Laparoscopic excision of accessory cavitated uterine mass and its vaginal retrieval in toto

Accessory cavitated uterine mass (ACUM), a rare cause of dysmenorrhoea, has to be diagnosed with essential criteria and is to be treated with appropriate surgery. Hereby, presenting the surgical approach by laparoscopy and vaginal retrieval of the specimen in toto as a perfect tool. We report a rare case study of ACUM, a mullerian anomaly in a 27 years old female with severe dysmenorrhoea with secondary infertility, evaluated and diagnosed as ACUM. Preoperative diagnosis and surgical plane evaluation are made by ultrasound and magnetic resonance imaging. Hysteroscopic examination of the cavity was normal and laparoscopic excision of an ill-defined mass in the anterior and right lateral wall of 3×2 cm followed by retrieval of the specimen through a pouch of Douglas. Myometrial defect sutured. Cut section showed chocolate coloured fluid in the endometrial cavity and the same confirmed by histopathology. This is the first case report doing vaginal retrieval of ACUM in toto

Anaesthesia mumps after total laparoscopic hysterectomy under general anaesthesia

Anaesthesia mumps is a rare clinical entity characterised by acute transient swelling of the parotid gland in postoperative period. In our case a 58 years obese lady developed left sided parotid swelling which was managed conservatively and settled without any sequelae. In this article we discuss possible causes, differential diagnosis and treatment for this condition. This is to increase awareness about this relatively unknown condition amongst anaesthetist and surgeons and to avoid unnecessarily apprehension in post-operative period

Comparison of total laparoscopic hysterectomy and laparoscopic assisted vaginal hysterectomy – a 2-year retrospective study

Background: Hysterectomy is one of the most commonly performed major surgeries. Recently, increasing number of minimally invasive approaches, such as TLH and LAVH has been applied. People undergoing laparoscopic hysterectomy experience shorter hospitalization, a smaller wound, more rapid recovery, and shorter absence from work compared to patients undergoing abdominal hysterectomy. The objective of present study is to compare the surgical short term results between Laparoscopic assisted vaginal hysterectomy (LAVH) and Total laparoscopic hysterectomy (TLH) in our centre in two years.Methods: This was a retrospective study of 93 women who underwent LAVH and 55 women who underwent TLH. The statistical analysis is done by using Students t-test, Chi-square test, and Mann-Whitney test appropriately.Results: There were no differences between the two groups with respect to age, BMI, Indication of surgery, Uterine size, Previous pelvic surgery, average blood loss and hemoglobin change (P=0.4). The duration of surgery was longer in TLH (124 min vs. 76.9 min) and is found to be extremely significant (P=0.0001). There was significant statistical difference in respect to hospital stay (P=0.0076). There was no significant statistical difference in various complication rates (P=0.22).Conclusions: Both TLH and LAVH are safe methods in performing hysterectomy, but LAVH has advantages over TLH with reduced operating time and less hospital stay even for the patients with history of previous pelvic surgery

Dental Undergraduate Students View Towards Orthodontic Treatment Based on a Questionnaire Study

Perception and Knowledge of orthodontic treatment are pre-requisite for orthodontic treatment-related behavior. Adolescence is the time when a person attains knowledge including the self-awareness about his or her oral health. Hence if proper knowledge is instilled during this time, it will be effective. The aim of this study was to compare the knowledge and perception of dental undergraduates toward orthodontic treatment. This is a descriptive cross-sectional single-center questionnaire study, carried among 449 dental students of dental college among 1st years, 2nd years, 3rd years, final years, and interns at Chengalpet district aged between 18 and 27 years, respectively. The questionnaires consisted of seven knowledge-based and five perception-based questions related to orthodontic treatment. Each question had three answers “yes” “no” and “don’t know.” The data were collected through google forms and total responses were calculated. The mean percentage was calculated and compared between 5 years. The results showed that percentage of knowledge and perception for 1st years, 2nd years, 3rd years, final years and interns increases as they progress from 1st year through internship. Overall the study showed that dental students had good knowledge and perception towards orthodontic treatment but varies among years. First years and 2nd years had lesser knowledge compared to 3rd years. Third year had lesser knowledge compared to final years and interns. Interns and final years have more knowledge compared to 1st years, 2nd years, and 3rd years. Subjects who were in lower age group comprising of 1st, 2nd, and 3rd years showed less knowledge and perception compared to higher age group subjects present in final years and interns towards orthodontic treatment