OBJECTIVE To determine the association of pre-operative assessment of MRI findings, neurological status and symptoms with postoperative Cloward surgical outcome in cervical disc prolapse. STUDY DESIGN Descriptive study. PLACE AND DURATION OF STUDY The Neurosurgery Department of Jinnah Postgraduate Medical Centre (JPMC), Karachi, from May 2008 to May 2009. METHODOLOGY Patients presenting w...

BACKGROUND A major limitation in the application of assisted reproductive technologies in sheep arises from the inability to easily traverse the uterine cervix. The cervix of the non-pregnant ewe is a narrow and rigid structure, with 5-7 spiral folds and crypts that block its lumen. The first two folds closest to the vagina appear to be the greatest obstacle for the instrument insertion into th...

achalasia is a well- defined esophageal motor disorder. graded pneumatic dilation using rigiflex ballon is one of the therapeutic modalities that had not been evaluated in a large long-term study. we aimed at evaluating long-term efficacy of graded rigiflex pneumatic dilation in the treatment of achalasia. symptomatic patients with achalasia who had been referred to our center were consecutivel...

BACKGROUND Lactate dehydrogenase (LDH) isoenzymes are required for adenosine triphosphate production, with each of five different isoenzymes having varying proficiencies in anaerobic versus aerobic environments. With advancing pregnancy, the isoenzyme profile in uterine muscle shifts toward a more anaerobic profile, speculatively to facilitate uterine efficiency during periods of low oxygen tha...

OBJECTIVE The purpose of this study was to evaluate the effects of SP6 acupressure on labor pain and delivery time in women in labor. DESIGN Randomized clinical trial. SETTING/LOCATION Delivery room in a university hospital. PARTICIPANTS Seventy-five (75) women in labor were randomly assigned to either the SP6 acupressure (n = 36) or SP6 touch control (n = 39) group. The participants were...

AIM To assess the efficacy of oral ritodrine in the form of sustained-release capsules for maintenance of uterine quiescence after successful treatment of threatened preterm labor. METHODS We randomized 120 women with singleton pregnancy who were successfully treated for threatened preterm labor before 34 completed weeks to receive either maintenance tocolysis with two 40 mg ritodrine sustain...

Treatment of cervical insufficiency abortion is by cerclage which either done vaginally (Shirodkar, McDonald) or abdominally and laparoscopically. Due to many complications arise from cerclage a need for non-invasive or minimally invasive procedure is urgent. As mononuclear cell is a potential regulator of cell proliferation, stimulate progesterone by luteal cells, promote embryo invasion, stim...

OBJECTIVES/HYPOTHESIS Dysfunction of the upper esophageal sphincter (UES) is a common cause of oral-pharyngeal dysphagia (OPD). Dilation is a primary treatment, although current techniques are subject to a high rate of failure and recurrence. Devices available for UES dilation are cylindrical and were designed to distend the round lumen of the esophagus. Our objective was to determine the cross...

Acquired lymphangiectasia (AL) is a permanent dilation of lymphatics, which develops after wide range scarring processes. The etiopathogenesis this entity still unknown but mostly due to lymphatic damage. It was described essentially surgery and/or radiotherapy for cervical or breast cancers. frequently associated with lymphedema. We report an AL in 45-year-old woman who had undergone radical m...