OBJECTIVE To compare surgical outcomes in women who underwent vaginal hysterectomy with enlarged (> 12 weeks size) and non-prolapsed uterus utilizing different morcellation techniques with or without concomitant Deschamps needle use to vaginal hysterectomy for prolapsed uterus. MATERIAL AND METHODS Retrospective cohort study in women who underwent vaginal hysterectomy performed between Januar...

A 73-year-old female was referred to the department of geriatric medicine with malaise, lethargy, and swollen feet secondary to chronic renal failure (creatinine 700 umol/l). She had no bothersome urinary symptoms. However, on pelvic examination, stage III uterine prolapse (procidentia) was noted. She admitted having had it for many years. It was not noted on earlier clinical assessments. Bilat...

OBJECTIVE to compare the results of two surgical approaches: one is to apply vaginal hysterectomy (VH) for non-prolapsed uterus respecting classic indications and contraindications and the other is to extend the indications of VH and decrease the contraindications by performing VH for large uterus, in nulliparous and in women with history of C section. STUDY DESIGN 816 women with benign uteri...

BACKGROUND Characteristics of Prolapsed Intervertebral Disc (PID) in two tertiary care hospitals of Pakistan. The objective of this was to study the demographic characteristics of lumbar PID by age, gender, clinical presentation, levels of spinal column involvement, treatment options and post-operative complications for lumber disc prolapse. METHODS One thousand and fifty eight cases (708 mal...

BACKGROUND Lumbar disc prolapse is a common problem and the current surgical standard for its treatment is a microsurgical discectomy. Microendoscopic discectomy (MED) is a minimally invasive spinal procedure being done successfully for prolapsed intervertebral disc disease. AIMS We report the technique, outcome and complications seen in 107 cases of prolapsed lumbar intervertebral disc who u...

To assess the incidence of risk factors, management and outcome of umbilical cord prolapsed in a university hospital setting. A retrospective chart review of women who had cord prolapsed at King Abdulaziz University Hospital over a period of eight years. During the study period there were 49 cases of cord prolapsed (0.15% incidence), which includes seven cases of cord presentation. The mean mat...

night of the 3rd December, 1866, in labour of her eighth child. Of the previous seven children only three are living, two boys and a girl?the latter being the youngest, and now three years old. 'Ihe labour pains, which are reported to have set in four days ago, and to have been strong at the commencement, are now weak and coming on at long intervals. The membranes ruptured at 8 o'clock last nig...

Background: Non Descent Vaginal Hysterectomy (NDVH) is removal of uterus through vagina in absence of cervical descent. Objective: To assess safety, feasibility of NDVH in patients with previous cesarean section. Methods: Prospective study was conducted at department of Obstetrics and Gynecology of rural Tertiary care centre of Central India from January 2013 to December 2014. Effort was made t...