Lutfun Begum - Academia.edu (original) (raw)

Papers by Lutfun Begum

Research paper thumbnail of Laparoscopic Appendectomy in Pregnant Women: Experience in Chittagong, Bangladesh

World Journal of Surgery, 2012

Background Surgery may be needed during pregnancy for nonobstetric reasons, most commonly appendi... more Background Surgery may be needed during pregnancy for nonobstetric reasons, most commonly appendicitis, and laparoscopy is considered as safe as the open method, for both mother and fetus. The aim of the present study was to emphasize the feasibility of laparoscopic appendectomy during pregnancy in a developing country, and also to report the first study of its kind from Bangladesh. Materials and methods From 7 October 2005 to 6 October 2010, 31 pregnant women were diagnosed with acute appendicitis. Diagnoses were based on clinical suspicion supported by ultrasonogram. Under general endotracheal anesthesia, laparoscopy was done in all 31 cases. One gynecologist was always present to monitor the conditions of the fetus preoperatively and postoperatively. Feeding was allowed 6 h after surgery, and the majority of the patients were discharged on the second postoperative day. Age, gestational period, operative time, hospital stay, maternal and fetal outcome, and complications were evaluated. Results Age ranged from 19 to 35 years and gestational period ranged from 6 to 31 weeks. Right lower quadrant pain was the presenting complaint in majority of cases. Average operative time was 34 ± 10.19 min, and there were no conversions to open surgery. There were no intraoperative or immediate postoperative hazards. Postoperative recovery was uneventful in all cases. Histopathology of 30 cases confirmed appendicitis. One patient, whose fetus was at 12 weeks gestation at the time of the appendectomy had a spontaneous abortion 1 month later. There were no adverse outcomes during the followup period. Conclusions Laparoscopy is a safe and effective technique for the treatment of appendicitis during pregnancy and can be performed in a developing country.

Research paper thumbnail of Fig. 1 a) Port placement in pregnant patient at <20 weeks gestation. b) Port placement in a patient at 20–24 weeks gestation. c) Port placement in a patient at >24 weeks gestation

Fig. 1 a) Port placement in pregnant patient at <20 weeks gestation. b) Port placement in a patient at 20–24 weeks gestation. c) Port placement in a patient at >24 weeks gestation

Research paper thumbnail of A Randomized Clinical Trial on the Need of Continuing Oxytocin Infusion in Active Phase of Induced Labour

Chattagram Maa-O-Shishu Hospital Medical College Journal, 2013

Objective: To evaluate the effect of continuation and discontinuation of oxytocin infusion on mat... more Objective: To evaluate the effect of continuation and discontinuation of oxytocin infusion on maternal and neonatal outcome once the active phase of labour is established. Methods: This is a prospective randomized clinical trial on 100 pregnant women in whom labour was induced on obstetric ground in our institute. Patients were randomly divided in two groups. In the first group oxytocin infusion continued throughout labour and in the second group oxytocin infusion discontinued after establishment of active phase of labour. Result: Consumption of total oxytocin dose, induction-delivery interval, uterine hyperstimulation, caesarean section rate were significantly less in oxytocin discontinued group. Concurrently in oxytocin-continued group rate of postpartum hemorrhage (PPH), neonatal asphyxia, hyperbillirubinemia were higher in comparison to oxytocindiscontinued group. Conclusion: Continuous oxytocin infusion during active phase of labour increases chance of caesarean section, PPH and also of neonatal asphyxia, hyperbillirubenemia. Discontinuation of oxytocin infusion reduces labour risk and gives good neonatal outcome.

Research paper thumbnail of Table 1. Age of patients and gestational period during which appendicitis occurred

Table 1. Age of patients and gestational period during which appendicitis occurred

Research paper thumbnail of PAP-Smear Study and its Utility in Cervical Cancer Screening in a Tertiary Care Hospital in Chittagong, Bangladesh

Chattagram Maa O Shishu Hospital Medical College Journal, Jul 5, 2014

Background & Purpose: In developing countries, cervical cancer is the most common gynecological c... more Background & Purpose: In developing countries, cervical cancer is the most common gynecological cancer and one of the leading causes of cancer death. Cervical cancers can be prevented through early detection and cervical smear is a sensitive test for it. Materials & Methods: This retrospective study was carried out at Chattagram Maa-Shishu O General Hospital, between July 2012 and June 2013. Total 500 patients were screened having complaints of vaginal discharge, irregular bleeding per vagina, post coital bleeding or something coming out per vagina. History and symptoms along with parity were recorded. Smears were taken by trained Doctor using modified Ayres wooden spatula and plastic endocervical cytobrush which were inserted and rotated 360 over cervix. Both ectocervix and endocervix were sampled. Slides were prepared , labeled , fixed in 95% ethyl alcohol immediately and subsequently stained by pap stain. After staining, slides were mounted with DPX (distren dibutyl phthalate xylene), screened and reported by two Cytopathologist according to The 2001 Bethesda system. Results: Age ranged from 20 to 50 and 50 to75 years with an average age of 37 years. Four hundred sixty five (93%) cases showed inflammatory lesions, 15 (3%) showed atrophy, 8 (1.6%) showed metaplasia and others showed ASCUS, AGUS, LSIL, HSIL, SCC. Eighty percent of all the epithelial abnormalities were found in the age group of 40 years and above. Average age of patients for all the epithelial abnormalities was 49years. Conclusion: Cervical cancer is one of the most common malignancies in the women of Bangladesh. Pap smear cytology is a useful screening tool to detect pre-invasive cervical epithelial lesions. Based on the findings of this study we recommend at least a single lifetime Pap screening cytology of the uterine cervix of all the women aged 40 to 50 years.

Research paper thumbnail of Laparoscopic stripping ovarian cystectomy in children without use of electrocautery in residual ovarian bed: experience in Chittagong, Bangladesh

Objective: Laparoscopic excision has now become the standard treatment option for benign ovarian ... more Objective: Laparoscopic excision has now become the standard treatment option for benign ovarian cysts. Stripping is an effective and popular technique practiced by the surgeons for ovarian cyst excision. Use of electro-cautery in the residual ovarian bed is blamed for the reduction of ovarian reserve. Our experience of laparoscopic stripping technique without use of electro-cautery in the remaining ovarian tissue is described. Materials and Methods: From 1 January 2006 to 31 December 2010, 26 cases were considered for laparoscopic stripping ovarian cystectomy. Using mono-polar hook cautery a flap was marked and raised on cyst wall and serous fluid sucked out. A plane was then created between inner and outer linings of the cyst wall, and inner lining peeled off. Warm normal saline wash was then given and the stripped lining was brought out through supra-umbilical port. Patients were followed up at 15 days, 1 month, 3 months, 1 year and then yearly with ultrasonogram at 3 months and 1 year. Patient's age, operative time and outcome, blood loss and complications were studied retrospectively. Results: Age ranged from 3.5 to 16 years. Presenting complaints included: abdominal pain (11), abdominal swelling (8) and palpable abdominal lump (7). Average operative time was 40.30 minutes and operative blood loss ranged from 10 to 36 ml. There was no intra or post-operative complication. There was no recurrence of cyst confirmed by ultrasonography at 3 months and 1 year. Conclusions: Avoiding use of electro-cautery during ovarian cystectomy by stripping technique can prevent damage and reduction in ovarian reserve.

Research paper thumbnail of Laparoscopic Appendectomy in Pregnant Women: Experience in Chittagong, Bangladesh

World Journal of Surgery, 2012

Background Surgery may be needed during pregnancy for nonobstetric reasons, most commonly appendi... more Background Surgery may be needed during pregnancy for nonobstetric reasons, most commonly appendicitis, and laparoscopy is considered as safe as the open method, for both mother and fetus. The aim of the present study was to emphasize the feasibility of laparoscopic appendectomy during pregnancy in a developing country, and also to report the first study of its kind from Bangladesh. Materials and methods From 7 October 2005 to 6 October 2010, 31 pregnant women were diagnosed with acute appendicitis. Diagnoses were based on clinical suspicion supported by ultrasonogram. Under general endotracheal anesthesia, laparoscopy was done in all 31 cases. One gynecologist was always present to monitor the conditions of the fetus preoperatively and postoperatively. Feeding was allowed 6 h after surgery, and the majority of the patients were discharged on the second postoperative day. Age, gestational period, operative time, hospital stay, maternal and fetal outcome, and complications were evaluated. Results Age ranged from 19 to 35 years and gestational period ranged from 6 to 31 weeks. Right lower quadrant pain was the presenting complaint in majority of cases. Average operative time was 34 ± 10.19 min, and there were no conversions to open surgery. There were no intraoperative or immediate postoperative hazards. Postoperative recovery was uneventful in all cases. Histopathology of 30 cases confirmed appendicitis. One patient, whose fetus was at 12 weeks gestation at the time of the appendectomy had a spontaneous abortion 1 month later. There were no adverse outcomes during the followup period. Conclusions Laparoscopy is a safe and effective technique for the treatment of appendicitis during pregnancy and can be performed in a developing country.

Research paper thumbnail of Fig. 1 a) Port placement in pregnant patient at <20 weeks gestation. b) Port placement in a patient at 20–24 weeks gestation. c) Port placement in a patient at >24 weeks gestation

Fig. 1 a) Port placement in pregnant patient at <20 weeks gestation. b) Port placement in a patient at 20–24 weeks gestation. c) Port placement in a patient at >24 weeks gestation

Research paper thumbnail of A Randomized Clinical Trial on the Need of Continuing Oxytocin Infusion in Active Phase of Induced Labour

Chattagram Maa-O-Shishu Hospital Medical College Journal, 2013

Objective: To evaluate the effect of continuation and discontinuation of oxytocin infusion on mat... more Objective: To evaluate the effect of continuation and discontinuation of oxytocin infusion on maternal and neonatal outcome once the active phase of labour is established. Methods: This is a prospective randomized clinical trial on 100 pregnant women in whom labour was induced on obstetric ground in our institute. Patients were randomly divided in two groups. In the first group oxytocin infusion continued throughout labour and in the second group oxytocin infusion discontinued after establishment of active phase of labour. Result: Consumption of total oxytocin dose, induction-delivery interval, uterine hyperstimulation, caesarean section rate were significantly less in oxytocin discontinued group. Concurrently in oxytocin-continued group rate of postpartum hemorrhage (PPH), neonatal asphyxia, hyperbillirubinemia were higher in comparison to oxytocindiscontinued group. Conclusion: Continuous oxytocin infusion during active phase of labour increases chance of caesarean section, PPH and also of neonatal asphyxia, hyperbillirubenemia. Discontinuation of oxytocin infusion reduces labour risk and gives good neonatal outcome.

Research paper thumbnail of Table 1. Age of patients and gestational period during which appendicitis occurred

Table 1. Age of patients and gestational period during which appendicitis occurred

Research paper thumbnail of PAP-Smear Study and its Utility in Cervical Cancer Screening in a Tertiary Care Hospital in Chittagong, Bangladesh

Chattagram Maa O Shishu Hospital Medical College Journal, Jul 5, 2014

Background & Purpose: In developing countries, cervical cancer is the most common gynecological c... more Background & Purpose: In developing countries, cervical cancer is the most common gynecological cancer and one of the leading causes of cancer death. Cervical cancers can be prevented through early detection and cervical smear is a sensitive test for it. Materials & Methods: This retrospective study was carried out at Chattagram Maa-Shishu O General Hospital, between July 2012 and June 2013. Total 500 patients were screened having complaints of vaginal discharge, irregular bleeding per vagina, post coital bleeding or something coming out per vagina. History and symptoms along with parity were recorded. Smears were taken by trained Doctor using modified Ayres wooden spatula and plastic endocervical cytobrush which were inserted and rotated 360 over cervix. Both ectocervix and endocervix were sampled. Slides were prepared , labeled , fixed in 95% ethyl alcohol immediately and subsequently stained by pap stain. After staining, slides were mounted with DPX (distren dibutyl phthalate xylene), screened and reported by two Cytopathologist according to The 2001 Bethesda system. Results: Age ranged from 20 to 50 and 50 to75 years with an average age of 37 years. Four hundred sixty five (93%) cases showed inflammatory lesions, 15 (3%) showed atrophy, 8 (1.6%) showed metaplasia and others showed ASCUS, AGUS, LSIL, HSIL, SCC. Eighty percent of all the epithelial abnormalities were found in the age group of 40 years and above. Average age of patients for all the epithelial abnormalities was 49years. Conclusion: Cervical cancer is one of the most common malignancies in the women of Bangladesh. Pap smear cytology is a useful screening tool to detect pre-invasive cervical epithelial lesions. Based on the findings of this study we recommend at least a single lifetime Pap screening cytology of the uterine cervix of all the women aged 40 to 50 years.

Research paper thumbnail of Laparoscopic stripping ovarian cystectomy in children without use of electrocautery in residual ovarian bed: experience in Chittagong, Bangladesh

Objective: Laparoscopic excision has now become the standard treatment option for benign ovarian ... more Objective: Laparoscopic excision has now become the standard treatment option for benign ovarian cysts. Stripping is an effective and popular technique practiced by the surgeons for ovarian cyst excision. Use of electro-cautery in the residual ovarian bed is blamed for the reduction of ovarian reserve. Our experience of laparoscopic stripping technique without use of electro-cautery in the remaining ovarian tissue is described. Materials and Methods: From 1 January 2006 to 31 December 2010, 26 cases were considered for laparoscopic stripping ovarian cystectomy. Using mono-polar hook cautery a flap was marked and raised on cyst wall and serous fluid sucked out. A plane was then created between inner and outer linings of the cyst wall, and inner lining peeled off. Warm normal saline wash was then given and the stripped lining was brought out through supra-umbilical port. Patients were followed up at 15 days, 1 month, 3 months, 1 year and then yearly with ultrasonogram at 3 months and 1 year. Patient's age, operative time and outcome, blood loss and complications were studied retrospectively. Results: Age ranged from 3.5 to 16 years. Presenting complaints included: abdominal pain (11), abdominal swelling (8) and palpable abdominal lump (7). Average operative time was 40.30 minutes and operative blood loss ranged from 10 to 36 ml. There was no intra or post-operative complication. There was no recurrence of cyst confirmed by ultrasonography at 3 months and 1 year. Conclusions: Avoiding use of electro-cautery during ovarian cystectomy by stripping technique can prevent damage and reduction in ovarian reserve.