Background: The lack of ideal materials and the high incidence of complications make tracheal defect reconstruction challenging. The use of aponeurosis as a surgical patch and flap in reconstruction is not uncommon, but no studies had been conducted to analyse its use in tracheal defect reconstruction, though its effectivity in wound healing was significant in reconstruction of other organs. Objective: This study aims to compare collagen density, fibroblast expression, and neovascularization in tracheal defect reconstruction using primary suture and using external oblique muscle aponeurosis patch. Methods: This randomized control trial is a laboratory experimental study using male New Zealand white rabbits. Randomization was carried out with permuted block randomization into a control group (primary suture) and a treatment group (reconstruction with external oblique muscle aponeurosis patch). Mascroscopic and histopathological assessments were carried out 14 days after surgery. Results: We got homogeneous samples in both groups (9 samples each) in terms of age (p = 0.763), weight before procedure (p = 0.347), and weight after procedure (p = 0.536). Macroscopically, no wound dehiscence, pus, or inflammation at the surgical site in either the control or treatment groups. Histopathological analysis showed that there were no differences in collagen density (p = 1.00), fibroblast expression (p = 0.414), and neovascularization (p = 0.558) between the two groups. Conclusion: It can be concluded that there are no differences in collagen density, fibroblast expression, and neovascularization in New Zealand rabbits with tracheal defect using primary suture and using external oblique muscle aponeurosis patch
{"title":"Comparative Study of Collagen Density, Fibroblast, and Neovascularization in Tracheal Defect Reconstruction with Primary Repair and External Oblique Muscle Aponeurosis Patch (A Novel Study with New Zealand Rabbit)","authors":"RadinHardika Kamal, PrianggaAdi Wiratama, MarjonoDwi Wibowo, DwiHari Susilo","doi":"10.37506/25bn1q54","DOIUrl":"https://doi.org/10.37506/25bn1q54","url":null,"abstract":"Background: The lack of ideal materials and the high incidence of complications make tracheal defect reconstruction challenging. The use of aponeurosis as a surgical patch and flap in reconstruction is not uncommon, but no studies had been conducted to analyse its use in tracheal defect reconstruction, though its effectivity in wound healing was significant in reconstruction of other organs. \u0000Objective: This study aims to compare collagen density, fibroblast expression, and neovascularization in tracheal defect reconstruction using primary suture and using external oblique muscle aponeurosis patch. \u0000Methods: This randomized control trial is a laboratory experimental study using male New Zealand white rabbits. Randomization was carried out with permuted block randomization into a control group (primary suture) and a treatment group (reconstruction with external oblique muscle aponeurosis patch). Mascroscopic and histopathological assessments were carried out 14 days after surgery. \u0000Results: We got homogeneous samples in both groups (9 samples each) in terms of age (p = 0.763), weight before procedure (p = 0.347), and weight after procedure (p = 0.536). Macroscopically, no wound dehiscence, pus, or inflammation at the surgical site in either the control or treatment groups. Histopathological analysis showed that there were no differences in collagen density (p = 1.00), fibroblast expression (p = 0.414), and neovascularization (p = 0.558) between the two groups. \u0000Conclusion: It can be concluded that there are no differences in collagen density, fibroblast expression, and neovascularization in New Zealand rabbits with tracheal defect using primary suture and using external oblique muscle aponeurosis patch","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"57 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141113403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-03DOI: 10.37506/IJOCS.V9I2.3079
E. Rajaraman, S. Vigneshkumar, G. Manjuladevi, R. Pavithra
Background :This study is to investigate the effects of immediate post operative orthopaedic Rehabilitationon lower limb. Orthopaedic internal fixations like proximal femoral nailing femur, Intramedullary nailingtibia to reduce fear avoidance belief and early ambulation. Which reduces the long stay duration in hospitaland prevent post operative stiffness, other complications. This early mobilization improvesresolution ofhealing of wounds and pain. When compare to conventional methods of physiotherapy.Materials and Methods: 45 subjects selected randomly and subdivided into 3 groups experiment. I=IPOR,n=15 Experiment II =conventional group, control group, n=15 subjects selected from inpatients postoperative orthopaedic wards both female and males selected subjects are n=15 in each group being to agegroup (30-56) both male and female patients with fractures femur and tibia respectively primary outcomemeasures assessed by 3 different assessment questionnaire fear avoidance belief questionnaire and visualanalogue pain scale for those who undergone physiotherapy for 10 days.Results :3 groups of 10 days under supervision by physiotherapist inpatient orthopaedic wards and pretherapyFABQ ( Fear avoidance belief questionnaire) and visual analogue scale pain scale questionnaire and posttherapy after 10 days given among 3 groups experimental group 1. IPOR shows significant improvementin fear avoidance belief and early ambulation. So this early mobilization reduces pain stiffness and reducesthe hospital stay. When compare to other 2 groups ‘P’ value shows difference, SD=+5 Anacova methodstatistical analysis done.Conclusion :Immediate post operative orthopaedic rehabilitation which is more beneficial and effectivein reducing, overcoming fear avoidance behaviour and enhances early ambulation which is more beneficialand enhances early ambulation which makes. Quick recovery in post operative orthopaedic surgeries whencompare to other methods
{"title":"Effects of Immediate Post Operative Orthopaedic Rehabilitation in Lower Limb Open Reduction Internal Fixation’s Orthopaedic Surgeries to Reduce Fear Avoidance Behaviour and Early Ambulation","authors":"E. Rajaraman, S. Vigneshkumar, G. Manjuladevi, R. Pavithra","doi":"10.37506/IJOCS.V9I2.3079","DOIUrl":"https://doi.org/10.37506/IJOCS.V9I2.3079","url":null,"abstract":"Background :This study is to investigate the effects of immediate post operative orthopaedic Rehabilitationon lower limb. Orthopaedic internal fixations like proximal femoral nailing femur, Intramedullary nailingtibia to reduce fear avoidance belief and early ambulation. Which reduces the long stay duration in hospitaland prevent post operative stiffness, other complications. This early mobilization improvesresolution ofhealing of wounds and pain. When compare to conventional methods of physiotherapy.Materials and Methods: 45 subjects selected randomly and subdivided into 3 groups experiment. I=IPOR,n=15 Experiment II =conventional group, control group, n=15 subjects selected from inpatients postoperative orthopaedic wards both female and males selected subjects are n=15 in each group being to agegroup (30-56) both male and female patients with fractures femur and tibia respectively primary outcomemeasures assessed by 3 different assessment questionnaire fear avoidance belief questionnaire and visualanalogue pain scale for those who undergone physiotherapy for 10 days.Results :3 groups of 10 days under supervision by physiotherapist inpatient orthopaedic wards and pretherapyFABQ ( Fear avoidance belief questionnaire) and visual analogue scale pain scale questionnaire and posttherapy after 10 days given among 3 groups experimental group 1. IPOR shows significant improvementin fear avoidance belief and early ambulation. So this early mobilization reduces pain stiffness and reducesthe hospital stay. When compare to other 2 groups ‘P’ value shows difference, SD=+5 Anacova methodstatistical analysis done.Conclusion :Immediate post operative orthopaedic rehabilitation which is more beneficial and effectivein reducing, overcoming fear avoidance behaviour and enhances early ambulation which is more beneficialand enhances early ambulation which makes. Quick recovery in post operative orthopaedic surgeries whencompare to other methods","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124961551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-03DOI: 10.37506/IJOCS.V9I2.3078
Arpitha Yadav, Fahad Tauheed, Anurag Saraswat, V. Chauhan
Double Parathyroid adenoma is a rare disease, with hyperparathyroid crisis being one of its unusualmanifestations. Large rise in parathyroid hormone (PTH)levels in benign parathyroid disease is unusual andhave been associated with more sinister diseases.The majority of patients suffering with the clinical entityhyperparathyroidism are found to have adenomas of one or more parathyroid glands, and the pathologicphysiology of the disease is corrected by surgical removal of the tumor. In general, parathyroid tumors areclassified into adenoma, hyperplasia, cystic changes and carcinoma. The differentiation between adenomaand hyperplasia is often difficult in usual histopathological examinations. Compared to hyperplasia,parathyroid adenomas often show a higher increase in the level of serum parathyroid hormone (PTH). Bonefractures, calculi of the urinary tract and higher serum calcium levels are more frequently the first symptomsof parathyroid adenomas than of hyperplasia. We report in this article, a case of double parathyroid adenomawith recurrent bilateral renal calculi.
{"title":"Double Parathyroid Adenoma: Culprit Behind A Non- Functioning Kidney","authors":"Arpitha Yadav, Fahad Tauheed, Anurag Saraswat, V. Chauhan","doi":"10.37506/IJOCS.V9I2.3078","DOIUrl":"https://doi.org/10.37506/IJOCS.V9I2.3078","url":null,"abstract":"Double Parathyroid adenoma is a rare disease, with hyperparathyroid crisis being one of its unusualmanifestations. Large rise in parathyroid hormone (PTH)levels in benign parathyroid disease is unusual andhave been associated with more sinister diseases.The majority of patients suffering with the clinical entityhyperparathyroidism are found to have adenomas of one or more parathyroid glands, and the pathologicphysiology of the disease is corrected by surgical removal of the tumor. In general, parathyroid tumors areclassified into adenoma, hyperplasia, cystic changes and carcinoma. The differentiation between adenomaand hyperplasia is often difficult in usual histopathological examinations. Compared to hyperplasia,parathyroid adenomas often show a higher increase in the level of serum parathyroid hormone (PTH). Bonefractures, calculi of the urinary tract and higher serum calcium levels are more frequently the first symptomsof parathyroid adenomas than of hyperplasia. We report in this article, a case of double parathyroid adenomawith recurrent bilateral renal calculi.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121378991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-03DOI: 10.37506/IJOCS.V9I2.3081
S. Yadav, T. Bhagat, Reena Singh
The preperitoneal mesh repair an excellent method called as Rive’s stoppa technique where mesh was placedbetween peritoneum and abdominal wall or rectus muscle and posterior rectus sheath(9). The main advantageof pre peritoneal mesh repair are - Less chance of mesh infection and erosion through skin because thegraft lies in preperitoneal plane between posterior rectus sheath and peritoneum, avoids adhesions, bowelobstruction, enterocutaneous fistula and erosion of mesh, minimal morbidity and duration of hospitalstay is less compared to other techniques. The main disadvantage is it is more time consuming, extensivepreparation of preperitoneal plane and surgical experience. In our study 30 patients of incisional hernia weresubjected to preperitoneal mesh repair by Rive’s stoppa technique.It was found that there were :1. Less number of postoperative complications.2. No recurrence was noticed in this study.3. Preperitoneal mesh repair had excellent long-term results with minimal morbidity.As Compared withother types of mesh repair techniques (in literature), the preperitoneal mesh repair is the gold standardtreatment for incisional hernia repair.
{"title":"To Study the Repair of Incisional Hernia by Preperitoneal Meshplasty","authors":"S. Yadav, T. Bhagat, Reena Singh","doi":"10.37506/IJOCS.V9I2.3081","DOIUrl":"https://doi.org/10.37506/IJOCS.V9I2.3081","url":null,"abstract":"The preperitoneal mesh repair an excellent method called as Rive’s stoppa technique where mesh was placedbetween peritoneum and abdominal wall or rectus muscle and posterior rectus sheath(9). The main advantageof pre peritoneal mesh repair are - Less chance of mesh infection and erosion through skin because thegraft lies in preperitoneal plane between posterior rectus sheath and peritoneum, avoids adhesions, bowelobstruction, enterocutaneous fistula and erosion of mesh, minimal morbidity and duration of hospitalstay is less compared to other techniques. The main disadvantage is it is more time consuming, extensivepreparation of preperitoneal plane and surgical experience. In our study 30 patients of incisional hernia weresubjected to preperitoneal mesh repair by Rive’s stoppa technique.It was found that there were :1. Less number of postoperative complications.2. No recurrence was noticed in this study.3. Preperitoneal mesh repair had excellent long-term results with minimal morbidity.As Compared withother types of mesh repair techniques (in literature), the preperitoneal mesh repair is the gold standardtreatment for incisional hernia repair.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133908425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-03DOI: 10.37506/IJOCS.V9I2.3080
Krishan Gopal, Shashi Shekhar
Probiotic is little known for its benefits on upper gastrointestinal health. The objective of this systematicreview was to examine the efficacy of probiotics in alleviating the frequency and severity of symptoms ingastroesophageal reflux disease (GERD) in the general adult population.. In total, 13 prospective studiesthat were published in 12 articles were included in the analysis and scored per the Jadad scale as high- (fivestudies), medium- (two), and low- (six) quality. One article reported on two probiotic groups; thus, 14comparisons were included in the selected studies, of which 11 (79%) reported positive benefits of probioticson symptoms of GERD. Five out of 11 positive outcomes (45%) noted benefits on reflux symptoms: threenoted reduced regurgitation; improvements in reflux or heartburn were seen in one study; five (45%) sawimprovements in dyspepsia symptoms; and nine (81%) saw improvements in other upper gastrointestinalsymptoms, such as nausea (three studies), abdominal pain (five), and gas-related symptoms (four), such asbelching, gurgling, and burping. In conclusion, probiotic use can be beneficial for GERD symptoms, suchas regurgitation and heartburn.
{"title":"Role of Probiotics in Reducing GERD","authors":"Krishan Gopal, Shashi Shekhar","doi":"10.37506/IJOCS.V9I2.3080","DOIUrl":"https://doi.org/10.37506/IJOCS.V9I2.3080","url":null,"abstract":"Probiotic is little known for its benefits on upper gastrointestinal health. The objective of this systematicreview was to examine the efficacy of probiotics in alleviating the frequency and severity of symptoms ingastroesophageal reflux disease (GERD) in the general adult population.. In total, 13 prospective studiesthat were published in 12 articles were included in the analysis and scored per the Jadad scale as high- (fivestudies), medium- (two), and low- (six) quality. One article reported on two probiotic groups; thus, 14comparisons were included in the selected studies, of which 11 (79%) reported positive benefits of probioticson symptoms of GERD. Five out of 11 positive outcomes (45%) noted benefits on reflux symptoms: threenoted reduced regurgitation; improvements in reflux or heartburn were seen in one study; five (45%) sawimprovements in dyspepsia symptoms; and nine (81%) saw improvements in other upper gastrointestinalsymptoms, such as nausea (three studies), abdominal pain (five), and gas-related symptoms (four), such asbelching, gurgling, and burping. In conclusion, probiotic use can be beneficial for GERD symptoms, suchas regurgitation and heartburn.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122978498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-07DOI: 10.37506/IJOCS.V9I1.2940
Swanyakar Kaushalendra, A. Pandey, P. Chaturvedi, B. Thakuria, Mehak Manro
Background: Surgical site infections (SSIs) account for nearly 20% to 25% of all Health care associatedinfections (HCAIs) worldwide. SSI rates are reported to range from 2.5% to 41.9% resulting in highmorbidity and mortality. Settings and Design: A prospective study was carried out in a tertiary care teachinghospital of Western Uttar Pradesh to determine the frequency, factors and bacteriological profile of Surgicalsite Infections. Materials and Method: Patients, of all age group, gender and diagnosed as a case of SSI asper CDC clinical criteria were included. The demographic detail, diagnostic criteria, associated risk factorswere noted. Culture and antimicrobial susceptibility pattern was determined. Laboratory and clinical datawere analysed. Observations & Results: Significant determinants of SSIs were; male population, youngand middle age group, hot and humid climate, type II diabetes, prolonged duration of surgery and certainsurgical procedures such as lower segment caesarean section, cholecystectomy, laparotomy etc.The rateof SSI was 2.78% and culture positivity rate was (55.04 %). There was predominance of Gram negativebacteria (76.73%). Coagulase Negative Staphylococci (72.22%) and Pseudomonas aeruginosa (35.48 %)were the predominant bacteria isolated. The clinical isolates showed high level of resistance to variousantimicrobial agents.Conclusions: Knowledge about the factors responsible and the bacteriological profile of SSI will guide theclinicians in choosing the appropriate treatment options which will ultimately reduce the morbidity, cost andlead to better clinical outcome.
{"title":"Determining the Frequency, Factors and Bacteriological Profile of Surgical Site Infection in a Tertiary Care Teaching Hospital of Western Uttar Pradesh","authors":"Swanyakar Kaushalendra, A. Pandey, P. Chaturvedi, B. Thakuria, Mehak Manro","doi":"10.37506/IJOCS.V9I1.2940","DOIUrl":"https://doi.org/10.37506/IJOCS.V9I1.2940","url":null,"abstract":"Background: Surgical site infections (SSIs) account for nearly 20% to 25% of all Health care associatedinfections (HCAIs) worldwide. SSI rates are reported to range from 2.5% to 41.9% resulting in highmorbidity and mortality. Settings and Design: A prospective study was carried out in a tertiary care teachinghospital of Western Uttar Pradesh to determine the frequency, factors and bacteriological profile of Surgicalsite Infections. Materials and Method: Patients, of all age group, gender and diagnosed as a case of SSI asper CDC clinical criteria were included. The demographic detail, diagnostic criteria, associated risk factorswere noted. Culture and antimicrobial susceptibility pattern was determined. Laboratory and clinical datawere analysed. Observations & Results: Significant determinants of SSIs were; male population, youngand middle age group, hot and humid climate, type II diabetes, prolonged duration of surgery and certainsurgical procedures such as lower segment caesarean section, cholecystectomy, laparotomy etc.The rateof SSI was 2.78% and culture positivity rate was (55.04 %). There was predominance of Gram negativebacteria (76.73%). Coagulase Negative Staphylococci (72.22%) and Pseudomonas aeruginosa (35.48 %)were the predominant bacteria isolated. The clinical isolates showed high level of resistance to variousantimicrobial agents.Conclusions: Knowledge about the factors responsible and the bacteriological profile of SSI will guide theclinicians in choosing the appropriate treatment options which will ultimately reduce the morbidity, cost andlead to better clinical outcome.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130068350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-07DOI: 10.37506/IJOCS.V9I1.2939
Sushil Kumar, A. Gupta, B. Pandey
Background: Carcinoma of the penis is an uncommon malignancy in Western countries but constitutes amajor health problem in many countries in Asia, Africa, and South America, where it may comprise up to10% of all malignancies.Materials and Method: 42 consecutive patients of carcinoma penis were treated from 2013 to 2015. Clinicaland pathological profies were recorded and studied prospectively.Results: 20/42 (48%) patients were of the age group 60 and above. majority of patients belonged to poorsocioeconomic status, 32/42 patients(76.1%). Glans of the penis was the most common site of presentationin 28/42patients(66.6%). The most common symptoms were pus discharge from the penile ulcer in 21patients(50%). 31/42 patients were chronic smoker or tobacco chewer. Inguinal lymph nodes were palpablein 24/42 (57%). The most common complication associated with Groin node dissection was lymphedema in19 patients (45.2%). 12/42 patients had inguinal lymph node metastasis in final histopathological examinationreport. 50 % patients had grade II primary tumor.Conclusion: Incidence of carcinoma penis peaks in the 6thdecade of life. Illiteracy, low socio-economicstatus and phimosis appear to be main predisposing factors for carcinoma of penis. Nodal metastasis wassignificantly associated with factors like T3 and high grade lesions (grade II & III). Complication rate relatedto groin node dissection is high, commonest being lymphedema.
{"title":"Prospective Clinicopathological Study of Penile Cancer Patients : A Single Institution Experience","authors":"Sushil Kumar, A. Gupta, B. Pandey","doi":"10.37506/IJOCS.V9I1.2939","DOIUrl":"https://doi.org/10.37506/IJOCS.V9I1.2939","url":null,"abstract":"Background: Carcinoma of the penis is an uncommon malignancy in Western countries but constitutes amajor health problem in many countries in Asia, Africa, and South America, where it may comprise up to10% of all malignancies.Materials and Method: 42 consecutive patients of carcinoma penis were treated from 2013 to 2015. Clinicaland pathological profies were recorded and studied prospectively.Results: 20/42 (48%) patients were of the age group 60 and above. majority of patients belonged to poorsocioeconomic status, 32/42 patients(76.1%). Glans of the penis was the most common site of presentationin 28/42patients(66.6%). The most common symptoms were pus discharge from the penile ulcer in 21patients(50%). 31/42 patients were chronic smoker or tobacco chewer. Inguinal lymph nodes were palpablein 24/42 (57%). The most common complication associated with Groin node dissection was lymphedema in19 patients (45.2%). 12/42 patients had inguinal lymph node metastasis in final histopathological examinationreport. 50 % patients had grade II primary tumor.Conclusion: Incidence of carcinoma penis peaks in the 6thdecade of life. Illiteracy, low socio-economicstatus and phimosis appear to be main predisposing factors for carcinoma of penis. Nodal metastasis wassignificantly associated with factors like T3 and high grade lesions (grade II & III). Complication rate relatedto groin node dissection is high, commonest being lymphedema.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126469808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-07DOI: 10.37506/IJOCS.V9I1.2936
D. Pal, B. Agarwal, Rehan Fareed, T. Agarwal, R. Goyal
Introduction- Urinary stone disease is one of the most common afflictions of modern society.It has been describedsince antiquity. With westernization of global culture, the site of stone formation has migrated from the lower to upperurinary tract. Urinary tract stones start to form in a kidney and may enlarge in a ureter or the bladder. Depending onlocation of stone, it may be called a renal stone, ureteral stone, bladder stone or uretheral stone.Aim and Objectives-To study the correlation of clinco-pathological factors in urolithiasis with special reference tourinary pH and urinary culture.To study the relationship of age, sex, socio-economic, in incidence of urinary calculi formation.To study the clinical presentation of urinary tract stone.To study the importance & significance of urinary pH and urinary infection in patients of urolithiasis.Material & Methods-The present study design will be of a prospective study, all the patients diagnosed asurinarylithiasis, in surgical OPD and admitted in surgical ward, of SRMS-IMS, Bareilly.1-Inclusion Criteria- All the patients diagnosed as urinarylithiasis, reported In surgical OPD and admitted in surgicalward of SRMS, IMS, Bareilly.2-Exclusion Criteria A-History of any surgery for urinary lithiasis.B-Urinary stone in congenital urinary disorders.3-Sample Size- 100 Patients.Results and Conclusions-With the precise knowledge on epidemiological profile on urolithiasis, the involvedrisk factors and knowledge of the stone constituents, it may be necessary to take certain precautionary steps likeimproving socioeconomic status, literacy, inculcating hygienic habits, avoiding and treating urinary tract infection,maintaining asepsis during urinary catheterization / instrumentation and low calcium containing diet, which may allprobably decrease the incidence and morbidity of patients suffering from urolithiasis. The patients with an episodeof stone disease or with a family history of the same are at high risk and should be closely screened for presence ofmetabolic disorders and routinely followed up to prevent further recurrences.Discussion-Urinary tract calculus disease affects people in the most productive years of their life, and more commonlyseen in males of lower socioeconomic status.Urinary tract infection is a very important independent risk factor forurolithiasis Urea splitting bacteria e.g. Proteus and non-urease containing bacteria e.g. E. Coli, both have a role inurolithiasis. Urinary ph is a very important independent risk factor for urolithiasis, in my study ph was slightly acidic.And alkaline urine patients had struvite (infection) stones.
{"title":"Clinico-Pathological Study of Urolithiasis with Special Reference to Urinary pH & Urinary Culture","authors":"D. Pal, B. Agarwal, Rehan Fareed, T. Agarwal, R. Goyal","doi":"10.37506/IJOCS.V9I1.2936","DOIUrl":"https://doi.org/10.37506/IJOCS.V9I1.2936","url":null,"abstract":"Introduction- Urinary stone disease is one of the most common afflictions of modern society.It has been describedsince antiquity. With westernization of global culture, the site of stone formation has migrated from the lower to upperurinary tract. Urinary tract stones start to form in a kidney and may enlarge in a ureter or the bladder. Depending onlocation of stone, it may be called a renal stone, ureteral stone, bladder stone or uretheral stone.Aim and Objectives-To study the correlation of clinco-pathological factors in urolithiasis with special reference tourinary pH and urinary culture.To study the relationship of age, sex, socio-economic, in incidence of urinary calculi formation.To study the clinical presentation of urinary tract stone.To study the importance & significance of urinary pH and urinary infection in patients of urolithiasis.Material & Methods-The present study design will be of a prospective study, all the patients diagnosed asurinarylithiasis, in surgical OPD and admitted in surgical ward, of SRMS-IMS, Bareilly.1-Inclusion Criteria- All the patients diagnosed as urinarylithiasis, reported In surgical OPD and admitted in surgicalward of SRMS, IMS, Bareilly.2-Exclusion Criteria A-History of any surgery for urinary lithiasis.B-Urinary stone in congenital urinary disorders.3-Sample Size- 100 Patients.Results and Conclusions-With the precise knowledge on epidemiological profile on urolithiasis, the involvedrisk factors and knowledge of the stone constituents, it may be necessary to take certain precautionary steps likeimproving socioeconomic status, literacy, inculcating hygienic habits, avoiding and treating urinary tract infection,maintaining asepsis during urinary catheterization / instrumentation and low calcium containing diet, which may allprobably decrease the incidence and morbidity of patients suffering from urolithiasis. The patients with an episodeof stone disease or with a family history of the same are at high risk and should be closely screened for presence ofmetabolic disorders and routinely followed up to prevent further recurrences.Discussion-Urinary tract calculus disease affects people in the most productive years of their life, and more commonlyseen in males of lower socioeconomic status.Urinary tract infection is a very important independent risk factor forurolithiasis Urea splitting bacteria e.g. Proteus and non-urease containing bacteria e.g. E. Coli, both have a role inurolithiasis. Urinary ph is a very important independent risk factor for urolithiasis, in my study ph was slightly acidic.And alkaline urine patients had struvite (infection) stones.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114879760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-07DOI: 10.37506/IJOCS.V9I1.2937
Lê Lam Hương Hương, Hoàng Trọng Nam, V. Lâm
Objectives: The purpose of this study was to study quality of life of women with ovarian tumors in vietnamMethods: Women after surgery for ovarian tumors were recruited from Hue Central Hospital and HueUniversity of Medicine and Pharmacy from January 2019 to December 2020 by a descriptive cross-sectionalstudy.Women have a preoperative diagnosis as ovarian tumors, but postoperative diagnosis was not physicalinjury in the ovaries. Patients with a history of ovarian or primary peritoneal cancer or any associated cancer.Patients did not agree to join the study. Patients with mental illness.Result: The average level of occupational quality of life in benign tumor group and malignant tumor onecomprises 51.8% and 38.7%, respectively; and the low one in benign tumor group is 36.8% and malignanttumor group is 45.2%. The difference between the occupational quality of life in two groups is statisticallysignificant (p <0.05).The high level of health quality of life in benign group for 29.4% while two groupsshare a percentage of 26.2. The health quality of life at average level in benign tumors is 61.9% contrast to28.6% of malignant tumors. The low level of health quality of life in benign tumor and malignant tumor is9.4% and 70.9% respectively. The very low level of health quality of life in benign tumor is 14.3%.Emotional quality of life at high level in benign tumors is 0.0%. The emotional quality of life at low level is29.8% in benign and 61.3% in malignant tumor. The very low level of emotional quality of life is at 22.5%.The sexual quality of life at very high level in ovarian tumor patients is 0%. The sexual quality of life atvery low level in malignant tumor is 29.1% and the whole group is 3.5% (p <0.05).The very low level oftotal quality of life in ovarian tumor group accounts for 4.9%, including 45.1% in malignant group and 0%in benign group (p <0.05). The low level of total quality of life in ovarian tumor group consists of 29.7%,specifically the malignant group is 29% and the benign one makes up 29.8%. The average level of totalquality of life in ovarian tumor group comprises 68.9% the high total quality of life in the ovarian tumorgroup is 11.1% consisting of 0%in malignant group and 3.9% in benign one. (p <0.05).Conclusion: The quality of life in terms of health, emotion and sex at very low level and low level inmalignant group have a higher rate than the benign one.
{"title":"Study Quality of Life of Women with Ovarian Tumors in Vietnam","authors":"Lê Lam Hương Hương, Hoàng Trọng Nam, V. Lâm","doi":"10.37506/IJOCS.V9I1.2937","DOIUrl":"https://doi.org/10.37506/IJOCS.V9I1.2937","url":null,"abstract":"Objectives: The purpose of this study was to study quality of life of women with ovarian tumors in vietnamMethods: Women after surgery for ovarian tumors were recruited from Hue Central Hospital and HueUniversity of Medicine and Pharmacy from January 2019 to December 2020 by a descriptive cross-sectionalstudy.Women have a preoperative diagnosis as ovarian tumors, but postoperative diagnosis was not physicalinjury in the ovaries. Patients with a history of ovarian or primary peritoneal cancer or any associated cancer.Patients did not agree to join the study. Patients with mental illness.Result: The average level of occupational quality of life in benign tumor group and malignant tumor onecomprises 51.8% and 38.7%, respectively; and the low one in benign tumor group is 36.8% and malignanttumor group is 45.2%. The difference between the occupational quality of life in two groups is statisticallysignificant (p <0.05).The high level of health quality of life in benign group for 29.4% while two groupsshare a percentage of 26.2. The health quality of life at average level in benign tumors is 61.9% contrast to28.6% of malignant tumors. The low level of health quality of life in benign tumor and malignant tumor is9.4% and 70.9% respectively. The very low level of health quality of life in benign tumor is 14.3%.Emotional quality of life at high level in benign tumors is 0.0%. The emotional quality of life at low level is29.8% in benign and 61.3% in malignant tumor. The very low level of emotional quality of life is at 22.5%.The sexual quality of life at very high level in ovarian tumor patients is 0%. The sexual quality of life atvery low level in malignant tumor is 29.1% and the whole group is 3.5% (p <0.05).The very low level oftotal quality of life in ovarian tumor group accounts for 4.9%, including 45.1% in malignant group and 0%in benign group (p <0.05). The low level of total quality of life in ovarian tumor group consists of 29.7%,specifically the malignant group is 29% and the benign one makes up 29.8%. The average level of totalquality of life in ovarian tumor group comprises 68.9% the high total quality of life in the ovarian tumorgroup is 11.1% consisting of 0%in malignant group and 3.9% in benign one. (p <0.05).Conclusion: The quality of life in terms of health, emotion and sex at very low level and low level inmalignant group have a higher rate than the benign one.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"06 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128891523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-07DOI: 10.37506/IJOCS.V9I1.2938
S. Singh, M. Misra, S. Rathi, D. Raj
Introduction-Despite advances in critical care medicine, prognosis in peritonitis due to hollow viscousperforation remains poor especially when associated with multi-organ dysfunction. Various grading systemsare available to analyze and stratify patients by different parameters and predict outcome. In a prospectivenon-randomized observational study, the efficacy of Mannheim peritonitis Index (MPI) was analyzed inpredicting the outcome in patients who were treated for peritonitis due to hollow viscous perforation.Method -A prospective study to assess the efficacy of Mannheim’s peritonitis index in 100 patientswhopresented with perforation peritonitis from August 2016 to July 2017 in LLRM medical college, Meerut.Result -100 patients were included in the study , patients were divided into 3 categories according to MPIscore 29. In category 1 mortality was around8.33%,category 2 had 28.8% mortalityand category 3 had 53.7% mortality.Thus increase in MPI score due to cumulative effect of all 8 parametersresulted in increased risk of mortality in perforation peritonitis .Conclusion – In this study all the parameters of Mannheim’s peritonitis index behave in expected manner,but there were no patient of malignancy and all patient were having generalized peritonitis and femalepatients were only 20. Therefore this study should be done for longer period of time to access all parameterof MPI score.
{"title":"To Study the Efficacy of Mannheim’s Peritonitis Index in Patients of Perforation Peritonitis","authors":"S. Singh, M. Misra, S. Rathi, D. Raj","doi":"10.37506/IJOCS.V9I1.2938","DOIUrl":"https://doi.org/10.37506/IJOCS.V9I1.2938","url":null,"abstract":"Introduction-Despite advances in critical care medicine, prognosis in peritonitis due to hollow viscousperforation remains poor especially when associated with multi-organ dysfunction. Various grading systemsare available to analyze and stratify patients by different parameters and predict outcome. In a prospectivenon-randomized observational study, the efficacy of Mannheim peritonitis Index (MPI) was analyzed inpredicting the outcome in patients who were treated for peritonitis due to hollow viscous perforation.Method -A prospective study to assess the efficacy of Mannheim’s peritonitis index in 100 patientswhopresented with perforation peritonitis from August 2016 to July 2017 in LLRM medical college, Meerut.Result -100 patients were included in the study , patients were divided into 3 categories according to MPIscore 29. In category 1 mortality was around8.33%,category 2 had 28.8% mortalityand category 3 had 53.7% mortality.Thus increase in MPI score due to cumulative effect of all 8 parametersresulted in increased risk of mortality in perforation peritonitis .Conclusion – In this study all the parameters of Mannheim’s peritonitis index behave in expected manner,but there were no patient of malignancy and all patient were having generalized peritonitis and femalepatients were only 20. Therefore this study should be done for longer period of time to access all parameterof MPI score.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132831112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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