BACKGROUND AND OBJECTIVES Numerous retrospective and some prospective review of open disc Surgeries are available. The results of these series vary greatly with good results ranging from 46-97% and re-operation rate of 9%. The need for this study is to evaluate the results of discectomy for Lumbar disc prolapse. With regard to patient's post-operative subjective evaluation of low back pain and radicular symptoms, the objective physical findings and the complications are evaluated METHODS 30 cases of lumbar disc prolapse treated with fenestration and discectomy treated in Andhra Medical College and King George Hospital, Visakhapatnam were studied. Japanese Orthopaedic Association Low Backache score was used to assess the outcome. Preoperative and Post-operative scores were taken and the rate of improvement in terms of percentage was calculated. RESULTS In our study we achieved 86% excellent-to-good results, 10% of fair results with a complication rate of 3.3% only. The results were comparable to other studies. INTERPRETATION AND CONCLUSION There are many new techniques for treatment of lumbar disc prolapse, but conventional standard discectomy through a fenestration is still the most acceptable method even today. Various studies have shown 91% of patients had excellent, good and satisfactory outcome; 9% of patients had moderate and poor outcomes.
An 18-year-old girl presented with progressively increasing dysmenorrhea. A pelvic mass was suspected which on exploratory laparotomy was found to be a rudimentary horn (hematometra, hematosalpinx). We report a case of unicornuate uterus with functioning rudimentary horn to highlight that mullerian duct anomalies should be considered in the differential diagnosis of severe dysmenorrhea even in normally menstruating girls. Unicornuate uterus with a rudimentary horn is susceptible to many gynecologic and obstetric complications. Hematometra, chronic pelvic pain, endometriosis, infertility are some of the complaints in women with unicornuate uterus. How to cite this article Choudhary R, Verma S, Meena A, Gothwal S. A Case of Rare Mullerian Anomaly—Functional Rudimentary Uterine Horn: As an Unusual Cause of Unilateral Dysmenorrhea in Postmenarchal Adolescent Girl. J South Asian Feder Obst Gynae 2012;4(1):56-58.
Arterial supply to the humans hand is the most important earning tools, is derived from two arterial anastomotic arches, superficial and deep formed by the anastomosis between two main arteries of forearm. Usually the palmar arterial arches are typical but several variations can occur. For example, the superficial palmar arch may be formed by the ulnar artery alone. So, this study is designed to find out the pattern of palmar arterial arches in the hand. AIMS AND OBJECTIVES: The objective of this study is to evaluate the morphology of the palmar arterial arches and its variation if present so that it may help Anatomists, Micro vascular surgeons &orthopedic surgeons. MATERIALS AND METHODS: 40 upper limbs of 20 cadavers were studied in the Department of Anatomy Nalanda Medical College, Patna. These human cadavers fixed in 10% formaldehyde solution. The male cadavers were 14 and female were 06 in number. Normal pattern of palmar arterial arches and its variation were observed. RESULTS: Superficial Palmar Arch: 40 limbs studied, in which single superficial palmar arch found in 38 limbs, 02 cases deviate from normal which shows double superficial palmar arches. Out of 38 limbs with single SPA, 32 limbs with a complete arch and 06 limbs with an incomplete arch, in the complete arch classical radio-ulnar type found in 31 cases where as in one case it was ulnar type of arch. In complete arch group, 04 limbs (10%) had a blood supply from both ulnar artery & superficial palmar branch of radial artery but without an anastomosis with each other, while in 02 limbs, instead of superficial palmar branch of radial, it was median artery was a source of blood supply along with ulnar artery again without anastomosis with each other. Deep Palmar Arch: In all the 40 limbs, it was a complete arch. The ulnar artery gave 02 deep palmar branches in all cases. In 22 limbs, it was only inferior deep palmar branch of ulnar artery which formed deep palmar arch, the superior branch which contributed to formation of deep palmar arch. It was only 04 cases, both the branches contributed to the formation of deep palmar arch. In one limb the radial artery dipped in 2 nd intermetacarpal space and took part in formation of deep palmar arch with superior deep palmar branch of ulnar artery.
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