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Thombare, Deepak
- Scar Endometriosis:A Case Report and Review of Literature
Abstract Views :174 |
PDF Views:101
Authors
Affiliations
1 Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik – 422003, Maharashtra, IN
1 Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik – 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 5, No 2 (2018), Pagination: 226-228Abstract
Endometriosis is defined as the presence of functional endometrial tissue outside the uterus. Being a rare condition often it is not included in the differential diagnosis of abdominal wall swelling. The typical history is a swelling in the scar or near the scar of previous Gynaecological or Obstetric surgery. Most of the time the diagnosis is done only after excision of the swelling. A case of endometriosis in the scar of a cesarean section. We have also discussed clinical feature pathogenesis, diagnosis and treatment of scar endometriosis.Keywords
Scar Endometriosis.References
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- Bektas H, Sar YS, et al. Abdominal wall endometrioma: A 10- year experience and brief review of the literature. Journal of Surgical Research. 2010; 164(1):e77–81. https://doi.org/10.1016/j.jss.2010.07.043 PMid:20855082
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- Francica G, Giardiello C, Angelone G, Cristiano S, Finelli R, Tramontano G. Abdominal wall endometriosis near cesarean delivery scars. J Ultrasound Med. 2003; 22:1041–7. https://doi.org/10.7863/jum.2003.22.10.1041 PMid:14606559
- Kaloo P, Reid G, Wong F. Cesarean section scar endometriosis: Two cases of recurrent disease and literature review. Aust NZ J Obstet Gynaecol. 2002; 42:218–20. https://doi.org/10.1111/j.0004-8666.2002.210_5.x
- Blanco RG, Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH. Abdominal wall endomertiomas. Am J Surg. 2003; 185:596–8. https://doi.org/10.1016/S0002-9610(03)00072-2
- Koger KE, Shatney CH, Hodge K, McClenatha JH. Surgical scar endomertioma. Surg Gynecol Obstet. 1993; 177:243–6. PMid:8356497
- Sasson IE, Taylor HS. Stem cell and pathogenesis of endometriosis. Annals of New York Academy of Sciences. 2008; 1127:106–15. https://doi.org/10.1196/annals.1434.014 PMid:18443337 PMCid:PMC3107843
- Ding CD, Hsu S. Scar endometriosis at the site of cesarean section. Taiwanese J Obstet Gynecol. 2006; 3:247–9. https://doi.org/10.1016/S1028-4559(09)60234-5
- Chatterjee SK. Scar endometriosis: A cilnicopathologic study of 17 cases. Obstet Gynecol. 1980; 56:81–4. PMid:7383492
- Patterson GK, Winburn GB. Abdominal wall endometriomas: Report of eight cases. Am Surg. 1999; 65:36–9. PMid:9915529
- Gupta RK. Fine needle aspiration cytodiagnosis of endometriosis in cesarean section scar and rectus sheath mass lesions: A study of seven cases. Diagn Cytopathol. 2008; 36:224–6. https://doi.org/10.1002/dc.20797 PMid:18335552
- Rivlin ME, Das SK, Patel RB, Meeks GR. Leuprolide acetate in the management of cesarean scar endometriosis. Obstet Gynecol. 1995; 85:838–9. https://doi.org/10.1016/0029-7844(94)00270-N
- A Study of Incidence and Risk Factors in Post Operative Abdominal Wound Infection in Tertiary Care Centre
Abstract Views :337 |
PDF Views:118
Authors
Affiliations
1 Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Adgaon - 422003, Nashik, Maharashtra, IN
1 Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Adgaon - 422003, Nashik, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 6, No 1 (2019), Pagination: 8-14Abstract
Introduction: Surgical site infections are associated with substantial morbidity and mortality, increase in hospital stay and enhanced cost of health care. Objective of present study is to analyse the incidence of surgical site infections after major abdominal surgeries and risk factors for development of SSIs. Methods: It is observational study carried out at Department of General Surgery, Dr. Vasantrao Pawar Medical College, Nashik, Maharashtra, India. This study carried on 70 patients operated in general surgery department. The various parameters studied were age and sex of patients, presence of diabetes, hypertension malignancy, type of surgery (emergency and elective surgery), duration of surgery, and the class of wound etc. Results: Hypertension, malignancy of operated patients had surgical site infection. Significant risk factors are age, obesity, emergency surgery, dirty and contaminated wounds, prolonged hospital stay, Diabetes mellitus. Staphylococcus aureus and E. coli are most commonly identified organisms in culture. Conclusions: Post-operative abdominal wound infection represents a substantial burden of disease, both for the patients and the healthcare services in terms of the morbidity, mortality and economic costs.Keywords
Abdominal Surgery, Surgical Site Infection.References
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- Jonathan T Tan, Kristina Coleman, Sarah Norris, Jayashree Mapari, Satyanand Shastri, Laurent Metz. SSI in India: A systemic review of incidence and economic burden, Health Technology Analysts Pty Ltd, Sydney, Australia, Johnson and Johnson Medical Asia-Pacific; 2010:01.
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- Anderson DJ, Sexton DJ, Kanafani ZA, Auten G, Kaye KS. Severe surgical site infection in community hospitals: Epidemiology, key procedures and the changing prevalence of methicillin resistant Staphylococcus aureus, Infection Control and Hospital Epidemiology. 2007; 28:1047−53. https://doi.org/10.1086/520731. PMid: 17932825.
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- Kakati B, Kumar A, Gupta P, Sachan PK, Thakuria B. Surgical site abdominal wound infections: Experience at a north Indian tertiary care hospital, Indian Academy of Clinical Medicine. 2013 Jan.
- Khairy GA, Kambal AM, Al-Dohayan AA, Al-Shehri MY, Zubaidi AM, Al-Naami MY, AlSaif FA, Al-Obaid OA, Al-Saif AA, El-Farouk OY, Al-Abdulkarim AA. Surgical site infection in a teaching hospital: A prospective study, Journal of Taibah University Medical Sciences. 2011 Dec 31; 6(2):114−20. https://doi.org/10.1016/S1658-3612(11)70172-X, https://doi.org/10.1016/S1658-3612(11)70181-0.
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- Patel Sachin M, Patel Mitesh H, Patel Sangeeta D et al. Surgical Site Infections: Incidence and Risk Factors in a Tertiary Care Hospital, Western India, National Journal of Community Medicine. 2012 Apr-Jun; 3(2):193−96.
- Malik AZ, Ali Q. Surgical site infections after elective surgery in Pakistan: Surgipak Study, Journal of Rawalpindi Medical College (JRMC). 2015; 19(3):209−14.
- Khadilkar R, Khsirsagar V, Khadilkar S, Bendre M, Chavan S. A comprehensive study of 100 patients of SSI (Surgical Site Infections) in patients undergoing abdominal surgery, Elective/Emergency, in our Hospital. Journal Medical Science and Clinical Research. 2017; 5(4):20947−50. DOI: https://dx.doi.org/10.18535/jmscr/v5i4.192.