Aims and Objectives:To study the intra-operative complications in repeat Cesarean sections. Methodology: This is a prospective observational study at Government Maternity Hospital, Tirupati randomly taking 200 women with repeat cesarean sections, excluding women with a history of other abdominal surgeries, intra operative complications were noted and the data is analysed using SPSS software. Results: Out of 200 cases 117 had one, 22 had two and 1case had three prior cesarean sections out of which 43% showed intra-operative complications, most common complications being adhesions (83.72%), thinned out lower uterine segment (37.2%), hemorrhage (10.9%), abnormal placentation (8.13%), extension of the uterine incision (6%), scar dehiscence (4.65%), bladder injury (1.2%). Conclusion: women undergoing repeat cesarean sections have a risk of increased morbidity due to increased intraoperative complications. To avoid this one should keep the cesarean section rate at reasonable limit with appropriate surgical techniques and to limit primary cesarean section rate.
Radial nerve palsy was induced by radial nerve compression, which was often caused by humerus bone fracture. This leads to pain, weakness, or loss of function mostly in the wrist, hand, and fingers. We reported a case of a 24-year-old male patient with complaints of swelling of the right-hand wrist joint and pain during extension and flexion while moving. He had a three-month history of mild displaced humeral shaft fracture from a traffic accident and an intramedullary Ender nailing was performed. He now has been admitted with swelling in his right wrist joint and pain while moving his hand. The case was diagnosed as Radial nerve palsy. Surgery was performed, the proximal and distal ends of the radial nerve were separated at the humeral bone's surface. The radial nerve stumps were enough long to be sutured. Our one-month follow-up shows no complications. The majority cases of radial nerve palsy will resolve within a few weeks after surgery, as our patient did, and the most prominent is patient education.
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