Shaifali Patil

Intraluminal migration of surgical sponge: gossypiboma.

Surgical mop retained in the abdominal cavity following surgery is a serious but avoidable complication. The condition may manifest either as an exudative inflammatory reaction with formation of abscess, or aseptically with a fibrotic reaction developing into a mass. Intraluminal migration is relatively rare. We report the case of a 23 year old woman who presented after a previous caesarean section with intestinal obstruction. Plain abdominal radiograph and computed tomography confirmed the presence of gossypiboma. The patient underwent laparatomy and sponge removal. This report discusses the approach to, and manifestations of, migratory surgical gossypiboma.

A comparative study of the efficacy of sonosalpingography and hysterosalpingogram to test the tubal patency in all women with primary and secondary infertility.

Purpose This study was done to compare sonohysterography and correlate by hysterosalpingogram (HSG) for evaluation of utero tubal factor in female infertility. Methods Thirty women with primary or secondary infertility attending the outpatient department of the Department of Obstetrics & Gynaecology, Mahatma Gandhi Memorial Hospital, Kalamboli, from May 2010 to May 2011 underwent a sonosalpingography (SSG) on day 7 of the menstrual cycle and an HSG on day 9 of the same or next menstrual cycle. Sonosalpingography was used as the reference standard for HSG. All patients with any positive findings underwent hysterolaparoscopy. Results For evaluation of tubal patency, SSG had sensitivity of 95.83% and specificity of 100% for evaluation of tubal patency. In contrast, in HSG for evaluation of tubal patency, the sensitivity is 91.67% and specificity is 100%. Conclusions Sonohysterosalpingography appears to be inexpensive, minimally invasive, quick, of no risk of ionizing radiation, and well-tolerable first-line diagnostic method for determining the tubal status and uterine cavity and can be performed at the time of conventional ultrasound scan in place of HSG and laparoscopy.

Modified Bassini's repair: Our experience in a rural hospital setup

Background: Inguinal hernia is a leading cause of work loss and disability. Recurrence and other complications can occur after hernia repair. The aim of this study wasto evaluate the effectiveness of Modified Bassinis Herniorraphy in themodern days of surgery. Materials and Methods : This is a retrospective study carried out in the MGM HospitalKamothe from 2005 to 2010. Only unilateral uncomplicated inguinal hernia cases were included.All patients had undergone Modified Bassinis repair. They were followed for 3 years and the complication and recurrence rates were noted. Result: A total of 254 patients were operated by Modified Bassinis repair only and 241 patients were followed completely and included in the study. The average age was 52.12 + 17.22 years. The mean operation time was 25 + 5.9 min. The mean hospital stay was 3 + 1.1 days. Post-operative pain was minimal in all patients, and was controlled by simple analgesia. Return to work was after 4 weeks. Hematoma and seroma formation requiring drainage were observed in one and two patients, respectively. Scrotal swelling was observed in two patients, which subsided within 2 weeks. Five patients developed urinary retention. No hydrocele, ischemic orchitis or recurrence was found during the follow-up. Wound infection was noted in one patient, which was treated by dressing and oral antibiotics. Recurrence was noted in two (0.83%) patients in the follow-up period of 3 + 0.44 years. Conclusion: Tissue repairs are still used in economically poor patients who cannot afford mesh, with similar results of prosthetic material repair that are commonly used in modern hospitals.

The epidemiological study of congenital anomalies and their possible risk factors in teaching hospital in MGM Kalamboli, Navi Mumbai -

Background: Congenital anomaly, a health problem in India, is a defective morphogenesis during early foetal life at cellular level. Purpose of our study was to determine the detection rate of congenital anomalies & their epidemiological predisposing risk factors with detailed history withdrawn among women visited in MGM Hospital, Kalamboli, Navi Mumbai, between May 2012 to May 2014. Methods: This is a Retrospective study. In this study period of 2 years, 69 pregnant women were diagnosed with congenital anomalies during their prenatal Ultrasonographic examinations. We studied these sonographic reports with the risk factors associated with occurrence of congenital anomalies. Results: Out of 2000 visited women, 69 were detected with congenital anomalies. Incidence rate was about 3.45%. Major &maximum anomalies were found in CNS & Renal system. CNS-32.88%, renal-40.58%, multiple system anomalies-5.79%. Risk factors mostly associated with these anomalies were age, race, residency, social status, H/O consanguineous marriage, H/O DM & GDM, literacy. Congenital anomalies were more seen in rural, low socioeconomic & illiterate population. Conclusions: Early diagnosis, prenatal evaluation, routine ANC care, better repo & good quality USG will be helpful for genetic counselling & clinical management.