Aruna Menon

Maharashtra University Of Health Sciences,Nashik, Obstetrics and Gynecology, Faculty Member

Followers

Following

Co-authors

Mentions

Public Views

A practising Professor of Obs and Gynecology. Presently working in the Private sector in MEiTRA Hospital Calicut Kerala India

less

InterestsView All (6)

Uploads

Papers by Aruna Menon

Vaginal Agenesis in Mayer Rokitansky Kuster Hauser syndrome

Medical Journal Armed Forces India, 2009

Download

https://thejmch.com/index.php?journal=thejmch&page=issue&op=view&path%5B%5D=41

Journal of Maternal and Child Health

Prevalence of Endometrial Polyp by Office Hysteroscopy at a Tertiary Care Centre in Western Maharashtra: A Prospective Cohort Study

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH

Introduction: Endometrial polyps occur in different reproductive age groups and make it a distinc... more Introduction: Endometrial polyps occur in different reproductive age groups and make it a distinct pathological entity with diverse clinical manifestations. Aim: To determine the prevalence of endometrial polyp detected by office hysteroscopy, among different cohorts of patients attending the Gynaecology outpatient department at a tertiary care centre in western Maharashtra, India. Materials and Methods: A prospective cohort study was conducted in women who underwent office hysteroscopy, in view of infertility and Abnormal Uterine Bleeding (AUB) at a tertiary care centre in western Maharashtra, India from November 2020 to October 2021. The study included a total of 227 patients which were divided into four cohorts of women namely, infertility patients (aged 25-35 years) (N=115), AUB patients (aged 40- 44 years) (N=29), AUB patients (aged 45-50 years) (N=49) and in postmenopausal women (aged more than 51 years) (N=34). Results were expressed in terms of frequency and percentages. Res...

Download

Cervical tuberculosis: a diagnostic dilemma in young mimicking cervical cancer

International journal of reproduction, contraception, obstetrics and gynecology, Mar 25, 2022

Genital tuberculosis (TB) is a disease that is still prevalent in third world countries but TB in... more Genital tuberculosis (TB) is a disease that is still prevalent in third world countries but TB involving the cervix is a rare finding. It accounts for 0.1-0.65% of all cases of TB and nearly 5-10% cases of genital TB. Common presentation is persistent offensive vaginal discharge with either exophytic, ulcerative, interstitial or endo-cervical polypoidal growth over the cervix. We report here a rare presentation of cervical TB in young who presented with secondary amenorrhoea with ulcerative lesions over the cervix masquerading a cervical malignancy on local examination. Cervical biopsy revealed granulomatous cervicitis. The patient was managed with anti-TB treatment (ATT) for 6 months with resumption of menses and complete healing of the cervical lesion. Diagnosis of cervical TB is difficult clinically as it mimics an ulcerative variety of cancer cervix very closely. Confirmation is always by a cervical biopsy. This entity though rare can be entertained as a differential diagnosis in patients with cervical growth along with schistosomiasis, brucellosis and sarcoidosis.

Download

Recombinant activated factor VIIa in a case of pregnancy with acute hepatic failure and massive blood loss

Medical Journal Armed Forces India, 2011

with injection vitamin K 10 mg i.v. daily and fresh frozen plasma (FFP) transfusions. After two d... more with injection vitamin K 10 mg i.v. daily and fresh frozen plasma (FFP) transfusions. After two days she started bleeding per vaginum with a blood loss of approximately 800 mL over one hour. She became hypotensive, had tachycardia and an emergency caesarean section was planned. The patient was accepted for anaesthesia in ASA (The American Society of Anesthesiologists) grade IVE. In view of generalised swelling peripheral vascular access could not be established and the right internal jugular vein was cannulated under FFP cover, central venous pressure was found to be 6 cm of water. Rapid sequence induction with propofol in a sleep dose and succinylcholine was carried out. A live male baby was extracted following which the uterus remained atonic with persistent bleeding despite administration of methyl ergometrine, oxytocine infusion, intramuscular, and intrauterine injections of prostaglandin and therefore, as a last resort, obstetric hysterectomy was performed. Her vitals parameters stabilised with an approximate intraoperative blood loss of 1,500 mL being replaced with three packed red blood cells (PRBC), six units each of FFP and cryoprecipitate and fluids (3,000 mL normal saline solution, and 500 mL of Voluven® [6% hydroxyethyl starch 130/0.4 in 0.9% sodium chloride injection]). The central venous pressure (CVP) was maintained between 12 cm and 14 cm of water and the urine output was 300 mL intra-operatively. In view of encephalopathy and poor lung compliance she was shifted to intensive care unit (ICU) for elective ventilation and kept sedated and paralysed. Postoperatively investigations showed a deranged coagulation profile and anaemia (Table 1). A central venous blood gas analysis was carried out which showed: pH 7.46, PaCO 2 31 mmHg, PaO 2 41 mmHg, HCO 3 21 mmol/L, and O 2 sat 81%. Two PRBCs, six FFPs, and 250 mL of 20% albumin were transfused. Over the next eight hours, she remained stable although the pulse rate showed an upward trend with the CVP staying between 3 cm and 6 cm of water. The abdominal drains had collected 1,675 mL of blood and lab investigations showing anaemia, thrombocytopenia, and coagulopathy (Table 1). One pack of single donor platelets, six units of FFP, and five units of PRBC were transfused. In view of continued bleeding in spite of a total of eight units of PRBC, 14 units of FFP, six units of cryoprecipitate and one unit of single donor platelets, in the absence of hypothermia and acidosis, 4.8 mg of recombinant activated factor VII (rFVIIa) at 80 μg/Kg was injected intravenously

Download

Fertility-Sparing Surgery in Borderline Ovarian Tumour in Young: A Beacon in the Dark

Indian Journal of Gynecologic Oncology

Role of omega 3 fatty acids on pregnancy outcome

by Sirisha Anne and Aruna Menon

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, Nov 23, 2017

Background: Maternal nutrition plays a crucial role on influencing fetal growth and birth outcome... more Background: Maternal nutrition plays a crucial role on influencing fetal growth and birth outcome. Any nutritional insult during critical periods of gestation is known to influence fetal development and increases the risk for development of diseases in later life. Omega 3 and omega 6 fatty acids have been studied to effect fetal growth and development. The balance between these two fatty acids have a definite effect on fetal growth and duration of gestation. Dietary intake of omega 3 fatty acids is less as compared to omega 6 fatty acids due to varied dietary sources. Methods: A study was conducted at a tertiary care hospital to study the pregnancy outcome in terms of neonatal birth weight and duration of gestation. A total of 200 patients were recruited into the study and divided into two groups by randomised alternative method. One group of 100 patients were supplemented with Omega 3 fatty acids and the other group was not supplemented. Both groups were followed till delivery and their duration of gestation and neonatal birth weight were studied and analysed. Results: The study showed that 78.8% patients supplemented with omega 3 fatty acids achieved neonatal birth weight more than 2.5Kg compared to 50% of patients who were not supplemented. No significant difference on duration of gestation was found in both the groups. Conclusions: Supplementation of Omega 3 fatty acids to patients in our study has shown to increase neonatal birth weight compared to patients who have not been supplemented, and did not show any significance in prolonging duration of gestation.

Download

Pregnancy outcomes after spontaneous conception with previous spontaneous abortion preceding present pregnancy

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Background: The objective of the present study was to study pregnancy outcomes in patients with S... more Background: The objective of the present study was to study pregnancy outcomes in patients with Spontaneous conception with history of previous spontaneous abortion preceding present pregnancy.Methods: A prospective study included patients with spontaneous conception with history of previous spontaneous abortion preceding present pregnancy admitted in the department of obstetrics and gynecology, command hospital, Pune between October 2018 and April 2020. The patients were booked (minimum 3 visits in antenatal outdoor clinic) or admitted for the first time as an emergency. The detailed history about previous abortions was taken and routine as well as investigations for possible etiologies of previous abortions were done. Cases with history of mid-trimester abortion were investigated for cervical incompetence. All the patients were observed for complications during present pregnancy like threatened abortion, preeclampsia, preterm labour, intrauterine death and final outcome.Results: A...

Download

Youssef Syndrome Revisited

Journal of Evidence Based Medicine and Healthcare, 2017

Download

KEYWORDSCervical Cancer Screening, Colposcopy, Guided Biopsy, Pap Smear

Maternal health: Challenges and the way forward

Medical journal, Armed Forces India, 2021

Comparison of total laparoscopic Hysterectomy versus vaginal hysterectomy for benign non prolapsed uterus

by Aruna Menon and Anupam Kapur

International Journal of Biomedical and Advance Research, 2018

Background : Vaginal hysterectomy is a well established and time tested procedure which is being ... more Background : Vaginal hysterectomy is a well established and time tested procedure which is being done since the last 150 years and thus has been refined to a great degree, but it has been less successful due to lack of experience and enthusiasm among Gynaecologists, due to a misconception that the abdominal route is safer and easier. Objective: The present study was undertaken to compare outcomes of conventional vaginal hysterectomy and total laparoscopic hysterectomy in women with benign non prolapsed uterus. Methods: Total 50 cases of non prolapsed uterus requiring hysterectomy were systematically allocated into two groups of 25 patients in each group, (Vaginal and total laparoscopic hysterectomy group). All patients underwent pelvic ultrasound (USG). Surgical techniques, operating time, estimated blood loss and/or episodes of accidental bleeding requiring intervention intra-or post-operatively were compared. Other factors such as post operative pain, post-operative complications,...

Seroprevalence of rubella in pregnant women

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Background: Rubella is a droplet infection characterized by self-limiting illness. However infect... more Background: Rubella is a droplet infection characterized by self-limiting illness. However infection during pregnancy may result in miscarriage, congenital birth defects leading to long term morbidity. The aim of the study was to estimate the seroprevalence of rubella immunity in pregnant women.Methods: Antenatal patients, irrespective of period of gestation, fulfilling the inclusion criteria were tested for rubella IgG antibodies.Results: A total of 258 pregnant women were included in the study. The estimated seroprevalence of immunity against Rubella infection was 70.5% (n=182) whereas 29.5% (n=76) were seronegative and thus susceptible to rubella infection. The distribution of seroprevalence of rubella immunity based on age group and gravidity were also evaluated.Conclusions: The results reveal high level of rubella sero positivity, which indicates continued transmission of rubella infection in the community.

Download

Atypical ectopic pregnancy: a nightmare for the gynaecologist

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Ectopic pregnancy is one of the leading causes of maternal morbidity and mortality in early pregn... more Ectopic pregnancy is one of the leading causes of maternal morbidity and mortality in early pregnancy. Incidence of ectopic pregnancy is 2% of total reported pregnancies and is rising in the recent past due to increase in RTIs and STIs and even early diagnosis due to advancing technology. Classical triad of pain abdomen, bleeding p/v and amenorrhea is not present in all the cases which add to confusion in diagnosing these atypical presentations. A meticulous history and clinical examination along with combination of transvaginal ultrasound (TVS) and serum beta HCG levels (discriminatory zone) can aid in picking up these atypical cases as depicted in our study. Here, we discussed 7 cases of atypical presentations of ectopic pregnancy which reported to gynaecology OPD of a service hospital of armed forces in a span of 3 months. One patient had pregnancy test negative, one patient was repeatedly treated as a case of AUB, 2 cases of heterotopic pregnancies, 1 case of elderly cornual ect...

Download

Role of omega 3 fatty acids on pregnancy outcome

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, Nov 23, 2017

Download

Colposcopy- a Primary Alternative Screening Tool for Cervical Pre-Cancer

Journal of Evidence Based Medicine and Healthcare, Sep 22, 2017

BACKGROUND Cancer cervix is the most common and preventable malignancy in females. 80% of cases i... more BACKGROUND Cancer cervix is the most common and preventable malignancy in females. 80% of cases in India are detected in advanced stages. Paucity of cytologists in India is one of the important reasons for failure of screening by Pap smear. Visual Inspection of cervix with Acetic acid (VIA) and Visual Inspection of cervix with application of Lugol's Iodine (VILI) are two alternative strategies in low resource settings. Colposcopy involves the same principles of VIA and VILI under better magnification. We have hospitals with not so low resource settings, where gynaecologists are available, but cytologists are not. We need to evolve an alternative strategy appropriate to our resources such as colposcopy and guided biopsy. The aim of the present study is to evaluate the feasibility of colposcopy as an alternative screening tool for cervical precancer. The objective of the study is therefore to compare the colposcopy with the known reference standard that is Pap smear and evaluate the sensitivity, specificity and predictive values. MATERIALS AND METHODS 3000 women were compared with simultaneous colposcopy and Pap smear with latter as reference standard. Colposcopy-guided cervical biopsy was performed for suspicious lesions. RESULTS Unsatisfactory colposcopy due to nonvisualisation of transformation zone is an insignificant percentage (1.7%). The sensitivity, specificity, positive and negative predictive values of colposcopy for the threshold of normal versus all grades of abnormality (all age groups and all abnormal reports included) are 76.74%, 99.34%, 63.46% and 99.65%, respectively. Pap smear is taken as a reference standard. This is the primary objective of our study. Colposcopy-guided biopsy specimens of minor abnormal colposcopic lesions falling outside the transformation zone have not yielded any abnormal findings on histopathology. Three high-grade lesions were detected by colposcopy as well as Pap smear. They have also positively corroborated with histopathology. CONCLUSION Colposcopy has got a good negative predictive value. It seems to be as sensitive and specific as Pap smear for high-grade lesions. However, multicentric studies is recommended for pooled data.

Download

Vaginal Agenesis in Mayer Rokitansky Kuster Hauser syndrome

Medical Journal Armed Forces India, 2009

Download

https://thejmch.com/index.php?journal=thejmch&page=issue&op=view&path%5B%5D=41

Journal of Maternal and Child Health