, however, stitch intervals should be properly adjusted to prevent incarceration of the small bowel. We recommend closure of the peritoneum after caesarean section, however, stitch intervals should be kept at no more than 1.5 cm to avoid entrapment of the small bowel.


Author(s):  
Vladimir Anatolievich Klimov

Caesarean section is one of the oldest operations in the history of mankind and is the most common surgical intervention in obstetric practice. Translated from Latin, «caesarean section» means «royal cut», and in the days of the Roman Empire, only people marked with a special gift could be born in this way. According to one of the existing legends, this is how Gaius Julius Caesar was born, and it was the incision in his mother's womb that gave him the name «Caesar». However, given the fact that his mother died when Caesar was 46 years old, the legend still has the right to remain a legend. It is also believed that by removing the baby from the womb of the deceased mother, the ancient Greek god Asclepius, the doctor, was born — he was also Aesculapius among the Romans. His mother was struck by Zeus the Thunderer for her infidelity to her husband Apollo, but the child was taken out alive after the woman's death. Be that as it may, the first mentions of a caesarean section do not at all date back to the 16th century, as was commonly believed, but have much deeper roots. It is believed that even some famous people were born by removing them from their mother's womb, and this gave them a chance at life. The beginning of the scientific version of the appearance of the caesarean section operation can be considered the publication of the monograph by F. Rousset in 1581, in which a sufficiently detailed description of the technique of the cesarean section operation was provided and a list of indications for it was given [2]. Today, this operation is a fairly common surgical intervention that can significantly alleviate the suffering of a woman in labor, avoid a number of complications, and sometimes save the life of a mother and child.


2018 ◽  
pp. 22-25
Author(s):  
Yu.V. Herman ◽  
◽  
D.O. Grigurko ◽  

Obstetrics has changed in an era of «selective caesarean section». In a few decades, a rather rare operation, designed to save the lives of the mother and the baby, has become a frequent and even casual way of giving birth. The modified cesarean section technique, performed simultaneously by two surgeons, is an advanced surgical intervention. The peculiarities of its implementation indicate that the risks associated with this surgery are decreased. Key words: cesarean section, modification, surgical technique, perfection, safety.


2015 ◽  
Vol 87 (7) ◽  
Author(s):  
Hardy Krause ◽  
Hans-Jürgen Hass ◽  
Ralf Böttger ◽  
Claudia Gerloff ◽  
Anke Rissmann ◽  
...  

Abstractwas to assess the value of the today’s appropriate approach, preterm delivery in the 34th week of gestation by Caesarean section and subsequent surgical intervention at the perinatal center, in daily practice of pediatric surgery with regard to early postoperative and mid-term outcome.Over the time period of 9 years, all consecutive cases diagnosed with gastroschisis at the perinatal center, University Hospital of Magdeburg, were born by Caesarean section within the 34th week of gestation followed by surgical intervention. The registered data were compared with those published by other groups.Overall, there were 19 cases through the investigation period from 01/01/2006 to 12/31/2014. The mean duration of gestation was 237.9 days. The mean birth weight was 2,276 g. In all individuals, a primary closure with no artificial material was achieved. The duration of postoperative artificial respiration was 2.3 days. Oral uptake could be initiated on the 10The data indicate that in case of gastroschisis, primary closure can be more frequently achieved by section within the 34


2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Carlson-Babila Sama ◽  
Conrad S. Tankou ◽  
Fru F. Angwafo III

Necrotising fasciitis is a rare but potentially lethal condition in obstetrics which usually presents with fulminant tissue destruction and a resultant high mortality. We report a 19-year-old Sub-Saharan female diagnosed with a rapidly erosive necrotising fasciitis on day 5 after caesarean section in a resource-limited setting. Timely diagnosis, aggressive antibiotic therapy, and prompt surgical intervention via an extensive abdominal wall debridement were pivotal to her survival.


1970 ◽  
Vol 18 (1) ◽  
pp. 20-24
Author(s):  
SR Das ◽  
N Sultana ◽  
S Akhter ◽  
F Khan ◽  
F Wazed

Retained placenta is a condition in which the placenta is retained for more than half-an hour after the birth of a child. It accounts for 5-10% of all postpartum haemorrhage (PPH). The present study was conducted to find out the incidence, causes and management of retained placenta of admitted cases in In-Patient Department (IPD) of Obstetrics & Gynaecology of Dhaka Medical College Hospital, Dhaka during the period from June 01 to December 31, 2003. 163 patients were included in the study who presented with retained placenta and developed retained placenta in IPD who had undergone vaginal delivery, with pregnancy equal to or more than 28 weeks both stillbirths and live-births, both singleton and multiple pregnancy. The incidence of retained placenta was found 3.54% of total admissions. Retained placenta developed in 1.53% cases among 1,506 vaginal deliveries in this hospital during this period. The mean age of the respondents was 27.19±1.54 and most of the patients were aged between 21 to 30 years, multipara, illiterate and from low income group and poor socio-economic status. Among them 81.60% had home delivery, 64.42% delivered between 37 to 40 weeks of pregnancy. Majority of the patients i.e. 61.96% reached the hospital within 2 to 6 hours of development of retained placenta and 49.07% had shock with PPH. About 23.92% respondents had predisposing factors like D & C, manual removal of RP and caesarean section. A considerable percentage (19.63%) had history of MR. About 96.93% respondents required manual removal of retained placenta. 124 (76.07%) received blood transfusion ranging from 1 to 13 units of blood. The causes of retained placenta were uterine inertia (38.65%), morbid adhesion (52.76%) and less expulsive efforts of the patients (7.98%). Placenta accreta was the major (96.51%) cause of morbid adhesion. The range of hospital stay was between 6 to 15 days. Of the total retained placenta cases, 98.77% patients improved and 1.23% patients died of irreversible shock due to PPH. Key words: Retained Placenta; Caesarean Section. DOI: 10.3329/jdmc.v18i1.6300 J Dhaka Med Coll. 2009; 18(1) : 20-24


2020 ◽  
Author(s):  
Yanzhe Tan ◽  
Chengwei Yan ◽  
chunbao guo

Abstract Background: Since the outbreak of COVID-19, no official guidelines for urgent surgical management of patients with the COVID-19 concern have been recommended. The current study provides our experience about the management for the patients with suspected or confirmed COVID-19 who required urgent surgical intervention.Methods: From February 5, 2019, to May 26, 2020, there were 5 cases of patients with suspected or confirmed COVID-19 infection managed with urgent surgical intervention in two hospitals in Chongqing. Results: The five cases with COVID-19 concern were admitted with different diseases, including acute intussusception, strangulated inguinal indirect hernia, acute purulent appendicitis, femoral fracture and onset to delivery. Finally, four patients obtained negative results afterwards. One pregnant woman with confirmed COVID-19 infection underwent caesarean section. All medical staff involved in the patients management were well, and no in-hospital transmission occurredConclusion:Suspected COVID-19 patients must be managed as positive patients until proven or denied in order to minimize the spread and transmission of infection. The current protocol carried out in our practice might be plausible and technically feasible for hospitals when dealing with COVID-19 infection.


2018 ◽  
Vol 6 (11) ◽  
pp. 2139-2141
Author(s):  
Ante Omazic ◽  
Senka Sabolovic-Rudman ◽  
Ivka Djakovic ◽  
Hrvojka Soljacic-Vranes ◽  
Vesna Kosec

BACKGROUND: Some benign changes of the ovaries like hyper reaction luteinalis sometimes cannot be differentiated from malignant ones without histological examination. In these cases, surgical intervention sometimes cannot be avoided. Hyperreactio luteinalis is a condition that can occur only in pregnancy. It is characterised by bilateral benign multicystic ovarian enlargement. CASE REPORT: We present a case of misleading intraoperative findings during Cesarean section that ended with ovariectomy. CONCLUSION: During the Caesarean section, some benign masses of the ovaries, like hyper reaction luteinalis, are difficult to differentiate from malignant disease without histological examination, requiring surgical intervention.


2020 ◽  
Vol 18 (2) ◽  
pp. 108-113
Author(s):  
D.O. Kodie ◽  
C.O. Oguntoye ◽  
N.S. Oyetayo ◽  
O.D. Eyarefe

Intra-parturient uterine torsion is a rare condition in bitches with multifactorial aetiologies. It is a cause of obstructive dystocia and is difficult to diagnose with most imaging techniques. Medical management of dystocia in parturient bitches with oxytocin often result in uterine rupture with severe consequences on maternal and foetal health. A three-year-old German shepherd (31kg) bitch presented to the Veterinary Teaching Hospital (VTH), University of Ibadan, Oyo State, Nigeria was diagnosed, after a caesarean section, with intra-parturient right horn torsion (180-degrees intracornual and 360-degrees at the ovarian end) and a near-complete rip of the affected horn from the uterine body. Before presentation, the bitch was said to have whelped three puppies but discontinued apparently due to perceived uterine inertia even when injected with three doses of oxytocin by a caregiver. The bitch’s vital signs were abnormal and reflected signs of progressive shock. Haemogram showed severe anaemia, moderate neutrophilia with left shift, normal plasma protein level and platelet counts. An ultrasound examination revealed the presence of two foetuses in-utero but un-engaged at the bitch’s birth canal. Following patient’s stabilisation, a caesarean section unveiled an empty, involuting, left uterine horn, a 180 degrees intracornual twist of the right horn (separating the foetuses into two closed compartments) and a 360 degrees torsion at the ovarian end, which severely strangulated the vessels and ligament. The affected horn, vessels, and ligament were congested. The gravid horn was nearly ripped from the uterine body at the bifurcation. The torsion was corrected, foetuses evacuated and a hemi-cornuectomy performed. The bitch’s recovery was uneventful. The diagnosis and management of obstructive dystocia is a challenge, especially in poor resource settings. The option of surgical intervention should be considered as an emergency by both pet owners and clinicians to preclude further complications, including those caused by oxytocin. Keywords: Hemi-cornuectomy, Intra-parturient, Oxytocin, Torsion, Uterine


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