استكشف المجموعة الواسعة من العناوين المتاحة.

To evaluate the complications of apical prolapse correction with abdominally placed mesh and to assess the long-term efficacy of Sacrohysteropexy and Sacrocolpopexy. A retrospective cohort study was conducted at the Department of Gynecology and Obstetrics, Aga Khan University Hospital. All women who underwent apical prolapse surgery using abdominal mesh from January 2010 to December 2019 at AKUH were included. Patients with missing routine follow up visits and incomplete data up to one year post op were excluded. Patient notes were reviewed, and subjective and objective success and complications were analyzed. Safety was measured by incidence of intra, early and late postoperative complications and mesh-related complications of both procedures at two weeks, six months, twelve months, postoperatively. A total of 69 cases were retrieved from the database with a mean age of 46.97 ± 13.86 years. It was found that 14 (20.3%) patients had wound infection while six (8.7%) patients developed urinary tract infections. In a median follow-up of 12 months, three patients developed mesh erosion as a complication, with an incidence of 4.3%. Two required surgical excision of the mesh and the third was successfully managed conservatively with topical estrogen and oral antibiotics. Extremely significant improvements were observed in POPDI-six scores six months postoperatively (p=0.0001). The present study signifies the use of abdominally placed mesh in patients with pelvic organ prolapse indicating significant improvement in Pelvic Organ Prolapse-associated symptoms postoperatively.

The study is focused on the effect of entrepreneurial leadership on employee innovative behaviour while using organisational change, employee commitment, and commitment towards change as a mediator. The study used structured questionnaires to gather data through convenience sampling technique from 213 respondents (response rate equals 61.7 percent). The data collected was then analysed by structural equation modelling technique using SPSS-AMOS to examine the relationships. It was found that innovation, being the core competency of the software houses is the most important factor for employees. Employee innovative behaviour helps organisations to survive in this dynamic business environment and is encouraged by top management. It was noted that an entrepreneurial leader has a significant and positive relationship with the innovative behaviour of the employee. Also, an entrepreneurial leader had a positive and significant relation with organisational change, employee commitment, and employee commitment towards change, hence, change is essential for these types of organisations. Entrepreneurial leaders create an environment to support change and innovation and to overcome the internal and external issues of the organisation. The implications of this study are two-fold, i.e. organisation perspective, which states that teach and train process should be followed by leaders too and leaders perspective, that deals with skill development to support change, motivate and encouraging employees so that they can perform better and update their skills.