Browsing by Author "Vaidya, Sapana Amatya"
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Publication Caesarean Myomectomy among Patients Undergoing Lower Segment Caesarean Section in a Tertiary Care Center(Nepal Medical Association, 2021) Vaidya, Sapana Amatya; Jha, RijutaAbstract: Pregnancy with uterine myoma increases the risk of abortion, fetal malpresentation, placenta previa, postpartum hemorrhage, hysterectomy and risk to neonate and mother. Caesarian myomectomy is a safe and cost-effective procedure especially when performed by an experienced surgeon only in selected cases. Here, we present our experiences of cesarean myomectomy on ten patients presenting to our center in a period of one year. The most common indications were breech presentation and previous cesarean section. The most common site was anterior, except one which was posterior and the common type is intramural. Despite prophylactic measures, two cases had a postpartum hemorrhage of 2000ml and 700ml, respectively and one even received a blood transfusion. No cases of hysterectomy, neonatal morbidity and mortality were noted in these cases. In our experience, cesarean myomectomy in uterine fibroids has been a safe procedure with limited intraoperative and postoperative complications.Publication Fundal Intramural Pregnancy: An Unusual and Rare Form of Ectopic Pregnancy(Rapti Academy of Health Sciences (RAHS), 2024) Joshi, Basant Raj; Vaidya, Sapana Amatya; Jha, Meena; Shakya, Madhu; Dahal, Bibhuti; Sharma, PrasansaAbstract: Intramural pregnancy is a rare type of ectopic pregnancy and difficult to diagnose. A 42-year-old woman, who has no past history of uterine surgeries, nor fertility treatment, presented with a fundal abnormal mass with diagnostic dilemma with invasive mole. Laparotomy with hysterectomy was performed. Histopathology and immunohistochemistry confirmed as fundal intramural ectopic pregnancy. The postoperative course was uneventful. Keywords: Case Report, Ectopic Pregnancy, Intramural Pregnancy, Fundal Pregnancy, Intramural ectopic pregnancy, Fundal intramural ectopic pregnancy, Rare form of ectopic pregnancyPublication Immature Teratoma in Pregnancy: A Case Report(Nepal Medical Association, 2023) Vaidya, Sapana Amatya; Rai, Snigdha; Jha, AnushreeAbstract Immature teratoma is one of the rare malignant germ cell tumours presented in pregnancy. Here, we present 26-year-old pregnant women who had an incidental finding of left adnexal mass in an anomaly scan at 19 weeks of pregnancy. Laparotomy with peritoneal fluid cytology, left salpingo-oophorectomy and omental biopsy at 20 weeks of pregnancy revealed immature teratoma stage 1A, grade 2 in the histopathology report. However, she followed up with the metastatic mass in the pouch of Douglas at 30 weeks of pregnancy in magnetic resonance imaging despite being counselled for possible chemotherapy and surveillance. A baby with a good Apgar score and grade 3 immature teratoma in the metastatic mass was revealed following the exploratory laparotomy and cesarean section at 36 weeks of pregnancy. Fertility-sparing surgery with chemotherapy during pregnancy for high-grade tumours may result in a good prognosis.