...constipation, etc. For females with these tumors, they can refer Dr. Usha Kumar, the best laparoscopic surgeon in Max Hospital Saket for laparoscopic hysterectomy. A laparoscopic hysterectomy us a kind of hysterectomy implemented with a class of lean optical tubes usually referred to as laparoscopes. Executed by this manner, hysterectomies often lead to shorter retrieval and operating times than usual operations of this type. It is also moderately common for there to be much less blemishing and owing to this, many females request laparoscope assisted procedures....
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...Case Study Analysis: Uterine Fibroids Victoria Moss COMM/215 5/14/12 David Mumford Case Study Analysis: Uterine Fibroids Uterine fibroids develops in the muscular wall in the uterus are not malignant tumors or growth. Fibroids are found in women and are a type of growth not cancer. It is common in women who are between the ages of 25-45. Uterine fibroids are also called leionyomas or myomas. Fibroids do not cause problems when they remain small. They can grow inside and outside the uterus. Once the fibroids grow larger in size they can cause complications. Sometimes fibroids have grown large enough to fill the whole abdomen. In African American women uterine fibroids exist more than in White women. Researching upon uterine fibroids it is not understood the causes and fibroids grow quicker in African American women. The female hormones estrogen and progesterone can increase or decrease throughout women's life. When a woman goes through menopause it decreases estrogen. When going through menopause fibroids tend to shrink. Birth control pills can cause fibroids to grow because it is a hormonal drug that contains estrogen. Fibroids may cause some of these symptoms like changes in menstruation, heavy periods, and cramps. Vaginal bleeding other than menstrual cycle can cause anemia. Causes pain in the abdomen or lower back. It may inquire pain while acquiring sex or pressure when urinating. The uterus is enlarged, miscarriages, and infertility are other symptoms. When...
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...INTRODUCTION Placenta previa is generally defined as the implantation of the placenta over or near the internal os of the cervix. There are four types of placenta previa; total, low-lying, partial, and marginal. The higher incidence of low-lying placenta and placenta previa is sonographically diagnosed in the second trimester and ranges from 6% to 46%. This rate, however, decreases to as low as 0.5 % at delivery (11). Despite advances in blood transfusion techniques and surgical procedures, abnormal placentation still remains a difficult challenge for obstetricians. Intrapartum maternal hemorrhage and the need for emergency cesarean section or hysterectomy related to abnormal placentation are main causes of maternal-fetal morbidity and mortality. The overall incidence of placenta previa at delivery is reported as 0.5 % in most studies (3, 5) and the risk factors for placenta previa include advanced maternal age (above 35 years), parity, smoking, and, most importantly, prior cesarean delivery. Placenta previa with prior cesarean delivery increases risk up to 1% - 4%. As the number of previous cesarean deliveries increases, the incidence of placenta previa and abnormal placentation shows a linear increase (3). Vaginal ultrasound is the most accurate method for localizing and diagnosing placenta previa, because it can provide a better resolution in the lower margin of the placenta (4, 6, 11). There is a little increase in congenital anomalies associated with placenta previa...
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...T H E R O YA L A U S T R A L I A N A N D NEW ZEALAND COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS FRANZCOG TRAINING LOGBOOK 2014 Da i l y Tra i ni ng Re co r d fo r Co r e and A dva nce d Tra ining The Royal Australian and New Zealand College of Obstetricians and Gynaecologists FRANZCOG TRAINING PROGRAM LOGBOOK 2014 D ail y Tra i n i n g Re co r d f or Cor e a n d A dva n ce d Tra ining RANZCOG College House 254 - 260 Albert St East Melbourne VIC 3002 tel +61 3 9417 1699 fax +61 3 9419 0672 web: www.ranzcog.edu.au Initial contact: Ms Kathryn Hertrick Training Services Co-ordinator Training Services Department tel +61 3 9412 2936 fax +61 3 9419 7817 email training@ranzcog.edu.au Published by RANZCOG Publications The Royal Australian and New Zealand College of Obstetricians and Gynaecologists 254-260 Albert Street, East Melbourne, Victoria 3002, Australia. ISSN 1443-4415 RANZCOG 2014 This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without written permission from The Royal Australian and New Zealand College of Obstetricians and Gynaecologists. Requests and enquiries concerning reproduction should be directed to the Chief Executive Officer, RANZCOG, 254-260 Albert Street, East Melbourne, Victoria 3002, Australia. This material is available on the RANZCOG website http://www.ranzcog.edu.au PERSONAL DETAILS Name: Address: Telephone: TRAINING DETAILS Training site: ...
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...problems for healthcare improvement. We plan to develop a corrective action plan to address the organization’s improvement while maintaining compliance from a Joint Commission standard. Accreditation Audit: AFT Task 3 Nightingale Hospital is preparing to devise a mock tracer methodology to assess the organizations’ current compliance with Joint Commission Standards. A tracer methodology follows a patient through the course of care and evaluates all aspects of care (Joint Commission E-dition, 2014). This method allows a quick overview of a patient through the flow of a system in order to evaluate the effectiveness of the process flow. Our mock tracer patient is a sixty seven year old female whom recently underwent an open total abdominal hysterectomy secondary to menorrhagia and uterine fibroids. The patient presented back to the emergency room one week postoperatively with complaints of a subjective fever of 100.2 degrees Fahrenheit and incisional drainage described as yellowish-green in color. A CT scan of her abdomen was performed in the emergency room and revealed a peri-umbilical abscess. The surgical team was consulted and an incision and drainage of the abscess was performed. Infectious disease physicians determined that the patient would require a central line as soon as possible to begin 4-6 weeks of intravenous medications in the form of broad spectrum antibiotics. The discharge plan is for the member to be discharged home with home health care to administer intravenous...
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...Older women **Ovarian cancer symptoms are often vague. By the time the cancer is diagnosed, the tumor has often spread beyond the ovaries. *Some of the symptoms are: • Bloating • Difficulty eating or feeling full quickly • Pelvic or abdominal pain • Abnormal menstrual cycles • Swollen abdomen or belly • Unexplained back pain that gets worse over time • Weight gain or loss • Vaginal bleeding • Digestive symptoms • Constipation • Increased gas • Indigestion • Lack of appetite • Nausea and vomiting **Some of the treatments are: • Surgery is part of the treatment for all stages of ovarian cancer • Removal of the uterus (total hysterectomy) • Removal of both ovaries and fallopian...
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...study in Aberdeen, Scotland. Alexander Gordon 1809 First ovarian cystectomy (Danville, Kentucky). Ephraim McDowell 1812 First recorded vaginal hysterectomy (performed accidentally and unplanned). Palletta 1813 First modern, documented total vaginal hysterectomy (though certainly not the first). C.J.M. Langenbeck 1825 First ever blood transfusion, performed for postpartum hemorrhage. James Blundell 1827 Fetal heart tone auscultated for the first time. John Creery Ferguson 1833 First detailed account of fetal heart tones made. Evory Kennedy 1843 First abdominal hysterectomy (the patient died). Charles Clay 1846 Ether first administered to a woman in labor. Crawford Williamson Long 1847 Puerperal fever shown to be caused by infectious contagion through interventional trial proving that it could be prevented. Ignaz Semmelweis 1847 Chloroform first used as an anesthetic, used during labor. James Young Simpson 1849 Vesicovaginal fistula successfully treated with surgery. J. Marion Sims June, 1853 First successful adbominal hysterectomy (Lowell, Massachusetts) Walter Burnham Sept., 1853 First successful, planned abdominal hysterectomy (Lowell, Massachusetts) Gilman Kimbell 1866 First human artificial insemination. J. Marion Sims 1869 First operative hysteroscopy performed. ...
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...Fibroids are non-cancerous growth of muscle cells or connective tissues that develop in or on the uterus. Fibroids develop generally during the pregnancy period due to high level of hormones. It is known that approximately 20 million Indian women of age between 30yrs to 40yrs are at risk of developing fibroids. If a woman is developing symptoms like long periods, heavy bleeding or pelvic pain, she must consult the doctor immediately. Fibroid patients would be glad to know that doctors have been able to find suitable ways to deal with it, over the years. Hysterectomy i.e. removal of uterus, could be avoided for sure now. There are several non-invasive or minimally invasive procedures available for treatment of fibroids. Please find them listed...
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...Medical Terminology OVARIAN CANCER Ovarian Cancer is a disease that cancerous cell are found in ovary tissues. ovary is a part of organ , that is responsible for reproduction, can be found in the woman’s lower abdomen area. This organ is reproductive organ of hormones, estrogen and progesterone, and also responsible for making eggs that is sent through fallopian tubes into to uterus monthly. When a woman undergoes menopause, ovaries are not functioning well and this process produce less hormones than usual. This cancer’s cause is still unknown, but mostly this cancer can be seen at women who are older than 50’s and also undergoing menopause.(1) Most common type of ovarian cancer, generally, is epithelial ovarian cancer which is originated in the tissue so called “epithelium” which covers the ovary surface. Mucinous, endometroid and clear cell are other type of this cancer. (1) There is no early detection method for this type of cancer, the symptoms of the disease are vague and not always gynecologic. These symptoms may include;(2) * Heavy feeling in pelvis * Pain in the lower abdomen * Bleeding from vagina * Weight gain or loss * Abnormal periods * Gas, nausea, vomiting, or loss of appetite Generally, the aim of treatment of ovarian cancer is to remove surgically cancer as much as possible and following additional therapy such as chemotherapy to kill any remaining cancer cells in the body. Radiation therapy can be used to kill any cancer cells...
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...VELEZ COLLEGE F. Ramos St., Cebu City College of Nursing A CASE ANALYSIS REPORT ON PATIENT N.M.C., 47 YEARS OLD, FEMALE, DIAGNOSED WITH UTERINE LEIOMYOMA (s/p TOTAL ABDOMINAL HYSTERECTOMY and BILATERAL SALPINGO OOPHORECTOMY), BILATERAL OVARIAN NEWGROWTHS, METABOLIC SYNDROME, AND HYPERTENSION Submitted By: Villavelez, Carmina Anne Z. BSN III-C Submitted to: Mrs. Miraluna Echavez, RN, MN March 2013 UTERINE LEIOMYOMA/ UTERINE FIBROIDS Uterine fibroids are noncancerous growths of the uterus that often appear during your childbearing years. Also called fibromyomas, leiomyomas or myomas, uterine fibroids aren't associated with an increased risk of uterine cancer and almost never develop into cancer. As many as 3 out of 4 women have uterine fibroids sometime during their lives, but most are unaware of them because they often cause no symptoms. Your doctor may discover fibroids incidentally during a pelvic exam or prenatal ultrasound. In general, uterine fibroids seldom require treatment. Medical therapy and surgical procedures can shrink or remove fibroids if you have discomfort or troublesome symptoms. Rarely, fibroids can require emergency treatment if they cause sudden, sharp pelvic pain or profuse menstrual bleeding. Symptoms In women who have symptoms, the most common symptoms of uterine fibroids include: * Heavy menstrual bleeding * Prolonged menstrual periods — seven days or more of menstrual bleeding * Pelvic pressure or pain *...
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...Hindawi Publishing Corporation Obstetrics and Gynecology International Volume 2013, Article ID 173184, 11 pages http://dx.doi.org/10.1155/2013/173184 Review Article Uterine Fibroids: Pathogenesis and Interactions with Endometrium and Endomyometrial Junction Andrea Ciavattini,1 Jacopo Di Giuseppe,1 Piergiorgio Stortoni,1 Nina Montik,1 Stefano R. Giannubilo,1 Pietro Litta,2 Md. Soriful Islam,3 Andrea L. Tranquilli,1 Fernando M. Reis,4 and Pasquapina Ciarmela3 1 Woman’s Health Sciences Department, Faculty of Medicine, Polytechnic University of Marche, Via Corridoni 11, 60123 Ancona, Italy Department of Gynaecological Sciences and Human Reproduction, University of Padova, Via Giustiniani 3, 35128 Padova, Italy 3 Department of Experimental and Clinical Medicine, Faculty of Medicine, Polytechnic University of Marche, Via Tronto 10/a, 60126 Ancona, Italy 4 Department of Obstetrics and Gynecology, Federal University of Minas Gerais and National Institute of Hormones and Women’s Health, 30130-100 Belo Horizonte, MG, Brazil 2 Correspondence should be addressed to Andrea Ciavattini; ciavattini.a@libero.it Received 28 February 2013; Revised 10 June 2013; Accepted 13 August 2013 Academic Editor: Hilary Critchley Copyright © 2013 Andrea Ciavattini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Uterine leiomyomas (fibroids...
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...Introduction Hysteroscopy is a procedure that is used to examine the inside of a woman's womb (uterus). This may be done for various reasons, including: To look for lumps (tumors) and other growths in the uterus. To evaluate abnormal bleeding, fibroid tumors, polyps, scar tissue (adhesions), or cancer of the uterus. To determine the cause of an inability to get pregnant (infertility) or repeated losses of pregnancies (miscarriages). To find a lost IUD (intrauterine device). To perform a procedure to permanently prevent pregnancy (sterilization). During this procedure, a thin, flexible tube with a small light and camera on the end of it (hysteroscope) is used to look inside the uterus. The camera sends images to a monitor in the room so that your health care provider can view the inside of your uterus. A hysteroscopy should be done right after a menstrual period to make sure that you are not pregnant. Tell a health care provider about: Any allergies you have. All medicines you are taking, including vitamins, herbs, eye drops, creams, and over-the-counter medicines. Any problems you or family members have had with the use of anesthetic medicines. Any blood disorders you have. Any surgeries you have had. Any medical conditions you have. Whether you may be pregnant. What are the risks? Generally, this is a safe procedure. However, problems may occur, including: Excessive bleeding. Infection. Damage to the uterus or other structures or organs. Allergic reaction to medicines or dyes...
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...After reading this article I came to the conclusion that I supported Ashley’s parents. Ashley’s parent’s wanted the best for their daughter which is clearly stated in the article. They wanted the hysterectomy done to save her from any pain in the future. Then they wanted to remove her breast buds. They had a good reason for this because in their family lineage it was common for the women to have large breast. The family also was thinking about Ashley and how she could have discomfort from them. Ashley would also be wearing a chest trap a lot of the time and this could have caused irritation if the Brest buds were not removed. The parents also did these things for her safety knowing that she possibly would have caregivers. It is known that females...
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...Nothing intrigues me more than the intricacy and efficiency of the human body. Science is still struggling to uncover its secrets, unable to create even a robotic limb that moves like a real one. This is where my passion and drive to submerge myself into the world of scientific research comes from. A few years ago my mother was diagnosed with a large cyst in her ovaries. Multiple tests were carried out prior to the final diagnosis and without the knowledge and breakthroughs of the different analytical techniques available and resulting surgical procedures, it would not have been possible to detect, let alone treat. A double hysterectomy was conducted and a drug containing conjugated oestrogens was prescribed to treat the symptoms of menopause. This experience instilled in me a great sense of anticipation at the thought of delving deeper into the biomedicine field. Volunteering at a care home has enabled me to see first-hand, the effects of dementia and Parkinson’s disease. It became apparent to me that there was still a huge scope in terms of medical advancements in order to better people’s lives and well-being. This has...
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...The mother gave birth to a baby. Within 24 hrs of delivery she underwent the total hysterectomy and came out on the ventilator and the prognosis was very poor. Her blood pressure was not stabilized and heart rate was too high. Her family was told about the condition that she would die. Mary took her newborn to her unconscious mother thinking that the infant needed to be with his mother during her last time. When the infant was placed in kangaroo care position, the mother moved her both arms. The baby was placed on the breast for two hours, when Mary was about to take the baby back to the nursery, the nurse showed Mary the BP and heart rate of the mother. The BP was stabilized and heart rate had reduced too. This nurse had seen these physiological improvements two times. The third incident confirmed that this was not by chance. The...
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