African Journal of Medicine and Surgery

African Journal of Medicine and Surgery ISSN 2756-3324 Vol. 10 (4), pp. 001-004, April, 2023. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research Paper

Comprehensive Assessment of Cephalometric Measurements in the Iranian Demographic

Esmaeilzadeh Mahdi*, Nejadali Abolfazl, Kazemzadeh Fariba and Borhani Mohammad

Basic Sciences Department, Nikshahr Branch, Islamic Azad University, Nikshahr, Iran.

Accepted 15 December, 2022

Abstract

Anthropometry is the biological science of human body measurement. Anthropometry is applied in medical profession such as maxillofacial surgery, growth and development studies, plastic surgery, bioengineering and non-medical branches such as like shoe-making and eye-glasses industries. The aim of this study was to determine Iranian cephalometric parameters and cranial and facial anthropometric ratios. This cross sectional analytical study was done randomly on 137 people from Nikshahr (Iran) with normal face patterns. Facial and cranial ratios was estimated and compared. Data was analyzed by SPSS software. The regression line and the growth coefficient were determined for each Parameter. Finally, the mean values of these parameters were determined. At birth, Iranian population have hypereuryprosopic face and hypercephalic cranium form. While getting older, the midface height increased, face became more prominent, chin became shorter and face and cranium changed to eurycephalic and hyperleptoprosopic forms, respectively. Due to the wide racial combinations in Iran, more studies, with wider sample size, should be conducted among different Iranian race.

Key words: Anthropometry, craniofacial, Nikshahr.
 

African Journal of Medicine and Surgery ISSN 2756-3324 Vol. 10 (3), pp. 001-003, March, 2023. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Case Report

Chronic Uterine Inversion: An Uncommon Presentation of Uterine Leiomyosarcoma

Rekha Sachan¹*, Pooja Gupta¹ and ML Patel²

¹Department of Obstetrics and Gynaecology, CSM Medical University, Lucknow, India.
²Department of Medicine, CSM Medical University, Lucknow, India.

Accepted 22 November, 2022

Abstract

Sarcomatous change in uterine fibroid is termed leiomyosarcoma. The tumor originates from smooth muscle cells and is rare, accounting for 2 to 5% of all uterine malignancies. The said patient had the history of irregular bleeding, but not typical menorrhagia, which is the usual presentation in this tumor. A 40 year old, P4+0 women of North Indian origin, was admitted with huge polypoidal fungating mass with bosselated surface and variegated mass protruding from introitus consistently. It was 12 ×10 cm in size with fundal cuping and cervical rim around the mass, which indicates inversion of the uterus. Total abdominal hysterectomy with bilateral salpingoophorectomy and bladder repair was done via abdomino-perineal route and the histopathology confirmed the diagnosis of leiomyosarcoma. Because of their rarity, uterine sarcomas are not recommended for routine screening. Surgery is the only treatment modality of leiomyosarcoma and prognosis depends upon the stage of the cancer.

Key words: Leiomyosarcoma, inversion, hysterectomy.
 

African Journal of Medicine and Surgery ISSN 2756-3324 Vol. 10 (2), pp. 001-004, February, 2023. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research Paper

The Impact of Septal Surgery on Patients' Quality of Life

Mohammed Ayub Musani*, Itrat Javed, Yousuf Khambaty, Faheem Ahmed Khan and Syed Wadood Ul Hasnain

Department of ENT, Karachi Medical and Dental College, KARACHI, Pakistan.

Accepted 30 November, 2022

Abstract

To assess the quality of life in patients who have been through the surgical intervention related to nasal septum in ENT department of Abbasi Shaheed Hospital, Karachi. This study was done from January 2008 to August 2008. Case based study, with post-interventional quality of life assessment questionnaire. One hundred patients undergoing nasal septum related surgery, after their full informed and written consent, were included in this study. The age limit was above 18 years and both the sexes were included. They were given a questionnaire (Glasgow benefit inventory score-GBI) to be fulfilled on the first follow up day after a week’s time from the day of surgery and then subsequently on the second visit that is, at about two week’s time from their first visit and the last one after the lapse of 1 month from the time of second visit. Average score of patients as per the GBI on the first follow up visit was 17; on second subsequent visit was 39 and on the last visit it was 50 thereby showing a positive correlation between the improvement in quality of life and septal surgery. Septal surgery has a definite and positive impact on improving the health related quality of life of patients.

Key words: Quality of life (QOL) after surgery, outcome assessments.
 

African Journal of Medicine and Surgery ISSN 2756-3324 Vol. 10 (1), pp. 001-006, January, 2023. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research Paper

Comparative analysis of diclofenac suppository and intramuscular morphine for post-cesarean pain management

Fatemeh Abbasalizadeh¹, Farnaz Sahaf Ebrahimi¹, Shamsi Abbasalizadeh¹*, Shabnam Vazifekhah² and Mehrnaz Sohrabi Maralani²

¹Women's Reproductive Health Research Center, Department of Obstetrics and Gynecology, Tabriz University of Medical Sciences, Tabriz, Iran. ²Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Accepted 23 October, 2022

Abstract

A proper post-cesarean section (CS) pain relieving method results in early mobilization and better early maternal–fetal interaction. Many different methods have already been suggested for analgesic purposes after CS delivery. The known standard method is the intramuscular injection of morphine; however, in our medical center, administration of the diclofenac suppository has been the practice of choice. The aim of this study is to compare the efficacy of the two methods on relieving the post-CS pain. In a clinical trial, 120 parturient women were recruited after CS in Taleghani Hospital of Tabriz during an 18-month period (2006 to 2007). They were randomized into two equal groups: Receiving either diclofenac suppository (3*100 mg in 24 h post-surgery) (group D) or intramuscular (IM) morphine (3*10 mg in 24 h post-surgery) (group M). The pain level was evaluated according to Visual Analogue Score (VAS) on 8, 16 and 24 h post-cesarean for each patient. The mean age (26.98 ± 5.85 vs. 27.15 ± 5.08 years), gravidity (2.13 ± 1.27 vs. 2.00 ± 1.15), parity (0.95 ± 1.05 vs. 0.87 ± 0.98 years), and the gestational age (38.98 ± 1.43 vs. 38.35 ± 2.55 weeks) were compared in groups D and M respectively (p > 0.05). The mean pain severity score was significantly lower in group D for every three readings (p < 0.001). The mean reduction of the pain score was also higher in the same group (p < 0.05). No major complications were observed in either group. The current study showed that the diclofenac suppository is considerably more efficient than IM morphine in relieving post-CS pain.

Keywords: Cesarean section, pain, morphine, diclofenac.

African Journal of Medicine and Surgery ISSN 2756-3324 Vol. 10 (2), pp. 001-012, February, 2023. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research Paper

Minimally invasive reproductive techniques in Arabi Ewes: A study on laparoscopic intrauterine artificial insemination and ultrasonic pregnancy monitoring

Abdalbari A. Alfaris*, Tahir A. Fahid, Baqer Ja’fer and Hassan Al-Dahabi

Department of Internal, Preventive Medicine, Surgery and Obstetrics, College of Veterinary Medicine, University of Basrah, Basrah, Iraq.

Accepted 26 November, 2022

Abstract

Laparoscopic intrauterine artificial insemination (LAI) refers to a special technique by which the operation is done through several small holes in the abdomen with the aid of telescope. These incisions are much smaller than wound required in traditional surgery. This study aimed to evaluate the efficacy of laparoscopic artificial insemination. To increase the pregnancy and twins rate by using gonadotrophic releasing hormone (GNRH) and accurate pregnancy diagnosis in ewes by using ultrasonography, the present study was carried out in the animal farm college of veterinary medicine/Basrah University. This study started in 3rd August 2009 to 12th February 2010. This study included 9 ewes aged about 8 to 10 months and 2 rams aged between (9 to 11 months) and one of them was vasectomized. The rams were kept and separated from ewes for 2 weeks; at the beginning all ewes were checked for previous pregnancy by using of laparoscope. Injection of 0.00421 mg Buserelin hormone was given to induce estrus. The estrus ewes were prepared for surgical operations and made sedation by injection of Xylazine 0.11 to 0.22 mg/kg body weight (BW); and then 1 ml/cm2 of 2% of lidocaine was injected as local anesthesia. The animal was fixed on surgical table and then prepared for aseptic technique; after which the ewes were inseminated laparoscopically by intra uterine injection of 0.25 ml of fresh ram semen. The results show the possibility of laparoscope as a technique used for artificial insemination in ewes in 71.4% of pregnancy rate. The laparoscopic insemination was successfully done in ewes without complication; there was no critical effect of intra-abdominal pressure (14 mmHg) by CO2 in small ruminants and pregnancy rate in ewes was successfully diagnosed by ultrasonography.

Keywords: Laparoscopic surgery, artificial insemination, ultra sonic, estrus, pregnant diagnosis.

African Journal of Medicine and Surgery ISSN 2756-3324 Vol. 9 (9), pp. 001-006, September, 2022. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research paper

Assessing the Safety and Complications of Nd:YAG Laser Capsulotomy: Insights from a Study on Postoperative Outcomes

Aurangzeb Shaikh^1*, Faheemullah Shaikh^2, Jai Ram Adwani⁴ and Ziauddin Ahmed Shaikh³

¹Department of Ophthalmology, LUMHS Eye Hospital, Hyderabad, Pakistan.
²Departmentof Ophthalmology, LUMHS, Eye Hospital, Hyderabad, Pakistan.
³Department of Ophthalmology, Unit-I, Dow University of Health Science, and PCB Cell, Civil Hospital, Karachi,
Pakistan.

⁴Department of Ophthalmology, PMC Hospital Nawabshah, Pakistan.

Accepted 16 May, 2022

Abstract

To determine the prevalence of different types of eye complication due to Nd: YAG Laser posterior capsulotomy and its correlation with postoperative time duration following cataract surgery. Eyes underwent ND: YAG Laser posterior capsulotomy (on average 6 months to 3 years) after implantation of Intraocular lens (IOL) in posterior chamber of the eye. Determination of different types of Nd: YAG Laser induced complications in relation with postoperative time duration. We found a higher prevalence of post YAG laser AC reaction, rasised intraocular pressure (IOP), IOL damage, vitreous reaction, macular and retinal damage. Nd: YAG Laser posterior capsulotomy is almost equally safe when performed after six months of cataract surgery.

Key words: Nd:YAG laser, posterior capsule opacification (PCO), intraocular lens (IOL), anterior chamber (AC), macular edema, vitreous hemorrhage, glaucoma.