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JPMA. the Journal of the Pakistan... Jan 2002To study the pattern of referral, method of diagnosis and management of patients admitted with lost Intrauterine Device (IUD).
OBJECTIVE
To study the pattern of referral, method of diagnosis and management of patients admitted with lost Intrauterine Device (IUD).
METHODS
A prospective study was conducted about lost intrauterine contraceptive devices and its management, in Gynaecology Department of Nishtar Hospital, Multan. Twenty eight patients with lost IUD were identified out of 7816 gynaecology admissions, during this period. The diagnosis was made on ultrasonography.
RESULTS
IUDs were removed after dilatation of cervix and exploration of uterine cavity in 20 patients. Five cases underwent laparotomy, in 2 cases laparoscopic removal was done and in one case IUD was taken out through proctoscope. In most of the cases IUD was inserted by untrained personnel.
CONCLUSION
It is recommended that IUDs should be inserted after proper case selection by trained medical professionals.
Topics: Adult; Female; Foreign-Body Migration; Humans; Intrauterine Devices; Middle Aged; Prospective Studies; Ultrasonography
PubMed: 11963578
DOI: No ID Found -
The British Journal of Venereal Diseases Feb 1979The results of Gram stains and cultures from 145 women with uncomplicated ano-genital gonorrhoea are presented. The site which gave the highest yield of gonococci was...
The results of Gram stains and cultures from 145 women with uncomplicated ano-genital gonorrhoea are presented. The site which gave the highest yield of gonococci was the cervix. Equally good results were obtained with Stuart's transport medium and direct plating in the clinic. Positive results from rectal specimens alone were obtained from 8.4% of the 119 women in whom the rectum was examined. In 89 women the results of rectal specimens taken through a proctoscope were compared with those of swabs passed blindly up the anal canal. When Stuart's transport medium was used swabs taken through a proctoscope gave better results than the swabs taken blindly; the latter gave more positive results when direct plating was used. Thus when Stuart's medium is used a proctoscope is essential for the collection of rectal samples. Up to three sets of investigations were carried out where necessary, but 95% of the 145 cases were diagnosed on the results of the first set. However, only 54% of those patients diagnosed at their first visit had positive Gram-stain results. Further refinement of culture results is unlikely to improve diagnostic yield; what is needed is better, rapid diagnosis in the clinic.
Topics: Anal Canal; Bacteriological Techniques; Cervix Uteri; Female; Gonorrhea; Humans; Male; Rectum; Specimen Handling; Time Factors; Urethra
PubMed: 371745
DOI: 10.1136/sti.55.1.10 -
Journal of Minimally Invasive Gynecology Jan 2019To evaluate the incidence, risk factors, and treatment of colorectal anastomotic stenosis in patients who undergo rectosigmoid resection for deep infiltrating...
STUDY OBJECTIVE
To evaluate the incidence, risk factors, and treatment of colorectal anastomotic stenosis in patients who undergo rectosigmoid resection for deep infiltrating endometriosis (DIE).
DESIGN
Retrospective analysis of a prospective database (Canadian Task Force classification III).
SETTING
Public medical center.
PATIENTS
All women who underwent laparoscopic rectosigmoid resections for DIE at our hospital between January 2002 and December 2016.
INTERVENTION
All patients were evaluated clinically and endoscopically at 1 month and 3 months after bowel resection. Stenosis was defined as a lack of passage through the anastomosis of a 12-mm proctoscope. Symptomatic stenosis was defined as the presence of endoscopically confirmed stricture accompanied by at least 2 of the following symptoms: constipation, need to push, tenesmus, and ribbon stools. Only patients with symptomatic stenosis were studied. Demographic data, surgical techniques, and postoperative complications were recorded prospectively. Treatments and outcomes of anastomotic symptomatic strictures were analyzed.
MEASUREMENTS AND MAIN RESULTS
A total of 1643 patients underwent laparoscopic rectosigmoid resection at our hospital between January 2002 and December 2016. Among these, 104 patients (6.3%) presented with symptomatic anastomotic stenosis. The median patient age was 27 years (range, 23-44 years), and the median interval between diagnosis and the onset of symptomatic stenosis was 57 days (range, 21-64 days). The only statistically significant predictors of anastomotic stenosis were the presence of ileostomy (p = .01) and previous pelvic surgery (p = .002). Treatment of choice was always conservative. Of the 104 patients in the study cohort, 90 (86.5%) underwent 3 endoscopic dilatations. No patient required reoperation.
CONCLUSION
The anastomotic stricture is a recognized complication in patients following intestinal resection for DIE, and protective ileostomy is the sole modifiable factor related to anastomotic stenosis. Endoscopic dilatation is a valid option to treat this complication.
Topics: Adult; Anastomosis, Surgical; Colon; Constipation; Constriction, Pathologic; Digestive System Surgical Procedures; Endometriosis; Female; Humans; Ileostomy; Laparoscopy; Outpatients; Pelvic Pain; Pelvis; Peritoneal Diseases; Postoperative Complications; Prospective Studies; Rectal Diseases; Rectum; Reoperation; Retrospective Studies; Risk Factors; Young Adult
PubMed: 29678755
DOI: 10.1016/j.jmig.2018.03.033 -
Techniques in Coloproctology Oct 2013Following the excision of hemorrhoidal nodes during hemorrhoidectomy, intense pain is reported to be the main postoperative problem, which can last for several weeks....
Following the excision of hemorrhoidal nodes during hemorrhoidectomy, intense pain is reported to be the main postoperative problem, which can last for several weeks. Hemorrhoidopexy, an alternative treatment for hemorrhoids introduced in the late nineties, replaced hemorrhoid excision by a reduction of the hemorrhoids to their normal anatomical position, via an excision of a mucosal ring above the internal hemorrhoidal cushions. The latter excision results in minimal or no postoperative pain. In 2010, a new variant of the hemorrhoidopexy set was introduced in the European market. The variations of this set, including a detachable anvil and a lined proctoscope, aid the surgeon in performing an easier and safer hemorrhoidopexy.
Topics: Adult; Aged; Cohort Studies; Equipment Design; Female; Follow-Up Studies; Hemorrhoidectomy; Hemorrhoids; Humans; Male; Middle Aged; Minimally Invasive Surgical Procedures; Pain Measurement; Pain, Postoperative; Patient Safety; Proctoscopes; Proctoscopy; Retrospective Studies; Risk Assessment; Severity of Illness Index; Surgical Stapling; Time Factors; Treatment Outcome; Young Adult
PubMed: 23076287
DOI: 10.1007/s10151-012-0907-5 -
Ugeskrift For Laeger Mar 1967
Topics: Colorectal Surgery; Humans; Proctoscopes; Proctoscopy; Rectal Diseases
PubMed: 5598699
DOI: No ID Found -
Meditsinskaia Tekhnika 1984
Topics: Equipment Design; Microscopy; Proctoscopes
PubMed: 6748903
DOI: No ID Found -
Meditsinskaia Tekhnika 1973
Topics: Endoscopes; Fetoscopes; Fiber Optic Technology; Laparoscopes; Lighting; Proctoscopes; Surgical Equipment; USSR
PubMed: 4274794
DOI: No ID Found -
Prensa Medica Argentina Dec 1965
Topics: Anus Diseases; Humans; Proctoscopes; Rectal Diseases
PubMed: 5886565
DOI: No ID Found -
Il Giornale Di Chirurgia 2017The best treatment of early stage anal squamous cell carcinoma (SCC) is under debated. Wide local excision (WLE) may be considered adequate for stage 1 anal margin...
OBJECTIVES
The best treatment of early stage anal squamous cell carcinoma (SCC) is under debated. Wide local excision (WLE) may be considered adequate for stage 1 anal margin cancer. This study demonstrates our experience in treatment of patients with SCC over 5 years.
PATIENTS AND METHODS
We conducted a retrospective study of patients who had undergone anal screening or anal cancer surveillance between October 2010 and 2015 in our department. Each patient underwent anal Pap test, HPV test PCR HPV DNA and cytology by Thin Prep. The examinations were performed by Proctostation THD©. Data were collected and analysed.
RESULTS
We included 25 patients, 16 male (64%) and 9 female (36%). Twenty-four patients had SCC and 1 patient had adenocarcinoma. Of this cohort: 10 underwent chemoradiotherapy (CRT) because T3-4 N1-2 M0, 13 underwent only surgery because T1/T2 and 2 patients had CRT and surgery because they already have had anal cancer treated in the past with CRT. Seventeen patients (68%) of this cohort, including 5 with micro-invasive SCCs, had regular follow-up without recurrences. Four patients (17%) died from metastatic disease and 4 patients (17%) had recurrent disease.
CONCLUSIONS
In this small cohort we demonstrated satisfactory results in treatment of SCCs, underlining the effective role of surgery in early stages of SCC. Screening program and follow up were fundamental to identify early stage and recurrent disease. Also we found the High-resolution video-proctoscopy a valid diagnostic tool.
Topics: Adolescent; Adult; Aged; Anus Neoplasms; Carcinoma, Squamous Cell; Equipment Design; Female; Humans; Male; Middle Aged; Proctoscopes; Proctoscopy; Retrospective Studies; Time Factors; Treatment Outcome; Young Adult
PubMed: 29182899
DOI: 10.11138/gchir/2017.38.4.176 -
Southern Medical Journal Nov 1975Our ability to document a number of examples of iatrogenic lesions of the colon and rectum in three general hospitals confirms the multiplicity of these lesions as... (Review)
Review
Our ability to document a number of examples of iatrogenic lesions of the colon and rectum in three general hospitals confirms the multiplicity of these lesions as presented in the literature. It appears that the careful surgeon and his associates would well heed the old admonition known as Murphy's law, that "Anything that can go wrong will go wrong." In the daily practice of the general surgeon and proctologist, it is apparent that gentleness in approaching any anal-rectal examination for either diagnostic or therapeutic purposes is mandatory. The insertion of any foreign object, be it an examining finger, a thermometer, enema tip, or proctoscope, may subject the patient to an inadvertent injury of significant proportion. The dangers inherent in the evaluation and treatment of patients with recognized disease processes is significantly greater than that associated with routine and screening examinations. Morbidity and mortality have been shown to be associated with the barium enema as well as with the barium enema as well as with some of the newer radiologic procedures such as mesenteric angiography. The use of tap water for enemas has produced morbidity both from thermal injuries and from electrolyte depletion. Antibiotics and chemotherapeutic drugs frequently result in colon and rectal disease, and therapeutic procedures directed at organs adjacent to the colon and rectum have resulted in a number of iatrogenic lesions. This reviews confirms reports of others that iatrogenic lesions of the colon and rectum are not solely due to the physician's inexperience, as significant numbers of these lesions were the result of the diagnostic or therapeutic efforts of men of considerable experience and skill. Advanced age of the patient and diseases leading to changes in the character of the bowel wall frequently were factors in the production of these lesions. A poorly prepared bowel has led to increased morbidity and mortality associated with iatrogenic perforations. The early recognition of these lesions and prompt medical and surgical management diminishes both the morbidity and mortality associated with such injuries.
Topics: Adult; Aged; Angiography; Barium Sulfate; Cathartics; Colon; Colonic Diseases; Cyclophosphamide; Electrocardiography; Enema; Female; Fluorouracil; Humans; Iatrogenic Disease; Infant; Infant, Newborn; Lincomycin; Male; Mesenteric Arteries; Middle Aged; Rectal Diseases; Rectum; Shock; Sigmoidoscopy; Thermometers
PubMed: 1103307
DOI: 10.1097/00007611-197511000-00023