Browsing by Author "Verghese, J"
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Publication Placenta accreta(Kathmandu University, 2009) Nizami, DJ; Awasthi, RT; Dash, S; Verghese, JAbstract Total placenta accreta is a rare condition. Its management is a dilemma. Attempted separation of the placenta in placenta accreta can cause torrential blood loss. Therefore an antenatal diagnosis of placenta accreta permits advance planning of delivery. Two alternatives are caesarean section through the fundus with subsequent immediate hysterectomy, which has traditionally been the treatment of choice or if the patient wishes more children, leaving the placenta in place and managing conservatively1. We present a 38 year old lady who was diagnosed to have placenta accreta while performing a caesarean section for a breech presentation. We had to proceed with a total hysterectomy.Publication Severe haematoma of the vulva: A report of two cases and a clinical review(Kathmandu University, 2006) Dash, S; Verghese, J; Nizami, DJ; Awasthi, RT; Jaishi, S; Sunil, MHaematoma of the vulva may occur following blunt trauma due to its highly vascular structure. We present two cases of haematoma of the vulva caused by domestic violence, following a kick on the perineum and falling astride on the perineum. Evacuation of the haematoma and repair of lacerated tissues were successfully performed.