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Case Studies A variety of difficult and challenging Gynaecological surgeries...A variety of difficult and challenging Gynaecological surgeries were carried out successfully and our patients have gone home happily, with great satisfaction and gratitude are doing well. These are some of the tumors arising from the womb (uterus) known as "Fibroid" or "Leiomyoma" of the uterus. In ancient days it was believed to be God's gift to an infertile woman, which is not true. It is common during the reproductive age of a woman's life. Many such tumors refuse to shrink even in menopause. These tumors are supposed to be Oestrogen dependent. These ladies presented to us with a variety of complaints like - excessive blood loss during menstruation, pain, anaemia, infertility and heaviness lower portion of the abdomen.
TUMORS OF OVARY
THE JOY OF HOPE AND MOTHERHOOD
CONCEPTION AFTER RECANALISATION SURGERY
Despair to hope...(a typical case of delivery)Mrs. Sarathi is 34 years old. When she was very young she suffered from Tuberculosis of her spine. Her spine was seriously deformed. She was bent forward, and grossly deformed. A good Samaritan agreed to marry her. But, they had no hope of having a normal family, with children. She came to the Tinplate hospital where all kinds of tests were done. The Orthopedic surgeon gave the go-ahead. The Gynecologists decided to try and help her, in spite of knowing that her child will have to be delivered by caesarean section. This was a very difficult proposition due to her gross deformity of spine and abdomen.
Remedy From Strabismus/SquintThere are six extra-ocular muscles in each eye of which four are rectus or straight muscles and two are oblique muscles. Viz. superior rectus, inferior rectus, medial rectus, lateral rectus, superior oblique and inferior oblique. These muscles are responsible for various movements of the eyeball. The movements are inward movements or adduction, outward movement or abduction, elevation, depression, extorsion and intorsion. When both the eyes move together keeping their vissual axes parallel, the movements are known as conjugate movements. The pair of muscles, which work together, are known as SYNERGIC or YOKE muscles. Similar to the synergists there are antagonists, which may be direct, or contra- lateral. Binocular diplopia occurs when the image of an object does not fall on the corresponding parts of the retina in both the eyes. The causes of binocular diplopia are:
The squint is a condition when one eye deviates always from the fixation point. When the balances of the extra-ocular muscles are imperfect due to intrinsic weakness of one or more of the extra-ocular muscles and there is a tendency for the eye to deviate from its normal relative position. The condition is known as Heterophoria. The dissociation of the eyes where in the deviation remains the same in all direction of gaze is known as Concomitant squint. Operative correction at Tinplate hospital are done for cosmetic as well as for improvement of binocular vision since last 4 - 5 years regularly as routine procedure. By this method the whole muscle is strengthened or its antagonists are made weaker. The aim is achieved by recession and resection of the muscles as required. A few illustration are given herewith: The photograph shows before and after correction at Tinplate Hospital by Dr. S.K. Mitra.
Before Correction After Correction |
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This young girl of 20 years was once left depressed, hopeless, fighting with chronic
anaemia. Her general health was low because of profuse, prolonged blood loss during each
menstruation. The reason for her problem was a huge fibroid at the back of her uterus. She
was infertile for more than 2 years. We did a Myomectomy (removal of the tumor only),
preserving her uterus. After 6 months of surgery, her joy knew no bounds when she was told
that she is going to be a mother soon. After 9 months of patient journey, her face lit with
joy when she was blessed with a baby girl weighing 3.25 kg (delivered by Caesarian
section). She once thought she'll never be a mother, rather she might require Hysterectomy.
She is grateful to her Doctor for this wonderful gift of God.
This lady had tubectomy operation after 2 children. Unfortunately one baby died, an
accidental death and the other living baby has cerebral palsy. So she came with a request
for her recanalisation operation, to have atleast one healthy child.
Thanks to Dr. Renuka Kumar and Dr. Meera Ramkrishnan, Sarathi, today has two healthy boys.
Both born through difficult caesarean sections, performed by our two Gynecologists
respectively. Kudos to them and we wish the family a happy future !!.
