Tubo-ovarian Mass Research Articles

Pre-operative hemoglobin level: Correlation with hemoperitoneum in ectopic pregnancy

Aim: To find out the incidence and correlation of preoperative hemoglobin level (Hb %) with hemoperitoneum in cases of ectopic pregnancy (EP). Methods: This was a prospective study carried out in Tribhuvan University Teaching Hospital (TUTH), Nepal during the period of 5 years; 15 April 2002-14 April 2007 (Baisakh 2059 - Chaitra 2063). All the cases of hemoperitoneum from rupture of EP confirmed at laparotomy were analyzed. Unruptured ectopic EP undergoing medical management or ruptured organized EP forming tubo-ovarian mass and ruptured rudimentary horn pregnancy without hemoperitoneum were all excluded. Datas were collected from patient's interview, reviewing the operation record and record file. Result: Of the total 167 EP constituting 0.963 % of all deliveries, managed during the five years period, 150 (90%) cases with hemoperitoneum were analyzed. Further excluding five cases not mentioning the amount of hemoperitoneum 145 [ < 1500ml (98) or >1500ml ->3000ml (47)] was categorized to have different degrees of anaemia was ascertained in 90 (62.1%): Severe (13), moderate (55) and mild (22). Results depicted a negative (inverse) correlation between pre operative Hb level and hemoperitoneum. Conclusion: In conclusion there is negative (inverse) correlation between pre-operative Hb percentage and hemoperitoneum which is statistically significant. Keywords: Ruptured ectopic, hemoperitoneum, hemoglobin level doi:10.3126/njog.v2i1.1475 N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 39 - 43 May -June 2007

Studies in pelvic iontophoresis: I. Iontophoresis in the treatment of pelvic infections with a report of 58 cases

1.1. Pelvic iontophoresis of a choline compound was given to 58 patients with subacute and chronic pelvic infection, all severe enough to warrant hospitalization; 37 were cases of tuboovarian infection and 21 were cases of cellulitis.2.2. Subjective improvement was generally marked, and often out of proportion to objective evidence of decrease of the infection.3.3. The results of therapy in tuboovarian infections, while often good, were not sufficiently remarkable to warrant routine use of this method of treatment. It seems clear that we cannot hope for resolution of old inflammatory tuboovarian masses, since fibrosis and multilocular cysts are a prominent part of the pathology. It may, however, be given a trial in persistent tuboovarian infections, when operative treatment is not indicated and other methods of treatment have been ineffective.4.4. The best response to iontophoresis was seen in cases of massive cellulitic infection of recent origin which had failed to yield to ordinary treatment. Pelvic iontophoresis is recommended for this type of infection.