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Article ; Online: Youngest en-bloc kidney transplant recipient in India: defying the barriers and challenges with teamwork.

Ajmera, Jagadeep / Pol, Manjunath Maruti / Bagga, Arvind / Sinha, Aditi

BMJ case reports

2023 Volume 16, Issue 5

Abstract: We received a call from a transplant coordinator about the availability of a consented deceased donor. En-bloc kidneys with the aorta and IVC (inferior vena cava) were harvested from a toddler weighing 8 kg. The recipient was of early childhood weighing ... ...

Abstract	We received a call from a transplant coordinator about the availability of a consented deceased donor. En-bloc kidneys with the aorta and IVC (inferior vena cava) were harvested from a toddler weighing 8 kg. The recipient was of early childhood weighing 14 kg who had been on haemodialysis for the last 3 years for end-stage kidney disease. He received anti-thymocyte globulin as an induction immunosuppressant. The kidneys were transplanted en bloc in the right lower quadrant retroperitoneal region; an anastomosis was performed to the recipient's aorta and IVC, and two separate neocystoureterostomies were created. His serum creatinine reached 0.5 mg/dL on the seventh postoperative day, following a few days of delayed graft function. In this study, we describe the surgical and non-surgical challenges that we faced while performing en-bloc kidney transplant to the youngest recipient and how a multidisciplinary team approach helped us overcome them.
MeSH term(s)	Male ; Humans ; Child, Preschool ; Kidney Transplantation ; Kidney ; Kidney Failure, Chronic/surgery ; Vena Cava, Inferior ; Tissue Donors
Language	English
Publishing date	2023-05-31
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2022-254439
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Maternal death audit- institutional based maternal death review in four major hospitals of Municipal Corporation of Delhi

Maruti Sinha

Asian Journal of Medical Sciences, Vol 6, Iss 4, Pp 67-

2015 Volume 73

Abstract: Objective : In India not much importance is still being given to Medical Audit & Death Audit which requires an in-depth analysis of maternal deaths with reference to the cause of death, ways in which the death could have been prevented and deficiencies ... ...

Abstract	Objective : In India not much importance is still being given to Medical Audit & Death Audit which requires an in-depth analysis of maternal deaths with reference to the cause of death, ways in which the death could have been prevented and deficiencies in health care facilities. Methods: Audit was conducted by Facility BMDR approach, across the various Municipal Corporation of Delhi Hospitals namely, 980 bedded Hindu Rao Hospital, 450 bedded Kasturba Hospital, 250 bedded Swamy Dayanand Hospital and 97 bedded Girdhari Lal Maternity Hospital. Results: The total deliveries combing all hospitals was 113237 out of which 86859 were normal deliveries, 1572 deliveries were assisted forceps or vacuum deliveries and remaining 23403 patients underwent lower segment caesarean section (LSCS) . The total patients who lost life are 194. Out of 194 maternal deaths highest deaths are found in the age group of 20 to 24 i.e 74(38.1%) and almost similar pattern in the age group between 25 to 29 is 73(37.6%) and, maximum deaths (135-69.6%) were observed amongst women who were pregnant for the first time in their life,. Haemorrhage was the major cause of maternal deaths N=61(31.4%) hypertension N=25(12.9) and septicaemia N=24(24.4). 84(43.3%) cases were unstable at the time of admission. 72 (37.1%) cases haemoglobin percentage in blood was not documented and of the remaining only15(7.7%) had above 11 Hb%. Conclusion: Death Audit can become a continuous evolving process to create awareness in health care facilities regarding their deficiencies and scope for improvements which unfortunately is well below par and requires standardization along with a comprehensive policy.
Keywords	mmr-maternal mortality rate ; lscs- lower segment caesarean section ; Medicine ; R
Subject code	610
Language	English
Publishing date	2015-02-01T00:00:00Z
Publisher	Manipal College of Medical Sciences, Pokhara
Document type	Article ; Online
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Article: Correlation of past tuberculosis with current screening for female genital tuberculosis in infertile women in a tertiary care hospital.

Sinha, Maruti / Rani, Rekha / Bagga, Poonam

The Indian journal of tuberculosis

2021 Volume 69, Issue 4, Page(s) 577–583

Abstract: Objectives: To analyse correlation of past history of tuberculosis with present state of infertility with respect to HSG and diagnostic findings, with a view to assess the frequency of genital tuberculosis in infertile women, its clinical presentation ... ...

Abstract	Objectives: To analyse correlation of past history of tuberculosis with present state of infertility with respect to HSG and diagnostic findings, with a view to assess the frequency of genital tuberculosis in infertile women, its clinical presentation and association with infertility. Materials and methods: The study is an ongoing study conducted in the Department of Obstetrics and Gynaecology, Kasturba Hospital, Delhi and included 174 infertile women enrolled as OPD patients in our hospital. A detailed history with special emphasis on past history of tuberculosis, thorough clinical examination, all routine investigations for Infertility & special investigations for genital tuberculosis was done. Diagnostic tests and laparoscopy was further performed as per the protocol. Results: Female genital tuberculosis has been described as a disease of the younger population. The present study shows that 87.9% patients diagnosed for genital tuberculosis were between 20 and 35 yrs of age. It was observed that amongst 174 infertile patients who attended our OPD, 40 patients had a positive history of present or previous incidence of Koch's, pulmonary or extra pulmonary, namely 22.9% (Group I) and the remaining patient comprising 77.1%, who had no record of any previous tuberculosis (Group II). Active Tuberculosis was seen in 5 patients out of a total of 40 females. Out of the total of 174 infertile patients suffering from tubal disorder 52.5% of Group I patients had evidences of tubal disease as compared to only 27.6% in Group II thus suggesting a strong correlation of tubal destruction and subsequent infertility to a positive history of tuberculosis. Out of the 56 laparoscopies performed, it was seen that 75% of Group I patients with past history of TB had abnormal laparoscopic findings (18 out of 24 patients), as compared to Group II which had only 9 out of 32 patients (28%) showing positive pelvic pathology. This seems to be very significant. Conclusion: In conclusion the results of the present study validate arguments in favour of incorporating screening for genital tuberculosis as a part of the baseline investigation for all patients of infertility, in countries like ours and especially in such patients who have suffered from Tuberculosis sometimes earlier in their lives.
MeSH term(s)	Pregnancy ; Humans ; Female ; Tuberculosis, Female Genital/complications ; Tuberculosis, Female Genital/diagnosis ; Tuberculosis, Female Genital/epidemiology ; Infertility, Female/diagnosis ; Infertility, Female/etiology ; Tertiary Care Centers ; Tuberculosis ; Tuberculosis, Urogenital
Language	English
Publishing date	2021-09-01
Publishing country	India
Document type	Journal Article
ZDB-ID	603129-8
ISSN	0019-5707 ; 0019-5705
ISSN	0019-5707 ; 0019-5705
DOI	10.1016/j.ijtb.2021.08.036
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Article: Postpartum Vaginal Stenosis Due to Chemical Vaginitis.

Kaur, Gurcharan / Sinha, Maruti / Gupta, Ridhima

Journal of clinical and diagnostic research : JCDR

2016 Volume 10, Issue 5, Page(s) QD03–4

Abstract: Acquired vaginal stenosis is a rare obstructing anomaly, which can be caused by use of chemicals in the vagina. A 21-year-old gravida 1 para 1, presented with secondary amenorrhea and inability to have sexual intercourse, after normal spontaneous vaginal ...

Abstract	Acquired vaginal stenosis is a rare obstructing anomaly, which can be caused by use of chemicals in the vagina. A 21-year-old gravida 1 para 1, presented with secondary amenorrhea and inability to have sexual intercourse, after normal spontaneous vaginal delivery complicated by post partum bleeding. The delivery was conducted by untrained traditional birth attendant at home. The wash cloth soaked with caustic soda was packed in the patient's vagina and was left in situ for 10 days, which ultimately led to the severe scarring and stenosis of the vagina. Patient underwent surgical management and the extensive vaginal adhesions were excised and a patent vagina was reconstructed. Patient then reported successful vaginal intercourse without dyspareunia. Post partum vaginal stenosis due to chemical vaginitis is rare. These cases can be prevented by adequate training of untrained health care workers.
Language	English
Publishing date	2016-05-01
Publishing country	India
Document type	Case Reports
ZDB-ID	2775283-5
ISSN	0973-709X ; 2249-782X
ISSN (online)	0973-709X
ISSN	2249-782X
DOI	10.7860/JCDR/2016/18373.7796
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Article ; Online: Postpartum Vaginal Stenosis Due to Chemical Vaginitis

Gurcharan Kaur / Maruti Sinha / Ridhima Gupta

Journal of Clinical and Diagnostic Research, Vol 10, Iss 5, Pp QD03-QD

2016 Volume 04

Abstract	Acquired vaginal stenosis is a rare obstructing anomaly, which can be caused by use of chemicals in the vagina. A 21-year-old gravida 1 para 1, presented with secondary amenorrhea and inability to have sexual intercourse, after normal spontaneous vaginal delivery complicated by post partum bleeding. The delivery was conducted by untrained traditional birth attendant at home. The wash cloth soaked with caustic soda was packed in the patient’s vagina and was left in situ for 10 days, which ultimately led to the severe scarring and stenosis of the vagina. Patient underwent surgical management and the extensive vaginal adhesions were excised and a patent vagina was reconstructed. Patient then reported successful vaginal intercourse without dyspareunia. Post partum vaginal stenosis due to chemical vaginitis is rare. These cases can be prevented by adequate training of untrained health care workers.
Keywords	chemical burn ; caustic soda ; sodium hydroxide ; vaginal atresia ; vaginal gynatresia ; Medicine ; R
Subject code	630
Language	English
Publishing date	2016-05-01T00:00:00Z
Publisher	JCDR Research and Publications Private Limited
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Glyceryl trinitrate patch versus intravenous ritodrine for tocolysis in pre-term labour

Charu Jain / Maruti Sinha / Rekha Rani / Aruna Tiwari

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, Vol 5, Iss 12, Pp 4447-

2016 Volume 4452

Abstract: Background: Preterm birth is the single most important determinant of adverse infant outcome. Tocolytic therapy has shown beneficial effect in certain selected patients. The present study was conducted to evaluate the efficacy, maternal and fetal outcome ...

Abstract	Background: Preterm birth is the single most important determinant of adverse infant outcome. Tocolytic therapy has shown beneficial effect in certain selected patients. The present study was conducted to evaluate the efficacy, maternal and fetal outcome with the use of Transdermal Glyceryl nitrate patches versus Intravenous Ritodrine tocolytic agents. Methods: Study included 50 patients of gestation 24-34 weeks in preterm labor. Group I: Glyceryl trinitrate patch releasing 10mg/24 hours (0.4mg/ hour) was applied transdermally and repeated after 2 hours if no reduction in contractions was seen. Group II: Intravenous Ritodrine infusion prepared by adding 50mg to a bottle of 5% dextrose or ringer lactate solution and infusion started at an initial rate of 0.05mg/min which was increased by 50 micrograms per minute every 15 min until contractions ceased. Results: 22 patients in group I treated with GTN and 19 patients in group II treated with Ritodrine achieved successful tocolysis. The difference was statistically insignificant (P value - 0.23). Mean Gestational age at delivery was 34.97 in GTN Group as compared to 33.24 weeks in Ritodrine Group difference which is statistically significant (P = 0.0004). Very few adverse effects were observed in the GTN Group. Comparatively, the Ritodrine Group had severe adverse effects requiring discontinuation of therapy. Fetal outcome was satisfactory in both groups. Conclusions: The effects of Glyceryl trinitrate and Ritodrine in the treatment of preterm labor were essentially similar. Glyceryl trinitrate is associated with lesser maternal and fetal adverse effects and appears to be a very viable, inexpensive and safer alternative to Ritodrine. [Int J Reprod Contracept Obstet Gynecol 2016; 5(12.000): 4447-4452]
Keywords	GTN Patch ; IV Ritodrine ; Preterm labour ; Tocolysis ; Gynecology and obstetrics ; RG1-991 ; Medicine ; R
Subject code	610
Language	English
Publishing date	2016-12-01T00:00:00Z
Publisher	Medip Academy
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Assisted breech vaginal delivery of dicephalus dipus dibrachius conjoined twins: a case report.

Sinha, Maruti / Gupta, Ridhima / Gupta, Pushpender / Tiwari, Aruna

The Journal of reproductive medicine

2015 Volume 60, Issue 3-4, Page(s) 160–164

Abstract: Background: Conjoined twinning is a rare congenital anomaly. Even after significant advancement in the health care delivery system in developing countries, adequate antenatal care of pregnant patients and antenatal diagnosis of congenital malformations ... ...

Abstract	Background: Conjoined twinning is a rare congenital anomaly. Even after significant advancement in the health care delivery system in developing countries, adequate antenatal care of pregnant patients and antenatal diagnosis of congenital malformations by radiological techniques like sonogram need to be emphasized. Case: A 25-year-old woman (G1P0) at 38 weeks' gestation vaginally delivered stillborn dicephalus male twins with 2 heads, 2 necks, and a common trunk with 2 arms and 2 legs at Kasturba Hospital. The fetuses were in breech presentation and were delivered using assisted breech vaginal delivery. The conjoint nature of the fetuses remained undiagnosed antenatally and was clinically unsuspected during the intrapartum period. It was only confirmed after delivery. The intrapartum and postpartum course was uncomplicated, and the patient was discharged home on postpartum day 2. Conclusion: The diagnosis of conjoined twins can be missed without adequate antenatal care, leading to adverse fetomaternal outcome. Antepartum diagnosis of conjoined twins with sonography with or without MRI is essential for optimal obstetric and perinatal management, preoperative surgical planning, and parental counseling. Surgical separation of conjoined twins is possible in select cases and involves a multidisciplinary approach using several specialties.
MeSH term(s)	Adult ; Breech Presentation ; Delivery, Obstetric ; Female ; Fetal Death ; Humans ; Infant, Newborn ; Male ; Pregnancy ; Stillbirth ; Twins, Conjoined
Language	English
Publishing date	2015-03
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	390916-5
ISSN	1943-3565 ; 0024-7758
ISSN (online)	1943-3565
ISSN	0024-7758
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Article: Lippes Loop Inserted 45 Years Back: The Dilemma to Remove It or Leave It in situ. A Case Report with Review of Literature.

Sinha, Maruti / Rani, Rekha / Gupta, Ridhima / Chand, Kishan / Kaur, Gurcharan

Journal of clinical and diagnostic research : JCDR

2015 Volume 9, Issue 4, Page(s) QE01–5

Abstract: IUD's like Lippes Loop (LL), intended for long term use are retained for years and menopausal ladies often present with LL in situ either deliberately or forgotten. We report a case of Lippes Loop removal inserted 45 years back in a woman complaining of ... ...

Abstract	IUD's like Lippes Loop (LL), intended for long term use are retained for years and menopausal ladies often present with LL in situ either deliberately or forgotten. We report a case of Lippes Loop removal inserted 45 years back in a woman complaining of post menopausal bleeding. The inserted LL thread was incidentally discovered during clinical examination and Ultrasonography. We also reviewed literature to determine the evidence for and against removal of an inert IUD.
Language	English
Publishing date	2015-04-01
Publishing country	India
Document type	Journal Article ; Review
ZDB-ID	2775283-5
ISSN	0973-709X ; 2249-782X
ISSN (online)	0973-709X
ISSN	2249-782X
DOI	10.7860/JCDR/2015/12981.5832
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Article ; Online: Lippes Loop Inserted 45 Years Back

Maruti Sinha / Rekha Rani / Ridhima Gupta / Kishan Chand / Gurcharan Kaur

Journal of Clinical and Diagnostic Research, Vol 9, Iss 4, Pp QE01-QE

The Dilemma to Remove It or Leave It in situ. A Case Report with Review of Literature

2015 Volume 05

Abstract: IUD’s like Lippes Loop (LL), intended for long term use are retained for years and menopausal ladies often present with LL in situ either deliberately or forgotten. We report a case of Lippes Loop removal inserted 45 years back in a woman complaining of ... ...

Abstract	IUD’s like Lippes Loop (LL), intended for long term use are retained for years and menopausal ladies often present with LL in situ either deliberately or forgotten. We report a case of Lippes Loop removal inserted 45 years back in a woman complaining of post menopausal bleeding. The inserted LL thread was incidentally discovered during clinical examination and Ultrasonography. We also reviewed literature to determine the evidence for and against removal of an inert IUD.
Keywords	intra uterine contraceptive devices ; menopause ; perforation ; Medicine ; R
Language	English
Publishing date	2015-04-01T00:00:00Z
Publisher	JCDR Research and Publications Private Limited
Document type	Article ; Online
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Article ; Online: A rare case of subacute uterine inversion managed by Haultains repair

Maruti Sinha / Ridhima Gupta / Pushpender Gupta / Aruna Tiwari

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, Vol 2, Iss 3, Pp 425-

2013 Volume 426

Abstract: Uterine inversion is a rare but serious obstetrical emergency which usually occurs due to mismanagement of third stage of labour. If the condition is promptly recognized before incarceration, manual repositioning of the uterus may be successful. However ... ...

Abstract	Uterine inversion is a rare but serious obstetrical emergency which usually occurs due to mismanagement of third stage of labour. If the condition is promptly recognized before incarceration, manual repositioning of the uterus may be successful. However in neglected uterine inversion, incarceration may occur due to constriction ring formation, necessitating surgical intervention. We present a case of neglected uterine inversion managed by Haultain`s repair. [Int J Reprod Contracept Obstet Gynecol 2013; 2(3.000): 425-426]
Keywords	Uterine inversion ; Haultain's repair ; Gynecology and obstetrics ; RG1-991 ; Medicine ; R ; DOAJ:Gynecology and Obstetrics ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Language	English
Publishing date	2013-06-01T00:00:00Z
Publisher	Medip Academy
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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