Leena Wadhwa

Prospective study of glove perforation in obstetrical and gynecological operations: Are we safe enough?

Objectives:  To assess the glove perforation rate, efficacy of double gloving, effect of duration of surgery, expertise of surgeon and operative urgency on the glove perforation rate in obstetrical and gynecologic operations.

Huge localized vaginal neurofibromatosis: An unusual cause of postmenopausal bleeding

A 55‐year‐old lady, menopausal for 8 years, presented with vaginal swelling for the preceding 6 months and with post menopausal bleeding (two bouts). Examination revealed a vaginal mass of 7 × 5 cm which was ultrasonically diagnosed as vaginal fibroid. The vaginal mass was excised and confirmed to be a vaginal neurofibroma on histopathology.

Facility‐based review of 296 maternal deaths at a tertiary centre in India: Could they be prevented?

The aim of this study was to identify causes of maternal mortality at the facility and to assess the standard of care, deficiencies in health services and preventability of these deaths using facility‐based maternal death reviews.

Survey of knowledge, attitudes and practices of urogynecological problems amongst gynecologists of Delhi

Urogynecological problems are common problems encountered in gynecological clinics especially in elderly women but are often neglected as most women consider them as part of normal ageing and suffer in silence. Although there is good awareness amongst gynecologists and women in western countries about these problems as most big hospitals have developed the clinics run by gynecologists with special interest in urogynecology such clinics are still lacking in India. We conducted this open-ended questionnaire survey which was pre-validated to know the views of gynecologists (postgraduate degree or diploma in obstetrics and gynecology) of Delhi about various aspects of urogynecological problems in their day-to-day clinical practice and the feasibility of starting urogynecology clinics in Delhi and their views about referring their patients with urogynecology problems to such clinics. (excerpt)

A Rare Case of Flare-Up of PID in Infertility Treatment.

Case Presentation. Mrs. X, 35 years old, case of primary infertility, was diagnosed to have genital tuberculosis on the basis of PCR positive and hysterolaparoscopy findings and received category I ATT for 6 months. Following ATT completion, her USG revealed no evidence of tuboovarian mass or hydrosalpinx. Since her tubes were patent, she underwent 3 cycles of ovulation induction and 2 cycles of IUI. The women presented with acute PID, five days after IUI, and was conservatively managed. She again presented 24 days after IUI with persistent low grade fever and abdominal pain. Suspecting relapse of genital tuberculosis, she was started on category II ATT. She had acute episodes of high grade fever with chills 2 weeks after starting ATT and MRI revealed bilateral TO masses suggestive of pyosalpinx. Emergency laparotomy was done, pus was drained, and cyst wall was removed and HPE was suggestive of chronic inflammation with few granulation tissues. ATT was continued for one year and the woman improved. Conclusion. The possibility of flare-up of PID (pelvic inflammatory disease) in treated case of tuberculosis undergoing infertility management should be kept in mind and aggressive management should be done.