A Four Years Records Analysis Of Non-Traumatic Gynecological Abdominal Emergencies In Mekelle Hospital, Mekelle, Tigray, Ethiopia During The Period Of February 2009 To February 2012
Volume 3 - Issue 9, September 2019 Edition
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Girma Abdissa, G/Meskel Mirutse
Tubo-ovarain abscess, ectopic pregnancy,pelvic inflammatory disease, ovarian torsion
The aim of this study is to assess the magnitude and management outcome of non-traumatic gynecological abdominal emergencies in Mekele hospital from February 2009 to February 2012. Gynecological emergencies are common in women in the reproductive age group. The most common gynecologic causes of the acute abdomen are ectopic pregnancy, ovarian torsion,PID and tubo-ovarian abscess. The rate of ectopic pregnancies per 1000 reported pregnancies increased fourfold in the United States from 1970 to 1992. , the highest EP incidence rates were observed in African countries (between 0.5 and2.3% of live births) The proportion of all maternal deaths attributed to ectopic pregnancy, however, increased from 8 percent in 1970 to 11 percent in the 3-year period ending 1990 (konini and associates, 1997).Torsion of the adnexa is an infrequent cause of pain in the lower abdomen. However, torsion is a common gynecologic surgical emergency, with a prevalence of 2.7%. The study shows among 146 studied groups 126[86.3%] cards were available among these,Pre operatively 69[54.8%] ectopic pregnancy, 32[25.4%] pelvic inflammatory disease, 12[9.5%], ovarian torsion,8[6.3%] Tubo ovarian abscess and 5[4%] others. Intra operatively 93.6% had the diagnosis and the rest 6.4% had different per-operative diagnosis. Among 95 procedures done the majority of them 73.6% had no complication the rest 23.2%, 3.2% had mild and major complication. The prevalence of non-traumatic gynecological abdominal emergencies were 13.3% with delays hospital admit ion of 66.7% and preoperative diagnosis difference of 4.6% with 25.9% post-operative complication therefor early diagnosis and treatment, intensive history and physical examination in addition to some diagnostic tools and minimizing number of visitor in recovery rooms may help to reduces these complication
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