Pub Date : 2020-08-27DOI: 10.37506/ijocs.v8i2.1683
Shashi Shekhar
Teaching of Breast Examination skill to Medical Students is a real challenge all over world as Breast is an intimate organ. Hence there is increasing effort to find alternative to teaching on real patients for confidant development of communicative and Palpative skull. In ethically prohibitive cultures (ie. Kingdom of Saudi Arabia) Didactic Lecture followed by Video demonstration plays significant role in ethically prohibitive cultures in teaching of Breast Examination Communication skill; where as Didactic Lecture followed by Video demonstration and Mannequin Demonstration and Practice plays significant role in ethically in teaching of Breast Examination Palpation skill. In ethically less prohibitive cultures (ie. India) Didactic Lecture followed Bed side demonstration of Breast examination on real patient plays significant in Communication skill ; where as Didactic Lecture followed by Video and Bed side demonstration of Breast examination on real patient and Practice plays significant role in Breast Palpation skill.
{"title":"Studies on impact of Teaching the Breast Examination Skill Through Lecture, Video, Mannequin and on Real Patients, on Medical Students in Kingdom of Saudi Arabia and in India","authors":"Shashi Shekhar","doi":"10.37506/ijocs.v8i2.1683","DOIUrl":"https://doi.org/10.37506/ijocs.v8i2.1683","url":null,"abstract":"Teaching of Breast Examination skill to Medical Students is a real challenge all over world as Breast is an intimate organ. Hence there is increasing effort to find alternative to teaching on real patients for confidant development of communicative and Palpative skull. In ethically prohibitive cultures (ie. Kingdom of Saudi Arabia) Didactic Lecture followed by Video demonstration plays significant role in ethically prohibitive cultures in teaching of Breast Examination Communication skill; where as Didactic Lecture followed by Video demonstration and Mannequin Demonstration and Practice plays significant role in ethically in teaching of Breast Examination Palpation skill. In ethically less prohibitive cultures (ie. India) Didactic Lecture followed Bed side demonstration of Breast examination on real patient plays significant in Communication skill ; where as Didactic Lecture followed by Video and Bed side demonstration of Breast examination on real patient and Practice plays significant role in Breast Palpation skill.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127384459","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 : 2020-08-27DOI: 10.37506/IJOCS.V8I2.1682
Abhayjeet Singh, Himani Singh, Harsimrat Singh
Objective: To compare our findings with published success rates for mastoidectomy performed withconcurrent nasal surgeryMaterials and Method: The study was conducted from May 2017 – September 2019 in the E.N.T departmentof Saraswathi Institute of Medical Sciences, Hapur. We retrospectively reviewed 35 consecutively presentingpatients who had undergone concurrent septoplasty and mastoidectomy with or without ossicular chainreconstruction. . The study consist of patients ranged in age from 18 to 50 years and were followed up for 1- 24 months. Surgical success was defined as presence of an intact TM graft ,well epithelized mastoid cavitywithout any evidence of middle ear effusion .Results: Our 2 primary finding – graft survival rate of 91.42% and an overall surgical success rate of 77.1% compare favourably with the results of other studies of outcomes of isolated mastoidectomies. Our dataindicates that simultaneous performance of nasal surgery and mastoidectomy is feasible in adults. Nasalpacking has got short term effect on ET dysfunction but rarely severe enough to cause symptoms or middleear effusion. Concurrent approach is useful in TM graft survival or mastoid cavity epithelisation in longterm overall surgical treatment success. The concurrent approach requires only single time administrationof general anaesthesia, cost effective treatment, improved overall symptomatic relief from nasal and earsymptoms.
{"title":"Concurrent Nasal Surgery with Mastoidectomy in Adults","authors":"Abhayjeet Singh, Himani Singh, Harsimrat Singh","doi":"10.37506/IJOCS.V8I2.1682","DOIUrl":"https://doi.org/10.37506/IJOCS.V8I2.1682","url":null,"abstract":"Objective: To compare our findings with published success rates for mastoidectomy performed withconcurrent nasal surgeryMaterials and Method: The study was conducted from May 2017 – September 2019 in the E.N.T departmentof Saraswathi Institute of Medical Sciences, Hapur. We retrospectively reviewed 35 consecutively presentingpatients who had undergone concurrent septoplasty and mastoidectomy with or without ossicular chainreconstruction. . The study consist of patients ranged in age from 18 to 50 years and were followed up for 1- 24 months. Surgical success was defined as presence of an intact TM graft ,well epithelized mastoid cavitywithout any evidence of middle ear effusion .Results: Our 2 primary finding – graft survival rate of 91.42% and an overall surgical success rate of 77.1% compare favourably with the results of other studies of outcomes of isolated mastoidectomies. Our dataindicates that simultaneous performance of nasal surgery and mastoidectomy is feasible in adults. Nasalpacking has got short term effect on ET dysfunction but rarely severe enough to cause symptoms or middleear effusion. Concurrent approach is useful in TM graft survival or mastoid cavity epithelisation in longterm overall surgical treatment success. The concurrent approach requires only single time administrationof general anaesthesia, cost effective treatment, improved overall symptomatic relief from nasal and earsymptoms.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133425252","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 : 2020-08-27DOI: 10.37506/IJOCS.V8I2.2577
A. Garg, N. Garg, M. Agrawal, N. Garg
The role of convention repair of episiotomy has come under scrutiny in recent years.This procedure has nowbeen modified from interrupted suturing earlier to continuous stitching of episiotomy.Aim &objectives :-This study was done to evaluate the patient comfort & post-op complications betweenconventional repair & continuous repair of episiotomy .Methodology:-This prospective study was conducted in the department of Gyne & obstr of Rama medicalcollege, Hapur from July 2018 to June 2019 on 200 patients who were randomly divided into two groupsof 100 patients each . In Group A (study group), episiotomy repair was performed by continuous stitching &group B underwent conventional interrupted suturing repair. Post operatively the efficacy of both proceduresanalysed on the basis of outcome in form of pain & other complications.Result :- Majority of patients of episiotomy were in age group of 18 to 26 years. Mean gestational periodwas 38.4+0.6 & 38.4+0.5 for the study & control group. The mean suturing time was also significantlyshorter for study group.Pain score was significantly less after 48 hrs. Resumption of sexual activity wassignificantly shorter in study group.Conclusion :- The success rate was significantly better in continuous repair group in the form of lessprocedure time, suture material , postpartum pain & early resumption of sexual activity
{"title":"A Comparative Study of Continuous Versus Interrupted Suturing of Episiotomy","authors":"A. Garg, N. Garg, M. Agrawal, N. Garg","doi":"10.37506/IJOCS.V8I2.2577","DOIUrl":"https://doi.org/10.37506/IJOCS.V8I2.2577","url":null,"abstract":"The role of convention repair of episiotomy has come under scrutiny in recent years.This procedure has nowbeen modified from interrupted suturing earlier to continuous stitching of episiotomy.Aim &objectives :-This study was done to evaluate the patient comfort & post-op complications betweenconventional repair & continuous repair of episiotomy .Methodology:-This prospective study was conducted in the department of Gyne & obstr of Rama medicalcollege, Hapur from July 2018 to June 2019 on 200 patients who were randomly divided into two groupsof 100 patients each . In Group A (study group), episiotomy repair was performed by continuous stitching &group B underwent conventional interrupted suturing repair. Post operatively the efficacy of both proceduresanalysed on the basis of outcome in form of pain & other complications.Result :- Majority of patients of episiotomy were in age group of 18 to 26 years. Mean gestational periodwas 38.4+0.6 & 38.4+0.5 for the study & control group. The mean suturing time was also significantlyshorter for study group.Pain score was significantly less after 48 hrs. Resumption of sexual activity wassignificantly shorter in study group.Conclusion :- The success rate was significantly better in continuous repair group in the form of lessprocedure time, suture material , postpartum pain & early resumption of sexual activity","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132761299","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 : 2020-08-27DOI: 10.37506/IJOCS.V8I2.1688
Tanjum Kamboj, R. Verma
MRI has become the method of choice for evaluating perianal fistulae due to its ability to display theanatomy of the sphincter muscles orthogonally, with good contrast resolution. In this article we compareMRI findings to intraoperative findings in patients of Fistula in Ano. This study is based on a retrospectiveanalysis of 35 patients with a clinical diagnosis of perianal fistula
{"title":"Comparision of Preoperative Mri Findings with Intraoperative Findings in Patient of Fistula in ANO","authors":"Tanjum Kamboj, R. Verma","doi":"10.37506/IJOCS.V8I2.1688","DOIUrl":"https://doi.org/10.37506/IJOCS.V8I2.1688","url":null,"abstract":"MRI has become the method of choice for evaluating perianal fistulae due to its ability to display theanatomy of the sphincter muscles orthogonally, with good contrast resolution. In this article we compareMRI findings to intraoperative findings in patients of Fistula in Ano. This study is based on a retrospectiveanalysis of 35 patients with a clinical diagnosis of perianal fistula","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133354858","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 : 2020-08-27DOI: 10.37506/IJOCS.V8I2.1684
Shubhrashankha Sen, S. Goel, Madhubala Gaur
Introduction: Variations in Extra-hepatic biliary tract are noticed. The common variations are intrahepaticunion of right and left hepatic ducts, accessory hepatic ducts, different mode of termination of commonhepatic duct, cystic duct and common bile duct.Objective: To identify the Variations in the Extra-hepatic Biliary tree, which comprises of Right and LeftHepatic duct, Cystic Duct, Common Hepatic Duct, Common Bile Duct and Gall Bladder.Materials and Methods: This study was conducted at Saraswathi institute of medical sciences(HAPUR,U.P)during the period between October 2017 to September 2019. A total of 200 patients reporting with gallbladder disease was recruited in the study in whom laparoscopic cholecystectomy was attempted.Results: Overall, among 200 patients, a total of 50 patients had some amount of anatomical variations.Around 10% patients showed cystic duct variations, 18% showed extra-hepatic biliary tree variations, andanother 7% patients showed arterial variations.Conclusion: We found Around 10% patients (one-fourth) showed cystic duct variations, 18% showed extrahepatic biliary tree variations, and another 7% patients showed arterial variations which is comparable andanalogous to previous incidence rate.
{"title":"Anatomical Variation of Extra-Hepatic Biliary Tree and Vasculature Encountered During Laparoscopic Cholecystectomy","authors":"Shubhrashankha Sen, S. Goel, Madhubala Gaur","doi":"10.37506/IJOCS.V8I2.1684","DOIUrl":"https://doi.org/10.37506/IJOCS.V8I2.1684","url":null,"abstract":"Introduction: Variations in Extra-hepatic biliary tract are noticed. The common variations are intrahepaticunion of right and left hepatic ducts, accessory hepatic ducts, different mode of termination of commonhepatic duct, cystic duct and common bile duct.Objective: To identify the Variations in the Extra-hepatic Biliary tree, which comprises of Right and LeftHepatic duct, Cystic Duct, Common Hepatic Duct, Common Bile Duct and Gall Bladder.Materials and Methods: This study was conducted at Saraswathi institute of medical sciences(HAPUR,U.P)during the period between October 2017 to September 2019. A total of 200 patients reporting with gallbladder disease was recruited in the study in whom laparoscopic cholecystectomy was attempted.Results: Overall, among 200 patients, a total of 50 patients had some amount of anatomical variations.Around 10% patients showed cystic duct variations, 18% showed extra-hepatic biliary tree variations, andanother 7% patients showed arterial variations.Conclusion: We found Around 10% patients (one-fourth) showed cystic duct variations, 18% showed extrahepatic biliary tree variations, and another 7% patients showed arterial variations which is comparable andanalogous to previous incidence rate.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"38 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121006465","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 : 2020-08-27DOI: 10.37506/ijocs.v8i2.1680
D. Raj, P. Arora, J. Sharma, Puneet Malik, A. Aggarwal
electrolyte Aims & Objective : To prognosticate the final out come in a traumatic brain injury patient based on there electrolyte changes. Material & Method : A Hospital based Prospective type Cross Sectional Study . The study was conducted over a period of 18 month In our institute. This study includes all Traumatic Brain Injury patients without poly trauma who were admitted through Emergency as well as OPD . This study exclude patients with any co morbidity like diabetes mellitus, hypertension, thyroid derangement and poly trauma etc. Observation & Results : We observed significant difference of sodium, potassium, and chloride levels following TBI recorded at the time of admission, 24 hours, after 4 days, 8 days, 12 days and 16 days . There was positive correlation of hyponatremia, hypokalemia, hypochloremia, with outcome of the patient. Conclusion : we concluded that electrolyte imbalance following traumatic head injury is an important cause to look for in patient monitoring. Sodium potassium and chloride chief electrolyte of concern. Serum calcium and Phosphate levels also under goes notable changes.
{"title":"To Prognosticate the Final Outcome in a Traumatic Brain Injury Patient based on their Electrolyte Changes","authors":"D. Raj, P. Arora, J. Sharma, Puneet Malik, A. Aggarwal","doi":"10.37506/ijocs.v8i2.1680","DOIUrl":"https://doi.org/10.37506/ijocs.v8i2.1680","url":null,"abstract":"electrolyte Aims & Objective : To prognosticate the final out come in a traumatic brain injury patient based on there electrolyte changes. Material & Method : A Hospital based Prospective type Cross Sectional Study . The study was conducted over a period of 18 month In our institute. This study includes all Traumatic Brain Injury patients without poly trauma who were admitted through Emergency as well as OPD . This study exclude patients with any co morbidity like diabetes mellitus, hypertension, thyroid derangement and poly trauma etc. Observation & Results : We observed significant difference of sodium, potassium, and chloride levels following TBI recorded at the time of admission, 24 hours, after 4 days, 8 days, 12 days and 16 days . There was positive correlation of hyponatremia, hypokalemia, hypochloremia, with outcome of the patient. Conclusion : we concluded that electrolyte imbalance following traumatic head injury is an important cause to look for in patient monitoring. Sodium potassium and chloride chief electrolyte of concern. Serum calcium and Phosphate levels also under goes notable changes.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123619859","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 : 2020-02-27DOI: 10.37506/ijocs.v8i1.1300
G. Bhaskar, Anita Ambastha, Aayushi, R. Sinha
Background: This study was designed to identify the causes, demographic, clinical profile & classify the patients according to the ocular trauma classification group. Method: 60 children of age fifteen year or less, with ocular injury, who had presented to emergency services/out-patient department of the Regional Institute of Ophthalmology (RIO), IGIMS medical college & hospital, Patna (Bihar) were included. Demographic data, nature and cause of injury, duration between injury & presentation to the hospital and diagnosis were recorded. Evaluation of visual acuity, anterior segment and fundus was done. Results: Majority of injuries occurred in children 7yrs and older (64.7%). There were 50 (83.33%) boys and 10 (16.66%) girls. 40 (66.67%) of cases presented within 24hrs of the injury while 20 (33.33%) of cases presented after more than 24 hr after trauma. Rural patients comprised 39 out of 60 (65 %) while urban were 21 out of 60 (35 %). Most of the patients n=36 (60%) belonged to average socioeconomic status fallowed by low socioeconomic status n=20 (33.33%) & high socioeconomic status n=4 (6.67%). Most of the children n=35 (58.33%) were in their primary school. The highest proportion of injuries occurred outside (eg streets, roads, playgrounds, schools) n=40 (66.67 %) followed by home n=20 (33.33%). Conclusions: Eye trauma in children occur most frequently outdoors. Early diagnosis, management and prevention of complications of ocular injuries can be possible by educating parents and children.
{"title":"Observation and Epidemiology of Ocular Trauma in Children: Hospital based Study","authors":"G. Bhaskar, Anita Ambastha, Aayushi, R. Sinha","doi":"10.37506/ijocs.v8i1.1300","DOIUrl":"https://doi.org/10.37506/ijocs.v8i1.1300","url":null,"abstract":"Background: This study was designed to identify the causes, demographic, clinical profile & classify the patients according to the ocular trauma classification group. Method: 60 children of age fifteen year or less, with ocular injury, who had presented to emergency services/out-patient department of the Regional Institute of Ophthalmology (RIO), IGIMS medical college & hospital, Patna (Bihar) were included. Demographic data, nature and cause of injury, duration between injury & presentation to the hospital and diagnosis were recorded. Evaluation of visual acuity, anterior segment and fundus was done. Results: Majority of injuries occurred in children 7yrs and older (64.7%). There were 50 (83.33%) boys and 10 (16.66%) girls. 40 (66.67%) of cases presented within 24hrs of the injury while 20 (33.33%) of cases presented after more than 24 hr after trauma. Rural patients comprised 39 out of 60 (65 %) while urban were 21 out of 60 (35 %). Most of the patients n=36 (60%) belonged to average socioeconomic status fallowed by low socioeconomic status n=20 (33.33%) & high socioeconomic status n=4 (6.67%). Most of the children n=35 (58.33%) were in their primary school. The highest proportion of injuries occurred outside (eg streets, roads, playgrounds, schools) n=40 (66.67 %) followed by home n=20 (33.33%). Conclusions: Eye trauma in children occur most frequently outdoors. Early diagnosis, management and prevention of complications of ocular injuries can be possible by educating parents and children.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131125247","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 : 2020-02-27DOI: 10.37506/ijocs.v8i1.1301
S. Singh, Prachi Varshney
Background- Benign Prostatic Hyperplasia(BPH) is a common condition in older men. BPH refers to a proliferative process of cellular elements of prostate. It is estimated that close to 90% of men will develop histologic evidence of BPH by age of 80. Uroflowmetry and IPSS(International Prostate Symptom Score) can predict the presence of obstruction. TURP(Transurethral Resection of Prostate) is one of the most frequently performed surgery by the urologists. Aims & Objectives - The objective of the study is to evaluate the changes in IPSS & Uroflowmetry before and after TURP. Materials and Method - Evaluation was done on 30 patients of clinical BPH in Surgery Department, SVBP Hospital, Meerut from September 2018 to September 2019. Case records containing variables on IPSS before and after TURP, maximum flow rate before and after TURP, their subjective evaluation were recorded for each patient. Observations & Results - The subjective response was significant, as analysed on the basis of changes in IPSS and maximum flow rate as 13.53 in IPSS and 8.688 in maximum flow rate. There was a weak correlation between pre and post operative maximum flow rates but a strong correlation between pre and postoperative IPSS. Conclusion- TURP has been the standard surgical therapy for lower urinary tract symptoms secondary to benign prostatic hyperplasia. IPSS is a good parameter for using as an indication of TURP and medical therapy and should be used in pretreatment evaluation of all patients who come with symptoms suggestive of BPH and their treatment modality defined on the basis of result of IPSS.
{"title":"A Prospective Study of Subjective Symptoms-Ipss and Uroflowmetry Before and after Turp of BPH Patients","authors":"S. Singh, Prachi Varshney","doi":"10.37506/ijocs.v8i1.1301","DOIUrl":"https://doi.org/10.37506/ijocs.v8i1.1301","url":null,"abstract":"Background- Benign Prostatic Hyperplasia(BPH) is a common condition in older men. BPH refers to a proliferative process of cellular elements of prostate. It is estimated that close to 90% of men will develop histologic evidence of BPH by age of 80. Uroflowmetry and IPSS(International Prostate Symptom Score) can predict the presence of obstruction. TURP(Transurethral Resection of Prostate) is one of the most frequently performed surgery by the urologists. Aims & Objectives - The objective of the study is to evaluate the changes in IPSS & Uroflowmetry before and after TURP. Materials and Method - Evaluation was done on 30 patients of clinical BPH in Surgery Department, SVBP Hospital, Meerut from September 2018 to September 2019. Case records containing variables on IPSS before and after TURP, maximum flow rate before and after TURP, their subjective evaluation were recorded for each patient. Observations & Results - The subjective response was significant, as analysed on the basis of changes in IPSS and maximum flow rate as 13.53 in IPSS and 8.688 in maximum flow rate. There was a weak correlation between pre and post operative maximum flow rates but a strong correlation between pre and postoperative IPSS. Conclusion- TURP has been the standard surgical therapy for lower urinary tract symptoms secondary to benign prostatic hyperplasia. IPSS is a good parameter for using as an indication of TURP and medical therapy and should be used in pretreatment evaluation of all patients who come with symptoms suggestive of BPH and their treatment modality defined on the basis of result of IPSS.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"815 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123287579","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 : 2020-02-27DOI: 10.37506/ijocs.v8i1.1296
S. Gul, A. Laharwal, A. Wani, A. Rashid
Background: The surgical anatomy of appendix coupled with a lax abdominal wall in children creates a possibility of accomplishing an appendectomy using a small incision. The aim of the present study was to compare the outcomes of classical grid iron, small incision and laparoscopic appendectomy in children with uncomplicated acute appendicitis. Method: A prospective comparative study was undertaken at a tertiary care hospital, where patients who underwent either open (classical or small incision) or laparoscopic appendicectomy were studied and compared for various intraoperative and postoperative parameters. The subjects selected for study were children in the age group of 4 – 14 years of age, and were diagnosed as having simple acute appendicitis. Results: Out of a total of 201 patients included in the study; 78 underwent appendectomy by classical Grid iron incision, 62 by small incision and 67 by a conventional laparoscopic method. The baseline parameters were similar in all the three groups. The mean operative time was significantly lower in small incision group. There was no intra-operative complication noticed in any of the groups. Conversions were significantly higher in the small incision group as compared to classical grid iron and laparoscopic approach. The mean pain scores (visual analogue scale) were significantly decreased in the laparoscopic group. The mean hospital stay and return to activities of daily life was significantly increased in the classical grid iron group. Conclusion: Laparoscopic approach for appendectomy seems to be a clear winner in uncomplicated paediatric appendicitis, but small incision approach provides an acceptable alternative, as compared to the standard grid iron incision.
{"title":"Comparison of Classical Open Appendectomy, Small Incision Appendectomy and Laparoscopic Appendectomy in Children with Uncomplicated Acute Appendicitis","authors":"S. Gul, A. Laharwal, A. Wani, A. Rashid","doi":"10.37506/ijocs.v8i1.1296","DOIUrl":"https://doi.org/10.37506/ijocs.v8i1.1296","url":null,"abstract":"Background: The surgical anatomy of appendix coupled with a lax abdominal wall in children creates a possibility of accomplishing an appendectomy using a small incision. The aim of the present study was to compare the outcomes of classical grid iron, small incision and laparoscopic appendectomy in children with uncomplicated acute appendicitis. Method: A prospective comparative study was undertaken at a tertiary care hospital, where patients who underwent either open (classical or small incision) or laparoscopic appendicectomy were studied and compared for various intraoperative and postoperative parameters. The subjects selected for study were children in the age group of 4 – 14 years of age, and were diagnosed as having simple acute appendicitis. Results: Out of a total of 201 patients included in the study; 78 underwent appendectomy by classical Grid iron incision, 62 by small incision and 67 by a conventional laparoscopic method. The baseline parameters were similar in all the three groups. The mean operative time was significantly lower in small incision group. There was no intra-operative complication noticed in any of the groups. Conversions were significantly higher in the small incision group as compared to classical grid iron and laparoscopic approach. The mean pain scores (visual analogue scale) were significantly decreased in the laparoscopic group. The mean hospital stay and return to activities of daily life was significantly increased in the classical grid iron group. Conclusion: Laparoscopic approach for appendectomy seems to be a clear winner in uncomplicated paediatric appendicitis, but small incision approach provides an acceptable alternative, as compared to the standard grid iron incision.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121909362","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 : 2020-02-27DOI: 10.37506/ijocs.v8i1.1290
Anil Gupta, R. Sharma, R. Rathore
Introduction: No-Scalpel Vasectomy is a safe and effective technique of male fertility control. It is a minor procedure with minimal side effects and thus increases the patient acceptance, who have a vital role in decision making for family planning. Aims: to present our experience and results in patients undergoing no-scalpel vasectomy, their motivating factors, the failure rate of vasectomy, complications and its effect on sexual desire and performance. Material and Method : A total of 204 patients undergoing a no-scalpel vasectomy between march 2015 and august 2019 were included. Details about their motivational factors, socio-demographic profile were noted and post vasectomy complications were recorded and assesed. Results : No immediate or delayed complications of haematoma, wound infection, scrotal sinus, vasectomy failure, sperm granuloma and chronic scrotal pain was observed. Only one patient presented with pain and stitch granuloma which was excised later. None of our patients presented with any psychological and sexual problems in the follow-up. Conclusions : Men are often reluctant to consider vasectomy because of inaccurate information and myths. No-Scalpel Vasectomy is a safe procedure, but adequate motivation and education about the procedure is a must with follow up and sperm count at 3 months.
{"title":"Surgical Experience of No-scalpel Vasectomy: An Underutilized Procedure","authors":"Anil Gupta, R. Sharma, R. Rathore","doi":"10.37506/ijocs.v8i1.1290","DOIUrl":"https://doi.org/10.37506/ijocs.v8i1.1290","url":null,"abstract":"Introduction: No-Scalpel Vasectomy is a safe and effective technique of male fertility control. It is a minor procedure with minimal side effects and thus increases the patient acceptance, who have a vital role in decision making for family planning. Aims: to present our experience and results in patients undergoing no-scalpel vasectomy, their motivating factors, the failure rate of vasectomy, complications and its effect on sexual desire and performance. Material and Method : A total of 204 patients undergoing a no-scalpel vasectomy between march 2015 and august 2019 were included. Details about their motivational factors, socio-demographic profile were noted and post vasectomy complications were recorded and assesed. Results : No immediate or delayed complications of haematoma, wound infection, scrotal sinus, vasectomy failure, sperm granuloma and chronic scrotal pain was observed. Only one patient presented with pain and stitch granuloma which was excised later. None of our patients presented with any psychological and sexual problems in the follow-up. Conclusions : Men are often reluctant to consider vasectomy because of inaccurate information and myths. No-Scalpel Vasectomy is a safe procedure, but adequate motivation and education about the procedure is a must with follow up and sperm count at 3 months.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115220820","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：