Title: The Study of Gynaecological Emergencies in Surgery

Authors: K . Madhuri Devi, G. Venkat Naidu

 DOI:  https://dx.doi.org/10.18535/jmscr/v4i12.90

Abstract

Aim &Objectives: To Study Quantum and Pattern the Gynecological problems in emergency surgery

Materials & Methods: The Study Was Conducted Over 2000 patients. Of these twenty five patients amounting to 0.7 % of emergency surgery were found to have gynecological causes for acute abdomen. It is quite apparent only 0.7% of the acute abdomen have gynecological causes which are other than intervention related gynecological emergencies viz., Septic abortion etc., All these 25 patients were studied by way of detailed history medicules, physical examination hematological investigation ultrasonographic study of abdomen and histopathological examination and the following investigation were done Which includes estimation of Hb%, Blood sugar ,Urea Serum electrolytes, Blood groping & Rh Typing, Plain X-ray abdomen .

Results: Most common gynaecological cause of acute abdomen, in this study is ovarian cyst complications, closely followed by ectopic gestation and its complications. Gynecological emergencies are commonly mistaken for other surgical emergencies. In this study, only in 12% patients the gynecological causes were thought of clinically. In great majority of the patients (88%) suffering from gynecological problems, the clinical diagnosis had been appendicitis in 52 %, peritonitis in 20%and Renal Colic in 8% of patients.

Conclusions: The quantum of gynecological acute abdomen in this study is 0.7% of all emergencies surgical operations. In other words one in about 140 patients will have gynecological acute abdomen.

References

1.      J.R.B. Livingstone: Gynaecological encounters in general surgery Farquar-son's Textbook of operative surgery-8th  Edition Chapter29.

2.      Principles of Gynaecology - Sir Norman Jeffcoate.

3.      The Gynbaecological aspects of emergency surgery: The female Genital organs - J.D.O.Loudon  Hamilton Bailey - EmergencySurgery - 11th Edition.

4.      FJ. Montz, Jonathan S.Berek: Gynaeco-logical pelvic procedures -Mainrgot's Abdominal opeations - Volume II, 10th Edition.

5.      Cameron M.D., 1976 : Gynaecological problems and the general

6.      Surgeon - In Hadfield J. Hobsley M (eds) Current surgical practice - Vol.1 Arnold, London, Chapter 15.

7.      Drabkin, DL. J. boils. Chem. 1932; 98, 719.

8.      12. Trinder, P. Annals. Clin. Bio Chem, 1969; 6-24.

9.      Take H.and Schubert, G.E. Klin, wochschr.,(1965) 19, 43: 174)

Corresponding Author

K . Madhuri Devi

Dept of general surgery, Rajiv Gandhi Institute of Medical Sciences

Srikakulam, Andhra Pradesh, India