International journal of students' research, Apr 2, 2011
Granulosa cell tumor (GCT) is a sex cord-stromal tumor of the ovary derived from non-germ element... more Granulosa cell tumor (GCT) is a sex cord-stromal tumor of the ovary derived from non-germ elements [1]. It constitutes a meager 3% of all the ovarian malignancies [2], making it uncommon and extremely rare. It has two histological variants: juvenile and adult [2]. Of these, the adult granulosa ...
Introduction: Stress urinary incontinence (SUI) is defined as involuntary loss of urine due to in... more Introduction: Stress urinary incontinence (SUI) is defined as involuntary loss of urine due to increased intraabdominal pressure and intravesical pressure, which exceeds the pressure that the urethral closure mechanism can withstand and urinary loss results. SUI prevalence increases with age and becoming popular day by day. The tot fixation in SUI repair is a common operation done in Gynaecology Department. Hence it is necessary to evaluate this technique in terms of safety and feasibility in our set up and also to evaluate the feasibility, simplicity, cost effectiveness of trans obturator fixation procedure using propylene mesh of adequate size was placed loose at midurethral level, extending from one paraurethral gutter to the other and was fixed with No.1-0 Vicryl on lateral sides in the management of female stress urinary incontinence (SUI). Aim and objectives: The objective was to assess safety, efficacy, complication and cost-effectiveness of polypropylene mesh in patients wit...
SUMMARY. Mrs. UB aged 35 years came to us with complaints of oligomenorrhoea, lower abdominal pai... more SUMMARY. Mrs. UB aged 35 years came to us with complaints of oligomenorrhoea, lower abdominal pain, haematuria, retention of urine with CT scan report of December 2008 which was suggestive of left sided ovarian tumor. We investi-gated her with ultrasonography and CA-125 level and primary diagnosis of left sided ovarian tumor was made. On lapa-rotomy it turned out to be primary fallopian tube carcinoma. Abdominal total hysterectomy with bilateral salpingo-oo-phorectomy with omental and node biopsy was done. On histopathological examination it turned out, as primary serous adenocarcinoma of fallopian tube grade G2PT1(C)PN0. To patient were given two cycles of chemotherapy. Primary fal-lopian tube carcinomas are quite rare. In routine practice when we come across a case, it is usually diagnosed as an ad-nexal mass, more commonly as an ovarian tumor. The usual investigations cannot discriminate between the ovarian and the tubal mass. The fallopian tube cancer comes as a surprise on lapa...
Background: Since beginning it’s a dilemma whether to remove or preserve the ovaries. In the pres... more Background: Since beginning it’s a dilemma whether to remove or preserve the ovaries. In the present study an attempt is made to understand this phenomenon and to have some direction for removal of ovaries. Preservation of the ovaries at the time of hysterectomy does not seem to compromise patient care. Impaired function or failure of the retained ovaries, however, is not uncommon; close post-treatment surveillance is therefore important in terms not only of recurrent disease but of function of the ovaries as well. Methods: This study was done on 37 patients in duration of 3 years from June 2009 to May 2012. It is a retrospective statistical hospital based study of re-laparotomy done in post hysterectomised patients. Results: The most common pathology in these patients was a simple ovarian cyst (45.95%), followed by endometriotic cyst (21.62%), mucinous adenoma (8.10%), serous cyst adenoma (5.40%), serous cyst adenocarcinoma (2.70%) and poorly differentiated adenocarcinoma (2.70%). ...
International journal of scientific research, 2017
Introduction The association of lactobacilli with other vaginal microflora has been documented in... more Introduction The association of lactobacilli with other vaginal microflora has been documented in the development of Aerobic Vaginitis and Bacterial Vaginosis. As the numbers of lactobacilli dwindle, proliferation of other aerobic microflora, predominantly enteric commensals occurs. In our practice we find E coli as the most common organism present in lochia of puerperal sepsis cases. In present study an attempt was made to study the relation between the Lactobacilli and other pathogenic organisms commonly present in the vagina during early labor and after delivery. Aims and Objectives To study normal and abnormal vaginal microflora in low risk pregnant women during early labor at term pregnancy, 48 hours after delivery and its association to clinical findings. Material and Methods 50 low risk pregnant women in early labor at term pregnancy without any obstetric complications were studied for vaginal microflora. A vaginal swab was taken from all fornices and submitted for gram stain...
Background: Primigravida are potential group at risk for unengaged head, monitoring of labour is ... more Background: Primigravida are potential group at risk for unengaged head, monitoring of labour is done in these patients and comparison on mode of delivery was done. Method: It is prospective interventional study, carried out at Dhiraj hospital. 50 primigravida patients with unengaged head were observed in last 3 months. RESULT: In the present study out of 50 women, in 54.00% of women had Normal Delivery, 10% were by instrumental delivery where as remaining 36.00% women required LSCS. 5% newborn were admitted in NICU. Conclusion: Proper monitoring if done in primigravida in labour rate of operative interference can be cut down.
Introduction: During antenatal surveillance, amniotic fluid assessment is a crucial barometer to ... more Introduction: During antenatal surveillance, amniotic fluid assessment is a crucial barometer to know foetal status. Around 3-8% pregnant women suffered with oligohydramnios. Objective of present study was to find assosciated comorbidities and perinatal outcome in oligohydramnios. Aims: 1) To study foetal outcome at birth in oligohydramnios in form of a) foetal distress, b) growth retardation, c) NICU admission. 2) To study APGAR score of newborn babies of oligohydramnios. 3) To study the incidence of congenital malformation in relation to oligohydramnios. 4) To study early neonatal morbidity and mortality. Material and Methods: This prospective were carried out in Dhiraj Hospital,Vadodara from 1 jan 2018-1 jan 2019. 100 patients were selected randomly after satisfying inclusion and exclusion criteria. Inclusion criteria: 1) Antenatal patients in their 3 trimester 2) Singleton pregnancy 3) Amniotic fluid index less than 5cm. Exclusion Criteria: Multiple gestation, Patient having maj...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2017
Background: Gestational diabetes (GDM) represents carbohydrate intolerance first discovered in pr... more Background: Gestational diabetes (GDM) represents carbohydrate intolerance first discovered in pregnancy, occurs in 3.8-21% of pregnancies. Postpartum glucose intolerance returns to normal in majority. However, there is high risk of developing impaired glucose tolerance or overt diabetes mellitus later in life. Balanced diet at proper time can help achieving glycemic control. It also helps women with GDM to avoid need for insulin reducing costs of treatment.Methods: Study was done in Dhiraj Hospital in Obstetrics and Gynecology department. Study duration was 1.5 years. It was a prospective study comprising of patients who came with raised blood glucose levels on their 1st visit.Results: Prevalence of GDM (2.87%) is observed to be comparable to various other centres. Highest number of GDM cases was observed in age group of 26-30 years (62.96%). Control of glycemia with diet could be achieved in majority of women (53.85%) at 3 months post-partum as reflected by FBS levels. Incidence o...
. Objectives. To introduce a simple and cost-effective ablative technique to treat excessive mens... more . Objectives. To introduce a simple and cost-effective ablative technique to treat excessive menstrual flow. Design. Prospective study from Oct 2005 to May 2007. Total 50 patients were studied. Methods. The endometrium was treated with boiling normal saline for 9 minutes with the use of Foley’s catheter. Side effects, complications and outcome of the operative procedure were studied. Results. The success rate according to reduction in blood flow was 92% at 3 months, 93.75% at 6 months, 89.58% at 9 months and 91.3% at 12 months post-operatively. Over all satisfaction rate of the procedure was 88%. 70% patients had mild cramps or lower abdominal pain and 80% patients had pink or watery vaginal discharge in the immediate post-operative period. No patient had complaint of pain or discharge at the end of 12 months. 10% patients required hysterectomy due to persistence of symptoms. Conclusion. Thermal ablation with Foley’s catheter is a simple, effective, less invasive and inexpensive tec...
OBJECTIVE(S) : To analyze demographic trends in voluntary termination of pregnancy (MTP) over a 1... more OBJECTIVE(S) : To analyze demographic trends in voluntary termination of pregnancy (MTP) over a 17 year period and to study contraceptive acceptance in patients undergoing MTP. METHOD(S) : Retrospective analysis of 28236 MTP cases from hospital records over a span of 17 years was carried out. Various parameters like age, residence, religion, marital status, educational status, parity, number of male children, weeks of gestation, and contraceptive acceptance were studied. RESUL TS : There was no decline in the rate of induced abortion over the 17 year period. Only 1.1% women were in the teenage group. Most (99.4%) of the women were married. 72.5% women were having two or more living children. 73.7% had one or two male children irrespective of the number of female children. 89.3% had less than 12 weeks pregnancy at the time of termination. 52.7% accepted intrauterine contraceptive device (IUCD). 38.4% underwent sterilization. 1.7% accepted barrier or hormonal methods, while 7.2% did n...
International journal of students' research, Apr 2, 2011
Granulosa cell tumor (GCT) is a sex cord-stromal tumor of the ovary derived from non-germ element... more Granulosa cell tumor (GCT) is a sex cord-stromal tumor of the ovary derived from non-germ elements [1]. It constitutes a meager 3% of all the ovarian malignancies [2], making it uncommon and extremely rare. It has two histological variants: juvenile and adult [2]. Of these, the adult granulosa ...
Introduction: Stress urinary incontinence (SUI) is defined as involuntary loss of urine due to in... more Introduction: Stress urinary incontinence (SUI) is defined as involuntary loss of urine due to increased intraabdominal pressure and intravesical pressure, which exceeds the pressure that the urethral closure mechanism can withstand and urinary loss results. SUI prevalence increases with age and becoming popular day by day. The tot fixation in SUI repair is a common operation done in Gynaecology Department. Hence it is necessary to evaluate this technique in terms of safety and feasibility in our set up and also to evaluate the feasibility, simplicity, cost effectiveness of trans obturator fixation procedure using propylene mesh of adequate size was placed loose at midurethral level, extending from one paraurethral gutter to the other and was fixed with No.1-0 Vicryl on lateral sides in the management of female stress urinary incontinence (SUI). Aim and objectives: The objective was to assess safety, efficacy, complication and cost-effectiveness of polypropylene mesh in patients wit...
SUMMARY. Mrs. UB aged 35 years came to us with complaints of oligomenorrhoea, lower abdominal pai... more SUMMARY. Mrs. UB aged 35 years came to us with complaints of oligomenorrhoea, lower abdominal pain, haematuria, retention of urine with CT scan report of December 2008 which was suggestive of left sided ovarian tumor. We investi-gated her with ultrasonography and CA-125 level and primary diagnosis of left sided ovarian tumor was made. On lapa-rotomy it turned out to be primary fallopian tube carcinoma. Abdominal total hysterectomy with bilateral salpingo-oo-phorectomy with omental and node biopsy was done. On histopathological examination it turned out, as primary serous adenocarcinoma of fallopian tube grade G2PT1(C)PN0. To patient were given two cycles of chemotherapy. Primary fal-lopian tube carcinomas are quite rare. In routine practice when we come across a case, it is usually diagnosed as an ad-nexal mass, more commonly as an ovarian tumor. The usual investigations cannot discriminate between the ovarian and the tubal mass. The fallopian tube cancer comes as a surprise on lapa...
Background: Since beginning it’s a dilemma whether to remove or preserve the ovaries. In the pres... more Background: Since beginning it’s a dilemma whether to remove or preserve the ovaries. In the present study an attempt is made to understand this phenomenon and to have some direction for removal of ovaries. Preservation of the ovaries at the time of hysterectomy does not seem to compromise patient care. Impaired function or failure of the retained ovaries, however, is not uncommon; close post-treatment surveillance is therefore important in terms not only of recurrent disease but of function of the ovaries as well. Methods: This study was done on 37 patients in duration of 3 years from June 2009 to May 2012. It is a retrospective statistical hospital based study of re-laparotomy done in post hysterectomised patients. Results: The most common pathology in these patients was a simple ovarian cyst (45.95%), followed by endometriotic cyst (21.62%), mucinous adenoma (8.10%), serous cyst adenoma (5.40%), serous cyst adenocarcinoma (2.70%) and poorly differentiated adenocarcinoma (2.70%). ...
International journal of scientific research, 2017
Introduction The association of lactobacilli with other vaginal microflora has been documented in... more Introduction The association of lactobacilli with other vaginal microflora has been documented in the development of Aerobic Vaginitis and Bacterial Vaginosis. As the numbers of lactobacilli dwindle, proliferation of other aerobic microflora, predominantly enteric commensals occurs. In our practice we find E coli as the most common organism present in lochia of puerperal sepsis cases. In present study an attempt was made to study the relation between the Lactobacilli and other pathogenic organisms commonly present in the vagina during early labor and after delivery. Aims and Objectives To study normal and abnormal vaginal microflora in low risk pregnant women during early labor at term pregnancy, 48 hours after delivery and its association to clinical findings. Material and Methods 50 low risk pregnant women in early labor at term pregnancy without any obstetric complications were studied for vaginal microflora. A vaginal swab was taken from all fornices and submitted for gram stain...
Background: Primigravida are potential group at risk for unengaged head, monitoring of labour is ... more Background: Primigravida are potential group at risk for unengaged head, monitoring of labour is done in these patients and comparison on mode of delivery was done. Method: It is prospective interventional study, carried out at Dhiraj hospital. 50 primigravida patients with unengaged head were observed in last 3 months. RESULT: In the present study out of 50 women, in 54.00% of women had Normal Delivery, 10% were by instrumental delivery where as remaining 36.00% women required LSCS. 5% newborn were admitted in NICU. Conclusion: Proper monitoring if done in primigravida in labour rate of operative interference can be cut down.
Introduction: During antenatal surveillance, amniotic fluid assessment is a crucial barometer to ... more Introduction: During antenatal surveillance, amniotic fluid assessment is a crucial barometer to know foetal status. Around 3-8% pregnant women suffered with oligohydramnios. Objective of present study was to find assosciated comorbidities and perinatal outcome in oligohydramnios. Aims: 1) To study foetal outcome at birth in oligohydramnios in form of a) foetal distress, b) growth retardation, c) NICU admission. 2) To study APGAR score of newborn babies of oligohydramnios. 3) To study the incidence of congenital malformation in relation to oligohydramnios. 4) To study early neonatal morbidity and mortality. Material and Methods: This prospective were carried out in Dhiraj Hospital,Vadodara from 1 jan 2018-1 jan 2019. 100 patients were selected randomly after satisfying inclusion and exclusion criteria. Inclusion criteria: 1) Antenatal patients in their 3 trimester 2) Singleton pregnancy 3) Amniotic fluid index less than 5cm. Exclusion Criteria: Multiple gestation, Patient having maj...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2017
Background: Gestational diabetes (GDM) represents carbohydrate intolerance first discovered in pr... more Background: Gestational diabetes (GDM) represents carbohydrate intolerance first discovered in pregnancy, occurs in 3.8-21% of pregnancies. Postpartum glucose intolerance returns to normal in majority. However, there is high risk of developing impaired glucose tolerance or overt diabetes mellitus later in life. Balanced diet at proper time can help achieving glycemic control. It also helps women with GDM to avoid need for insulin reducing costs of treatment.Methods: Study was done in Dhiraj Hospital in Obstetrics and Gynecology department. Study duration was 1.5 years. It was a prospective study comprising of patients who came with raised blood glucose levels on their 1st visit.Results: Prevalence of GDM (2.87%) is observed to be comparable to various other centres. Highest number of GDM cases was observed in age group of 26-30 years (62.96%). Control of glycemia with diet could be achieved in majority of women (53.85%) at 3 months post-partum as reflected by FBS levels. Incidence o...
. Objectives. To introduce a simple and cost-effective ablative technique to treat excessive mens... more . Objectives. To introduce a simple and cost-effective ablative technique to treat excessive menstrual flow. Design. Prospective study from Oct 2005 to May 2007. Total 50 patients were studied. Methods. The endometrium was treated with boiling normal saline for 9 minutes with the use of Foley’s catheter. Side effects, complications and outcome of the operative procedure were studied. Results. The success rate according to reduction in blood flow was 92% at 3 months, 93.75% at 6 months, 89.58% at 9 months and 91.3% at 12 months post-operatively. Over all satisfaction rate of the procedure was 88%. 70% patients had mild cramps or lower abdominal pain and 80% patients had pink or watery vaginal discharge in the immediate post-operative period. No patient had complaint of pain or discharge at the end of 12 months. 10% patients required hysterectomy due to persistence of symptoms. Conclusion. Thermal ablation with Foley’s catheter is a simple, effective, less invasive and inexpensive tec...
OBJECTIVE(S) : To analyze demographic trends in voluntary termination of pregnancy (MTP) over a 1... more OBJECTIVE(S) : To analyze demographic trends in voluntary termination of pregnancy (MTP) over a 17 year period and to study contraceptive acceptance in patients undergoing MTP. METHOD(S) : Retrospective analysis of 28236 MTP cases from hospital records over a span of 17 years was carried out. Various parameters like age, residence, religion, marital status, educational status, parity, number of male children, weeks of gestation, and contraceptive acceptance were studied. RESUL TS : There was no decline in the rate of induced abortion over the 17 year period. Only 1.1% women were in the teenage group. Most (99.4%) of the women were married. 72.5% women were having two or more living children. 73.7% had one or two male children irrespective of the number of female children. 89.3% had less than 12 weeks pregnancy at the time of termination. 52.7% accepted intrauterine contraceptive device (IUCD). 38.4% underwent sterilization. 1.7% accepted barrier or hormonal methods, while 7.2% did n...
Uploads
Papers by Bakul Leuva