Khulna Medical College

About: Khulna Medical College is a healthcare organization based out in Khulna, Bangladesh. It is known for research contribution in the topics: Pregnancy & Hysterectomy. The organization has 266 authors who have published 203 publications receiving 964 citations. The organization is also known as: Khulna Medical College, Khulna & KMC.

Use of lateral calcaneal flap for coverage of posterior heel defects

Abstract: Lateral calcaneal flap is frequently used for coverage of lateral calcaneum and posterior heel defects. We conducted a prospective study using lateral calcaneal artery flap to cover posterior heel defects from July 2011 to June 2015 in the Department of Burn and Plastic Surgery, Khulna Medical College to observe the clinical outcome of use of lateral calcaneal artery flap. A total number of ten soft tissue defects in posterior heel with and without exposed Achilles tendon or calcaneus due to different causes were reconstructed with lateral calcaneal artery flap. All ten flaps survived completely with no subsequent breakdown of the skin, even after regular wearing of normal shoes. The flap donor sites were grafted with split-thickness skin grafts in all cases. Partial graft loss was noted in two cases which were eventually healed spontaneously with dressing without the need for a secondary graft. Epidermal necrosis developed in one case which was ultimately healed with conservative treatment. There was no loss of sensation in flap area but sensory disturbance at the lateral part of the dorsum of foot was found in all cases. Our results were satisfactory in terms of coverage adequacy, perioperative morbidity, and functional and aesthetical outcomes. The lateral calcaneal artery skin flap can be used safely to provide sensory skin coverage in posterior heel defects. Mediscope Vol. 4, No. 1: Jan 2017, Page 5-10

Effective uterovaginal anastomosis done in cervical agenesis with menouria

Abstract: Agenesis of the uterine cervix is uncommon uterine anomaly. We report a case of 22 year old woman who was admitted in a private hospital with menouria and pelvic mass. Examination found no communication between vagina and uterus. Cervix was absent. Utero-vaginal anastomosis was done and a Foleys catheter was inserted in the uterine cavity for 14 days. During follow up of 1 month and 6 month after surgery patient was menstruating normally and examination revealed that the communication between the uterus and vagina was healed and had been sexually active at 6 months after the procedure. So uterovaginal anastomosis can be safely done in cervical agenesis. DOI: http://dx.doi.org/10.3329/bmjk.v46i1-2.18237 Bang Med J (Khulna) 2013; 46 : 28-30

Comparative Study of Imprint Cytology and Frozen Section in the Intraoperative Diagnosis of Thyroid Lesions

Abstract: Imprint cytology can provide a useful adjunct to the frozen section diagnosis and may be used safely in the intraoperative diagnosis of thyroid nodules, especially in the centres where frozen section facilities are not available. This study was conducted to compare imprint cytology and frozen section in terms of diagnostic accuracy, sensitivity, specificity, positive predictive value and to assess the value of imprint cytology in the intraoperative diagnosis of thyroid lesions. A total of 57 consecutive patients were enrolled in the study. All of the patients underwent frozen section in the department of pathology, BSMMU, Dhaka. Imprints were taken from the fresh specimen sent for frozen section from departments of otolaryngology and surgery of BSMMU. Imprint slides were stained with rapid H & E staining method. Then the tissues were submitted for frozen section by standard method. In this study, diagnostic accuracy, sensitivity, specificity, positive predictive value and negative predictive value of imprint cytology were 81.25%, 66.66%, 82.59%, 87.12% respectively. Frozen section revealed the diagnostic accuracy, sensitivity, specificity, positive predictive value and negative predictive as 88.46%, 72.72%, 100%, 100%, 83.33% respectively. Imprint cytology was found to be comparable with frozen section in diagnostic accuracy and sensitivity. Since imprint cytology is a simple and cost-effective procedure it can be used as an alternative to frozen section in hospitals where frozen section facilities are not available. Key Words: Imprint cytology, frozen section, intraoperative diagnosis of thyroid lesions doi: 10.3329/bjpath.v24i1.2876 Bangladesh J Pathol 24 (1) : 12-15

Comparison of Surgical Outcome between Endoscopic and Microscopic Type 1 Tympanoplasty

Abstract: Background: Chronic otitis media (COM) is the long-standing infection of a part or whole of middle ear cleft characterized by ear discharge & perforation. The most common presenting symptoms are ear discharge, mild to severe hearing loss, sometimes tinnitus even vertigo. Treatment of COM is mainly operative. The treatment of inactive mucosal variety of COM is Type 1 tympanoplasty. It can be done by microscopic or endoscopic technique. Both methods have some merits and demerits. Objectives: Aim of the study was to compare the surgical outcomes between endoscopic and microscopic type 1 tympanoplasty. Methods: This study was carried out in the Department of Otolaryngology–Head & Neck surgery of Bangabandhu Sheikh Mujib Medical University, Dhaka from March 2017 to June 2019 and 60 (30 in each group) patient were included in the study. All patients underwent type 1 tympanoplasty. In Group A endoscopic tympanoplasty cases and in Group B microscopic tympanoplasty cases were placed. Operation duration, post-operative pain, postoperative hearing status, graft uptake was compared in two groups. Results: There were no significant difference of graft uptake and hearing gain (>0.05). But endoscopic operative time and post-operative pain were less than microscopic group (<0.05). Conclusion: Through endoscopic tympanoplasty is a newer approach and it has some limitations. As endoscopic tympanoplasty requires less time, less pain with similar graft uptake and audiological success. It can be adopted as an alternative method of tympanoplasty. Bangladesh J Otorhinolaryngol; October 2020; 26(2): 109-115

Laparoscopic evaluation of tubo-peritoneal causes of infertility

Abstract: Tubal and peritoneal factors are related to female infertility by about 25-30%. Through laparoscopy we want to know what are the tubal and peritoneal leading causes and its management related to primary & secondary infertility. Twelve hundred women were selected for laparoscopic evaluation from January 2001 to December 2012 (diagnostic as well as disease correction) those who have no other ovarian, uterine or extra uterine pathology and male factor abnormalities. Under spinal or general anaesthesia, abdomen was distended by C02, 10mm telescope was introduced by sub-umbilical port and another two ports are used for accessories. Before that history taking, general & pervaginal examination, associated relevant investigations were done for exclusion of other causes. Twelve hundred laparoscopy had been done only for detection of tubo-peritoneal causes of infertility. Sixtyseven percent was primary infertility and 33% was secondary infertility. Normal healthy tubes were found in 52% and among the unhealthy tubes, majority were peritubal adhesion (15.8%) followed by unilateral cornual block (12.9%). Treatment given to the patients were adhesiolysis, unilateral or bilateral salphingectomy, salphingostomy and fimbrial dilatation. Hysteroscopic canulation were done in 7 cases. Advice were given for in vitro fertilization & embryo transfer to 71 patients. Pregnancy rate after laparoscopic management was 43% and rest was under observation. Tubal block are more common than in peritubal adhesion. About 50% patient has a history of some form of genital tract infection. Laparoscopy and same sitting hysteroscopic canulation are essential for better pregnancy outcome in patient of proximal tubal block. DOI: http://dx.doi.org/10.3329/bmjk.v46i1-2.18234 Bang Med J (Khulna) 2013; 46 : 16-20