Pub Date : 2022-11-29DOI: 10.36349/easjms.2022.v04i10.006
Dr. Md. Azizul Islam, Dr. Md. Ashraful Alom, Dr. Md. Jamal E Rabby, Dr. Md. Sofikul Islam, Dr. Md. Zahidul Islam
Background: Mechanical bowel preparation (MBP) for elective available colorectal surgical procedure has been practiced as a clinical routine for many decades. However, earlier randomized medical trials (RCTs) and meta-analyses endorse that MBP ought to be deserted earlier than colorectal surgical treatment due to the fact of the futility in decreasing postoperative problems and motility. The new published outcomes from three RCTs evaluating MBP with no MBP in colorectal surgical treatment in 2010 make the updating of systemic overview and meta-analysis necessary. Objectives: The aim of this study is to assess the safety of colorectal surgery without mechanical bowel preparation. Methods: This is an observational study. The study used to be carried out in the admitted patient’s Department of Surgery Rajshahi Medical College Hospital, Rajshahi, Bangladesh. In Bangladesh for the duration of the period from June 2014 to May 2015. Results: This study shows that the according to age of 80 patients aged 20-above 51 years where, 4(10%) were 20-30 years, 10(25%) were 31-41 years, 10(25%) were 41-50 years, 16(40%) were 51 and above years in Group A, and 6(15%) were 20-30 years, 6(15%) were 31-40 years, 13(32.5%) were 41-50 years and 15(37.5%) were 51 and above years in Group B. And 28(70%) were males and 12(30%) were females in group A. And 27(67.5%) were males and 13(32.5%) were females in group B. Conclusions: Mechanical bowel preparation before elective colon and rectal surgery cannot prevent complications like anastomotic leakage, wound infection, intra-abdominal sepsis, abdominal abscess and extra abdominal complications.
{"title":"Assess the Safety of Colorectal Surgery without Mechanical Bowel Preparation","authors":"Dr. Md. Azizul Islam, Dr. Md. Ashraful Alom, Dr. Md. Jamal E Rabby, Dr. Md. Sofikul Islam, Dr. Md. Zahidul Islam","doi":"10.36349/easjms.2022.v04i10.006","DOIUrl":"https://doi.org/10.36349/easjms.2022.v04i10.006","url":null,"abstract":"Background: Mechanical bowel preparation (MBP) for elective available colorectal surgical procedure has been practiced as a clinical routine for many decades. However, earlier randomized medical trials (RCTs) and meta-analyses endorse that MBP ought to be deserted earlier than colorectal surgical treatment due to the fact of the futility in decreasing postoperative problems and motility. The new published outcomes from three RCTs evaluating MBP with no MBP in colorectal surgical treatment in 2010 make the updating of systemic overview and meta-analysis necessary. Objectives: The aim of this study is to assess the safety of colorectal surgery without mechanical bowel preparation. Methods: This is an observational study. The study used to be carried out in the admitted patient’s Department of Surgery Rajshahi Medical College Hospital, Rajshahi, Bangladesh. In Bangladesh for the duration of the period from June 2014 to May 2015. Results: This study shows that the according to age of 80 patients aged 20-above 51 years where, 4(10%) were 20-30 years, 10(25%) were 31-41 years, 10(25%) were 41-50 years, 16(40%) were 51 and above years in Group A, and 6(15%) were 20-30 years, 6(15%) were 31-40 years, 13(32.5%) were 41-50 years and 15(37.5%) were 51 and above years in Group B. And 28(70%) were males and 12(30%) were females in group A. And 27(67.5%) were males and 13(32.5%) were females in group B. Conclusions: Mechanical bowel preparation before elective colon and rectal surgery cannot prevent complications like anastomotic leakage, wound infection, intra-abdominal sepsis, abdominal abscess and extra abdominal complications.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129821921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-25DOI: 10.36349/easjms.2022.v04i10.004
Moussa Niandou Issoufou, S. E. Youbi, H. Naouli, H. Jiber, A. Bouarhroum
Cannabis is one of the most present and easily accessible narcotics in the world. The responsibility of cannabis in these consumers in the occurrence of psychiatric and neuropsychiatric effects has been demonstrated by researchers for a long time, but in recent decades it has been indexed in the occurrence of somatic events, notably cardiovascular. We will report the case of a young patient aged 29, with no pathological history; hospitalized in the vascular surgery department of the CHU Hassan II for ischemic stroke and acute ischemia of the right upper limb after the consumption of cannabis. The etiological research of these clinical events orients us to direct the responsibility of cannabis whose consumption emerged during the anamnesis in our patient, after the elimination of all possible etiologies that may be responsible for the clinical events. This case highlights the possible involvement of cannabis in the occurrence of stroke and acute ischemia of the limb in a young subject without any cardiovascular risk factors. Note that the responsibility of cannabis in the occurrence of ischemic stroke is well known but its responsibility in the occurrence of acute limb ischemia has not been reported in any literature.
{"title":"Acute Ischemia of the Right Upper Limb and Ischemic Stroke in a Young Woman after the Consumption of Cannabis","authors":"Moussa Niandou Issoufou, S. E. Youbi, H. Naouli, H. Jiber, A. Bouarhroum","doi":"10.36349/easjms.2022.v04i10.004","DOIUrl":"https://doi.org/10.36349/easjms.2022.v04i10.004","url":null,"abstract":"Cannabis is one of the most present and easily accessible narcotics in the world. The responsibility of cannabis in these consumers in the occurrence of psychiatric and neuropsychiatric effects has been demonstrated by researchers for a long time, but in recent decades it has been indexed in the occurrence of somatic events, notably cardiovascular. We will report the case of a young patient aged 29, with no pathological history; hospitalized in the vascular surgery department of the CHU Hassan II for ischemic stroke and acute ischemia of the right upper limb after the consumption of cannabis. The etiological research of these clinical events orients us to direct the responsibility of cannabis whose consumption emerged during the anamnesis in our patient, after the elimination of all possible etiologies that may be responsible for the clinical events. This case highlights the possible involvement of cannabis in the occurrence of stroke and acute ischemia of the limb in a young subject without any cardiovascular risk factors. Note that the responsibility of cannabis in the occurrence of ischemic stroke is well known but its responsibility in the occurrence of acute limb ischemia has not been reported in any literature.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130094989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-25DOI: 10.36349/easjms.2022.v04i10.005
Moussa Niandou Issoufou, Z. A. Abderrahmane, H. Naouli, H. Jiber, A. Bouarhroum
The placement of a central venous catheter is a life-saving gesture with multiple indications but it can be the cause of several complications including the migration of the metallic guide, in which we present a case that occurred in a 30-year-old patient; admitted to the emergency department for polytrauma following a road traffic accident. She benefited from the placement of a left femoral venous catheter for emergency intensive care; there was the migration of the guide wire during the insertion of the catheter. A control X-ray shows the presence of the guide wire from the inferior vena cava to the right internal jugular vein. Surgery was indicated employing a mini approach to the internal jugular vein to extract the guide.
{"title":"Migration of an Intravenous Wire Guide in a Young Polytraumatized Patient","authors":"Moussa Niandou Issoufou, Z. A. Abderrahmane, H. Naouli, H. Jiber, A. Bouarhroum","doi":"10.36349/easjms.2022.v04i10.005","DOIUrl":"https://doi.org/10.36349/easjms.2022.v04i10.005","url":null,"abstract":"The placement of a central venous catheter is a life-saving gesture with multiple indications but it can be the cause of several complications including the migration of the metallic guide, in which we present a case that occurred in a 30-year-old patient; admitted to the emergency department for polytrauma following a road traffic accident. She benefited from the placement of a left femoral venous catheter for emergency intensive care; there was the migration of the guide wire during the insertion of the catheter. A control X-ray shows the presence of the guide wire from the inferior vena cava to the right internal jugular vein. Surgery was indicated employing a mini approach to the internal jugular vein to extract the guide.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121033129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-16DOI: 10.36349/easjms.2022.v04i10.003
D. R. N. Rathod
Hemostatic mechanisms are an integral a part of the human physiology. Traditionally divided into intrinsic and extrinsic arms, the coagulation cascade converges, through the interactions of the many various factors, at a standard element—thrombin. As a consequence, variety of various agents is developed to supplement this common, critical step to assist surgical hemostasis. Intraoperative interventions most ordinarily include sutures and heat-generating cautery devices; however, these methods are sometimes insufficient or inappropriate for a selected procedure or anatomic location, resulting in the event of other adjunctive therapies, including topical hemostats. Topical hemostatic agents generally act as active, passive, and combinations therapies, counting on their individual composition and mode of action. We offer a quick review of the traditional coagulation cascade, including critical points, followed by a discussion of surgical strategies and adjuctive therapies want to achieve surgical hemostasis and concluding with a discussion of topical thrombins.
{"title":"Hemostasis in the Surgical Field","authors":"D. R. N. Rathod","doi":"10.36349/easjms.2022.v04i10.003","DOIUrl":"https://doi.org/10.36349/easjms.2022.v04i10.003","url":null,"abstract":"Hemostatic mechanisms are an integral a part of the human physiology. Traditionally divided into intrinsic and extrinsic arms, the coagulation cascade converges, through the interactions of the many various factors, at a standard element—thrombin. As a consequence, variety of various agents is developed to supplement this common, critical step to assist surgical hemostasis. Intraoperative interventions most ordinarily include sutures and heat-generating cautery devices; however, these methods are sometimes insufficient or inappropriate for a selected procedure or anatomic location, resulting in the event of other adjunctive therapies, including topical hemostats. Topical hemostatic agents generally act as active, passive, and combinations therapies, counting on their individual composition and mode of action. We offer a quick review of the traditional coagulation cascade, including critical points, followed by a discussion of surgical strategies and adjuctive therapies want to achieve surgical hemostasis and concluding with a discussion of topical thrombins.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125577845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-08DOI: 10.36349/easjms.2022.v04i10.002
D. S, D. S, C. D, T. M, D. A, M. M, S. G, S. S, T. I, S. I, S. D, B. G, D. L
Crossed renal ectopia is a rare congenital anomaly, it was described by WILMER in 1938 [1], implies that one of the two kidneys sits on the contralateral side, the ureter of the ectopic kidney crosses the midline to meet in the bladder on the opposite side, the existence of a parenchymal fusion is frequent (85 to 90%). This anomaly is most often asymptomatic and discovered incidentally. We report the observation of a 21-year-old woman with a G1P1V1A0 obstetrical history (ATCD), presenting cross renal ectopia discovered fortuitously following pain in the right flank associated with palpation of an abdominal mass and to review the literature.
{"title":"Cross-Renal Ectopia about a Case","authors":"D. S, D. S, C. D, T. M, D. A, M. M, S. G, S. S, T. I, S. I, S. D, B. G, D. L","doi":"10.36349/easjms.2022.v04i10.002","DOIUrl":"https://doi.org/10.36349/easjms.2022.v04i10.002","url":null,"abstract":"Crossed renal ectopia is a rare congenital anomaly, it was described by WILMER in 1938 [1], implies that one of the two kidneys sits on the contralateral side, the ureter of the ectopic kidney crosses the midline to meet in the bladder on the opposite side, the existence of a parenchymal fusion is frequent (85 to 90%). This anomaly is most often asymptomatic and discovered incidentally. We report the observation of a 21-year-old woman with a G1P1V1A0 obstetrical history (ATCD), presenting cross renal ectopia discovered fortuitously following pain in the right flank associated with palpation of an abdominal mass and to review the literature.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132318044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-06DOI: 10.36349/easjms.2022.v04i11.001
Amal Ayoub, Abdulomohsen Folos
The coronavirus disease 2019 (COVID‐19) pandemic, caused by severe acute respiratory corona virus-2 (SARS CoV-2) that started in late December 2019, lead to millions of infections and mortalities and disruption in routine clinical services, including surgical procedures. Such delay in routine; surgical procedures leads to a backlog of patients, including cardiac, planned for surgical interventions. The pandemic has presented healthcare workers with the unprecedented challenge of maintaining patient and personal safety dealing with patients, including surgical ones. The healthcare personnel in general and nurses caring confirmed SARS-CoV-2 infected patients in specific have a high risk of patients and self-safety concerns, especially under peri-operative care where aerosol-producing procedures are key components of care. Herein, we present the peri-operative nursing approach to a SARS CoV-2 infected patient, confirmed with reverse transcriptase-polymerase chain reaction (rt-PCR), and remained positive as repeated four times in nearly four weeks, who underwent an essential coronary artery bypass graft (CABG), with specific focus to standard recommendations and protocols. Adherence by nursing staff to these recommended peri-operative protocols will mandate; both patient and nursing safety.
{"title":"Perioperative Nursing Care Standards in a SARS CoV-2 Infected Patient for Mandatory Coronary Artery Bypass Grafting","authors":"Amal Ayoub, Abdulomohsen Folos","doi":"10.36349/easjms.2022.v04i11.001","DOIUrl":"https://doi.org/10.36349/easjms.2022.v04i11.001","url":null,"abstract":"The coronavirus disease 2019 (COVID‐19) pandemic, caused by severe acute respiratory corona virus-2 (SARS CoV-2) that started in late December 2019, lead to millions of infections and mortalities and disruption in routine clinical services, including surgical procedures. Such delay in routine; surgical procedures leads to a backlog of patients, including cardiac, planned for surgical interventions. The pandemic has presented healthcare workers with the unprecedented challenge of maintaining patient and personal safety dealing with patients, including surgical ones. The healthcare personnel in general and nurses caring confirmed SARS-CoV-2 infected patients in specific have a high risk of patients and self-safety concerns, especially under peri-operative care where aerosol-producing procedures are key components of care. Herein, we present the peri-operative nursing approach to a SARS CoV-2 infected patient, confirmed with reverse transcriptase-polymerase chain reaction (rt-PCR), and remained positive as repeated four times in nearly four weeks, who underwent an essential coronary artery bypass graft (CABG), with specific focus to standard recommendations and protocols. Adherence by nursing staff to these recommended peri-operative protocols will mandate; both patient and nursing safety.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114019374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-06DOI: 10.36349/easjms.2022.v04i10.001
A. Niandou, Linda El Allani, T. Bah, A. Marzouki, K. Lahrach, F. Boutayeb
Shoulder dislocation reflects a complete loss of contact between the humeral head and the glenoid cavity. It is a frequent pathology and is the most common dislocation in the body. More frequent in young adults with a clear male predominance, which can lead to a socio-professional and sporting handicap. The diagnosis of glenohumeral instability is most often clinical. Standard radiography is sufficient for bone assessment. Arthroscanner and arthro-irm are currently the most effective techniques for confirming the diagnosis, assessing the extent and severity of the lesions, and searching for associated lesions. The treatment is surgical, the LATARJET operation remains the gold standard of treatment of instability of the shoulder. It allows the recovery of joint mobility as well as satisfactory joint stability.
{"title":"Recurrent Shoulder Dislocation: Epidemiological and Therapeutic Aspects (About 30 Cases)","authors":"A. Niandou, Linda El Allani, T. Bah, A. Marzouki, K. Lahrach, F. Boutayeb","doi":"10.36349/easjms.2022.v04i10.001","DOIUrl":"https://doi.org/10.36349/easjms.2022.v04i10.001","url":null,"abstract":"Shoulder dislocation reflects a complete loss of contact between the humeral head and the glenoid cavity. It is a frequent pathology and is the most common dislocation in the body. More frequent in young adults with a clear male predominance, which can lead to a socio-professional and sporting handicap. The diagnosis of glenohumeral instability is most often clinical. Standard radiography is sufficient for bone assessment. Arthroscanner and arthro-irm are currently the most effective techniques for confirming the diagnosis, assessing the extent and severity of the lesions, and searching for associated lesions. The treatment is surgical, the LATARJET operation remains the gold standard of treatment of instability of the shoulder. It allows the recovery of joint mobility as well as satisfactory joint stability.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122528185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-28DOI: 10.36349/easjms.2022.v04i09.005
D. S, T. A, T. I, S. S, S. G, B. G, D. S, G. L., K. M, S. I, S. D, D. S, M. M, D. L
The aim was to study the epidemiological, clinical, paraclinical and therapeutic aspects of obstructive urinary calculi of the urinary tract. This was a prospective and descriptive study of 111 patients admitted to the urology department over a period of 6 years (January 2016 to December 2021). All patients with obstructive (symptomatic) urinary stones over 1.5 cm in diameter were included. Treatment results were analyzed 6 months later. Surgery for urolithiasis represented 4.10% of the interventions performed over the study period. The average age of the patients was 41 years old, with extremes of 1 and 81 years old. The age group 21 to 30 years was predominant, i.e. 24.3% of cases. The M/F sex ratio was 2.26. Renal colic was the main reason for consultation, i.e. 72.1%. Staphylococci, E. coli and Enterococci were respectively 22.5%; 21.6% and 12.6%. The operative technique used was open surgery. The postoperative course was simple in 92.8% and complicated in 7.2%.
{"title":"Epidemiological, Clinical and Therapeutic Study of Urolithiasis at the Fousseyni Daou Hospital in Kayes, About 111 Cases","authors":"D. S, T. A, T. I, S. S, S. G, B. G, D. S, G. L., K. M, S. I, S. D, D. S, M. M, D. L","doi":"10.36349/easjms.2022.v04i09.005","DOIUrl":"https://doi.org/10.36349/easjms.2022.v04i09.005","url":null,"abstract":"The aim was to study the epidemiological, clinical, paraclinical and therapeutic aspects of obstructive urinary calculi of the urinary tract. This was a prospective and descriptive study of 111 patients admitted to the urology department over a period of 6 years (January 2016 to December 2021). All patients with obstructive (symptomatic) urinary stones over 1.5 cm in diameter were included. Treatment results were analyzed 6 months later. Surgery for urolithiasis represented 4.10% of the interventions performed over the study period. The average age of the patients was 41 years old, with extremes of 1 and 81 years old. The age group 21 to 30 years was predominant, i.e. 24.3% of cases. The M/F sex ratio was 2.26. Renal colic was the main reason for consultation, i.e. 72.1%. Staphylococci, E. coli and Enterococci were respectively 22.5%; 21.6% and 12.6%. The operative technique used was open surgery. The postoperative course was simple in 92.8% and complicated in 7.2%.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114074179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-14DOI: 10.36349/easjms.2022.v04i09.003
O. Kimario, P. Ngoya, Z. Abraham, A. Kahinga, Alicia Massenga
Foreign body inhalation is a life threatening emergency condition that commonly occur in children. A foreign body (FB) can be lodged in either the upper or lower airway or cause either a partial or complete airway obstruction. Complete obstruction of upper airway is a potentially life-threatening situation that causes severe respiratory distress and suffocation. Lower airway FB typically manifests with sudden-onset coughing and choking, followed by wheezing and dyspnea. We are presenting a case report of 3years old female child with a foreign body in the right bronchus intermediacy over one year. Patient was managed by performing thoracotomy after failed rigid bronchoscopy. This case is importance as to reduce the frequency of prescribing without throughout investigations.
{"title":"Long Standing Foreign Body lodged in the Right Bronchial Tree – A Case Report","authors":"O. Kimario, P. Ngoya, Z. Abraham, A. Kahinga, Alicia Massenga","doi":"10.36349/easjms.2022.v04i09.003","DOIUrl":"https://doi.org/10.36349/easjms.2022.v04i09.003","url":null,"abstract":"Foreign body inhalation is a life threatening emergency condition that commonly occur in children. A foreign body (FB) can be lodged in either the upper or lower airway or cause either a partial or complete airway obstruction. Complete obstruction of upper airway is a potentially life-threatening situation that causes severe respiratory distress and suffocation. Lower airway FB typically manifests with sudden-onset coughing and choking, followed by wheezing and dyspnea. We are presenting a case report of 3years old female child with a foreign body in the right bronchus intermediacy over one year. Patient was managed by performing thoracotomy after failed rigid bronchoscopy. This case is importance as to reduce the frequency of prescribing without throughout investigations.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"55 7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124754556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-09DOI: 10.36349/easjms.2022.v04i09.002
Dr. Mst. Hazera Khatun, Dr. Most. Salma Akhtar Zahan, Dr. Anju Ara Khatun, Dr. Mst. Amena Khatun
Background: Nowadays, Infertility is increasing worldwide. Many regimens are used in the treatment of infertility. Among them, a combination of oral aromatase inhibitor drugs and gonadotropin is recommended as a very effective regimen for inducing ovulation. But there is a scarcity of related data in the Bangladesh context. The present study was designed to compare the effect of letrozole and the combination of letrozole with low-dose intramuscular injection of HMG on ovulation and pregnancy. Methods: This randomized controlled trial was conducted at the department of Obstetrics and Gynaecology in Rajshahi Medical College Hospital from June 2020 to May 2021. A total of 95 patients with a history of infertility were selected as the study population according to inclusion and exclusion criteria. Written informed consent was obtained from each patient. All of them were randomly distributed into two groups, group-A, and group B, by the flipping coin method, where group-A (Experimental group) patients received letrozole with low dose intramuscular injection of HMG (45 patients) and group B (Control group) patients received Letrozole only (50 patients). Relevant investigations were done, along with scheduled follow-ups. Results: Mean age of the study patients was 26.86±3.71 (SD) years, whereas the majority were ≤30 years (74.7%). Age was statistically similar among the patients of both groups. The endometrial thickness, follicular diameter, and a number of mature follicles were statistically higher among patients who received letrozole with low dose intramuscular injection of HMG than the patients who received only letrozole. Maximum follicular diameter ≥18mm (91.1%) in group-A among them (60%) achieved in 1st Cycle. Maximum endometrial thickness was achieved in the first Cycle in both groups (60% vs. 32%) among group-A patients. The positive pregnancy rate was also higher among group-A patients (37.8% vs. 22.0%) in 1st Cycle. Ovarian Hyperstimulation Syndrome was observe
背景:目前，不孕症在世界范围内呈上升趋势。有许多治疗不孕症的方法。其中，口服芳香化酶抑制剂药物与促性腺激素联合使用是一种非常有效的促排卵方案。但在孟加拉国的背景下，相关数据缺乏。本研究旨在比较来曲唑与来曲唑联合小剂量肌注HMG对排卵和妊娠的影响。方法:该随机对照试验于2020年6月至2021年5月在Rajshahi医学院附属医院妇产科进行。根据纳入和排除标准，选取95例有不孕病史的患者作为研究人群。获得每位患者的书面知情同意。采用抛硬币法随机分为a、B两组，其中a组(实验组)患者给予来曲唑联合小剂量HMG肌注45例，B组(对照组)患者仅给予来曲唑50例。相关调查已完成，并按计划进行了后续工作。结果:研究患者平均年龄为26.86±3.71 (SD)岁，≤30岁占74.7%。两组患者年龄差异有统计学意义。低剂量肌注来曲唑组子宫内膜厚度、卵泡直径、成熟卵泡数量均高于单纯来曲唑组。其中a组在第1周期达到最大卵泡直径≥18mm(91.1%)，占60%。在a组患者中，两组患者在第一个周期均达到最大子宫内膜厚度(60%对32%)。第1周期a组阳性妊娠率也较高(37.8% vs 22.0%)。观察卵巢过度刺激综合征
{"title":"Efficacy and Safety of Letrozole Add-on Injection HMG on Ovulation and Pregnancy: Comparison with Letrozole Alone","authors":"Dr. Mst. Hazera Khatun, Dr. Most. Salma Akhtar Zahan, Dr. Anju Ara Khatun, Dr. Mst. Amena Khatun","doi":"10.36349/easjms.2022.v04i09.002","DOIUrl":"https://doi.org/10.36349/easjms.2022.v04i09.002","url":null,"abstract":"Background: Nowadays, Infertility is increasing worldwide. Many regimens are used in the treatment of infertility. Among them, a combination of oral aromatase inhibitor drugs and gonadotropin is recommended as a very effective regimen for inducing ovulation. But there is a scarcity of related data in the Bangladesh context. The present study was designed to compare the effect of letrozole and the combination of letrozole with low-dose intramuscular injection of HMG on ovulation and pregnancy. Methods: This randomized controlled trial was conducted at the department of Obstetrics and Gynaecology in Rajshahi Medical College Hospital from June 2020 to May 2021. A total of 95 patients with a history of infertility were selected as the study population according to inclusion and exclusion criteria. Written informed consent was obtained from each patient. All of them were randomly distributed into two groups, group-A, and group B, by the flipping coin method, where group-A (Experimental group) patients received letrozole with low dose intramuscular injection of HMG (45 patients) and group B (Control group) patients received Letrozole only (50 patients). Relevant investigations were done, along with scheduled follow-ups. Results: Mean age of the study patients was 26.86±3.71 (SD) years, whereas the majority were ≤30 years (74.7%). Age was statistically similar among the patients of both groups. The endometrial thickness, follicular diameter, and a number of mature follicles were statistically higher among patients who received letrozole with low dose intramuscular injection of HMG than the patients who received only letrozole. Maximum follicular diameter ≥18mm (91.1%) in group-A among them (60%) achieved in 1st Cycle. Maximum endometrial thickness was achieved in the first Cycle in both groups (60% vs. 32%) among group-A patients. The positive pregnancy rate was also higher among group-A patients (37.8% vs. 22.0%) in 1st Cycle. Ovarian Hyperstimulation Syndrome was observe","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126471740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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