Browsing by Author "Rashid, M."

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Chronic nonpuerperal uterine inversion: laparotomy assisted vaginal hysterectomy
(Alkim Basin Yayin Ltd. Sti, 2011) Herath, R.P.; Hosni M.M.; Rashid, M.; Hassanaien, M.
Chronic nonpuerperal uterine inversion is an extremely rare clinical situation. We report a 36 year-old woman with chronic nonpuerperal uterine inversion due to a fundal leiomyoma. She was treated with laparotomy assisted vaginal hysterectomy. We emphasized the importance of abdominal access at the time of vaginal hysterectomy for complete inversion of uterus. After excluding possible bowel loops in the inverted uterus through abdominal incision, vaginal subtotal hysterectomy was performed followed by total hysterectomy. In addition to better surgical exposure, abdominal approach also helped management hemorrhage as in our case
How can we reduce negative laparoscopies for pelvic pain?
(Informa Healthcare, 2011) Singh, N.; Rashid, M.; Herath, R.P.
Chronic pelvic pain is a common condition and the RCOG guideline provides an evidence-based framework for the initial assessment. This study investigated the adequacy and relevance of the initial assessment in patients who underwent elective laparoscopic procedure for pelvic pain. History-taking was found to be deficient and was unable to identify factors which may be related to the cause or perception of the pain. Only a small percentage benefitted from a therapeutic trial of hormonal and non-hormonal agents and referral to other specialities. Ultrasound and bimanual examination were both found to be of little value. Laparoscopy assisted in diagnosis in 45% of patients. A structured initial assessment and targeted selection of patients for laparoscopy would reduce the number of patients with normal findings and thus, it would reduce the number of women who suffer pain and isolation after a negative laparoscopy.
Hyperemesis gravidarum and fetal gender: a retrospective study
(Informa Healthcare, 2012) Rashid, M.; Rashid, M.H.; Malik, F.; Herath, R.P.
This retrospective study of 9,980 women who delivered at the James Paget Hospital, Norfolk, UK, over 5 years, aimed to primarily determine whether the incidence of hyperemesis gravidarum (HG) is higher in the presence of a female fetus. The results showed that more women with HG had a femalefetus compared with women without HG. Also found was that heavy ketonuria was more prevalent in women with a female fetus compared with women with a male fetus, and the mean number of admissions per woman was also higher in women with a female fetus compared with women with a male fetus. It can be concluded that women presenting with HG are more likely to have a female fetus and that women with HG and a female fetustend to a higher level of ketonuria and an increased number of hospital admissions.
Nonpuerperal uterine inversion: What the gynaecologists need to know?
(Hindawi Pub. Corp., 2020) Herath, R.P.; Patabendige, M.; Rashid, M.; Wijesinghe, P.S.
INTRODUCTION: Nonpuerperal uterine inversion (NPUI) is a rare clinical problem with diagnostic and surgical challenges. The objective of our study was to review the literature on NPUI and describe causative pathologies, diagnosis, and different surgical options available for treatment. MATERIALS AND METHODS: A comprehensive literature review was carried out on MEDLINE and Google Scholar databases to look for NPUI using the term "non-puerperal uterine inversion," and further went through the cross-references of the published articles. Data are published case reports from 1911 to September 2018. Of the 153 published cases, 133 reports had adequate details of surgery for analysis. These reports were analyzed, concerning the clinical presentation, methods of diagnosis, and surgical treatment. RESULTS: Mean age of the women was 46.3 years (standard deviation: 18, N = 153). Leiomyoma remained the commonest (56.2%) aetiology. While malignancies contributed to 32.02% of cases, 9.2% were idiopathic. High degree of clinical suspicion and identification of unique features on ultrasonography and magnetic resonance imaging enable prompt diagnosis. In cases of uncertainty, laparoscopy or biopsy of the mass was used to confirm the diagnosis. Hysterectomy or repositioning and repair of the uterus are the only treatment options available. The surgical methods implemented were analyzed in three aspects: route of surgical access, method of repositioning, and final surgical procedure undertaken. The majority (48.8%) had only abdominal access, while 27.1% had both abdominal and vaginal access. Haultain procedure was the most useful procedure for reposition (18.0%) of the uterus. The majority (39.7%) required abdominal hysterectomy with or without debulking of the tumour abdominally, while 15.0% had uterine repair after repositioning. We reviewed the different surgical techniques and described and proposed a treatment algorithm. CONCLUSIONS: Fibroids were the commonest cause for NPUI. Malignancies accounted for one-third of cases. A combined abdominal and vaginal approach, followed by hysterectomy or repair after repositioning, seems to be better for nonmalignant cases.