Context Optimization and providing excellent quality of postoperative analgesia after total abdominal hysterectomy is a determinant factor of better clinical outcome, increases patient satisfaction, and allows early mobilization of the patient. Aims The aim of this study is to compare the postoperative analgesic efficacy of wound site infiltration (WSI) and ultrasound-guided transversus abdom...

An 18-year-old woman presented with crampy upper abdominal pain for 16 months. An esophagogastroduodenoscopy 1 year prior was notable only for heterotopic pancreatic tissue in the gastric antrum. Past history included asthma and congenital genitourinary and pelvic malformations with multiple urological surgeries and genitoplasty. Abdominal examination showed scars from previous surgeries but wa...

Introduction: This randomized, double-blind, prospective study was undertaken to evaluate the effect of magnesium sulphate in attenuating the stress responses associated with laparoscopic abdominal surgeries. Methods: 62 patients who underwent laparoscopic abdominal surgery were randomly divided in to two groups, group I and group II. 5 minutes after intubation but before creation of pneumoperi...

BACKGROUND Treatment of a number of complications that occur after abdominal surgeries may require that Urgent Relaparotomy (UR), the life-saving and obligatory operations, are performed. The objectives of this study were to evaluate the reasons for performing URs, their outcomes and factors that affect mortality. METHODS Observational, Prospective Study. The study included all the patients w...

Regional anesthesia, like Peripheral nerve block, is commonly used for peripheral surgeries to reduce severe intraoperative and postoperative pain relief. .Some studies with levobupivacaine have shown that duration of analgesia are longer compared an equivalent dose bupivacaine or ropivacaine.This study done compare efficacy safety ropivacaine. In this we tried clinical characteristics isobaric...

Recent results from metaanalyses and observational studies have suggested that total abdominal hysterectomy (TAH) is superior to laparoscopic supracervical hysterectomy (LSH) for the treatment of benign gynecologic conditions. However, because LSH is associated with fewer intraoperative complications, shorter operative time, and preserves patient anatomy and sexual function in comparison with T...

Vesicovaginal fi stulas are a most common complication accompanied by gynecologic surgeries, but other types of fi stulas rarely occur. Especially rectovesical fi stulas arising post-operative complication occur in extremely lower possibility and very few cases have been reported in the world. Interestingly, our case showed a symptom of urinary drainage from the anus unlike other cases with pne...