Pub Date : 2020-12-31DOI: 10.17511/ijoso.2020.i06.03
Anurag Mishra, A. Ansari, S. Misra, Consultant Gastro, Kanpur Uttar Pradesh India Ivf
A duplicated gallbladder is a rare congenital anomaly with an incidence of 1:4000 live births. Theycan remain asymptomatic and identified incidentally or present as acute cholecystitis, empyema,torsion, cholecystoenteric fistula, Gall bladder lump, or carcinoma. Here the current case is aboutdiscussing a case of a 25-year-old female who presented with symptomatic gallstone disease with aduplicated gallbladder having multiple stones in both the gallbladders. MRCP performedpreoperatively revealed Y type duplication (double Gall bladder with common cystic duct).Laparoscopic cholecystectomy was performed and it finally revealed H type duplication (double Gallbladder with separate cystic ducts for each Gall Bladder).
{"title":"Laparoscopic management of rare “ H type” duplication of gall bladder","authors":"Anurag Mishra, A. Ansari, S. Misra, Consultant Gastro, Kanpur Uttar Pradesh India Ivf","doi":"10.17511/ijoso.2020.i06.03","DOIUrl":"https://doi.org/10.17511/ijoso.2020.i06.03","url":null,"abstract":"A duplicated gallbladder is a rare congenital anomaly with an incidence of 1:4000 live births. Theycan remain asymptomatic and identified incidentally or present as acute cholecystitis, empyema,torsion, cholecystoenteric fistula, Gall bladder lump, or carcinoma. Here the current case is aboutdiscussing a case of a 25-year-old female who presented with symptomatic gallstone disease with aduplicated gallbladder having multiple stones in both the gallbladders. MRCP performedpreoperatively revealed Y type duplication (double Gall bladder with common cystic duct).Laparoscopic cholecystectomy was performed and it finally revealed H type duplication (double Gallbladder with separate cystic ducts for each Gall Bladder).","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134104854","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 : 2020-12-31DOI: 10.17511/ijoso.2020.i06.02
V. Patel, V. Pushkarna, Hardik S. Padhiyar
Introduction: For dorsally displaced lower end radius fractures percutaneous pinning fixation and insome studies fragment specific fixation shows their advantages. For volarly displaced fracturesvolarly plate fixation traditionally showed good results. The volar locking plates with their inheritanceability to provide absolute stability are attractive for their advantages. Objective: To assess thefunctional outcome of treating the distal end radius fractures with the use of volar lockingcompression plates. Materials and methods: Study of a total of 30 patients was conducted in thedepartment of orthopedics at G K General Hospital, Bhuj, Gujarat. All 30 patients with closedfractures were included in the study. All patients were treated with open reduction and internalfixation with the use of a volar locking compression plate. The patients were followed up at one, two,three, and up to six months. Mayo wrist scoring system was used to assess final functional outcomesof treatment. Results: At the final functional assessment, as per mayo wrist scoring out of a total of30 patients, 17 of them achieved excellent, 7 achieved good outcomes, with 5 patients exhibitingfair results and one patient had the collapse of fixation at the 3-month review. No, any patient haddiminution of functional outcome. On radiological assessment, 70% of patients had callus formationand no clear fracture line was seen, 18% had callus formation but a visible fracture line was presentand 12% of patients had clear visible fracture line up to final follow up. Conclusion: Open reductionand internal fixation with volar locking compression plating is a safe and effective treatment forunstable especially volarly displaced fractures of distal end radius with satisfactory functionaloutcome.
{"title":"Study of treatment for distal end radial fractures by open reduction and internal fixation with volar locking compression plates","authors":"V. Patel, V. Pushkarna, Hardik S. Padhiyar","doi":"10.17511/ijoso.2020.i06.02","DOIUrl":"https://doi.org/10.17511/ijoso.2020.i06.02","url":null,"abstract":"Introduction: For dorsally displaced lower end radius fractures percutaneous pinning fixation and insome studies fragment specific fixation shows their advantages. For volarly displaced fracturesvolarly plate fixation traditionally showed good results. The volar locking plates with their inheritanceability to provide absolute stability are attractive for their advantages. Objective: To assess thefunctional outcome of treating the distal end radius fractures with the use of volar lockingcompression plates. Materials and methods: Study of a total of 30 patients was conducted in thedepartment of orthopedics at G K General Hospital, Bhuj, Gujarat. All 30 patients with closedfractures were included in the study. All patients were treated with open reduction and internalfixation with the use of a volar locking compression plate. The patients were followed up at one, two,three, and up to six months. Mayo wrist scoring system was used to assess final functional outcomesof treatment. Results: At the final functional assessment, as per mayo wrist scoring out of a total of30 patients, 17 of them achieved excellent, 7 achieved good outcomes, with 5 patients exhibitingfair results and one patient had the collapse of fixation at the 3-month review. No, any patient haddiminution of functional outcome. On radiological assessment, 70% of patients had callus formationand no clear fracture line was seen, 18% had callus formation but a visible fracture line was presentand 12% of patients had clear visible fracture line up to final follow up. Conclusion: Open reductionand internal fixation with volar locking compression plating is a safe and effective treatment forunstable especially volarly displaced fractures of distal end radius with satisfactory functionaloutcome.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"515 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129877187","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 : 2020-09-24DOI: 10.17511/ijoso.2020.i05.02
J. Vora, Divyesh Jetpariya, Kabir Desai
Aim: This is a prospective study of 30 patients with distal tibia fracture (Closed extra-articular distalthird tibia fractures - 4 to 11cm from tibial plafond) who underwent surgical fixation were included inthis study after excluding compound, pathological and pediatric fractures. Materials and Methods:15 underwent closed intramedullary interlocking nail and 15 were treated with plate osteosynthesis(MIPO). Results: The age distribution ranged from 23 to 68 years with the mean age of 39.4 years.The mode of injury in all patients was due to vehicle accidents. All 30 patients were classifiedaccording to AO classification of which 15 belonged to A1, 14 belonged to A2, and 1 belonged to A3.The time of fixation from injury varied from 6 hours to 18 days. Conclusion: Plate osteosynthesisby minimally invasive technique and Intramedullary interlocking nailing is an equally effectivemethod of stabilization for distal tibia fracture when considering the union rates and final functionaloutcome. However, malunion, nonunion and secondary procedures were more frequent afterintramedullary interlocking nail. In MIPO platting Infection followed by an exposed plate occurs in 2patients. Randomized prospective evaluation of distal tibia fractures may clarify the efficacy of plateversus nail treatment and optimize patient care.
{"title":"Comparison of clinical, radiological, and functional outcome of closed fracture of distal third tibia treated with nailing and plate osteosynthesis","authors":"J. Vora, Divyesh Jetpariya, Kabir Desai","doi":"10.17511/ijoso.2020.i05.02","DOIUrl":"https://doi.org/10.17511/ijoso.2020.i05.02","url":null,"abstract":"Aim: This is a prospective study of 30 patients with distal tibia fracture (Closed extra-articular distalthird tibia fractures - 4 to 11cm from tibial plafond) who underwent surgical fixation were included inthis study after excluding compound, pathological and pediatric fractures. Materials and Methods:15 underwent closed intramedullary interlocking nail and 15 were treated with plate osteosynthesis(MIPO). Results: The age distribution ranged from 23 to 68 years with the mean age of 39.4 years.The mode of injury in all patients was due to vehicle accidents. All 30 patients were classifiedaccording to AO classification of which 15 belonged to A1, 14 belonged to A2, and 1 belonged to A3.The time of fixation from injury varied from 6 hours to 18 days. Conclusion: Plate osteosynthesisby minimally invasive technique and Intramedullary interlocking nailing is an equally effectivemethod of stabilization for distal tibia fracture when considering the union rates and final functionaloutcome. However, malunion, nonunion and secondary procedures were more frequent afterintramedullary interlocking nail. In MIPO platting Infection followed by an exposed plate occurs in 2patients. Randomized prospective evaluation of distal tibia fractures may clarify the efficacy of plateversus nail treatment and optimize patient care.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134009093","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 : 2020-09-24DOI: 10.17511/ijoso.2020.i05.07
V. Patel, V. Pushkarna, D. J. Patel
p>Aim: The present study aimed to examine the functional outcome of the locking plate in theproximal humerus fracture treatment. Material and Methods: The study consists of 20 patientsdiagnosed with NEER’s 2 – part, 3- part, and 4 – part proximal humerus fracture. All the includedpatients were treated with internal locking plates. Based on the functional evaluation by Constant-Murley shoulder score and the assessment of radiological union foundation. Results: Excellentresults were obtained in 45% of the patients, a good result was seen in 25%, 20% of the patientshad fair results and the poor result was seen in 10% of the patients. The mean Constant-Murleyshoulder score that was obtained in the present study was 75.04. Conclusion: It’s concluded thatthere is a satisfactory functional outcome with the fixation of the proximal humerus fracture withlocking plates. While using the plate fixation for fracture the plate position is of the utmostimportance. Due to angular stability, the locking plates are the advantageous implants in case ofproximal humeral fracture.
{"title":"Fixation of proximal humerus fracture in adult by locking plate: Clinical study","authors":"V. Patel, V. Pushkarna, D. J. Patel","doi":"10.17511/ijoso.2020.i05.07","DOIUrl":"https://doi.org/10.17511/ijoso.2020.i05.07","url":null,"abstract":"p>Aim: The present study aimed to examine the functional outcome of the locking plate in theproximal humerus fracture treatment. Material and Methods: The study consists of 20 patientsdiagnosed with NEER’s 2 – part, 3- part, and 4 – part proximal humerus fracture. All the includedpatients were treated with internal locking plates. Based on the functional evaluation by Constant-Murley shoulder score and the assessment of radiological union foundation. Results: Excellentresults were obtained in 45% of the patients, a good result was seen in 25%, 20% of the patientshad fair results and the poor result was seen in 10% of the patients. The mean Constant-Murleyshoulder score that was obtained in the present study was 75.04. Conclusion: It’s concluded thatthere is a satisfactory functional outcome with the fixation of the proximal humerus fracture withlocking plates. While using the plate fixation for fracture the plate position is of the utmostimportance. Due to angular stability, the locking plates are the advantageous implants in case ofproximal humeral fracture.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123964110","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 : 2020-07-29DOI: 10.17511/ijoso.2020.i04.12
Dr. G Rajani Devi, Dr.k. sailaja
{"title":"A study on the diagnostic approach to palpable breast lump through a modified triple assessment","authors":"Dr. G Rajani Devi, Dr.k. sailaja","doi":"10.17511/ijoso.2020.i04.12","DOIUrl":"https://doi.org/10.17511/ijoso.2020.i04.12","url":null,"abstract":"","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131193397","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 : 2020-06-30DOI: 10.17511/ijoso.2020.i03.03
Satish G. Prabhu, George Abraham, Lakshmi Malavika Nair
Background: Assessment of competency of the long case at the end of the clinical posting is quite often subjective and the assessment need not always be foolproof. In this method objectivity, validity and reliabilityare lacking. The major drawback of this system is that the student is not observed by the examiners. To avoid these criticisms the Osler has been developed. It is a 10 item analytical record of the traditional long case to improve the objectivity, validity, and reliability of the traditional method. All the candidates were assessed by theexaminer for the same ten items. Though not perfect, Osler is envisaged as a solution for the ongoing assessment challenge. This study was undertaken as part of the thesis for Advanced Course in Medical Education-2018. Objectives: Comparison betweenthe conventional method and the OSLER at long case clinical examination. Materials and Methods: This is an educational interventional study conducted by the department of general surgery, MOSCMedical CollegeKolenchery on students of the 8th semester. The students were assessed by two examiners based on a commonly agreed clinical examination format. Data on scores by both groups were analyzed statistically. Result: The marks showed a correlation between the two methods ofassessment. However, the grade awarded by the examiners showed lesser correlation. However, a multicentric study by different examiners may be required to arrive at the final conclusion of the superiority of OSLER over the traditional method. Conclusion: The present study did not find a statistically significant difference between the marks awarded to the student by the conventional method and OSLER method.
{"title":"Comparative study of conventional assessment and OSLER conducted at the model clinical examination in a teaching hospital","authors":"Satish G. Prabhu, George Abraham, Lakshmi Malavika Nair","doi":"10.17511/ijoso.2020.i03.03","DOIUrl":"https://doi.org/10.17511/ijoso.2020.i03.03","url":null,"abstract":"Background: Assessment of competency of the long case at the end of the clinical posting is quite often subjective and the assessment need not always be foolproof. In this method objectivity, validity and reliabilityare lacking. The major drawback of this system is that the student is not observed by the examiners. To avoid these criticisms the Osler has been developed. It is a 10 item analytical record of the traditional long case to improve the objectivity, validity, and reliability of the traditional method. All the candidates were assessed by theexaminer for the same ten items. Though not perfect, Osler is envisaged as a solution for the ongoing assessment challenge. This study was undertaken as part of the thesis for Advanced Course in Medical Education-2018. \u0000Objectives: Comparison betweenthe conventional method and the OSLER at long case clinical examination. \u0000Materials and Methods: This is an educational interventional study conducted by the department of general surgery, MOSCMedical CollegeKolenchery on students of the 8th semester. The students were assessed by two examiners based on a commonly agreed clinical examination format. Data on scores by both groups were analyzed statistically. \u0000Result: The marks showed a correlation between the two methods ofassessment. However, the grade awarded by the examiners showed lesser correlation. However, a multicentric study by different examiners may be required to arrive at the final conclusion of the superiority of OSLER over the traditional method. \u0000Conclusion: The present study did not find a statistically significant difference between the marks awarded to the student by the conventional method and OSLER method.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117221168","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 : 2020-06-30DOI: 10.17511/ijoso.2020.i03.02
T. Sainia, Vinay Kumar Golandaj, V. Malviya
Aim: This comparative prospective study was conducted at the L.N. Medical College and J.K. Hospital Bhopal Madhya Pradesh for a period of one year from Jan 2019 to Dec 2019. Material and Methods: The study included 100 patients who underwent planned four-port laparoscopic cholecystectomy for symptomatic, asymptomatic cholelithiasis, and benign gall bladder diseases. These patients were randomly divided into two groups. The first 50 patients in whom GB was retrieved from Epigastric port were assigned in Group A and the other 50 patients where GB was retrieved from Umbilical port were assigned in Group B. The fascial defect of a 10 mm port was closed by vicryl "2.0" with a port closure needle, while three 5 mm ports closed by applying sterile small dressing. Both groups use a surgical glove endobag for gall bladder retrieval. Results: The results of both these techniques were collected and analyzed. The mean age of patients was 43.8 years in group A and 43.6 in group B. The male to female ratio was near 1:2. in both groups. Group A VAS score is 4.2 and while in group B 3.1. Conclusion: Post-operative port site infection in group A was 2% while in group B is 4%, post-operative port site scar was cosmetically better and satisfactory in umbilical port than epigastric port.
{"title":"Gallbladder retrieval through an epigastric and umbilical port in laparoscopic cholecystectomy- a comparative study","authors":"T. Sainia, Vinay Kumar Golandaj, V. Malviya","doi":"10.17511/ijoso.2020.i03.02","DOIUrl":"https://doi.org/10.17511/ijoso.2020.i03.02","url":null,"abstract":"Aim: This comparative prospective study was conducted at the L.N. Medical College and J.K. Hospital Bhopal Madhya Pradesh for a period of one year from Jan 2019 to Dec 2019. \u0000Material and Methods: The study included 100 patients who underwent planned four-port laparoscopic cholecystectomy for symptomatic, asymptomatic cholelithiasis, and benign gall bladder diseases. These patients were randomly divided into two groups. The first 50 patients in whom GB was retrieved from Epigastric port were assigned in Group A and the other 50 patients where GB was retrieved from Umbilical port were assigned in Group B. The fascial defect of a 10 mm port was closed by vicryl \"2.0\" with a port closure needle, while three 5 mm ports closed by applying sterile small dressing. Both groups use a surgical glove endobag for gall bladder retrieval. \u0000Results: The results of both these techniques were collected and analyzed. The mean age of patients was 43.8 years in group A and 43.6 in group B. The male to female ratio was near 1:2. in both groups. Group A VAS score is 4.2 and while in group B 3.1. \u0000Conclusion: Post-operative port site infection in group A was 2% while in group B is 4%, post-operative port site scar was cosmetically better and satisfactory in umbilical port than epigastric port.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133608877","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 : 2020-06-30DOI: 10.17511/ijoso.2020.i03.11
J. Gadhavi, Mukesh Chande
{"title":"Comparison of n butyl 2 cyanoacrylate and silk sutures for the minor surgical procedure: a clinical study","authors":"J. Gadhavi, Mukesh Chande","doi":"10.17511/ijoso.2020.i03.11","DOIUrl":"https://doi.org/10.17511/ijoso.2020.i03.11","url":null,"abstract":"","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115361891","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 : 2020-06-30DOI: 10.17511/ijoso.2020.i03.07
Neeraj Bansal, Nitin Garg
{"title":"Evaluation of Laboratory risk indicators (LRINEC Sore) for early diagnosis and prognosis in necrotizing fasciitis","authors":"Neeraj Bansal, Nitin Garg","doi":"10.17511/ijoso.2020.i03.07","DOIUrl":"https://doi.org/10.17511/ijoso.2020.i03.07","url":null,"abstract":"","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129486275","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 : 2020-06-30DOI: 10.17511/ijoso.2020.i03.09
Dr. A.K. Chaurasia, Dr. Rajneesh Gour, Dr. Deepti Dhodi, Dr. M.C. Songra
Background: To study the efficacy and safety of 3% hypertonic saline and compare with 20% mannitol in the management of moderate to severe head injury. Material and Methods: Group A (patients treated with Mannitol) n=30, Group B (patients treated with 3% hypertonic saline) n=30. Intervention protocol Dose of Mannitol 20% 2ml/Kg infused over 20 minutes 6 or 8 hourly for the group A. Group B infused with 3% 2ml/Kg Hypertonic Saline over 20 minutes. Safety and efficacy compared. Results: There was no significant difference in mortality. The duration of coma hours was also not very different. There was no difference in the neurological outcomes of both groups. No significant untoward complications observed in both the groups which were found to be related to the drug. hypertonic saline (3%) therapy in case of moderate to severe head injury is found to be as safe and as efficacious as mannitol. No significant hypernatremia is seen in 97% of our patients of hypertonic saline (3%) group. Conclusion: In our comparative prospective study, it can be concluded that the efficiency of 20% Mannitol and 3% Hypertonic Saline for the treatment of cerebral edema in patients with moderate to severe head injury is almost equal.
{"title":"Compare the efficacy of hypertonic saline vs mannitol as an anti-edema measure, in cases of head injury","authors":"Dr. A.K. Chaurasia, Dr. Rajneesh Gour, Dr. Deepti Dhodi, Dr. M.C. Songra","doi":"10.17511/ijoso.2020.i03.09","DOIUrl":"https://doi.org/10.17511/ijoso.2020.i03.09","url":null,"abstract":"Background: To study the efficacy and safety of 3% hypertonic saline and compare with 20% mannitol in the management of moderate to severe head injury. Material and Methods: Group A (patients treated with Mannitol) n=30, Group B (patients treated with 3% hypertonic saline) n=30. Intervention protocol Dose of Mannitol 20% 2ml/Kg infused over 20 minutes 6 or 8 hourly for the group A. Group B infused with 3% 2ml/Kg Hypertonic Saline over 20 minutes. Safety and efficacy compared. Results: There was no significant difference in mortality. The duration of coma hours was also not very different. There was no difference in the neurological outcomes of both groups. No significant untoward complications observed in both the groups which were found to be related to the drug. hypertonic saline (3%) therapy in case of moderate to severe head injury is found to be as safe and as efficacious as mannitol. No significant hypernatremia is seen in 97% of our patients of hypertonic saline (3%) group. Conclusion: In our comparative prospective study, it can be concluded that the efficiency of 20% Mannitol and 3% Hypertonic Saline for the treatment of cerebral edema in patients with moderate to severe head injury is almost equal.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129761540","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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