Pub Date : 2020-02-27DOI: 10.37506/ijocs.v8i1.1289
B. K. Das, L. Kalita, K. Bhuyan
Background: Gastric cancers are among the commonest cancers in developing countries including India. Majority of the patients present in late stages of disease with dismal outcomes. Materials and Method: Medical records of patients undergoing surgery for gastric cancer during 2018 were retrospectively analyzed. Clinical and pathological parameters were recorded and analyzed. Results: Total of 49 patients were retrospectively analyzed. Most of the patients had advanced disease at presentation with anaemia in 40/49 (81%) and Gastric outlet obstruction in 27/49 (55%). 70% of patients undergoing gastrectomy had node positive disease. There was a trend towards association between node positive disease and tumour thickness >15mm (p=0.024). Conclusion: Majority of gastric cancer patients in North East India present in advanced stage with anaemia and gastric outlet obstruction. Tumour thickness >15mm can possibly predict regional lymph node metastasis in gastric cancer patients.
{"title":"Clinico-Pathological Profile of Gastric Cancer Patients Treated at Tertiary Care Cancer Hospital in Assam: Short Term Experience","authors":"B. K. Das, L. Kalita, K. Bhuyan","doi":"10.37506/ijocs.v8i1.1289","DOIUrl":"https://doi.org/10.37506/ijocs.v8i1.1289","url":null,"abstract":"Background: Gastric cancers are among the commonest cancers in developing countries including India. Majority of the patients present in late stages of disease with dismal outcomes. Materials and Method: Medical records of patients undergoing surgery for gastric cancer during 2018 were retrospectively analyzed. Clinical and pathological parameters were recorded and analyzed. Results: Total of 49 patients were retrospectively analyzed. Most of the patients had advanced disease at presentation with anaemia in 40/49 (81%) and Gastric outlet obstruction in 27/49 (55%). 70% of patients undergoing gastrectomy had node positive disease. There was a trend towards association between node positive disease and tumour thickness >15mm (p=0.024). Conclusion: Majority of gastric cancer patients in North East India present in advanced stage with anaemia and gastric outlet obstruction. Tumour thickness >15mm can possibly predict regional lymph node metastasis in gastric cancer patients.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"28 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":"125003144","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.v8i1.1291
K. Sanjeev, C. Umesh, G. Gaurav
Background - Inguinal hernia is the most common type of external abdominal hernia. Open Lichtenstein method or laparoscopic method can be employed to repair inguinal hernia. With the advent of laparoscopic mesh hernioplasty. Its superiority over open mesh hernioplasty is debatable. Method - This prospective study was done on 120 patients in the department of surgery of LLRM Medical College Meerut, to evaluate the usefulness of laparoscopic mesh hernioplasty (TEP Technique) for inguinal hernia repair versus conventional open mesh hernioplasty (Lichtenstein Technique) in terms of complications, pain and recurrence. Equal number of subjects was put in two groups; open mesh repair group and laparoscopic mesh repair group. Results -The mean age of the patients of inguinal hernia including both groups was 50 years. The mean operation time of Laparoscopic TEP mesh hernioplasty was 71.33 minutes while that of Open Lichtenstein repair was 36.33 minutes. Postoperative analgesic requirement was significantly lower in the patients operated by TEP technique as compared with patients treated by Open Lichtenstein’s technique.. In TEP group, two patients develops neuralgia, one patient developed fever, 1 patient developed hematoma, where as in the open group there were 3 cases of neuralgia , 3 cases had fever. Conclusion - Laparoscopic mesh hernioplasty using TEP technique is a novel technique with its share of advantages and disadvantages. There are potential benefits of laparoscopic repair for inguinal hernias in terms of post-operative pain, hospital stay and post operative complications. We recommend that a surgeon should use this laparoscopic technique for hernia repair after knowing all the pros and cons of the technique, his expertise for the technique and the infrastructure available.
{"title":"Open versus Laparoscopic Mesh Repair of Inguinal Hernia","authors":"K. Sanjeev, C. Umesh, G. Gaurav","doi":"10.37506/ijocs.v8i1.1291","DOIUrl":"https://doi.org/10.37506/ijocs.v8i1.1291","url":null,"abstract":"Background - Inguinal hernia is the most common type of external abdominal hernia. Open Lichtenstein method or laparoscopic method can be employed to repair inguinal hernia. With the advent of laparoscopic mesh hernioplasty. Its superiority over open mesh hernioplasty is debatable. Method - This prospective study was done on 120 patients in the department of surgery of LLRM Medical College Meerut, to evaluate the usefulness of laparoscopic mesh hernioplasty (TEP Technique) for inguinal hernia repair versus conventional open mesh hernioplasty (Lichtenstein Technique) in terms of complications, pain and recurrence. Equal number of subjects was put in two groups; open mesh repair group and laparoscopic mesh repair group. Results -The mean age of the patients of inguinal hernia including both groups was 50 years. The mean operation time of Laparoscopic TEP mesh hernioplasty was 71.33 minutes while that of Open Lichtenstein repair was 36.33 minutes. Postoperative analgesic requirement was significantly lower in the patients operated by TEP technique as compared with patients treated by Open Lichtenstein’s technique.. In TEP group, two patients develops neuralgia, one patient developed fever, 1 patient developed hematoma, where as in the open group there were 3 cases of neuralgia , 3 cases had fever. Conclusion - Laparoscopic mesh hernioplasty using TEP technique is a novel technique with its share of advantages and disadvantages. There are potential benefits of laparoscopic repair for inguinal hernias in terms of post-operative pain, hospital stay and post operative complications. We recommend that a surgeon should use this laparoscopic technique for hernia repair after knowing all the pros and cons of the technique, his expertise for the technique and the infrastructure available.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"97 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":"126892185","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.v8i1.1292
Muktanjalee Deka, A. Gupta, Pioja Pegu
Introductions : Malignant melanoma is a rare skin cancer in Asia but both incidence and mortality rates are increasing in last few decades.Clinical and pathological assessment of patients with malignant melanoma establishes a definite diagnosis and is important for patient prognosis and management. Materials and Method : We present clinical and pathological profile of 14 patients with malignant melanoma of extremity presenting at State Cancer institute, GMCH from September 2018 to May 2019. Of them, 10 patients underwent wide excision of the primary lesion along with regional lymph node dissection . Rest 4 patients underwent wide excision only. Specimens were sent to the department of Pathology , GMCH for histopathological examination. Immunohistochemistry was also done. Results : The most common site of melanoma is the lower extremity. Incidence was found to be higher in males compared to females with median age of presentation 54 years. Majority of patients are farmers or labourers. Ulceration is the most common mode of presentation. Maximum patients presented within 6 months of onset of symptoms. Based on TNM , Clark and Breslow classification, 35.5% (n=5)were Clark stage 4, 35.5%(n=5) were clark stage 5 which were the most common and 78.5% (n=11) were breslow stage 4. Conclusions: Although malignant melanoma are rare neoplasms, incidence has increased in few decades. Lymph node staging should be done in all cases even if clinically and radiologically negative. Surgery with adjuvant treatment remains the mainstay of management.
{"title":"Clinico-Pathological Profile of Patients with Malignant Melanoma of Extremity: Short Term Single Centre Experience","authors":"Muktanjalee Deka, A. Gupta, Pioja Pegu","doi":"10.37506/ijocs.v8i1.1292","DOIUrl":"https://doi.org/10.37506/ijocs.v8i1.1292","url":null,"abstract":"Introductions : Malignant melanoma is a rare skin cancer in Asia but both incidence and mortality rates are increasing in last few decades.Clinical and pathological assessment of patients with malignant melanoma establishes a definite diagnosis and is important for patient prognosis and management. Materials and Method : We present clinical and pathological profile of 14 patients with malignant melanoma of extremity presenting at State Cancer institute, GMCH from September 2018 to May 2019. Of them, 10 patients underwent wide excision of the primary lesion along with regional lymph node dissection . Rest 4 patients underwent wide excision only. Specimens were sent to the department of Pathology , GMCH for histopathological examination. Immunohistochemistry was also done. Results : The most common site of melanoma is the lower extremity. Incidence was found to be higher in males compared to females with median age of presentation 54 years. Majority of patients are farmers or labourers. Ulceration is the most common mode of presentation. Maximum patients presented within 6 months of onset of symptoms. Based on TNM , Clark and Breslow classification, 35.5% (n=5)were Clark stage 4, 35.5%(n=5) were clark stage 5 which were the most common and 78.5% (n=11) were breslow stage 4. Conclusions: Although malignant melanoma are rare neoplasms, incidence has increased in few decades. Lymph node staging should be done in all cases even if clinically and radiologically negative. Surgery with adjuvant treatment remains the mainstay of management.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"52 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":"115683135","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 : 2020-01-30DOI: 10.37506/IJOCS.V8I1.1294
P. Ahuja, U. Saxena
Objective: To study role of Ultrasound determined placental laterality as a predictor of preeclampsia Methods: This prospective study was conducted in the Department of Obstetrics and Gynaecology, VMMC & Safdarjang Hospital, New Delhi from Feb 2019 to July 2019. Three hundred pregnant women attending antenatal clinic both OPD and IPD between 16 to 20 weeks of gestation without any high risk factor were subjected to ultrasound examination as a part of routine antenatal examination and placental location was determined. These cases were followed up for the development of preeclampsia. Results :Out of the 300 women studied 241 had central placenta (Group A) and 59 had laterally located placenta (group B).Out of 59 women with lateral placenta, 29 (49.2%) developed preeclampsia while out of the 241 women with central placenta only 19 (7.88%) developed preeclampsia. This was statistically significant (p value<0.0001). The sensitivity, specificity, positive predictive value and negative predictive value of placental laterality as a predictor for preeclampsia was 64.18%, 83.19%, 53.16% and 88.64% respectively. Conclusion: Placental laterality by ultrasound d at 16-20 weeks; is a simple, cheap and effective method ,establishing its role as early predictor of pre-eclampsia.
{"title":"Role of Placental laterality as a Predictive Tool for Preeclampsia","authors":"P. Ahuja, U. Saxena","doi":"10.37506/IJOCS.V8I1.1294","DOIUrl":"https://doi.org/10.37506/IJOCS.V8I1.1294","url":null,"abstract":"Objective: To study role of Ultrasound determined placental laterality as a predictor of preeclampsia \u0000Methods: This prospective study was conducted in the Department of Obstetrics and Gynaecology, VMMC \u0000& Safdarjang Hospital, New Delhi from Feb 2019 to July 2019. Three hundred pregnant women attending \u0000antenatal clinic both OPD and IPD between 16 to 20 weeks of gestation without any high risk factor were \u0000subjected to ultrasound examination as a part of routine antenatal examination and placental location was \u0000determined. These cases were followed up for the development of preeclampsia. \u0000Results :Out of the 300 women studied 241 had central placenta (Group A) and 59 had laterally located \u0000placenta (group B).Out of 59 women with lateral placenta, 29 (49.2%) developed preeclampsia while out \u0000of the 241 women with central placenta only 19 (7.88%) developed preeclampsia. This was statistically \u0000significant (p value<0.0001). The sensitivity, specificity, positive predictive value and negative predictive \u0000value of placental laterality as a predictor for preeclampsia was 64.18%, 83.19%, 53.16% and 88.64% \u0000respectively. \u0000Conclusion: Placental laterality by ultrasound d at 16-20 weeks; is a simple, cheap and effective method \u0000,establishing its role as early predictor of pre-eclampsia.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122334685","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 : 2020-01-30DOI: 10.37506/IJOCS.V8I1.1293
P. Saxena, K. Patel
Background: Hernia is not a disease of modern society; its occurrence was found during early 16th century and it was recognized as a surgical disease by Praxagoras of Kos because of its demand for some sort of life-saving treatment. In general, hernia is described as a protrusion of contents of abdominal cavity through a weakness or opening in the abdominal muscle wall. Laparoscopic hernia repair has emerged as an effective alternative method for treating inguinal hernias. It has several significant advantages over the tension-free open repair now in use. In this report we summarize our laparoscopic hernia repair results and Recommendations. Method: The study was conducted in the Department of General Surgery, Geetanjali Medical College, Udaipur, from November 2017 to November 2019. It was a prospective, observational study on the patients of uncomplicated inguinal hernias who underwent an elective laparoscopic inguinal hernia repair. The following data was collected prospectively: age, sex, duration of surgery, intra-operative complications, postoperative pain, postoperative complications, hospital stay and recurrence. Results: A total 30 patients were operated during study period and total number of hernia repair were 36, with their ages renged from 22 to 80 year with mean age of 52.6year. All patents were male.The average duration of operation was 55.33 ± 17.02minutes. The average length of hospital stay was 3.06day. The main complication in our study were postoperative seroma formation. One patient required conversion to open with zero recurrence till date. Conclusion: Laparoscopic TAPP hernia repair has proven to be an efficient method for the treatment of groin hernias at our institution.
{"title":"Laparoscopic Inguinal Hernia Repair by Transabdominal Preperitoneal Mesh Hernioplasty (TAPP), A Prospective Study","authors":"P. Saxena, K. Patel","doi":"10.37506/IJOCS.V8I1.1293","DOIUrl":"https://doi.org/10.37506/IJOCS.V8I1.1293","url":null,"abstract":"Background: Hernia is not a disease of modern society; its occurrence was found during early 16th century \u0000and it was recognized as a surgical disease by Praxagoras of Kos because of its demand for some sort \u0000of life-saving treatment. In general, hernia is described as a protrusion of contents of abdominal cavity \u0000through a weakness or opening in the abdominal muscle wall. Laparoscopic hernia repair has emerged as \u0000an effective alternative method for treating inguinal hernias. It has several significant advantages over the \u0000tension-free open repair now in use. In this report we summarize our laparoscopic hernia repair results and \u0000Recommendations. \u0000Method: The study was conducted in the Department of General Surgery, Geetanjali Medical College, \u0000Udaipur, from November 2017 to November 2019. It was a prospective, observational study on the patients \u0000of uncomplicated inguinal hernias who underwent an elective laparoscopic inguinal hernia repair. The \u0000following data was collected prospectively: age, sex, duration of surgery, intra-operative complications, \u0000postoperative pain, postoperative complications, hospital stay and recurrence. \u0000Results: A total 30 patients were operated during study period and total number of hernia repair were 36, \u0000with their ages renged from 22 to 80 year with mean age of 52.6year. All patents were male.The average \u0000duration of operation was 55.33 ± 17.02minutes. The average length of hospital stay was 3.06day. The main \u0000complication in our study were postoperative seroma formation. One patient required conversion to open \u0000with zero recurrence till date. \u0000Conclusion: Laparoscopic TAPP hernia repair has proven to be an efficient method for the treatment of \u0000groin hernias at our institution.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132786901","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 : 2020-01-30DOI: 10.37506/IJOCS.V8I1.1298
Sudish Kumar, A. Bose
Introduction: 30%-40% of all the hospital acquired infections are due to Catheter Associated Urinary Tract Infections (CAUTIs), is directly associated with increase in morbidity, mortality, hospital costs and length of the hospital stay. In acute care setting, the prevalence of CAUTIs in the catheterized patient increases with increase in days of catheterization. Bacterial species isolated in CAUTIs show biofilm production, which provides survival benefit to them by providing protection from environmental stresses and causing decreased susceptibility to antimicrobial agents. This study was designed and conducted to compare bacterial colonization, isolation of bacteria and biofilm production property in patients who were catheterized with two most common indwelling catheter; pure silicone and silicone coated latex catheters. Materials and Method: This prospective, observational and comparative study was conducted on 200 patients of all age and gender who had been catheterized for more than 7 days and had sterile precatheterisation urine. Divided into Group A (pure silicone catheter) and B (silicone coated latex catheter) with 100 patients each. Urine culture was done on the 8th day of indwelling urinary catheter drainage. If growth was detected, then that bacterium was tested for biofilm production property by tissue culture plate method. Results were analysed with the help of Instat Graph Pad software. Results: Bacterial colonization and uropathogens showing Biofilm forming bacteria was more seen in group B patients with respect to group A patients and the difference was significant. In both the groups the most common bacteria were Escherichia coli. Conclusion: Pure silicone catheter was advantageous over the most commonly used silicone coated latex catheter in terms of bacterial colonization and biofilm formation, although pure silicone catheter didn’t completely resist the bacterial colonization and the biofilm formation.
{"title":"Comparison of Bacterial Colonization and the Biofilm Formation between Indwelling Pure Silicone and Silicone Coated Latex Catheters: A Prospective and Observational Study","authors":"Sudish Kumar, A. Bose","doi":"10.37506/IJOCS.V8I1.1298","DOIUrl":"https://doi.org/10.37506/IJOCS.V8I1.1298","url":null,"abstract":"Introduction: 30%-40% of all the hospital acquired infections are due to Catheter Associated Urinary Tract \u0000Infections (CAUTIs), is directly associated with increase in morbidity, mortality, hospital costs and length \u0000of the hospital stay. In acute care setting, the prevalence of CAUTIs in the catheterized patient increases \u0000with increase in days of catheterization. Bacterial species isolated in CAUTIs show biofilm production, \u0000which provides survival benefit to them by providing protection from environmental stresses and causing \u0000decreased susceptibility to antimicrobial agents. This study was designed and conducted to compare bacterial \u0000colonization, isolation of bacteria and biofilm production property in patients who were catheterized with \u0000two most common indwelling catheter; pure silicone and silicone coated latex catheters. \u0000Materials and Method: This prospective, observational and comparative study was conducted on 200 \u0000patients of all age and gender who had been catheterized for more than 7 days and had sterile precatheterisation \u0000urine. Divided into Group A (pure silicone catheter) and B (silicone coated latex catheter) with 100 patients \u0000each. Urine culture was done on the 8th day of indwelling urinary catheter drainage. If growth was detected, \u0000then that bacterium was tested for biofilm production property by tissue culture plate method. Results were \u0000analysed with the help of Instat Graph Pad software. \u0000Results: Bacterial colonization and uropathogens showing Biofilm forming bacteria was more seen in group \u0000B patients with respect to group A patients and the difference was significant. In both the groups the most \u0000common bacteria were Escherichia coli. \u0000Conclusion: Pure silicone catheter was advantageous over the most commonly used silicone coated latex \u0000catheter in terms of bacterial colonization and biofilm formation, although pure silicone catheter didn’t \u0000completely resist the bacterial colonization and the biofilm formation.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114299868","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 : 2020-01-30DOI: 10.37506/IJOCS.V8I1.1297
Shruti K. Somani, R. Porwal, A. Singh, Aakanksha Soni, P. Sagar
Background- Breast abscess is a common cause of morbidity in women. While they are less common in developed countries as a result of improved maternal hygiene, nutrition, standard of living and early administration of antibiotics, breast abscess remain a problem among women in developing countries. Methods- Hospital based prospective randomized controlled study conducted on 100 patients. Fifty of them were randomized in the aspiration group and other 50 were treated by incision and drainage. All statistical analysis was done in Epi-info statistical software. Results- Majority of the patients were of the age group 21-30 years. History of lactation was present in 66% of the cases. Staphylococcus aureus is the most common organism responsible for breast abscess. Patients of needle aspiration group encountered lesser pain than the incision and drainage group. Conclusion- Wherever the facility of ultrasound is available, serial percutaneous needle aspiration may be tried as a first line of therapy up to a maximum of three attempts, in patients whose abscess diameter <5cm and in those where the abscess diameter is >5cm, incision and drainage maybe used as first line therapy.
{"title":"A Comparative Study of Outcomes in Management of Breast Abscess by Ultrasound Guided Needle Aspiration and Incision and Drainage","authors":"Shruti K. Somani, R. Porwal, A. Singh, Aakanksha Soni, P. Sagar","doi":"10.37506/IJOCS.V8I1.1297","DOIUrl":"https://doi.org/10.37506/IJOCS.V8I1.1297","url":null,"abstract":"Background- Breast abscess is a common cause of morbidity in women. While they are less common \u0000in developed countries as a result of improved maternal hygiene, nutrition, standard of living and early \u0000administration of antibiotics, breast abscess remain a problem among women in developing countries. \u0000Methods- Hospital based prospective randomized controlled study conducted on 100 patients. Fifty of them \u0000were randomized in the aspiration group and other 50 were treated by incision and drainage. All statistical \u0000analysis was done in Epi-info statistical software. \u0000Results- Majority of the patients were of the age group 21-30 years. History of lactation was present in 66% \u0000of the cases. Staphylococcus aureus is the most common organism responsible for breast abscess. Patients \u0000of needle aspiration group encountered lesser pain than the incision and drainage group. \u0000Conclusion- Wherever the facility of ultrasound is available, serial percutaneous needle aspiration may be \u0000tried as a first line of therapy up to a maximum of three attempts, in patients whose abscess diameter <5cm \u0000and in those where the abscess diameter is >5cm, incision and drainage maybe used as first line therapy.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133103266","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 : 2020-01-30DOI: 10.37506/IJOCS.V8I1.1295
Shashi Shekhar
In the present study on MBBS final year Students in Kingdom of Saudi Arabia and India (1). Knowledge of Steps of DRE was present in 77.67% of Male medico’s and 86.49% of Female medico’s. Only 10.67% Males and 5.76% of Females medico’s did not do any DRE ; However 36.89% of Male students and 27.58% of Female students were not supervised by Senior Faculty . (2). Communication Skill was present in 75.72% of Male and 47.12% of Female medico’s. (3). Disease Correct Diagnosis Skill was present in 92.23% of Males & 94.25% of Female medico’s.
{"title":"Studies on Components, Challenges, Attitude and Expertise in Teaching Digital Rectal Examination(DRE) Skill to final MBBS Medico’s in Kingdom of Saudi Arabia and Republic of India","authors":"Shashi Shekhar","doi":"10.37506/IJOCS.V8I1.1295","DOIUrl":"https://doi.org/10.37506/IJOCS.V8I1.1295","url":null,"abstract":"In the present study on MBBS final year Students in Kingdom of Saudi Arabia and India \u0000(1). Knowledge of Steps of DRE was present in 77.67% of Male medico’s and 86.49% of Female medico’s. \u0000Only 10.67% Males and 5.76% of Females medico’s did not do any DRE ; However 36.89% of Male \u0000students and 27.58% of Female students were not supervised by Senior Faculty . \u0000(2). Communication Skill was present in 75.72% of Male and 47.12% of Female medico’s. (3). Disease \u0000Correct Diagnosis Skill was present in 92.23% of Males & 94.25% of Female medico’s.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"483 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116169522","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 : 2019-07-17DOI: 10.5958/2321-1024.2019.00035.7
R. Sharma, R. Verma, A. Mathur, R. K. Srivastava, Saurabh Kumar
Background Patients with lower limb diseases are commonly seen in surgical wards 7% to 10% of hospitalized patients are affected by soft tissue infections in the United States. The most common cause of soft tissue infections is Staphylococcus aureus.[1] Frequently these patients are diabetic, immune compromised, etc. Establishing the diagnosis of Necrotizing Soft Tissue Infection (NSTI) can be the main challenge in treating patients with NSTI, and knowledge of all available tools is the key for early and accurate diagnosis[2] The skin is the largest organ of the body and, with the underlying soft tissue, which includes the fat layers, fascia and muscle, represents the majority of the tissue in the body. It acts as a tough, flexible, structural barrier to invasion.[3] Failure to do so result in an extremely high mortality rate (80 to 100%), and even with rapid recognition and intervention, current mortality rates remain approximately 30 to 50%.[4]
{"title":"Clinical Profile and Outcome of Patients Suffering from Soft Tissue Infection in Lower Limb Disease in the Department of Surgery in Tertiary Care Center","authors":"R. Sharma, R. Verma, A. Mathur, R. K. Srivastava, Saurabh Kumar","doi":"10.5958/2321-1024.2019.00035.7","DOIUrl":"https://doi.org/10.5958/2321-1024.2019.00035.7","url":null,"abstract":"Background \u0000Patients with lower limb diseases are commonly seen in surgical wards 7% to 10% of hospitalized patients are affected by soft tissue infections in the United States. The most common cause of soft tissue infections is Staphylococcus aureus.[1] Frequently these patients are diabetic, immune compromised, etc. Establishing the diagnosis of Necrotizing Soft Tissue Infection (NSTI) can be the main challenge in treating patients with NSTI, and knowledge of all available tools is the key for early and accurate diagnosis[2] \u0000The skin is the largest organ of the body and, with the underlying soft tissue, which includes the fat layers, fascia and muscle, represents the majority of the tissue in the body. It acts as a tough, flexible, structural barrier to invasion.[3] Failure to do so result in an extremely high mortality rate (80 to 100%), and even with rapid recognition and intervention, current mortality rates remain approximately 30 to 50%.[4]","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115153050","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 : 2019-07-17DOI: 10.5958/2321-1024.2019.00019.9
N. Garg, B. Agrawal, N. Garg, M. Agrawal
Introduction The role of percutaneous nephrostomy tube for drainage after percutaneous nephrolithotomy (PCNL) procedure has come under scrutiny in recent years. The procedure has been modified to use of small diameter tubes and tubeless PCNL. Aim & Objectives This study was done to evaluate perioperative characteristics, postoperative analgesic requirement, length of hospital stay and post-surgical complications between standard PCNL and tubeless PCNL. Methodology This prospective comparative study was conducted in department of surgery and radiodiagnosis of Rama Medical College, Hapur from June 2017 to September 2018 on 80 patients of nephrourolithiasis, who were randomly divided into two groups of 40 patients each, group A underwent standard PCNL while group B underwent tubeless PCNL. Post operatively, the efficacy of the operative procedure was analyzed based on the outcome of the procedure, duration of patient stay and post-operative complications. Result Majority of patient who had underwent PCNL were in age group of 21–60 years (mean age- 36.78 years) with a male predominance (M:F= 69:11). Operative time for tubeless PCNL (mean time ± SD = 59.97 ± 26.40 minutes) was shorter than for standard PCNL (mean time ± SD = 67.55 ± 28.00 minutes) but it was statistically insignificant (p value = 0.73462). 26 patients (65%) of tubeless PCNL were discharged within 48 hours while 33 patients (82.5%) of standard PCNL had to stay in hospital for a longer duration of 3–4 days. Post-operative analgesia requirement (Inj. Diclofenac) was significantly high in standard PCNL group (mean dose ± SD = 136.84 mg ± 39.12 mg) than in tubeless PCNL group (mean dose ± SD = 119.74 mg ± 36.13 mg, p value = 0.0026). Post-operative complications such as hematuria, urosepsis and leakage were also much less in tubeless PCNL (n=11, 27.5%) than in standard PCNL (n= 17, 42.5%). Conclusion Tubeless PCNL is a safe and effective technique and is associated with decreased pain, low analgesic requirement, less operating time and faster recovery. However it has its own limitation that precludes secondary procedure for the treatment, removal of internal stent, dysuria and need to visit hospital for subsequent removal of internal stent.
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