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Introduction: Remarkable advancement in managing post-operative pain is made using various analgesics. Dexamethasone is a potent anti-inflammatory, analgesic, and anti-emetic agent and readily available, easy to administer, and a safe adjunct for postoperative analgesia. The intraperitoneal use of local anesthetics is known to improve postoperative pain. Objective: To assess the effectiveness of preoperative Dexamethasone combined with intra-peritoneal Bupivacaine for postoperative pain relief following surgery. Material and Methods: A prospective, randomized controlled study was done over a period of one year on 172 women scheduled for elective gynecological surgeries. The study group received Dexamethasone 8mg IV, 5 minutes prior to induction of anesthesia or before surgical incision, and intra-operatively 30ml of 0.25% Bupivacaine intraperitoneally under aseptic precautions. The control group received standard anesthesia as per the routine hospital protocol. Results: It was noted that the mean consumption of analgesic doses was significantly high in group B compared to group A (3.01±0.52 vs 1.46±0.83; p<0.001).The mean VRes scores in group A were significantly high compared to group B (2.95±1.01 vs 0.20±0.51; p<0.001). Conclusion: Dexamethasone combined with intra-peritoneal Bupivacaine is highly effective in reducing postoperative pain along with PONV.

Introduction: Accurate gestational age assessment is important in obstetric care. Ultrasonography plays a significant role in determination of Gestational Age. The ultrasonographic parameters used for GA determination are Crown rump Length, Biparietal diameter, Head circumference, and abdominal circumference and Femur length. Fetal kidney length (FKL) is one of the emerging parameter in estimation of gestational age. Renal length in mm is identified to approximate the gestational age in weeks. The present study is aimed to corroborate that FKL as a good parameter for gestational age estimation in third trimester. Objective: Is to ascertain the precision of the ultrasonographic 'foetal kidney length' measurement as a reliable parameter for determination of GA in third trimester. Material and Methods: One year Cross-Sectional and an Observational Study was conducted on 171 antenatal women in the third trimester after corroborating the gestational age by first trimester ultra sound and GA by LMP. Ultrasound measurements of Foetal kidney length were taken and correlation with last menstrual period gestational age and with other parameters (BPD, HC, AC, FL) were evaluated. Results: This study showed a good correlation of Mean kidney length with GA by LMP of (r=0.991) than the rest of the parameters, HC(r=0.836), FL(r=0.853), AC(r=0.853), BPD (r=0.734) with p value=0.000 for all the parameters. Conclusion: This study confirms that the fetal kidney length measurement is a reliable ultrasonographic parameter for estimating the gestational age accurately in the 3rd trimester and also it is observed that the correlation is increased when used along with other parameters.

Historically, primary fallopian tube carcinoma constitutes 0.3% of all cancers of the female genital tract. But literature suggests that the primary fallopian tube carcinoma may be more common. The true incidence of fallopian tube cancer may be underestimated because of the convention of assigning many of these as ovarian cancer when the site of origin is unclear. The preoperative diagnosis is difficult due to the lack of specific symptoms. Fallopian tube carcinoma clinically behaves like epithelial ovarian cancer and histologically similar to it; thus, the evaluation and treatment are essentially the same. We report here a typical case of primary fallopian tube cancer in a 48 year old female diagnosed as ovarian tumour, preoperatively by radiological imaging but was recognized as fallopian tube carcinoma intraoperatively and was confirmed by histopathology.

Atypical polypoid adenomyoma (APA) is a rare and benign endometrial polypoid lesion. APA was found in a 38-year-old woman who presented with excessive vaginal bleeding. Histopathological examination of the polyp was consistent with "APA" with extensive morular metaplasia. Immunohistochemical marker CD 10 was done to establish the diagnosis of morular metaplasia. Morular metaplasia is dissimilar to squamous metaplasia. It is sometimes misreported as adenosquamous carcinoma. This case illustrates the significance of morular metaplasia as a differential diagnosis.