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Start Over Author "Geeta Gurung" Journal journal of society of surgeons of nepal
2 results on '"Geeta Gurung"'

1. Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases

Author

Pooja Paudyal, Josie Baral, Geeta Gurung, Ashma Rana, Suniti Rawal, and Meeta Singh

Subjects
Acute abdomen, Perforated pyometra, Spontaneous, Surgery, RD1-811
Abstract

Introduction: Pyometra is the accumulation of purulent fluid in the uterine cavity caused by impaired drainage of pus due to benign or malignant conditions; rarely with resultant spontaneous uterine perforation brought about by uterine distension. Cases: We report three consecutive cases of spontaneous perforated pyometra in postmenopausal elderly women aged 60 to 70 years who presented with acute abdomen, initially diagnosed as hollow viscus perforation, demonstrated of having significant uterine perforation at laparotomy for which hysterectomy with bilateral salpingo-oophorectomy were done. Histopathological examination revealed features of necrosis of stroma with chronic endometritis without any evidence of malignancy in all the three cases. Conclusion: Spontaneous perforated pyometra, a grave complication necessitating prompt intervention, should always be kept as a possibility in all cases of suspected pyoperitoneum and acute abdomen in elderly postmenopausal women.

Published
2018
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2. Changing trends in caesarean deliveries at a tertiary care Centra: a ten year appraisal

Author

Pooja Paudyal, Josie Baral, Geeta Gurung, and Ashma Rana

Subjects
Pediatrics, medicine.medical_specialty, Caesarean sections, RD1-811, business.industry, Vaginal birth, Obstetrics, Oligohydramnios, medicine.disease, Tertiary care, Rates, Fetal distress, Changing trend, Medicine, Surgery, Caesarian section, Indications, business
Abstract

Introduction: Over the last few decades, the rise in the rates of Caesarean Sections (CS) has become a global phenomenon. The objective of this study was to follow the CS rates over the last 10 years and to compute the various indications of CS in an attempt to analyze the possible reasons for this changing trend in the institute. Methods: All deliveries that took place between April 13, 2004 to April 14, 2014 (Baisakh 2061 BS and Chaitra 2070 BS) in TUTH were retrospectively collected. Annual total number of deliveries, rates of CS, instrumental deliveries and Vaginal Birth after Caesarian Section (VBAC) along with indications for CS were computed and analyzed. Result: A total of 38,770 deliveries were conducted over ten years with 26,791 (69.10%) vaginal deliveries and 11,979 (24.80%) CS. There was a steep rise in the rates of CS from 21.04% in 2004 to 39.23% in 2014. Rates of instrumental deliveries and VBAC remained low at 0.86% to 3.35% and 0.15% to 0.7 % respectively. Fetal distress was the commonest indication of emergency CS while previous CS was the commonest indication for elective CS. Conclusion: Over the last decade, the global trend of rising CS rates was also found to be mirrored at TUTH. The causes for rise in CS rates were- increased diagnosis of fetal distress and oligohydramnios, delivery of most breech by Caesarean sections, low rates of VBAC and instrumental deliveries, complicated referrals from all over the country and last but not the least, threat of malpractice litigations. Journal of Society of Surgeons of Nepal Vol. 17, No. 2, 2014, Page: 7-11

Published
2017

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