Bethesda Hospital

About: Bethesda Hospital is a healthcare organization based out in Ambur, Tamil Nadu, India. It is known for research contribution in the topics: Population & Helicobacter pylori. The organization has 386 authors who have published 472 publications receiving 15193 citations.

Use of the Purse-String Suture to Conservatively Manage a Cornual Ectopic Pregnancy.

Abstract: We report the successful management of a 31-year-old female, treated by cornual wedge resection. The patient suffered from vaginal spotting and lower abdominal pain. Transvaginal ultrasonography revealed a 4-5 cm right cornual pregnancy and beta-human chorionic gonadotropin was measured to be 614.7 IU/L. This ectopic pregnancy was removed via a laparotomy with cornual wedge resection and right salpingectomy.

Detecting people with PTSD following a disaster.

Abstract: specialist colleagues, need to admit that we do not know the answers. Despite this uncertainty, Stuart Taylor recommends that general practitioners should refer patients with suspected prostate cancer to a urologist and leave the decisions to the specialist. However, this black box model of referral is no longer acceptable to general practitioners and patients. We should match patient preference for aggressive or conservative management to the specialist who is flexible enough to suit the patient's needs. General practitioners need to know what sort of advice and opinions patients will receive when referred. We will then be able to counsel our patients and help them make informed decisions about their choice of specialist and, hence, the approach taken to the management of their disease. The black box should, therefore, develop a degree of translucency, if not total transparency. Prospective studies are needed to improve our knowledge of prostate cancer.s We need to determine whether men with prostate cancer detected through screening have a better health outcome than those who are not screened. We must provide evidence to indicate whether watchful waiting or active intervention is better in a given clinical situation. Only then will general practitioners and urologists be able to treat men with this common disease objectively and effectively.

Flexor Pollicis Longus Rupture in a Scaphoid Nonunion: A Case Report.

Abstract: Background Flexor pollicis longus (FPL) tendon rupture is a rare complication of scaphoid nonunion. Case Description A fit active 70-year-old woman ruptured her FPL when it abraded on a painless 50-year-old scaphoid nonunion. She had asymptomatic scaphoid nonunion advanced collapse (SNAC) arthritis. At surgery, the sharp mobile volar scaphoid osteophytes were excised and the volar wrist capsule was repaired. A vascularized fat flap based on a perforator of the radial artery was used to augment the volar wrist capsule repair and to create a smooth gliding surface for the FPL. The ruptured FPL tendon was reconstructed with a palmaris longus graft. Literature Review Complete rupture of the FPL tendon secondary to scaphoid nonunion is a rare complication. It can be easily misdiagnosed because the original injury may be unrecognized or forgotten. A consensus regarding the optimal surgical management has not been reached. Clinical Relevance The objective of surgery in this case was to restore FPL function and prevent a recurrent rupture. The asymptomatic SNAC arthritis was not treated. No further wrist surgery was required. The patient was asymptomatic with a functioning FPL tendon 4 years after surgery.