SURVEILLANCE OF MICROBIAL FLORA FOR INFERTILITY COUPLES IN AN INDIAN TERTIARY CARE TEACHING HOSPITAL

Objective: Infertility has been known to cause serious social and emotional problems in India. Microorganisms may be a primary cause for thisinfertility. This study was carried out to know the prevalence of microorganisms in the infertility couples of a tertiary caring teaching hospital.Methods: One thousands of couples were screened for the infertility test presented at the outpatient Department of Obstetrics and Gynaecology.The suspected infertility couples were tested for microbial contamination in their reproductive sample. Simultaneously, the demographic data of allpatients were documented, and all the data were analyzed with SPSS 20 software.Result: From one thousand couples, 288 couples were found infertility symptoms, whereas 67.71% were primary infertility problems and rest weresecondary. It is due to male factor (27.08%), female factor (50%), and both (4.86%) but 18.05 were unexplained. From vaginal swabs, 186 and semen145 microbial colony were grown. However, Chi-square (χ) showed that there is no significant difference between the growth of microbial colony from semen or vaginal swap as p=0.06. Eight varieties of bacteria (387) and Candida albicans (37) were documented. 2Conclusion: With respect to older ages of the infertile couples, it is more chances to infections. Antibiotic should be prescribed to primary infertilitycouples and infections can be avoided the cross transmission during intercourse.Keywords: Primary infertility, Candida, Semen, Antibiotic, Vaginal swab

Original Article Total Laparoscopic Hysterectomy -A Retrospective Observational Study in a Teaching Hospital

ABSTRACT Background: Hysterectomy is a frequently performed operation for the benign conditions of uterus, but the route of hysterectomy is always a matter of discussion .Laparoscopic hysterectomy has been criticised many a time regarding its complication and duration of surgery. But availability of newer machines and techniques has popularised it recently. Most of the studies regarding this have been done by the single surgeon with expert hand .This study has been conducted in a university teaching hospital where there are many surgeons with different expertise along with the beginners. Methods: It is a retrospective observational study conducted in IMS and SUM hospital Bhubaneswar which is an university teaching hospital.286 Total laparoscopic hysterectomy patients between July 2014 to June 2015 were analysed regarding the demography, indication of operation ,duration of operation, intra operative blood loss and perioperative complication along with duration of hospital stay. Result: Major indication of surgery was fibroid uterus accounting for 40.20% followed by AUB 28.32%. Mean time of surgery in TLH is 2.34±0.67hrs and average blood loss is 150.9±58.8ml. 4.54% cases had major intra operative complications; minor post operative complications were in 14.68% cases. The conversion to laparotomy rate was 1.39% and 0.68% cases had urinary tract injury. Mean duration of hospital stay was 2.58± 1.98days. Conclusion: TLH is a safe procedure with minimal blood loss and shorter duration of hospital stay with surgical expertise .we can never ignore the machine behind the man