Pub Date : 2023-01-01DOI: 10.7860/ijars/2023/65902.2928
Pradipta Ray Choudhury, Prabahita Baruah, Sushant Agarwal, Riturag Thakuria, Bikash Sandalya, Krishna Kanta Biswas
Introduction: The lateral ventricle, which is the largest among all ventricles of the brain, can be divided into the frontal horn, body, posterior horn, and inferior horn. Various methodologies may produce different results in measuring the length of the lateral ventricle. Aim: To determine whether there are any differences in the lengths of the lateral ventricle when measured using formalin-fixed brain specimens and Magnetic Resonance Imaging (MRI) scans. Materials and Methods: This cross-sectional study was conducted from April 2014 to March 2019 in the Department of Anatomy at Silchar Medical College and Hospital, Assam, India. A total of 127 formalin-fixed cadaveric brain specimens were used to measure the lengths of different parts of the lateral ventricle using a Vernier Calliper. Additionally, MRI scans of 35 patients were used to measure the same lengths. The mean values of the lateral ventricle lengths measured in formalin-fixed brain specimens and MRI scans were compared using Student’s t-test to determine statistical significance. Furthermore, variations in the lengths of the lateral ventricle according to age and gender were also measured using MRI. Results: Among the 127 brain specimens, 78 were from male brains and 49 were from female brains. Out of the 35 MRI scans, 23 were from male cases and 12 were from female cases. The average length of the frontal horn, body, and inferior horn was found to be greater in MRI scans (34.83 mm, 54.37 mm, and 51.09 mm, respectively) compared to the dissection method in cadavers (30.64 mm, 35.49 mm, and 42.29 mm, respectively). All parts of the lateral ventricle measured in MRI scans were found to have greater lengths in males, although the difference was not statistically significant. Conclusion: A significant difference was observed when comparing the lengths of the lateral ventricle measured in MRI scans and formalin-fixed cadaveric brain specimens.
{"title":"Morphometric Analysis of Lateral Ventricles of the Brain using Magnetic Resonance Imaging and Dissection Method: A Cross-sectional Study","authors":"Pradipta Ray Choudhury, Prabahita Baruah, Sushant Agarwal, Riturag Thakuria, Bikash Sandalya, Krishna Kanta Biswas","doi":"10.7860/ijars/2023/65902.2928","DOIUrl":"https://doi.org/10.7860/ijars/2023/65902.2928","url":null,"abstract":"Introduction: The lateral ventricle, which is the largest among all ventricles of the brain, can be divided into the frontal horn, body, posterior horn, and inferior horn. Various methodologies may produce different results in measuring the length of the lateral ventricle. Aim: To determine whether there are any differences in the lengths of the lateral ventricle when measured using formalin-fixed brain specimens and Magnetic Resonance Imaging (MRI) scans. Materials and Methods: This cross-sectional study was conducted from April 2014 to March 2019 in the Department of Anatomy at Silchar Medical College and Hospital, Assam, India. A total of 127 formalin-fixed cadaveric brain specimens were used to measure the lengths of different parts of the lateral ventricle using a Vernier Calliper. Additionally, MRI scans of 35 patients were used to measure the same lengths. The mean values of the lateral ventricle lengths measured in formalin-fixed brain specimens and MRI scans were compared using Student’s t-test to determine statistical significance. Furthermore, variations in the lengths of the lateral ventricle according to age and gender were also measured using MRI. Results: Among the 127 brain specimens, 78 were from male brains and 49 were from female brains. Out of the 35 MRI scans, 23 were from male cases and 12 were from female cases. The average length of the frontal horn, body, and inferior horn was found to be greater in MRI scans (34.83 mm, 54.37 mm, and 51.09 mm, respectively) compared to the dissection method in cadavers (30.64 mm, 35.49 mm, and 42.29 mm, respectively). All parts of the lateral ventricle measured in MRI scans were found to have greater lengths in males, although the difference was not statistically significant. Conclusion: A significant difference was observed when comparing the lengths of the lateral ventricle measured in MRI scans and formalin-fixed cadaveric brain specimens.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"156 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134890569","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 : 2023-01-01DOI: 10.7860/ijars/2023/58542.2897
Dr.Y. Raghavendra, S. minz, G. Chaganti, Sravanthi Repalle, M. Krishnaiah
Introduction: Brachial Artery (BA) begins as a continuation of axillary artery at the distal border of teres major, it appears in the cubital fossa, where it ends at the level of the neck of radius by dividing into radial and ulnar arteries. Common Interosseous Artery (CIA) is the largest branch of Ulnar Artery (UA) and arises in the cubital fossa. The terminal branches of BA at elbow are clinically important since they are responsible for the arterial supply to the forearm and hand. These arteries may get damaged during fractures of the elbow. Aim: To know the variations in the terminal branches of the BA at elbow. Materials and Methods: The present cross-sectional cadaveric study was done on 40 upper limbs from embalmed adult human cadavers in the Department of Anatomy, Kamineni Institute of Medical Sciences, Narketpally, Telangana, India, from August 2017 to August 2019. Dissection of BA in arm and cubital fossa was carried out according to Cunningham’s manual of practical anatomy. The distance of division of BA into radial and UA and distance of origin of CIA from Inter Epicondylar Line (IEL) of humerus were noted. Results: In present study, 20 right-side specimens and 20 left- side specimens were obtained. Among 20 cadavers used, 16 were male cadavers and four were female cadavers. The mean distance (D1) of normal division of BA into the Radial Artery (RA) and UA at elbow was 2.8 cm below the imaginary line joining the medial and IEL. The mean distance (D2) of normal origin of CIA was 6.8 cm below the imaginary line joining the medial and lateral epicondyles of the humerus (IEL). CIA arising from the UA was present in 37 specimens (92.5%) and in the rest three specimens Anterior Interosseous Artery (AIA) and Posterior Interosseous Artery (PIA) arose directly from the UA. Conclusion: The present study has found variations in site of division of terminal branches of the BA at elbow in three specimens
{"title":"Variations in the Terminal Branches of Brachial Artery- A Cadaveric Cross-sectional Study","authors":"Dr.Y. Raghavendra, S. minz, G. Chaganti, Sravanthi Repalle, M. Krishnaiah","doi":"10.7860/ijars/2023/58542.2897","DOIUrl":"https://doi.org/10.7860/ijars/2023/58542.2897","url":null,"abstract":"Introduction: Brachial Artery (BA) begins as a continuation of axillary artery at the distal border of teres major, it appears in the cubital fossa, where it ends at the level of the neck of radius by dividing into radial and ulnar arteries. Common Interosseous Artery (CIA) is the largest branch of Ulnar Artery (UA) and arises in the cubital fossa. The terminal branches of BA at elbow are clinically important since they are responsible for the arterial supply to the forearm and hand. These arteries may get damaged during fractures of the elbow. Aim: To know the variations in the terminal branches of the BA at elbow. Materials and Methods: The present cross-sectional cadaveric study was done on 40 upper limbs from embalmed adult human cadavers in the Department of Anatomy, Kamineni Institute of Medical Sciences, Narketpally, Telangana, India, from August 2017 to August 2019. Dissection of BA in arm and cubital fossa was carried out according to Cunningham’s manual of practical anatomy. The distance of division of BA into radial and UA and distance of origin of CIA from Inter Epicondylar Line (IEL) of humerus were noted. Results: In present study, 20 right-side specimens and 20 left- side specimens were obtained. Among 20 cadavers used, 16 were male cadavers and four were female cadavers. The mean distance (D1) of normal division of BA into the Radial Artery (RA) and UA at elbow was 2.8 cm below the imaginary line joining the medial and IEL. The mean distance (D2) of normal origin of CIA was 6.8 cm below the imaginary line joining the medial and lateral epicondyles of the humerus (IEL). CIA arising from the UA was present in 37 specimens (92.5%) and in the rest three specimens Anterior Interosseous Artery (AIA) and Posterior Interosseous Artery (PIA) arose directly from the UA. Conclusion: The present study has found variations in site of division of terminal branches of the BA at elbow in three specimens","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71263577","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 : 2023-01-01DOI: 10.7860/ijars/2023/57005.2864
Sudhir Singh, Rajat D Maheshwari, Anupam Surendran, A. Sharath
Introduction: Head injury is one of the most common outcomes of any kind of trauma becoming the major cause of morbidity and mortality worldwide. The critical element in the treatment of patients with severe head injuries is to prevent the progression of the condition and secondary insult to brain cells. Various protocols are followed for the treatment of severe head injury starting from conservative medical management to surgical approaches like DC/hemicraniectomy (DC). The DC is a surgical method of removal of part of skull bone so that the brain parenchyma gets space to expand and the Intracranial Pressure (ICP) can get reduced. There are various factors that contribute to the outcome of DC. Aim: To determine the various factors that affect the outcome of DC/hemicraniectomy. Materials and Methods: A retrospective descriptive study was conducted in the Institute of Gandhi Medical College and associated Hamidia hospital, Madhya Pradesh, India from May 2017 to April 2021. Hundred patients with moderate to severe head injury who underwent primary DC were included in this study. The variables such as age, preoperative GCS, the timing of surgery, preoperative pupillary reaction, and MidLine Shift (MLS) were compared in terms of survival/death and favourable/ unfavourable outcomes using the chi-square test. Results: The mean age of participants was 45±14 years. Statistical analysis showed significant results for the variables like age, preoperative the Glasgow Coma Scale (GCS), timing of the surgery, pupillary reaction at presentation, and preoperative MLS in terms of survival/death and favourable/ unfavourable outcomes. Conclusion: Younger age group, better preoperative GCS, early surgery, reactive pupils at presentation, and less preoperative MLS have positive outcome benefits with the DC/ hemicraniectomy to reduce the raised ICP.
{"title":"Role of Decompressive Craniectomy/ Hemicraniectomy in the Management of Traumatic Brain Injury: A Retrospective Study","authors":"Sudhir Singh, Rajat D Maheshwari, Anupam Surendran, A. Sharath","doi":"10.7860/ijars/2023/57005.2864","DOIUrl":"https://doi.org/10.7860/ijars/2023/57005.2864","url":null,"abstract":"Introduction: Head injury is one of the most common outcomes of any kind of trauma becoming the major cause of morbidity and mortality worldwide. The critical element in the treatment of patients with severe head injuries is to prevent the progression of the condition and secondary insult to brain cells. Various protocols are followed for the treatment of severe head injury starting from conservative medical management to surgical approaches like DC/hemicraniectomy (DC). The DC is a surgical method of removal of part of skull bone so that the brain parenchyma gets space to expand and the Intracranial Pressure (ICP) can get reduced. There are various factors that contribute to the outcome of DC. Aim: To determine the various factors that affect the outcome of DC/hemicraniectomy. Materials and Methods: A retrospective descriptive study was conducted in the Institute of Gandhi Medical College and associated Hamidia hospital, Madhya Pradesh, India from May 2017 to April 2021. Hundred patients with moderate to severe head injury who underwent primary DC were included in this study. The variables such as age, preoperative GCS, the timing of surgery, preoperative pupillary reaction, and MidLine Shift (MLS) were compared in terms of survival/death and favourable/ unfavourable outcomes using the chi-square test. Results: The mean age of participants was 45±14 years. Statistical analysis showed significant results for the variables like age, preoperative the Glasgow Coma Scale (GCS), timing of the surgery, pupillary reaction at presentation, and preoperative MLS in terms of survival/death and favourable/ unfavourable outcomes. Conclusion: Younger age group, better preoperative GCS, early surgery, reactive pupils at presentation, and less preoperative MLS have positive outcome benefits with the DC/ hemicraniectomy to reduce the raised ICP.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71263692","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 : 2023-01-01DOI: 10.7860/ijars/2023/59115.2880
T. Chitrambalam, N. George, Sundeep Selvamuthukumaran, Lokesh G. Reddy, P. Christopher
Hydrocele of the canal of Nuck is a rare abnormality, developing in the protruded part of the parietal peritoneum within the inguinal canal in a female. It is homologous to the processus vaginalis in males and obliterates from the seventh month of gestation to one year of age. Failure of obliteration, results in Nuck hydrocele or herniation of intra-abdominal contents through the patent Canal of Nuck. These are usually detected and repaired in young girls within the first five years of life. Reports of Canal of Nuck hydrocele in adults are sparse. Most of these patients are misdiagnosed on clinical examination and correctly diagnosed intraoperatively during surgery for suspected ‘inguinal hernia’. Here, this case is about a 25-year-old female, who presented with swelling in the right groin for one month. Computed Tomography of the abdomen showed features suggestive of a hydrocele within the Canal of Nuck. She underwent laparoscopic hydrocelectomy and laparoscopic hernia repair via the transabdominal preperitoneal approach. This case report highlights the novel approach of laparoscopic management of this rare case.
{"title":"Hydrocele of Canal of Nuck In an Adult Female: A Case Report","authors":"T. Chitrambalam, N. George, Sundeep Selvamuthukumaran, Lokesh G. Reddy, P. Christopher","doi":"10.7860/ijars/2023/59115.2880","DOIUrl":"https://doi.org/10.7860/ijars/2023/59115.2880","url":null,"abstract":"Hydrocele of the canal of Nuck is a rare abnormality, developing in the protruded part of the parietal peritoneum within the inguinal canal in a female. It is homologous to the processus vaginalis in males and obliterates from the seventh month of gestation to one year of age. Failure of obliteration, results in Nuck hydrocele or herniation of intra-abdominal contents through the patent Canal of Nuck. These are usually detected and repaired in young girls within the first five years of life. Reports of Canal of Nuck hydrocele in adults are sparse. Most of these patients are misdiagnosed on clinical examination and correctly diagnosed intraoperatively during surgery for suspected ‘inguinal hernia’. Here, this case is about a 25-year-old female, who presented with swelling in the right groin for one month. Computed Tomography of the abdomen showed features suggestive of a hydrocele within the Canal of Nuck. She underwent laparoscopic hydrocelectomy and laparoscopic hernia repair via the transabdominal preperitoneal approach. This case report highlights the novel approach of laparoscopic management of this rare case.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71264008","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 : 2023-01-01DOI: 10.7860/ijars/2023/61164.2894
Ankit Vyas, Alhad Mulkalwar, K. Singh, S. Patwardhan
Intrauterine Contraceptive Devices (IUCD) are known to be associated with many complications; however, uterine perforation with migration into adjacent soft tissue is rarely observed. The authors report a rare case of a 31-year-old full-term pregnant female who presented in labour and was posted for a Lower Segment Caesarean Section (LSCS) in view of a history of LSCS. Dense adhesions were noticed between the posterior wall of urinary bladder and uterus. A foreign body was also palpable in the bladder. The limb of an IUCD (Copper T) was seen through a rent in the bladder wall, via which it was removed in its entirety. As asymptomatic cases missed by routine scans can occur, Magnetic Resonance Imaging (MRI) may have a role to play in dubious cases of pregnancy having a history of IUD insertion which wasn’t removed.
{"title":"Asymptomatic Intravesical Migration of an Intrauterine Device Detected during Delivery","authors":"Ankit Vyas, Alhad Mulkalwar, K. Singh, S. Patwardhan","doi":"10.7860/ijars/2023/61164.2894","DOIUrl":"https://doi.org/10.7860/ijars/2023/61164.2894","url":null,"abstract":"Intrauterine Contraceptive Devices (IUCD) are known to be associated with many complications; however, uterine perforation with migration into adjacent soft tissue is rarely observed. The authors report a rare case of a 31-year-old full-term pregnant female who presented in labour and was posted for a Lower Segment Caesarean Section (LSCS) in view of a history of LSCS. Dense adhesions were noticed between the posterior wall of urinary bladder and uterus. A foreign body was also palpable in the bladder. The limb of an IUCD (Copper T) was seen through a rent in the bladder wall, via which it was removed in its entirety. As asymptomatic cases missed by routine scans can occur, Magnetic Resonance Imaging (MRI) may have a role to play in dubious cases of pregnancy having a history of IUD insertion which wasn’t removed.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71264071","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 : 2023-01-01DOI: 10.7860/ijars/2023/60510.2896
S. Gowsick, Lejeune Ramot Mahalakshmi, A. R. Urs
Fibroadenomas are the most common type of breast tumours diagnosed in young women. Fibroadenomas found in children and adolescents are termed as juvenile fibroadenomas of which giant fibroadenomas are rare account for 0.5%-2% of all fibroadenomas, that cause asymmetry of the breasts and are characterised by rapidly growing mass of more than 5 cm in greatest dimension, and/ or weight more than 500 gm, or replaces at least 80% of the breast. Both phyllodes tumour and giant fibroadenoma have similar clinical presentations. The current case is of 15-year-old female with a rapidly growing mass in the left breast with in a span of six month duration measuring 15×10 cm and was associated with dilated veins over it. The clinical diagnosis was suggestive of phyllodes tumour. Cytopathological and histopathological reports showed the evidence of juvenile giant fibroadenoma. Hence, the purpose of this report is to differentiate phyllodes tumour from juvenile giant fibroadenoma preoperatively to obtain the best cosmetic outcome for a developing breast lesion.
{"title":"A Case of Juvenile Giant Fibroadenoma of Breast: A Diagnostic Dilemma","authors":"S. Gowsick, Lejeune Ramot Mahalakshmi, A. R. Urs","doi":"10.7860/ijars/2023/60510.2896","DOIUrl":"https://doi.org/10.7860/ijars/2023/60510.2896","url":null,"abstract":"Fibroadenomas are the most common type of breast tumours diagnosed in young women. Fibroadenomas found in children and adolescents are termed as juvenile fibroadenomas of which giant fibroadenomas are rare account for 0.5%-2% of all fibroadenomas, that cause asymmetry of the breasts and are characterised by rapidly growing mass of more than 5 cm in greatest dimension, and/ or weight more than 500 gm, or replaces at least 80% of the breast. Both phyllodes tumour and giant fibroadenoma have similar clinical presentations. The current case is of 15-year-old female with a rapidly growing mass in the left breast with in a span of six month duration measuring 15×10 cm and was associated with dilated veins over it. The clinical diagnosis was suggestive of phyllodes tumour. Cytopathological and histopathological reports showed the evidence of juvenile giant fibroadenoma. Hence, the purpose of this report is to differentiate phyllodes tumour from juvenile giant fibroadenoma preoperatively to obtain the best cosmetic outcome for a developing breast lesion.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71264275","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 : 2023-01-01DOI: 10.7860/ijars/2023/59856.2871
K. Kiran, A. Ramani, S. Math
Introduction: Surgical techniques in open appendicectomy has been evolving with most centers following simple ligation of appendix stump as the most preferred approach including the laparoscopic approach. Invagination of stump of the appendix is also practiced as a traditional approach. Aim: To compare and evaluate the outcomes and postoperative morbidity of simple ligation and invagination appendicectomy techniques. Materials and Methods: This was a prospective observational study conducted from October 2016 to July 2018 and included a total of 100 patients of acute appendicitis undergoing emergency open appendectomy surgery. The method of surgery of simple ligation and invagination appendectomy was allotted alternatively with 50 patients in each category. Both techniques of surgery were compared in terms of operating time, duration of hospital stay and postsurgical complications. Relevant data was collected and entered in Microsoft excel and p-value was calculated using Chi-square test. Results: A total of 100 patients were included with a mean age of 27 years. Both the groups with 50 patients each, were equivalent with age and gender distribution. It was observed that both the techniques had similar outcomes in respect to mean duration of surgery, duration of hospital stay and morbidities (p-value>0.05) with no statistically significant difference. The morbidity and the rate of postoperative complications were similar in both the groups. Conclusion: Appendicular stump management after appendectomy can be treated either by simple ligation or by invagination method, both techniques being equally effective and safe. Hence, it is surgeons preference to choose among the two techniques.
{"title":"Outcomes of Open Appendicectomy by Simple Ligation versus Invagination in Acute Appendicitis- A Prospective Observational Study","authors":"K. Kiran, A. Ramani, S. Math","doi":"10.7860/ijars/2023/59856.2871","DOIUrl":"https://doi.org/10.7860/ijars/2023/59856.2871","url":null,"abstract":"Introduction: Surgical techniques in open appendicectomy has been evolving with most centers following simple ligation of appendix stump as the most preferred approach including the laparoscopic approach. Invagination of stump of the appendix is also practiced as a traditional approach. Aim: To compare and evaluate the outcomes and postoperative morbidity of simple ligation and invagination appendicectomy techniques. Materials and Methods: This was a prospective observational study conducted from October 2016 to July 2018 and included a total of 100 patients of acute appendicitis undergoing emergency open appendectomy surgery. The method of surgery of simple ligation and invagination appendectomy was allotted alternatively with 50 patients in each category. Both techniques of surgery were compared in terms of operating time, duration of hospital stay and postsurgical complications. Relevant data was collected and entered in Microsoft excel and p-value was calculated using Chi-square test. Results: A total of 100 patients were included with a mean age of 27 years. Both the groups with 50 patients each, were equivalent with age and gender distribution. It was observed that both the techniques had similar outcomes in respect to mean duration of surgery, duration of hospital stay and morbidities (p-value>0.05) with no statistically significant difference. The morbidity and the rate of postoperative complications were similar in both the groups. Conclusion: Appendicular stump management after appendectomy can be treated either by simple ligation or by invagination method, both techniques being equally effective and safe. Hence, it is surgeons preference to choose among the two techniques.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71264421","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 : 2023-01-01DOI: 10.7860/ijars/2023/59586.2906
Devasish Tarafdar, Maulik Jethva, C. Solanki, A. Trivedi
Introduction: The retroperitoneum is an important potential space in the human abdomen. Retroperitoneal (RP) tumours are extremely vast in position, size, rate of growth and in pathological types. They silently grow before giving rise to symptoms or become palpable. Radiology plays a unique role in sustaining the optimum information for the diagnosis of lesions of retroperitoneal space. Computed Tomography (CT) is generally more superior in the diagnosis of retroperitoneal neoplastic lesions in comparison to X-Ray or Ultrasonography (USG) but later are cost-effective and readily available. Aim: To describe the clinical spectrum of retroperitonial neoplastic lesions and also to evaluate the radiographic features of different retroperitoneal neoplastic lesions with various radiological modalities. Materials and Methods: This cross-sectional study was conducted on 50 patients from November 2019 to April 2021, in Department of Radiology of Pandit Deendayal Upadhyay Government Medical College and Civil Hospital, Rajkot, Gujarat. Each patient had undergone CT, USG and X-ray as indicated. Descriptive data was analysed and presented in terms of frequencies and percentages. Results: In this study among 50 patients, males (60%) were found to be affected more than the females (40%) with a male:female ratio of 1.5:1. The most common malignant RP neoplastic lesion was metastatic nodal masses and lymphoma. 41 (82%) of cases were malignant while 9 (18%) were benign neoplasms. The most common benign RP neoplastic lesion was teratoma. The most common presentation in patients with retroperitoneal lesions was pain and lump in the abdomen with abdominal distension. Most of the malignant lesions were of average size more than 10 cm. Conclusion: Most of the retroperitoneal neoplastic lesions were malignant and seen in males. CT, USG and X-ray are helpful in the characterisation and diagnosis of retroperitoneal neoplastic masses.
{"title":"Radiological Assessment of Retroperitoneal Neoplastic Lesions in a Tertiary Care Hospital, Rajkot, Gujarat, India: A Cross-sectional Study","authors":"Devasish Tarafdar, Maulik Jethva, C. Solanki, A. Trivedi","doi":"10.7860/ijars/2023/59586.2906","DOIUrl":"https://doi.org/10.7860/ijars/2023/59586.2906","url":null,"abstract":"Introduction: The retroperitoneum is an important potential space in the human abdomen. Retroperitoneal (RP) tumours are extremely vast in position, size, rate of growth and in pathological types. They silently grow before giving rise to symptoms or become palpable. Radiology plays a unique role in sustaining the optimum information for the diagnosis of lesions of retroperitoneal space. Computed Tomography (CT) is generally more superior in the diagnosis of retroperitoneal neoplastic lesions in comparison to X-Ray or Ultrasonography (USG) but later are cost-effective and readily available. Aim: To describe the clinical spectrum of retroperitonial neoplastic lesions and also to evaluate the radiographic features of different retroperitoneal neoplastic lesions with various radiological modalities. Materials and Methods: This cross-sectional study was conducted on 50 patients from November 2019 to April 2021, in Department of Radiology of Pandit Deendayal Upadhyay Government Medical College and Civil Hospital, Rajkot, Gujarat. Each patient had undergone CT, USG and X-ray as indicated. Descriptive data was analysed and presented in terms of frequencies and percentages. Results: In this study among 50 patients, males (60%) were found to be affected more than the females (40%) with a male:female ratio of 1.5:1. The most common malignant RP neoplastic lesion was metastatic nodal masses and lymphoma. 41 (82%) of cases were malignant while 9 (18%) were benign neoplasms. The most common benign RP neoplastic lesion was teratoma. The most common presentation in patients with retroperitoneal lesions was pain and lump in the abdomen with abdominal distension. Most of the malignant lesions were of average size more than 10 cm. Conclusion: Most of the retroperitoneal neoplastic lesions were malignant and seen in males. CT, USG and X-ray are helpful in the characterisation and diagnosis of retroperitoneal neoplastic masses.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71264496","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 : 2023-01-01DOI: 10.7860/ijars/2023/63227.2895
H. Gulati, Kamaljeet Kaur, J. Kaur, A. Wadhwa, Mamta Sharma
Introduction: In the current scenario, clinicians are constantly subjected to high workload coupled with enormous amount of stress which can lead to both derangement of sleep and accumulation of body fat. Since they are the central pillar of healthcare industry, the health of doctors themselves is an extremely important factor in pursuit of a healthy and disease free society. Aim: To determine the effect of Body Mass Index (BMI) on quality of sleep in clinicians and to establish a relation between obesity and sleep pattern of clinicians. Materials and Methods: The present descriptive study was conducted on 400 doctors working in Outpatient Department (OPD) clinics of various departments at Punjab Institute of Medical Sciences, Jalandhar and OPDs of NIMS Hospital, Jaipur, India, from July 2019 to June 2021. BMI was calculated as ratio of weight (kg) to the square of height (m). Sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI) questionnaire as a Global Pittsburgh Sleep Quality Index. BMI and sleep quality were checked for inter-relationship using various statistical methods like Chi- square test, Analysis of Variance (ANOVA), student t-test and Pearson’s correlation. Results: In the present study, 200 were males and 200 were females. Most of the participants were in the age group of 41- 50 years. A 51.4% of participants with BMI >25 kg/m2 had poor sleep quality which was significantly higher when compared with participants with BMI <25 kg/m2 (33.5%). Sleep quality had no significant bearing with gender. Further, it was found that surgical specialists had poorer sleep when compared with their medical counterparts. Conclusion: The results of the present study showed a significant association and linear correlation between sleep quality and overweight/obesity status. This information serves as an awareness and warning signal for the clinicians to safeguard their own health.
{"title":"Correlation Between Body Mass Index and Sleep Quality among Indian Doctors: A Descriptive Study","authors":"H. Gulati, Kamaljeet Kaur, J. Kaur, A. Wadhwa, Mamta Sharma","doi":"10.7860/ijars/2023/63227.2895","DOIUrl":"https://doi.org/10.7860/ijars/2023/63227.2895","url":null,"abstract":"Introduction: In the current scenario, clinicians are constantly subjected to high workload coupled with enormous amount of stress which can lead to both derangement of sleep and accumulation of body fat. Since they are the central pillar of healthcare industry, the health of doctors themselves is an extremely important factor in pursuit of a healthy and disease free society. Aim: To determine the effect of Body Mass Index (BMI) on quality of sleep in clinicians and to establish a relation between obesity and sleep pattern of clinicians. Materials and Methods: The present descriptive study was conducted on 400 doctors working in Outpatient Department (OPD) clinics of various departments at Punjab Institute of Medical Sciences, Jalandhar and OPDs of NIMS Hospital, Jaipur, India, from July 2019 to June 2021. BMI was calculated as ratio of weight (kg) to the square of height (m). Sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI) questionnaire as a Global Pittsburgh Sleep Quality Index. BMI and sleep quality were checked for inter-relationship using various statistical methods like Chi- square test, Analysis of Variance (ANOVA), student t-test and Pearson’s correlation. Results: In the present study, 200 were males and 200 were females. Most of the participants were in the age group of 41- 50 years. A 51.4% of participants with BMI >25 kg/m2 had poor sleep quality which was significantly higher when compared with participants with BMI <25 kg/m2 (33.5%). Sleep quality had no significant bearing with gender. Further, it was found that surgical specialists had poorer sleep when compared with their medical counterparts. Conclusion: The results of the present study showed a significant association and linear correlation between sleep quality and overweight/obesity status. This information serves as an awareness and warning signal for the clinicians to safeguard their own health.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71264999","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 : 2023-01-01DOI: 10.7860/ijars/2023/64278.2927
S Vaisakh, PS Rajesh
Introduction: Thyroidectomy is a commonly performed surgical procedure, especially in areas with a high prevalence of thyroid disorders. Accurate estimation of thyroid volume is crucial for evaluating and managing these conditions, as thyroidectomy in patients with enlarged thyroids can lead to specific concerns regarding optimal preoperative, intraoperative, and postoperative care. Aim: To assess the relationship between thyroid volume and thyroidectomy complications, specifically Vocal Cord Paralysis (VCP) and hypocalcaemia, using preoperative ultrasound and ellipsoid volumetric analysis. Materials and Methods: A prospective cohort study in the General Surgery ward at a Government Medical College, Kottayam, Kerala, India. A total of 70 patients (64 females and six males) with benign thyroid swelling underwent total Thyroidectomy between June 2020 and December 2020. Follow- up was conducted for one year until December 2021. Thyroid gland volume was assessed using ultrasound and calculated using the ellipsoid formula. Based on volume, patients were classified into two groups: 1) <50 mL (mild enlargement), and 2) >50 mL (moderate to severe enlargement). Preoperative examination of vocal cords was performed by the Department of Otorhinolaryngology. Serum calcium levels were measured 48 hours postoperatively, or earlier if symptomatic. Hypocalcaemia was defined as corrected calcium <8.4 mg/dL. The association between thyroid gland volume and complications was analysed to determine if volume could be an effective factor in patient morbidity. Data were entered into Microsoft Excel and analysed using Statistical Package for the Social Sciences (SPSS) version 16.0. Chi-square test was used for qualitative analysis, with a significance level set at p<0.05. Results: The mean thyroid volume for patients with volumes <50 mL and >50 mL was 26.9 mL and 103.2 mL, respectively. Temporary hypocalcaemia (resolving within six months) was significantly higher in patients with volumes <50 mL (p=0.044). Temporary VCP was significantly more frequent in patients with larger volumes (p=0.027). No intraoperative complications were observed in the present study. Conclusion: Thyroid gland volume appears to be an important factor influencing thyroidectomy complications. Smaller thyroid volumes are associated with an increased risk of postoperative hypocalcaemia, while larger volumes are associated with a higher risk of VCP.
{"title":"Is Preoperative Ultrasonographic Thyroid Gland Volume a Good Predictor of Postoperative Complications in Thyroidectomy?: A Prospective Cohort Study","authors":"S Vaisakh, PS Rajesh","doi":"10.7860/ijars/2023/64278.2927","DOIUrl":"https://doi.org/10.7860/ijars/2023/64278.2927","url":null,"abstract":"Introduction: Thyroidectomy is a commonly performed surgical procedure, especially in areas with a high prevalence of thyroid disorders. Accurate estimation of thyroid volume is crucial for evaluating and managing these conditions, as thyroidectomy in patients with enlarged thyroids can lead to specific concerns regarding optimal preoperative, intraoperative, and postoperative care. Aim: To assess the relationship between thyroid volume and thyroidectomy complications, specifically Vocal Cord Paralysis (VCP) and hypocalcaemia, using preoperative ultrasound and ellipsoid volumetric analysis. Materials and Methods: A prospective cohort study in the General Surgery ward at a Government Medical College, Kottayam, Kerala, India. A total of 70 patients (64 females and six males) with benign thyroid swelling underwent total Thyroidectomy between June 2020 and December 2020. Follow- up was conducted for one year until December 2021. Thyroid gland volume was assessed using ultrasound and calculated using the ellipsoid formula. Based on volume, patients were classified into two groups: 1) <50 mL (mild enlargement), and 2) >50 mL (moderate to severe enlargement). Preoperative examination of vocal cords was performed by the Department of Otorhinolaryngology. Serum calcium levels were measured 48 hours postoperatively, or earlier if symptomatic. Hypocalcaemia was defined as corrected calcium <8.4 mg/dL. The association between thyroid gland volume and complications was analysed to determine if volume could be an effective factor in patient morbidity. Data were entered into Microsoft Excel and analysed using Statistical Package for the Social Sciences (SPSS) version 16.0. Chi-square test was used for qualitative analysis, with a significance level set at p<0.05. Results: The mean thyroid volume for patients with volumes <50 mL and >50 mL was 26.9 mL and 103.2 mL, respectively. Temporary hypocalcaemia (resolving within six months) was significantly higher in patients with volumes <50 mL (p=0.044). Temporary VCP was significantly more frequent in patients with larger volumes (p=0.027). No intraoperative complications were observed in the present study. Conclusion: Thyroid gland volume appears to be an important factor influencing thyroidectomy complications. Smaller thyroid volumes are associated with an increased risk of postoperative hypocalcaemia, while larger volumes are associated with a higher risk of VCP.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446145","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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