Pub Date : 2023-03-21DOI: 10.32553/ijmbs.v7i3.2684
Rompilli Joshua, Kalidindi Varun Varma, S. Kumar Reddy, DR Rehan Saifuddin DR Rehan Saifuddin4
Introduction: The present therapeutic line of osteoarthritis of knee is primarily symptomatic, therefore the need to discover treatment modality which tackles the disease process in itself. This study was done with an intention to examine the efficacy of platelet rich plasma in primary osteoarthritis of knee. Materials and Methods: This prospective investigation was done on 100 knees in 100 individuals having early primary osteoarthritis of the knee. Three injections of platelet rich plasma were administered at four weeks interval and the outcome was analyzed by WOMAC and VAS score at pre injection, 3 weeks, 12 weeks and 24 weeks. Ahlback’s grading was done at pre-injection and at 6 months. Results: Most of the cases in our series were in the age category of 50-65 years with female predominance (73%), 51% cases had grade 2 disease and the remaining had grade 1 involvement. Improvement in WOMAC score parameters started after 3 weeks with continuing improvement at successive follow-ups. WOMAC score parameters (pain, stiffness, physical function and total score) at pre injection were 14.22, 5.05, 36.41and 55.8 and at 6 months follow up were 5.92, 2.07, 16.78 and 24.11 correspondingly. Similar improvement was noted in VAS score with pre injection score of 7.12 and final score of 2.96. The average WOMAC score was less for grade 1 as compared to grade 2 (43.42 vs 60.41); (43.63 vs 61.36). Improvement was reported in 86% of patients however the level varied from good to slight improvement. There was no problem associated to the treatment in our series. Conclusion: The initial data show that PRP is an effective therapeutic strategy in early grades of primary Osteoarthritis of knee. However, further strong evidence Research is required to check for the long-term impacts and to corroborate the conclusions of this investigation. Keywords: , , ,
导言:目前膝关节骨关节炎的治疗路线主要是对症治疗，因此需要发现治疗方式来解决疾病本身的过程。本研究旨在探讨富血小板血浆治疗原发性膝关节骨关节炎的疗效。材料和方法:本前瞻性研究在100例早期原发性膝关节骨性关节炎患者的100例膝关节上进行。每隔四周注射3次富血小板血浆，分别在注射前、3周、12周和24周用WOMAC和VAS评分分析结果。Ahlback评分分别在注射前和注射6个月时进行。结果:我们研究的大多数病例年龄在50-65岁之间，以女性为主(73%)，51%为2级病变，其余为1级病变。WOMAC评分参数在3周后开始改善，并在后续随访中持续改善。注射前WOMAC评分参数(疼痛、僵硬、身体功能和总分)分别为14.22、5.05、36.41和55.8，随访6个月时分别为5.92、2.07、16.78和24.11。VAS评分也有类似改善，注射前评分为7.12，注射后评分为2.96。1级患者的平均WOMAC评分低于2级患者(43.42 vs 60.41);(43.63 vs 61.36)。86%的患者报告改善，但改善程度从良好到轻微改善不等。在我们的研究中，没有出现与治疗相关的问题。结论:初步资料显示PRP是治疗早期原发性膝骨关节炎的有效方法。然而，需要进一步的有力证据研究来检查长期影响并证实本调查的结论。关键词:，，，
{"title":"Assessment of Platelet Rich Plasma (PRP) In the Treatment of Primary Osteoarthritis Knee: An Original Research","authors":"Rompilli Joshua, Kalidindi Varun Varma, S. Kumar Reddy, DR Rehan Saifuddin DR Rehan Saifuddin4","doi":"10.32553/ijmbs.v7i3.2684","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i3.2684","url":null,"abstract":"Introduction: The present therapeutic line of osteoarthritis of knee is primarily symptomatic, therefore the need to discover treatment modality which tackles the disease process in itself. This study was done with an intention to examine the efficacy of platelet rich plasma in primary osteoarthritis of knee. \u0000Materials and Methods: This prospective investigation was done on 100 knees in 100 individuals having early primary osteoarthritis of the knee. Three injections of platelet rich plasma were administered at four weeks interval and the outcome was analyzed by WOMAC and VAS score at pre injection, 3 weeks, 12 weeks and 24 weeks. Ahlback’s grading was done at pre-injection and at 6 months. \u0000Results: Most of the cases in our series were in the age category of 50-65 years with female predominance (73%), 51% cases had grade 2 disease and the remaining had grade 1 involvement. Improvement in WOMAC score parameters started after 3 weeks with continuing improvement at successive follow-ups. WOMAC score parameters (pain, stiffness, physical function and total score) at pre injection were 14.22, 5.05, 36.41and 55.8 and at 6 months follow up were 5.92, 2.07, 16.78 and 24.11 correspondingly. Similar improvement was noted in VAS score with pre injection score of 7.12 and final score of 2.96. The average WOMAC score was less for grade 1 as compared to grade 2 (43.42 vs 60.41); (43.63 vs 61.36). Improvement was reported in 86% of patients however the level varied from good to slight improvement. There was no problem associated to the treatment in our series. \u0000Conclusion: The initial data show that PRP is an effective therapeutic strategy in early grades of primary Osteoarthritis of knee. However, further strong evidence Research is required to check for the long-term impacts and to corroborate the conclusions of this investigation. \u0000Keywords: , , , ","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"363 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76434812","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 : 2023-02-20DOI: 10.32553/ijmbs.v7i2.2668
Muhammad Adri Nurrahim, E. Sjamsudin, A. Arumsari
Patients with maxillofacial fractures have a high risk of accompanying head injury because of the close anatomical location of facial bones and cranium. Forces striking the face are transmitted directly to the neurocranium, resulting in more severe brain injury. Objective: To analyze the prevalence of patients with maxillofacial fractures with frontal fractures at RSHS Bandung in 2020. Methods: Descriptive study of medical records of maxillofacial trauma patients with frontal fractures at Hasan Sadikin Hospital, Bandung, January-December 2020. The data collected included gender, age, aetiology and location of the fracture. Results: The majority gender was 79.8% male, while the female was only 20.2%. The age range is 17-25 years old (36%). Most fracture locations were maxillofacial trauma without frontal fracture (92.2%), compared to maxillofacial fracture with frontal fracture as much as 10%. The most common trauma etiology was Traffic accidents (81.3%), followed by falls as much as 17.8%, and physical violence 0.7%. Conclusion: Maxillofacial trauma with frontal fracture has relatively few incidences, and the primary aetiology is Traffic accidents in young adults.
{"title":"PREVALENCE OF MAXILLOFACIAL TRAUMA WITH FRONTAL FRACTURE AT HASAN SADIKIN GENERAL HOSPITAL BANDUNG","authors":"Muhammad Adri Nurrahim, E. Sjamsudin, A. Arumsari","doi":"10.32553/ijmbs.v7i2.2668","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i2.2668","url":null,"abstract":"Patients with maxillofacial fractures have a high risk of accompanying head injury because of the close anatomical location of facial bones and cranium. Forces striking the face are transmitted directly to the neurocranium, resulting in more severe brain injury. Objective: To analyze the prevalence of patients with maxillofacial fractures with frontal fractures at RSHS Bandung in 2020. Methods: Descriptive study of medical records of maxillofacial trauma patients with frontal fractures at Hasan Sadikin Hospital, Bandung, January-December 2020. The data collected included gender, age, aetiology and location of the fracture. Results: The majority gender was 79.8% male, while the female was only 20.2%. The age range is 17-25 years old (36%). Most fracture locations were maxillofacial trauma without frontal fracture (92.2%), compared to maxillofacial fracture with frontal fracture as much as 10%. The most common trauma etiology was Traffic accidents (81.3%), followed by falls as much as 17.8%, and physical violence 0.7%. Conclusion: Maxillofacial trauma with frontal fracture has relatively few incidences, and the primary aetiology is Traffic accidents in young adults. \u0000 ","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82061814","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 : 2023-02-17DOI: 10.32553/ijmbs.v7i1.2669
Dr Aditi Jain, Dr. Lata Ratanoo, D. S. Kumari, Dr. Neelam Bharadwaj, Dr. Pawan Agarwal, Dr. Geetika Sharma, Dr. Indu Gautam, Dr. Harshita Khandelwal
Background & Objective: To compare the outcomes of urinary catheter removal at 12 Hours versus at or >24 Hours post elective cesarean section. To assess and compare symptomatic UTI, time of ambulation, length of hospital stays and need for recatherization amongst these 2 groups. Methods: In all patients undergoing elective primary cesarean section, Preoperative urine routine and microscopy¯ were sent, UTI was ruled out, clinical examination was performed and were NPO at least 8 hours prior to surgery and given antibiotics. A foley catheter was inserted on the operating table immediately before starting cesarean section. Cesarean sections were performed in the usual manner under spinal anesthesia. After this, in Group 1 patients, catheter were removed 12hours post-operatively while in Group 2 it was removed 24 hours post-operatively. After catheter removal, women were encouraged to void and helped to ambulate. Results: 2 groups were compared and the overall rates of post caesarean section urinary complaints dysuria (8.69%), urinary frequeny(14.13%), urgency(10.86%), burning micturition(9.76%) were higher in 24 hours catheter removal group. The Mean duration of first Post-op voiding time (4 hours), ambulatory time(4 hours) and hospital stay(4 days) were shorter in 12 hours catheter removal group. Conclusion: Urinary catheter removal post Caesarean section at duration of 12 hours postoperatively is associated with decreased complications and morbidity in post Caesarean section women.
{"title":"A Prospective Comparative Study of Removal of Urinary Catheter at 12 hours versus at or >24 Hours Following Elective Cesarean Section in Women","authors":"Dr Aditi Jain, Dr. Lata Ratanoo, D. S. Kumari, Dr. Neelam Bharadwaj, Dr. Pawan Agarwal, Dr. Geetika Sharma, Dr. Indu Gautam, Dr. Harshita Khandelwal","doi":"10.32553/ijmbs.v7i1.2669","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i1.2669","url":null,"abstract":"Background & Objective: To compare the outcomes of urinary catheter removal at 12 Hours versus at or >24 Hours post elective cesarean section. To assess and compare symptomatic UTI, time of ambulation, length of hospital stays and need for recatherization amongst these 2 groups. \u0000Methods: In all patients undergoing elective primary cesarean section, Preoperative urine routine and microscopy¯ were sent, UTI was ruled out, clinical examination was performed and were NPO at least 8 hours prior to surgery and given antibiotics. A foley catheter was inserted on the operating table immediately before starting cesarean section. Cesarean sections were performed in the usual manner under spinal anesthesia. After this, in Group 1 patients, catheter were removed 12hours post-operatively while in Group 2 it was removed 24 hours post-operatively. After catheter removal, women were encouraged to void and helped to ambulate. \u0000Results: 2 groups were compared and the overall rates of post caesarean section urinary complaints dysuria (8.69%), urinary frequeny(14.13%), urgency(10.86%), burning micturition(9.76%) were higher in 24 hours catheter removal group. The Mean duration of first Post-op voiding time (4 hours), ambulatory time(4 hours) and hospital stay(4 days) were shorter in 12 hours catheter removal group. \u0000Conclusion: Urinary catheter removal post Caesarean section at duration of 12 hours postoperatively is associated with decreased complications and morbidity in post Caesarean section women.","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78747412","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 : 2023-02-11DOI: 10.32553/ijmbs.v7i1.2650
Saptiadi Oktora, Eka Marwansyah Oli’i, D. Maifara
Introduction: The facial fractures in pediatric patients are rare, and they need an immediate treatment to recover the function and aesthetic to the young patients. Anatomic reduction along with rigid skeletal stabilization is mandatory until bone union has occurred. Special consideration about variation in anatomy and physiology of pediatric patients, as well as the particular stage of growth and dental development should be preferred. Case report: We present a case of 5 year old girl patient with fractures of the parasymphyseal and left angle of mandible horizontally and vertically unfavourable, with significant displacement and huge lacerated wound of the face caused by machete slashed. We successfully managed the pediatric complex mandible fractures by performing open reduction internal fixation using resorbable miniplates and gunning splint as intermaxillary fixation. Conclusion: Pediatric mandible fractures requiring ORIF are rare. The combination of intermaxillary fixation and resorbable fixation system is needed postoperatively because of the extensive fractures for adequate fixation and good outcomes.
{"title":"Management of mandibular fracture and lacerated wound due to machete trauma in children: case report","authors":"Saptiadi Oktora, Eka Marwansyah Oli’i, D. Maifara","doi":"10.32553/ijmbs.v7i1.2650","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i1.2650","url":null,"abstract":"Introduction: The facial fractures in pediatric patients are rare, and they need an immediate treatment to recover the function and aesthetic to the young patients. Anatomic reduction along with rigid skeletal stabilization is mandatory until bone union has occurred. Special consideration about variation in anatomy and physiology of pediatric patients, as well as the particular stage of growth and dental development should be preferred. Case report: We present a case of 5 year old girl patient with fractures of the parasymphyseal and left angle of mandible horizontally and vertically unfavourable, with significant displacement and huge lacerated wound of the face caused by machete slashed. We successfully managed the pediatric complex mandible fractures by performing open reduction internal fixation using resorbable miniplates and gunning splint as intermaxillary fixation. Conclusion: Pediatric mandible fractures requiring ORIF are rare. The combination of intermaxillary fixation and resorbable fixation system is needed postoperatively because of the extensive fractures for adequate fixation and good outcomes.","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72660330","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 : 2023-02-06DOI: 10.32553/ijmbs.v7i1.2663
E. Sjamsudin, Harmas Yazid Y, A. Tasman, Winarno Priyanto
Introduction: Dentoalveolar fractures are often found in children due to physical trauma, falls, and motorized accidents. In pediatric patients, there are variations in age, jaw development, and dentition which are the primary considerations in choosing a dentoalveolar fracture treatment method. This case report aims to describe and discuss the emergency management of soft tissue injuries and mandibular dentoalveolar fractures with Risdon wiring in pediatric patients due to motorized accidents. Case report: A 9-year-old female patient complained of bleeding from the mouth due to a traffic accident. Clinical and radiographic examination showed dentoalveolar segment fractures in tooth region 32-42, stab wounds, and lacerations on the inferior lip, vestibule, and gingiva in tooth region 32-42. The patient underwent wound cleaning, wound suturing, and treatment of dentoalveolar fractures with fixation using Risdon wiring in the mandibular region 36-46. Conclusion: Conservative treatment of dentoalveolar fractures in pediatric patients with minimal intervention can give good results. Risdon wiring as a fixation method can be used in the emergency treatment of dentoalveolar fractures in pediatric patients with mixed dentition. Keywords: Soft tissue trauma, dentoalveolar fracture, Risdon wiring, emergency
{"title":"Emergency Treatment of Soft Tissue and Dentoalveolar Fractures using Risdon Wiring in Children due to Motorcycle Accident : Case Report","authors":"E. Sjamsudin, Harmas Yazid Y, A. Tasman, Winarno Priyanto","doi":"10.32553/ijmbs.v7i1.2663","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i1.2663","url":null,"abstract":"Introduction: Dentoalveolar fractures are often found in children due to physical trauma, falls, and motorized accidents. In pediatric patients, there are variations in age, jaw development, and dentition which are the primary considerations in choosing a dentoalveolar fracture treatment method. This case report aims to describe and discuss the emergency management of soft tissue injuries and mandibular dentoalveolar fractures with Risdon wiring in pediatric patients due to motorized accidents.\u0000Case report: A 9-year-old female patient complained of bleeding from the mouth due to a traffic accident. Clinical and radiographic examination showed dentoalveolar segment fractures in tooth region 32-42, stab wounds, and lacerations on the inferior lip, vestibule, and gingiva in tooth region 32-42. The patient underwent wound cleaning, wound suturing, and treatment of dentoalveolar fractures with fixation using Risdon wiring in the mandibular region 36-46.\u0000Conclusion: Conservative treatment of dentoalveolar fractures in pediatric patients with minimal intervention can give good results. Risdon wiring as a fixation method can be used in the emergency treatment of dentoalveolar fractures in pediatric patients with mixed dentition.\u0000Keywords: Soft tissue trauma, dentoalveolar fracture, Risdon wiring, emergency","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74359357","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 : 2023-02-06DOI: 10.32553/ijmbs.v7i1.2657
Deddy dwi Septian, M. Sundari, E. Sjamsudin, M. Sylvyana, Eka Marwansyah Oli’i
Introduction: Soft tissue trauma is common in the head and neck, limited to superficial structures or involving deeper anatomical structures. Various types of trauma occur depending on the aetiology and mechanism. Managing oral and maxillofacial soft tissue trauma poses a challenge for surgeons due to the importance of facial esthetics. The purpose of this case report is to report and discuss the emergency management of soft tissue injuries in the maxillofacial region due to physical trauma. Case report: Three cases with diagnoses of abrasive wounds, lacerations, and punctum wounds on the lips, cheeks, eyebrows, chin, and oral cavity were encountered at the emergency department of Hasan Sadikin Hospital, Bandung City, due to a motor accident. Treatment includes debridement, reconstruction, and wound closure. Conclusion: Emergency treatment of soft tissue wounds in the maxillofacial area that is fast and according to the procedure will reduce infection and dehiscence. Keywords: emergency, soft tissue injury, Maxillofacial, Physical trauma
{"title":"Emergency Management of Maxillofacial Soft Tissue Wounds due to Physical Trauma","authors":"Deddy dwi Septian, M. Sundari, E. Sjamsudin, M. Sylvyana, Eka Marwansyah Oli’i","doi":"10.32553/ijmbs.v7i1.2657","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i1.2657","url":null,"abstract":"Introduction: Soft tissue trauma is common in the head and neck, limited to superficial structures or involving deeper anatomical structures. Various types of trauma occur depending on the aetiology and mechanism. Managing oral and maxillofacial soft tissue trauma poses a challenge for surgeons due to the importance of facial esthetics. The purpose of this case report is to report and discuss the emergency management of soft tissue injuries in the maxillofacial region due to physical trauma. \u0000Case report: Three cases with diagnoses of abrasive wounds, lacerations, and punctum wounds on the lips, cheeks, eyebrows, chin, and oral cavity were encountered at the emergency department of Hasan Sadikin Hospital, Bandung City, due to a motor accident. Treatment includes debridement, reconstruction, and wound closure.\u0000Conclusion: Emergency treatment of soft tissue wounds in the maxillofacial area that is fast and according to the procedure will reduce infection and dehiscence.\u0000Keywords: emergency, soft tissue injury, Maxillofacial, Physical trauma","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91120777","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 : 2023-02-04DOI: 10.32553/ijmbs.v7i1.2659
Giovanni Reynaldo, Pingkan Naomi, Christina Permata Shalim
Hypertriglyceridemia induced acute pancreatitis has become the third major cause of acute pancreatitis resulting in high morbidity and mortality. Currently, specific mechanism behind association between hypertriglyceridemia in diabetic population and the correlation of causing acute pancreatitis are still not well identified. This literature review summarizes recent understanding of the pathogenesis of hypertriglyceridemia in diabetic populations and its correlation with acute pancreatitis along with clinical management of this disease. Keywords: Hypertriglyceridemia, Pancreatitis, Diabetic Population
{"title":"Hypertriglyceridemia-induced Acute Pancreatitis in Diabetic Population","authors":"Giovanni Reynaldo, Pingkan Naomi, Christina Permata Shalim","doi":"10.32553/ijmbs.v7i1.2659","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i1.2659","url":null,"abstract":"Hypertriglyceridemia induced acute pancreatitis has become the third major cause of acute pancreatitis resulting in high morbidity and mortality. Currently, specific mechanism behind association between hypertriglyceridemia in diabetic population and the correlation of causing acute pancreatitis are still not well identified. This literature review summarizes recent understanding of the pathogenesis of hypertriglyceridemia in diabetic populations and its correlation with acute pancreatitis along with clinical management of this disease.\u0000Keywords: Hypertriglyceridemia, Pancreatitis, Diabetic Population","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"7 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85524994","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 : 2023-01-23DOI: 10.32553/ijmbs.v7i1.2654
Dr. L Sridhar, Dr. Abhilash Reddy K., Dr. Bhaswanth Dhoorjati, Dr. Rohit Phadnis
Background: Scar endometriosis is a rare condition seen in post LSCS or hysterectomy or obstetric procedure, where functional endometrial tissue is seen outside uterine cavity. Case: A 34 year old female presented with cyclic pain during menstruation at the Pfannenstiel incision at the scar site, associated with 5 * 5 cm lump in the parietal abdominal plan. On clinical examination and investigations, preoperatively, it was suggestive of scar endometriosis. After excision, HPE confirmed to be scar endometriosis with 2 cm clear margins. Discussion: Scar endometriosis is a very rare disorder whose incidence was reported to be 0.03–0.45%. Clinical suspicion of scar endometriosis is very important in the patients with chronic pain at scar site, which is usually missed and can often lead to longterm morbidity of the patients. With histopathological confirmation it becomes absolutely necessary to prove iatrogenic implantation theory which is well accepted. Conclusion: Clinical suspicion of scar endometriosis depending on clinical presentation and history of previous obstetric procedure is important for surgeons and excision of the lesion with good margins is the treatment of choice to prevent chronic morbidity in patients due to pain and recurrent surgery.
{"title":"A Rare Case of Scar Edometriosis - Case Report","authors":"Dr. L Sridhar, Dr. Abhilash Reddy K., Dr. Bhaswanth Dhoorjati, Dr. Rohit Phadnis","doi":"10.32553/ijmbs.v7i1.2654","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i1.2654","url":null,"abstract":"Background: Scar endometriosis is a rare condition seen in post LSCS or hysterectomy or obstetric procedure, where functional endometrial tissue is seen outside uterine cavity. \u0000Case: A 34 year old female presented with cyclic pain during menstruation at the Pfannenstiel incision at the scar site, associated with 5 * 5 cm lump in the parietal abdominal plan. On clinical examination and investigations, preoperatively, it was suggestive of scar endometriosis. After excision, HPE confirmed to be scar endometriosis with 2 cm clear margins. \u0000Discussion: Scar endometriosis is a very rare disorder whose incidence was reported to be 0.03–0.45%. Clinical suspicion of scar endometriosis is very important in the patients with chronic pain at scar site, which is usually missed and can often lead to longterm morbidity of the patients. With histopathological confirmation it becomes absolutely necessary to prove iatrogenic implantation theory which is well accepted. \u0000Conclusion: Clinical suspicion of scar endometriosis depending on clinical presentation and history of previous obstetric procedure is important for surgeons and excision of the lesion with good margins is the treatment of choice to prevent chronic morbidity in patients due to pain and recurrent surgery.","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"171 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88151940","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 : 2023-01-23DOI: 10.32553/ijmbs.v7i1.2649
Ickman Setoaji Wibowo, S. Adiantoro, Eka Marwansyah, D. Maifara
Introduction: A zygomatico maxillary complex fracture is a facial bone fracture that commonly occurs as a centrally and laterally protruding zygomatic area. The effective surgical approach and exact reduction of the displaced fracture is the most important task in the treatment of a zygomatic fracture, from the aesthetic point of view. Determination of surgical approach and the fixation point of zygomatic arch fracture is one of the most challenging procedure. The purpose of this case report is to find out that the preauricular incison approach is one of the effective methods for reduction of zygomaticomaxillary complex fracture. Case Report: A 53 years old male patient presented with right zygomatico maxillary complex fractures. Diagnosis of right side tetrapod zygomatico maxillary complex fracture deformity was done by clinical examination and confirmed by computed tomography which included 3-D reconstruction view. The authors performed 4-point fixation using the preauricular approach to counter the disadvantages of the coronal approach. The results and usefulness of preauricular approach with 4-point fixation are reported in this study. Conclusion: Preauricular incision is an effective surgical approach for the reduction of zygomatic arch fracture. 4-point fixation using the easier-to-manipulate preauricular approach would be more useful than the conventional method that uses the coronal approach. Satisfactory reduction that showed exact correction was observed. In an outpatient follow-up, no complication such as nonunion or malunion was found, and facial symmetry was also shown. In addition, the preauricular scar was hardly observed. Keywords: zygomaticomaxillary complex fracture, preauricular incision, reduction, fixation
{"title":"Preauricular Incision Approach as a Management of Zygomaticomaxillary Complex Fracture Reduction: A Case Report","authors":"Ickman Setoaji Wibowo, S. Adiantoro, Eka Marwansyah, D. Maifara","doi":"10.32553/ijmbs.v7i1.2649","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i1.2649","url":null,"abstract":"Introduction: A zygomatico maxillary complex fracture is a facial bone fracture that commonly occurs as a centrally and laterally protruding zygomatic area. The effective surgical approach and exact reduction of the displaced fracture is the most important task in the treatment of a zygomatic fracture, from the aesthetic point of view. Determination of surgical approach and the fixation point of zygomatic arch fracture is one of the most challenging procedure. The purpose of this case report is to find out that the preauricular incison approach is one of the effective methods for reduction of zygomaticomaxillary complex fracture.\u0000Case Report: A 53 years old male patient presented with right zygomatico maxillary complex fractures. Diagnosis of right side tetrapod zygomatico maxillary complex fracture deformity was done by clinical examination and confirmed by computed tomography which included 3-D reconstruction view. The authors performed 4-point fixation using the preauricular approach to counter the disadvantages of the coronal approach. The results and usefulness of preauricular approach with 4-point fixation are reported in this study.\u0000Conclusion: Preauricular incision is an effective surgical approach for the reduction of zygomatic arch fracture. 4-point fixation using the easier-to-manipulate preauricular approach would be more useful than the conventional method that uses the coronal approach. Satisfactory reduction that showed exact correction was observed. In an outpatient follow-up, no complication such as nonunion or malunion was found, and facial symmetry was also shown. In addition, the preauricular scar was hardly observed.\u0000Keywords: zygomaticomaxillary complex fracture, preauricular incision, reduction, fixation","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91272872","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 : 2023-01-16DOI: 10.32553/ijmbs.v7i1.2640
Reyan Abdul Jamil, K. Saxena, Venkatarao Koti, Swosti Mohanty
Background: Dermatophytosis is superficial skin infection caused by group of filamentous fungi called dermatophytes that affect the keratinized tissue. Almost every fifth person in the world is affected by it. It causes huge impact on the quality of life and is a cause of financial burden on the patients. Methods: The impact on the quality of life and the financial burden in patients diagnosed with dermatophytosis was assessed using DLQI questionnaire and financial burden questionnaire. The results were calculated using appropriate statistical tests. Results: Mean DLQI Score±SD (Range) was 14.48±5.18 (3-23). Mean financial burden and financial worry scores were 3.79±1.82 (out of 7) and 3.29±1.10 (out of 5) respectively. Quality of life of all the patients was affected, majority of the patients had Very large to Extremely large effect (72.5%), Small effect was observed in only 6.7% and Moderate effect in 20.8% patients. Conclusions: The findings of the study showed that quality of life was highly impaired in the patients with dermatophytosis and it also showed a significant association with financial burden. Key words: Dermatophytosis, quality of life, financial burden, financial worry, DLQI , tinea Conclusion: Iron deficiency anemia is more frequent among children with febrile seizures than with febrile illness alone.
{"title":"Dermatophytosis- its impact on quality of life and financial burden","authors":"Reyan Abdul Jamil, K. Saxena, Venkatarao Koti, Swosti Mohanty","doi":"10.32553/ijmbs.v7i1.2640","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i1.2640","url":null,"abstract":"Background: Dermatophytosis is superficial skin infection caused by group of filamentous fungi called dermatophytes that affect the keratinized tissue. Almost every fifth person in the world is affected by it. It causes huge impact on the quality of life and is a cause of financial burden on the patients.\u0000Methods: The impact on the quality of life and the financial burden in patients diagnosed with dermatophytosis was assessed using DLQI questionnaire and financial burden questionnaire. The results were calculated using appropriate statistical tests.\u0000Results: Mean DLQI Score±SD (Range) was 14.48±5.18 (3-23). Mean financial burden and financial worry scores were 3.79±1.82 (out of 7) and 3.29±1.10 (out of 5) respectively. Quality of life of all the patients was affected, majority of the patients had Very large to Extremely large effect (72.5%), Small effect was observed in only 6.7% and Moderate effect in 20.8% patients.\u0000Conclusions: The findings of the study showed that quality of life was highly impaired in the patients with dermatophytosis and it also showed a significant association with financial burden.\u0000Key words: Dermatophytosis, quality of life, financial burden, financial worry, DLQI , tinea\u0000Conclusion: Iron deficiency anemia is more frequent among children with febrile seizures than with febrile illness alone.","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75522736","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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