EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , 

 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

ANALYSIS OF HUGE POSTERIOR CERVICAL FIBROIDS IN GYNECOLOGICAL PATIENTS IN A TERTIARY CARE HOSPITAL: A RETROSPECTIVE STUDY

Dr. Paribhashita T. Mishra*, Dr. Udit Mishra and Dr. V. P. Singhal

ABSTRACT

Fibroids are frequently encountered, however posterior cervical fibroids are rare, especially of enormous size that are very rarely seen in modern era. These are usually associated with pressure symptoms on bladder, urethra, rectum or obstruction of ureters may be seen which leads to obstructive nephropathy necessitating its early removal. The aim and objective of this study was to find out the prevalence of cervical fibroid in hospital admission in tertiary care hospital and studying operative difficulties and outcome. Out of 182 cases of massive lump abdomen more or equal than 26 weeks gestation size 65 (35.71%) had huge leiomyoma, out of which 17 (26.67%) cases were of huge posterior cervical fibroids. Out of 17 cases four patients underwent myomectomy as 3 and 1 were unmarried and married respectively but nulligravida. A total abdominal hysterectomy was done in 6 patients and 7 were treated by TAH with bilateral salphingo oopherectomy (BSO). There was no case of any major injury to surrounding organs and no mortality. Blood transfusion was given in 13 patients out of which 10 patients required blood transfusion in imtraoperative and post operative period. Difficulty in delivery was noted in 9 patients for which Parul’s traction device was used. Conclusion- In cervical fibroid very often bladder is stretched and lifted even up to round ligament Caution should be taken while giving incision and parul’s traction device is very useful in delivering compacted cervical fibroids. Adequate care should be taken to avoid injury to ureter(s).

Keywords: Posterior cervical fibroid, Pelvic pressure symptoms, Parul’s traction device.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database