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Transvaginal US Detects Pelvic Endometriosis 1 Comment
Source: Ob.Gyn. News Category: OBGYN
Latest Comment by koneru gangadhara rao,nrighosp - November 18, 2009: Though laparoscopy is the gold standard diagnostic tool trans vaginal usg should be considered first as it is non invasive.less expencive and also with some diagnostic accuracy.when surgical treatment is planned especially for severe endometriosis ,chocolatecysts,rectal involvement,infertility laparoscopy is highly advisableand beneficial

Colposcopy of the vagina and vulva. 1 Comment
Source: Obstetrics and Gynecology Clinics of North America Category: OBGYN
Latest Comment by Dr.koneru gangadhara rao,NRIGH - February 14, 2009: in all symptamatic pts with itching,irritability of vulva,eldrlywoman it is deffenitely benificial to do calposcopy guided biopsies after staining with 3%acetic acid.maping acetowhite areas and later studying those areas with calposcopy always beneficial to the patients.it is helpful to diagnose or to ruleout malignancies very early and it is going to be cost effectivealso.This we can use for community screening.For this we can use nurses,paramedical workers to train to detect acetowhite areas among woman in a given community and they can later refer them to tertiary care cancer institutes to study with calposcope and plan...

Cost Effectiveness of Cervical Cancer Screening With Human Papillomavirus DNA Testing and HPV-16, 18 Vaccination. 1 Comment
Source: Journal of Lower Genital Tract Disease Category: OBGYN
Latest Comment by Dr.koneru gangadhara rao,NRIGH - December 22, 2008: In doveloping countries it is better to screen cin lesions by acetowhite test in phcs,public health or cancer screening camps.And treat early cancer lesions bysimple tecniques like crayosurgery or llep proceduresis cost effetive rather than dna studies and vaccinations.combination of allof these willbe highly effective to control cancer cervix

Titrated low-dose vaginal and/or oral misoprostol to induce labour for prelabour membrane rupture: a randomised trial 1 Comment
Source: BJOG: An International Journal of Obstetrics and Gynaecology Category: OBGYN
Latest Comment by Dr.koneru gangadhara rao,NRIGH - November 30, 2008: i have to say that mesoprostal regime is not completely safe to induce labors though many people are going for it.Among rare cases ihave seen some ended with foetal distress,postdelivary difficult revivals,early neonataldeaths.Blnid trial is not safe.Induction with electronicmonitoring,close observation is highly recomended.

Conservative management of placenta percreta: experiences in two cases. 1 Comment
Source: Obstetrics and Gynecology Category: OBGYN
Latest Comment by koneru gangadhara rao,nrighosp - October 12, 2008: in situations with placentaprevia with repeat caesariansections this complcation rate is very high. to avoid coplcations we may have to under take caesarian hysterectomy quickly but in acase of primy gravida where uterus to be preserved we should try conservative means,take some time in blocking feedig vessels,uterine,ovarian vessels,if bleedig isnot stopped we can go for hysterectomy.we can even per form subtotal hysterectomy if the case is other than placenta previa.sepsis ,haemarrhagewillbe there with coservative managementwith methotrxate regime