Retrospective analysis of outcomes in patients with clear cell sarcoma of the kidney: A tertiary single-institution experience
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Background: Cesarean section (CS) is defined as the delivery of a fetus through surgical incisions made through the abdominal wall (laparotomy) and the uterine wall (hysterotomy).Cesarean section delivery is to be performed only when it is necessary, as it increases maternal morbidity.There is a substantial rise in the CS rate over the previous three decades, and an objective and scientific analysis of the indications of CS deliveries is necessary to decrease the number.As a result, Robson's classification of global standards has become indispensable.To reduce the rising CS rate, this study used Robson's criteria to analyze the CS trend at a tertiary care teaching hospital.It also identified the proportion of women in each category according to Robson's 10-group categorization scheme and the CS rate among them.Methods: The Deen Dayal Upadhyay Hospital, a tertiary care teaching hospital in New Delhi, served as the site of this retrospective study.Data were gathered from women who underwent cesarean deliveries between January 2022 and January 2023, and proportions in various categories were computed using Robson's 10-group classification scheme.Results: About 33.33% of deliveries at DDU Hospital throughout the study period were CS.Robson group I (21.95%) had the highest level of representation in the study group, followed by Robson groups III (20.89%) and 2 (18.74%), while Robson groups VIII (1.23%) and 9 (0.32%) had the lowest levels.Group II came in second at 7.3%, while the Robson group V contributed the most overall to the CS rate at 12.42%.Group IX had a 100% CS rate despite comprising the smallest proportion of the study group. Conclusion:The most common indication for previous lower segment cesarean section can be reduced by judicious use of trial of labor after cesarean.Every effort must be done to reduce primary CS.
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Introduction: Many elective surgical procedures requires transfusion due to anticipated blood loss,.The preoperative demand for blood is often an over-assumption as shown by the Blood Bank Records.This results in pre-emptive cross matching which renders a blood bag unavailable to other recipients thereby increasing the expiration of blood products and also causes overburdening of blood bank personnel, wastage of blood bank resources and time.The main aim of this present study is to improve the utilization of blood and to reduce the wastage of blood bank resources by adopting "Type and screen" (T&S) policy in departments with low transfusion probability.Materials and Methods: Case records of all patients who underwent both elective and emergency surgeries in general surgery, gynecology and orthopedics were collected for a period of one year from 01 April 2016 to 31 March 2017 in our tertiary care institution.Transfusion parameters such as the number of units transfused, cross-matched were analysed.The calculated indices included Cross-Match to Transfusion Ratio (C:T ratio),Transfusion Probability (%T) and Transfusion Index (TI).Results: It was observed that the transfusion probability in General surgery cases was high compared to gynecology and orthopedics.Conclusion: Adoption of T&S policy over the Standard Blood Order Schedule (SBOS) for departments with low transfusion probability resulted in reduction of CT ratio, thereby improving the efficiency of the blood bank.
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