Browsing by Author "Arora, M."

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    Comparison of hysteroscopic and laparoscopic myomectomy in large type 2 submucous leiomyomas
    (Medip Academy, 2023-03) Taneja, A.; Kaur, M.; Kaur, A.; Arora, M.; Singh, P.; Goyal, M.
    Background: Uterine leiomyomas are the most common benign tumors, affecting 30% of women of reproductive age. Submucous myomas are seen in 5.5-10% of all myomas. This study aimed to compare clinical, peri, and post-op outcomes of hysteroscopic and laparoscopic myomectomy in large type 2 submucous myomas. Methods: A prospective study was performed on 50 patients with large submucous type 2 leiomyomas measuring 3-5cm from October 2020 to August 2022. Patients were randomized into two groups of 25 each. Group A underwent hysteroscopic myomectomy and group B underwent laparoscopic myomectomy. Results: There was no significant difference in the demographic data of both groups except parity. Perioperative outcomes including bleeding, pain, and hospital stay were significantly higher in the laparoscopy group. None of our patients had air embolism. One patient had blindness in the postoperative period. 2 patients had uterine perforation in the hysteroscopy group. Postoperative pain was higher in the laparoscopy group. Recurrence at 3 months was seen in 2 patients of group A. Asherman syndrome was seen in group A. Single-stage success rate was seen higher in the laparoscopy group. Conclusions: Laparoscopy and hysteroscopy both are feasible techniques of myomectomy for submucous leiomyomas but for removal of large submucous leiomyomas laparoscopy myomectomy is considered better. For successful removal of large myomas in single-stage hysteroscopy, use of hysteroscopic morcellation should be considered.
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    Impact of Smoking on All-Cause Mortality in Patient Undergoing Cardiovascular and Thoracic Procedures: A Prospective Observational Study
    (Medsci Publications, 2024-09) Jan, H; Ram, C; Bhat, MA; Ganie, FA; Singhal, M; Seenivasan, P; Arora, M.
    Introduction: Tobacco smoke is the primary cause of illness and death in today's society, and cigarette smoking (CS) remains a substantial health risk. The primary goal of this study was to assess the extent of smoking among adult Kashmiri patients who had undergone cardiovascular procedures and to identify the sociodemographic factors associated with smoking in this population. Methods: A prospective evaluation was conducted on 143 patients who underwent various thoracic and cardio-vascular procedures. With the use of a common, validated questionnaire, data was collected. The investigation utilized Cox proportional hazards regression to explore the associations between smoking and overall mortality, incorporating adjustments for non-communicable diseases, sociodemographic factors, and lifestyle variables. Results: In total, 36.92% (95% CI: 1.54%–1.71%) of people were smokers, with men having a considerably greater prevalence than women (85.42%, 95% CI: 0.75–0.95 vs. 14.58%, 95% CI: 0.08–0.4). The age group of 33–63 years old had the highest rate of smoking prevalence (77.08%). Additionally, the multivariate logistic regression showed that men were substantially more likely than women to smoke (aOR 0.39, 95%CI: 0.28-0.21). A higher odds ratio indicates high cause of smoking. Conclusions: The chance of mortality from daily smoking increased as the intensity of smoking increased. Consequently, persistent tobacco use is linked to a notably increased likelihood of mortality from any cause. Tobacco smoking necessitates a long-term plan of care. It should be treated with the same rigor as other health risks.