Medicine an Surgery notes

Apr 24th, 2015
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Management Of Genital ProlapseProf. Surendra Nath Panda, M.S.Department of Obstetrics and GynecologyM.K.C.G.Medical CollegeBrahmapur, Orissa, IndiaDEFINITIONProlapse/Procidentia is downward decent of uterus&/or vagina (Procidentia is from Latin procidere to fall)It is a state of pelvic relaxation due to a disorder ofpelvic support structures that is, the endopelvicfasciaIt is not a disease but a disabling condition12 March, 2016Management of Genital Prolapse - Prof.S.N.Panda2CAUSEWEAKNESS OF THE SUPPORTS OF THE UTERUS &VAGINAPrecipitating / Exaggerating / Unmasking Causes INCREASED INTRA ABDOMINAL PRESSUREChronic coughChronic ConstipationHeavy Wt.Lifting / domestic WorkObesity, AscitisWEAKNESS OF THE SUPPORTS & MUSCLESChronic ill health, malnutrition dysentery, anemiaInadequate rest during pureperiumMenopause12 March, 2016Management of Genital Prolapse - Prof.S.N.Panda3TYPES OF PROLAPSEVaginalAnterior cystocele &urethrocelePosterior - Enterocele &RectoceleVault Prolapse - a specialterm applied to theprolapse of upper vagina12 March, 2016Uterine/Utero-vaginalAcquired or Congenital.First degree.Second degree &.Third degree-(total Prolapse/ complete procidentia).However Procidentia isoften used only to denotethird degree uterineprolapse.Management of Genital Prolapse - Prof.S.N.Panda4EFFECTS OF PROLAPSENO SYMPTOM- mild & moderate pro

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