Pub Date : 2023-01-01DOI: 10.7860/ijars/2023/60683.2916
Roli Joshi, Pankaj Singh, Shalini Srivastava
Introduction: The thyroid gland regulates the basal metabolic rate, somatic growth, and physical growth. The thyroid gland plays a major role in the normal growth of a foetus during the prenatal period. There are few literatures on foetal thyroid gland. Aim: To study the various morphometric and histological changes during intrauterine life in both gender of human foetuses. Materials and Methods: This cross-sectional study was carried out in the Department of Obstetrics and Gynaecology, Dr. Sushila Tiwari Hospital Government Medical College, Haldwani (UK) and Saraswati Medical College, Unnao in the period of August 2015-2022. Government Medical College, Haldwani for duration of three years on medically terminated 70 foetus of both sexes of known gestational age ranging from 10 to 40 weeks. These foetuses were divided among three groups as group 1 (10-20 weeks), group 2 (21-30 weeks), group 3 (31- 40 week). Midline dissection of neck was done to expose the thyroid gland. Morphometric parameters like length, width, and thickness of each lobe and the isthmus were measured by digital Vernier caliper, weight was also taken by digital weighing machine, then tissue processing was done and paraffin blocks were prepared. All sections were stained with Haematoxylin and Eosin stain (H&E) and studied under the microscope aided camera. By using Analysis of Variance (ANOVA) test and Independent sample test (t-test) comparison among different age groups and gender has been done. Results: There was a significant increase in foetal thyroid weight, length and widths of the right and left lobes, and length of the isthmus with increase in gestational age, while no significant relation was found between male and female foetuses of measured morphometric parameter. The histological features revealed that development of thyroid gland starts earlier and thin capsule was seen at 12 week and it became thicker and more vascular till 35 weeks. Follicles started to form at 14 week and matured follicle were seen at the age of 24 weeks, at 25th week, the lining epithelium of follicles was low columnar to cuboidal, colloid material was seen almost in every follicle. C cells were found at 22 weeks. At the 36 weeks, the follicles were seen spherical and reached to maturity level. Conclusion: As the gestational age increases, the morphometric parameters must increase, if not so, it means the growth of gland is hampered. The knowledge of the growth and differentiation of foetal thyroid will be helpful for clinicians, to judge the thyroid structure prenatally.
简介:甲状腺调节基础代谢率、躯体生长和体格生长。在产前期间，甲状腺在胎儿的正常生长中起着重要作用。关于胎儿甲状腺的文献很少。目的:研究人类两性胎儿在宫内生活中的各种形态和组织学变化。材料与方法:本横断面研究于2015-2022年8月在英国Haldwani市Sushila Tiwari医院政府医学院妇产科和Unnao市Saraswati医学院进行。在哈尔德瓦尼政府医学院进行为期三年的医学终止手术，已知胎龄在10至40周的70名男女胎儿均有。将胎儿分为3组:1组(10 ~ 20周)、2组(21 ~ 30周)、3组(31 ~ 40周)。行颈部中线剥离，显露甲状腺。采用数字游标卡尺测量各叶及峡部的长、宽、厚等形态学参数，并采用数字称重机称重，然后进行组织处理，制作石蜡块。所有切片均采用Haematoxylin and Eosin染色(H&E)，在显微镜辅助相机下观察。采用方差分析(ANOVA)检验和独立样本检验(t-检验)对不同年龄组和性别进行了比较。结果:随着胎龄的增加，胎儿甲状腺重量、左右叶长宽、峡部长度均显著增加，而所测形态计量参数男女胎儿间无显著相关性。组织学特征显示，甲状腺发育较早，12周时可见薄囊，到35周时变厚，血管增多。14周时卵泡开始形成，24周时卵泡成熟，25周时卵泡内壁上皮呈低柱状至立方状，几乎每个卵泡均可见胶体物质。22周时发现C细胞。36周时，卵泡呈球形，达到成熟水平。结论:随着胎龄的增加，形态学参数必然增加，否则腺体发育受到阻碍。了解胎儿甲状腺的生长分化情况，有助于临床医生对胎儿甲状腺结构的判断。
{"title":"Morphometry and Histology of Thyroid Gland in Developing Human Foetuses: A Cross-sectional Study","authors":"Roli Joshi, Pankaj Singh, Shalini Srivastava","doi":"10.7860/ijars/2023/60683.2916","DOIUrl":"https://doi.org/10.7860/ijars/2023/60683.2916","url":null,"abstract":"Introduction: The thyroid gland regulates the basal metabolic rate, somatic growth, and physical growth. The thyroid gland plays a major role in the normal growth of a foetus during the prenatal period. There are few literatures on foetal thyroid gland. Aim: To study the various morphometric and histological changes during intrauterine life in both gender of human foetuses. Materials and Methods: This cross-sectional study was carried out in the Department of Obstetrics and Gynaecology, Dr. Sushila Tiwari Hospital Government Medical College, Haldwani (UK) and Saraswati Medical College, Unnao in the period of August 2015-2022. Government Medical College, Haldwani for duration of three years on medically terminated 70 foetus of both sexes of known gestational age ranging from 10 to 40 weeks. These foetuses were divided among three groups as group 1 (10-20 weeks), group 2 (21-30 weeks), group 3 (31- 40 week). Midline dissection of neck was done to expose the thyroid gland. Morphometric parameters like length, width, and thickness of each lobe and the isthmus were measured by digital Vernier caliper, weight was also taken by digital weighing machine, then tissue processing was done and paraffin blocks were prepared. All sections were stained with Haematoxylin and Eosin stain (H&E) and studied under the microscope aided camera. By using Analysis of Variance (ANOVA) test and Independent sample test (t-test) comparison among different age groups and gender has been done. Results: There was a significant increase in foetal thyroid weight, length and widths of the right and left lobes, and length of the isthmus with increase in gestational age, while no significant relation was found between male and female foetuses of measured morphometric parameter. The histological features revealed that development of thyroid gland starts earlier and thin capsule was seen at 12 week and it became thicker and more vascular till 35 weeks. Follicles started to form at 14 week and matured follicle were seen at the age of 24 weeks, at 25th week, the lining epithelium of follicles was low columnar to cuboidal, colloid material was seen almost in every follicle. C cells were found at 22 weeks. At the 36 weeks, the follicles were seen spherical and reached to maturity level. Conclusion: As the gestational age increases, the morphometric parameters must increase, if not so, it means the growth of gland is hampered. The knowledge of the growth and differentiation of foetal thyroid will be helpful for clinicians, to judge the thyroid structure prenatally.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"30 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":"134888160","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/2023/55577.2863
K. Chaudhari, Anitha J. Kandi, Suresh R. Harbade, Sameer Rathod, S. Jadhav
Introduction: A small percentage of men are affected by breast diseases and awareness of male breast disease is less and presentation is often delayed due to embarrassment. The most common presentation is gynaecomastia, where cosmetic correction is sought. Over the last two decades the rate of male breast complaints increased from 0.8% to 2.4%, while 1% of all breast cancer occur in males. Aim: To study the pattern of various male breast diseases in a tertiary care centre of Aurangabad District in Maharashtra, India. Materials and Methods: This prospective clinical interventional study was carried out in 44 male patients above age of 12 years coming with complaints related to breast to Department of General Surgery of Government Medical College, Aurangabad from 1st August 2017 to 31st July 2019. Detailed history was taken and any underlying causative disease/risk factor or medication if any was noted. Thorough clinical examination and laboratory investigations were done. Ultra-sonography of breast was done in all patients. Mammography was done in three patients who were having clinical suspicion of malignancy. Continuous variables were presented as mean, Standard Deviation (SD) or median if the data is unevenly distributed. Categorical variables are expressed as absolute numbers and percentages. Data was analysed using Statistical Package for the Social Sciences (SPSS) version 17.0. Results: The youngest patient was 12 years old and eldest was 85 years old. In the present study, 38 benign and 6 malignant male breast diseases were diagnosed. Out of total, 33 had gynaecomastia, 2 had breast abscess, 5 Infiltrating duct carcinoma and 1 each of mastitis, eczema of nipple, sebaceous cyst of areola and primary breast sarcoma. Out of 44 patients, 12 patients underwent surgery for benign and malignant breast diseases, 24 patients of gynaecomastia were managed by reassurance, 5 males with infiltrating ductal carcinoma were managed by modified radical mastectomy and 3 patients by medical therapy. Conclusion: It was concluded that benign male breast diseases were more common and ultrasound together with mammography should be used to differentiate characteristics of benign and malignant male breast lesions.
{"title":"Pattern of Various Male Breast Diseases in a Tertiary Care Centre of Aurangabad District, Maharashtra, India- A Prospective Interventional Study","authors":"K. Chaudhari, Anitha J. Kandi, Suresh R. Harbade, Sameer Rathod, S. Jadhav","doi":"10.7860/ijars/2023/55577.2863","DOIUrl":"https://doi.org/10.7860/ijars/2023/55577.2863","url":null,"abstract":"Introduction: A small percentage of men are affected by breast diseases and awareness of male breast disease is less and presentation is often delayed due to embarrassment. The most common presentation is gynaecomastia, where cosmetic correction is sought. Over the last two decades the rate of male breast complaints increased from 0.8% to 2.4%, while 1% of all breast cancer occur in males. Aim: To study the pattern of various male breast diseases in a tertiary care centre of Aurangabad District in Maharashtra, India. Materials and Methods: This prospective clinical interventional study was carried out in 44 male patients above age of 12 years coming with complaints related to breast to Department of General Surgery of Government Medical College, Aurangabad from 1st August 2017 to 31st July 2019. Detailed history was taken and any underlying causative disease/risk factor or medication if any was noted. Thorough clinical examination and laboratory investigations were done. Ultra-sonography of breast was done in all patients. Mammography was done in three patients who were having clinical suspicion of malignancy. Continuous variables were presented as mean, Standard Deviation (SD) or median if the data is unevenly distributed. Categorical variables are expressed as absolute numbers and percentages. Data was analysed using Statistical Package for the Social Sciences (SPSS) version 17.0. Results: The youngest patient was 12 years old and eldest was 85 years old. In the present study, 38 benign and 6 malignant male breast diseases were diagnosed. Out of total, 33 had gynaecomastia, 2 had breast abscess, 5 Infiltrating duct carcinoma and 1 each of mastitis, eczema of nipple, sebaceous cyst of areola and primary breast sarcoma. Out of 44 patients, 12 patients underwent surgery for benign and malignant breast diseases, 24 patients of gynaecomastia were managed by reassurance, 5 males with infiltrating ductal carcinoma were managed by modified radical mastectomy and 3 patients by medical therapy. Conclusion: It was concluded that benign male breast diseases were more common and ultrasound together with mammography should be used to differentiate characteristics of benign and malignant male breast lesions.","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":"71263535","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/2023/58851.2873
Sriviruthi Baskararaj, M. Narayana, HS Prakash, H. Naganna, V. Gowda
Introduction: Urolithiasis is a commonly encountered health problem, and knowledge of the chemical composition of stones is crucial in deciding the management approach and preventing recurrence. Pre-operative assessment of stone composition has become possible after the introduction of Dual-Energy Computed Tomography (DECT). Aim: To compare the accuracy of DECT with biochemical analysis of postoperative stone samples. Materials and Methods: A cross-sectional study was conducted in the Department of Radiodiagnosis, Mysore Medical College and Research Institute, Mysore, Karnataka, India, between January 2020 to June 2021 on 35 patients who met the inclusion and exclusion criteria. All the patients underwent a non contrast DECT scan of the Kidneys, Ureters and Bladder (KUB) on a 128-slice twin beam single-source DECT scanner. The stone composition was determined using pre-programmed software and was correlated with biochemical analysis. Proportions were compared using chi-square test of significance. The sensitivity and specificity of DECT was determined. Results: Amongst the total 35 patients (mean age of 45.7±14.89 years, 23 patients males and 12 patients females) and 36 calculi analysed, The most frequently encountered calculus in the urinary tract was calcium oxalate n=24 (66.7%). The second most common calculus was Uric Acid (UA) n=5 (13.9%). The DECT findings regarding chemical composition of calculus were confirmed by Fourier Transformation Infrared Spectroscopy (FTIRS). The mean Dual-Energy (DE) ratio for oxalate, UA, hydroxyapatite, cystine and mixed stones was found to be 1.18, 1.01, 1.39, 1.09 and 1.11, respectively. DECT was found to be highly sensitive and specific in the diagnosis of calculi composition based on their DE ratio. It was found to be 95.8% sensitive and 100% specific for differentiating calcium oxalate stones from non oxalate stones and 100% sensitive and 96.8% specific for differentiating UA stones from non UA stones. Conclusion: DECT has high diagnostic accuracy in the pre- operative determination of urinary calculus composition which will guide in management, as UA stones are open to medical therapy while most of the non UA stones need surgical intervention.
{"title":"Evaluation of Renal/Ureteric Calculus Composition using Dual-Energy Computed Tomography: A Cross-sectional Study","authors":"Sriviruthi Baskararaj, M. Narayana, HS Prakash, H. Naganna, V. Gowda","doi":"10.7860/ijars/2023/58851.2873","DOIUrl":"https://doi.org/10.7860/ijars/2023/58851.2873","url":null,"abstract":"Introduction: Urolithiasis is a commonly encountered health problem, and knowledge of the chemical composition of stones is crucial in deciding the management approach and preventing recurrence. Pre-operative assessment of stone composition has become possible after the introduction of Dual-Energy Computed Tomography (DECT). Aim: To compare the accuracy of DECT with biochemical analysis of postoperative stone samples. Materials and Methods: A cross-sectional study was conducted in the Department of Radiodiagnosis, Mysore Medical College and Research Institute, Mysore, Karnataka, India, between January 2020 to June 2021 on 35 patients who met the inclusion and exclusion criteria. All the patients underwent a non contrast DECT scan of the Kidneys, Ureters and Bladder (KUB) on a 128-slice twin beam single-source DECT scanner. The stone composition was determined using pre-programmed software and was correlated with biochemical analysis. Proportions were compared using chi-square test of significance. The sensitivity and specificity of DECT was determined. Results: Amongst the total 35 patients (mean age of 45.7±14.89 years, 23 patients males and 12 patients females) and 36 calculi analysed, The most frequently encountered calculus in the urinary tract was calcium oxalate n=24 (66.7%). The second most common calculus was Uric Acid (UA) n=5 (13.9%). The DECT findings regarding chemical composition of calculus were confirmed by Fourier Transformation Infrared Spectroscopy (FTIRS). The mean Dual-Energy (DE) ratio for oxalate, UA, hydroxyapatite, cystine and mixed stones was found to be 1.18, 1.01, 1.39, 1.09 and 1.11, respectively. DECT was found to be highly sensitive and specific in the diagnosis of calculi composition based on their DE ratio. It was found to be 95.8% sensitive and 100% specific for differentiating calcium oxalate stones from non oxalate stones and 100% sensitive and 96.8% specific for differentiating UA stones from non UA stones. Conclusion: DECT has high diagnostic accuracy in the pre- operative determination of urinary calculus composition which will guide in management, as UA stones are open to medical therapy while most of the non UA stones need surgical intervention.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71263630","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/2023/59108.2877
HM Dhruva, S. Gopal, T. Narayanswamy
Introduction: Procalcitonin (PCT), is an amino acid protein precursor of calcitonin hormone, which is released by thyroid parafollicular cells or other body cells. Procalcitonin alone or along with other biomarkers of infection such as erythrocyte sedimentation rate( ESR) and C-reactive protein (CRP) can be used as a marker for diagnosing diabetic foot infection. Aim: To determine the effectiveness of PCT, as a marker for infected Diabetic Foot Ulcer (DFU) in comparison with other inflammatory markers such as CRP, White Blood Cell count (WBC), and ESR. Materials and Methods: This case-control study was conducted at Department of General Surgery, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India from January 2018 to December 2018. Total 90 patients were classified into three groups with 30 patients in each group: group I had patients with diabetes but without foot ulcers while group II patients having Non infected DFU (NIDFU) and group III patients having Infected Diabetic Foot Ulcer (IDFU) served as cases. The parameters assessed were demographic data, blood pressure, Body Mass Index (BMI), diabetic complications like nephropathy, retinopathy and myocardial ischaemia and inflammatory markers. Results: The mean age in group I was 46.9±5.11 years., group II was 47.8±6.65 years and in group III was 49.3±7.83 years. The gender distribution were group I (male 19, female 11), group II (male 13, female 17), group III (male 14, female 16). Serum PCT levels were 1.43±0.52 ng/mL in group III versus 0.18±0.17 ng/mL and 0.08±0.05 ng/mL in group II and group I respectively, with a significant p-value of 0.001. The PCT levels was significantly higher in patients with IDFU compared with the traditional markers like CRP (53.8±16.4 mg/dL, p-value=0.001), ESR (49.0±9.24 mm/hr, p-value=0.034) and WBC (10.2±3.18×109 / dL, p-value=0.014). Conclusion: It was concluded that PCT, as a vital biochemical parameter, has an significant role to diagnose the infection in DFU as compared to CRP, WBC count and ESR.
{"title":"Effectiveness of Procalcitonin as a Diagnostic Marker vs Other Inflammatory Markers in Infected Diabetic Foot Ulcers: A Case-control Study","authors":"HM Dhruva, S. Gopal, T. Narayanswamy","doi":"10.7860/ijars/2023/59108.2877","DOIUrl":"https://doi.org/10.7860/ijars/2023/59108.2877","url":null,"abstract":"Introduction: Procalcitonin (PCT), is an amino acid protein precursor of calcitonin hormone, which is released by thyroid parafollicular cells or other body cells. Procalcitonin alone or along with other biomarkers of infection such as erythrocyte sedimentation rate( ESR) and C-reactive protein (CRP) can be used as a marker for diagnosing diabetic foot infection. Aim: To determine the effectiveness of PCT, as a marker for infected Diabetic Foot Ulcer (DFU) in comparison with other inflammatory markers such as CRP, White Blood Cell count (WBC), and ESR. Materials and Methods: This case-control study was conducted at Department of General Surgery, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India from January 2018 to December 2018. Total 90 patients were classified into three groups with 30 patients in each group: group I had patients with diabetes but without foot ulcers while group II patients having Non infected DFU (NIDFU) and group III patients having Infected Diabetic Foot Ulcer (IDFU) served as cases. The parameters assessed were demographic data, blood pressure, Body Mass Index (BMI), diabetic complications like nephropathy, retinopathy and myocardial ischaemia and inflammatory markers. Results: The mean age in group I was 46.9±5.11 years., group II was 47.8±6.65 years and in group III was 49.3±7.83 years. The gender distribution were group I (male 19, female 11), group II (male 13, female 17), group III (male 14, female 16). Serum PCT levels were 1.43±0.52 ng/mL in group III versus 0.18±0.17 ng/mL and 0.08±0.05 ng/mL in group II and group I respectively, with a significant p-value of 0.001. The PCT levels was significantly higher in patients with IDFU compared with the traditional markers like CRP (53.8±16.4 mg/dL, p-value=0.001), ESR (49.0±9.24 mm/hr, p-value=0.034) and WBC (10.2±3.18×109 / dL, p-value=0.014). Conclusion: It was concluded that PCT, as a vital biochemical parameter, has an significant role to diagnose the infection in DFU as compared to CRP, WBC count and ESR.","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":"71263862","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/2023/57762.2872
T. Latha, Niveditha Samala, Primala Sirikonda
Introduction: The recent Coronavirus Disease (COVID) pandemic disturbed the medical education and training all over the world. Online education program is increasing rapidly, and the faculty need to be more competent for better student outcome. Faculty may be reluctant to embrace different forms of online teaching due to fear of change, concerns about reliability of technology, skepticism about outcome. Aim: To determine the perceptions of medical faculty about online teaching during pandemic and to identify the barriers faced by them. Materials and Methods: It was a cross sectional study , carried out at Osmania Medical College, Hyderabad, Telangana, India, between March 2021 to August 2021. The faculty involved in regular online teaching, were given pre- validated questionnaire consisting of 15 questions through Google forms . A Total of 80 faculty members responded to the questionnaire. The data was entered in Microsoft Excel and responses were recorded in terms of frequency and percentages. Results: Amongst the total 80 participants of the study, it was observed that 74 (92.5%) felt that technical training is needed prior to online teaching, 70 (87.5%) agree that absence of face to face interaction with students is a disadvantage of online teaching and 60 (75%) disagree that online teaching can replace traditional teaching in future. Conclusion: Online teaching demands more technical training for medical faculty. There is more apprehension and anxiety in faculty members towards technical issues and more time is required for online class preparation.
{"title":"Perception of Medical Faculty about Online Teaching During COVID-19 Pandemic, Telangana, India: A Cross-sectional Study","authors":"T. Latha, Niveditha Samala, Primala Sirikonda","doi":"10.7860/ijars/2023/57762.2872","DOIUrl":"https://doi.org/10.7860/ijars/2023/57762.2872","url":null,"abstract":"Introduction: The recent Coronavirus Disease (COVID) pandemic disturbed the medical education and training all over the world. Online education program is increasing rapidly, and the faculty need to be more competent for better student outcome. Faculty may be reluctant to embrace different forms of online teaching due to fear of change, concerns about reliability of technology, skepticism about outcome. Aim: To determine the perceptions of medical faculty about online teaching during pandemic and to identify the barriers faced by them. Materials and Methods: It was a cross sectional study , carried out at Osmania Medical College, Hyderabad, Telangana, India, between March 2021 to August 2021. The faculty involved in regular online teaching, were given pre- validated questionnaire consisting of 15 questions through Google forms . A Total of 80 faculty members responded to the questionnaire. The data was entered in Microsoft Excel and responses were recorded in terms of frequency and percentages. Results: Amongst the total 80 participants of the study, it was observed that 74 (92.5%) felt that technical training is needed prior to online teaching, 70 (87.5%) agree that absence of face to face interaction with students is a disadvantage of online teaching and 60 (75%) disagree that online teaching can replace traditional teaching in future. Conclusion: Online teaching demands more technical training for medical faculty. There is more apprehension and anxiety in faculty members towards technical issues and more time is required for online class preparation.","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":"71263886","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/2023/60335.2908
Roma Patel, Meghana Joshi, Jagdish S. Soni, V. Vaniya
Introduction: The biceps brachii muscle takes its name from its two proximally attached ‘heads’. On rare occasions, an anomalous third head arises from the superomedial part of the brachialis and is attached to the bicipital aponeurosis and the medial side of the tendon of insertion. The slip frequently descends in front of and behind the brachial artery and often causes compression of the median nerve or brachial artery. Aim: To calculate incidence of the supernumerary third head of the biceps brachii along with its anatomical and morphological variations to establish its clinical significance. Materials and Methods: The observational study was conducted in Department of Anatomy, Dr. Kiran C Patel Medical College and Research Institute, Bharuch, Gujarat, India, from October 2021 to September 2022. It included 32 cadaveric upper limbs- 16 right-sided and 16 left-sided. The morphometric measurements were done with the use of digital vernier caliper. The findings were photographed and recorded. The mean and standard deviation deviation were hereby presented and analysed by Statistical Package for Social Sciences (SPSS) version 19.0. Results: The biceps brachii was constituted of supernumerary third head in three (9.375%) limbs, one on the right and two on the left-side. In all cases, third head arose from the anteromedial aspect of the mid-humeral shaft; medial to the brachialis and inserted together with the other two heads of the biceps into bicipital aponeurosis and radial tuberosity. The mean length and mean width of the supernumerary head was measured as 141.16±43.63 mm, 25.22±4.99 mm, respectively. A significant difference was not found when compared for symmetrical sides. Conclusion: Three specimens of upper limb were observed with distinct occurrence for the third head with the incidence of 9.37% and predominance on the left-side. In case of various arm surgical procedures knowledge can be used to avoid injuries.
简介:肱二头肌因其近端连接的两个“头”而得名。在极少数情况下，异常的第三头起源于肱肌的上内侧部分并附着于肱二头肌腱膜和止点肌腱的内侧。滑脱常发生在肱动脉的前后，常压迫正中神经或肱动脉。目的:计算肱二头肌多余第三头的发生率及其解剖形态学变化，探讨其临床意义。材料和方法:观察性研究于2021年10月至2022年9月在印度古吉拉特邦巴鲁克Kiran C Patel博士医学院和研究所解剖学系进行。它包括32具尸体上肢- 16具右侧和16具左侧。使用数字游标卡尺进行形态测量。这些发现被拍摄下来并记录下来。本文采用SPSS 19.0版统计软件包(Statistical Package for Social Sciences)对均数和标准差进行分析。结果:肱二头肌为三肢多余第三头(9.375%)，一肢在右侧，二肢在左侧。在所有病例中，第三头起源于肱骨中干的前内侧;在肱肌内侧与二头肌的另外两个头一起插入二头肌腱膜和桡骨粗隆。余头平均长141.16±43.63 mm，平均宽25.22±4.99 mm。当比较对称侧时，没有发现显着差异。结论:上肢3例，第3头发病明显，发生率为9.37%，以左侧发病为主。在各种手臂外科手术的情况下，知识可以用来避免受伤。
{"title":"Anatomical and Morphological Variations in Supernumerary Third Head of Biceps Brachii Muscle in Human Cadavers and its Clinical Significance","authors":"Roma Patel, Meghana Joshi, Jagdish S. Soni, V. Vaniya","doi":"10.7860/ijars/2023/60335.2908","DOIUrl":"https://doi.org/10.7860/ijars/2023/60335.2908","url":null,"abstract":"Introduction: The biceps brachii muscle takes its name from its two proximally attached ‘heads’. On rare occasions, an anomalous third head arises from the superomedial part of the brachialis and is attached to the bicipital aponeurosis and the medial side of the tendon of insertion. The slip frequently descends in front of and behind the brachial artery and often causes compression of the median nerve or brachial artery. Aim: To calculate incidence of the supernumerary third head of the biceps brachii along with its anatomical and morphological variations to establish its clinical significance. Materials and Methods: The observational study was conducted in Department of Anatomy, Dr. Kiran C Patel Medical College and Research Institute, Bharuch, Gujarat, India, from October 2021 to September 2022. It included 32 cadaveric upper limbs- 16 right-sided and 16 left-sided. The morphometric measurements were done with the use of digital vernier caliper. The findings were photographed and recorded. The mean and standard deviation deviation were hereby presented and analysed by Statistical Package for Social Sciences (SPSS) version 19.0. Results: The biceps brachii was constituted of supernumerary third head in three (9.375%) limbs, one on the right and two on the left-side. In all cases, third head arose from the anteromedial aspect of the mid-humeral shaft; medial to the brachialis and inserted together with the other two heads of the biceps into bicipital aponeurosis and radial tuberosity. The mean length and mean width of the supernumerary head was measured as 141.16±43.63 mm, 25.22±4.99 mm, respectively. A significant difference was not found when compared for symmetrical sides. Conclusion: Three specimens of upper limb were observed with distinct occurrence for the third head with the incidence of 9.37% and predominance on the left-side. In case of various arm surgical procedures knowledge can be used to avoid injuries.","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":"71264193","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/2023/62677.2902
Anand Sharma, A. Meena, A. Sharma, Yash Madnani
Introduction: Chronic Subdural Haematoma (CSDH) is a condition with a collection of liquefied blood in the subdural space, which usually develops at least three weeks after an injury. Endoscopic evacuation of CSDH is a minimally invasive technique that has been shown to be effective in reducing the need for surgical dissection. Aim: To evaluate the outcome of endoscopic evacuation for CSDH. Materials and Methods: This retrospective study was conducted at the Department of Neurosurgery, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India and its affiliated hospitals from January 2021 to December 2022. All patients with CSDH on non contrast CT were included, except those with incomplete records, organised CSDH, secondary CSDH within six months of neurosurgery or meningitis, and those with an injury-to-procedure interval of less than 15 days. At admission, socio-demographic data (age, gender), clinical variables (headache, forgetfulness, hemiparesis, giddiness, speech difficulties), and co-morbidities were recorded. Pre and post-assessment were done by Glasgow Coma Scale (GCS). Descriptive statistics was used and results were expressed in terms of frequency and percentages. Results: A total of 20 patients with unilateral CSDH (predominantly on the left-side) were included, among which 16 were males and 4 females with a mean age of 64.45 years. The most common presenting complaints were headaches, forgetfulness, and unilateral weakness. Most patients had a GCS score of 14-15, and four had co-morbidities such as diabetes and hypertension. No brain tissue injury was observed during the endoscopic evacuation, and all patients achieved complete recovery (GCS score: 15) without any recurrence, infection, fresh bleeding, or brain or membrane injury. Rapid brain expansion occurred in 16 patients; Subdural Drains (SDD) was kept for five days in four patients. Conclusion: Endoscopic evacuation of CSDH is a safe and effective technique for improving clot removal and reducing the recurrence rate.
{"title":"Outcome of Endoscopic Management of Chronic Subdural Haematoma: A Retrospective Study","authors":"Anand Sharma, A. Meena, A. Sharma, Yash Madnani","doi":"10.7860/ijars/2023/62677.2902","DOIUrl":"https://doi.org/10.7860/ijars/2023/62677.2902","url":null,"abstract":"Introduction: Chronic Subdural Haematoma (CSDH) is a condition with a collection of liquefied blood in the subdural space, which usually develops at least three weeks after an injury. Endoscopic evacuation of CSDH is a minimally invasive technique that has been shown to be effective in reducing the need for surgical dissection. Aim: To evaluate the outcome of endoscopic evacuation for CSDH. Materials and Methods: This retrospective study was conducted at the Department of Neurosurgery, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India and its affiliated hospitals from January 2021 to December 2022. All patients with CSDH on non contrast CT were included, except those with incomplete records, organised CSDH, secondary CSDH within six months of neurosurgery or meningitis, and those with an injury-to-procedure interval of less than 15 days. At admission, socio-demographic data (age, gender), clinical variables (headache, forgetfulness, hemiparesis, giddiness, speech difficulties), and co-morbidities were recorded. Pre and post-assessment were done by Glasgow Coma Scale (GCS). Descriptive statistics was used and results were expressed in terms of frequency and percentages. Results: A total of 20 patients with unilateral CSDH (predominantly on the left-side) were included, among which 16 were males and 4 females with a mean age of 64.45 years. The most common presenting complaints were headaches, forgetfulness, and unilateral weakness. Most patients had a GCS score of 14-15, and four had co-morbidities such as diabetes and hypertension. No brain tissue injury was observed during the endoscopic evacuation, and all patients achieved complete recovery (GCS score: 15) without any recurrence, infection, fresh bleeding, or brain or membrane injury. Rapid brain expansion occurred in 16 patients; Subdural Drains (SDD) was kept for five days in four patients. Conclusion: Endoscopic evacuation of CSDH is a safe and effective technique for improving clot removal and reducing the recurrence rate.","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":"71264689","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/2023/65547.2924
Yashvir Mathur, Roma Rai, Milind Sawant, Rohit Aggarwal
Introduction: The length of the Styloid Process (SP) has been a subject of research since Eagle's case report on a syndrome characterised by symptoms related to a painful elongated SP. Various modalities including orthopantomogram, digital radiography, cadaveric measurements, and Multidetector Computerised Tomography (MDCT) scanning have been used to study SP length. The present study aims to determine the normal SP length in the Indian population, specifically among armed forces personnel, using MDCT scans. Aim: To measure the SP length in the Indian population using MDCT scans and establish a cut-off length to define elongation. Materials and Methods: A single centre cross-sectional study was conducted at the Department of Radiology, Command Hospital Pune, Maharashtra, India from January 2023 to March 2023. The SP length was measured in 402 patients referred for CT scans of the head and Paranasal Sinus (PNS), utilising 3D Multiplanar Reformation (MPR), curved reformat, and volume rendering techniques. The patients were divided into six age groups: Group I (<20 years), Group II (21 to 30 years), Group III (31 to 40 years), Group IV (41 to 50 years), Group V (51-60 years), and Group VI (>60 years). Statistical analysis was performed using the Statistical Package for Social Sciences (SPSS) Version 28.0, and significance was set at p-value <0.05. Results: Among the 402 patients, 210 were males, and 192 were females, with a mean age of 43.8±16.7 years. The mean SP length across all patients was 23.24±3.92 mm. The mean length was 23.74±4.50 mm on the right side and 22.74±3.72 mm on the left side, with no statistically significant difference between them (p-value=0.058). There was a significant gender difference, with males having a mean length of 23.67±4.12 mm and females 22.77±3.64 mm (p-value=0.011). The SP length increased significantly with age, demonstrating a notable difference between age groups. The upper limit of normal (90th percentile) ranged from 25.74 mm for patients <20 years to 28.91 mm for patients >60 years. Conclusion: A statistically significant difference in SP length was observed between genders, with a significant increase in length with age. In the Indian population, an SP length greater than 28 mm should be considered elongated.
{"title":"Evaluation of Styloid Process Length using Multidetector Computed Tomography Scan in Indian Population: A Cross-sectional Study","authors":"Yashvir Mathur, Roma Rai, Milind Sawant, Rohit Aggarwal","doi":"10.7860/ijars/2023/65547.2924","DOIUrl":"https://doi.org/10.7860/ijars/2023/65547.2924","url":null,"abstract":"Introduction: The length of the Styloid Process (SP) has been a subject of research since Eagle's case report on a syndrome characterised by symptoms related to a painful elongated SP. Various modalities including orthopantomogram, digital radiography, cadaveric measurements, and Multidetector Computerised Tomography (MDCT) scanning have been used to study SP length. The present study aims to determine the normal SP length in the Indian population, specifically among armed forces personnel, using MDCT scans. Aim: To measure the SP length in the Indian population using MDCT scans and establish a cut-off length to define elongation. Materials and Methods: A single centre cross-sectional study was conducted at the Department of Radiology, Command Hospital Pune, Maharashtra, India from January 2023 to March 2023. The SP length was measured in 402 patients referred for CT scans of the head and Paranasal Sinus (PNS), utilising 3D Multiplanar Reformation (MPR), curved reformat, and volume rendering techniques. The patients were divided into six age groups: Group I (<20 years), Group II (21 to 30 years), Group III (31 to 40 years), Group IV (41 to 50 years), Group V (51-60 years), and Group VI (>60 years). Statistical analysis was performed using the Statistical Package for Social Sciences (SPSS) Version 28.0, and significance was set at p-value <0.05. Results: Among the 402 patients, 210 were males, and 192 were females, with a mean age of 43.8±16.7 years. The mean SP length across all patients was 23.24±3.92 mm. The mean length was 23.74±4.50 mm on the right side and 22.74±3.72 mm on the left side, with no statistically significant difference between them (p-value=0.058). There was a significant gender difference, with males having a mean length of 23.67±4.12 mm and females 22.77±3.64 mm (p-value=0.011). The SP length increased significantly with age, demonstrating a notable difference between age groups. The upper limit of normal (90th percentile) ranged from 25.74 mm for patients <20 years to 28.91 mm for patients >60 years. Conclusion: A statistically significant difference in SP length was observed between genders, with a significant increase in length with age. In the Indian population, an SP length greater than 28 mm should be considered elongated.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"121 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":"135311732","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/2023/64554.2921
J Sasi Kumar, Y Anil Reddy, N Ramamurthy, Sagar Mahavir Soitkar, Ch Vamseedhar Reddy, Rahul Sharma, Nishanth Mydam, Jagdishwar Addepalli
Introduction: Percutaneous Nephrolithotomy (PCNL) is the preferred method for treating large or complex renal calculi. Despite positive results and apparent benefits over the prone position, there are few randomised trials comparing the supine and prone positions. Aim: To evaluate the effectiveness of PCNL in prone and supine positions in terms of operative time, stone-free rate, hospital stay, postoperative complications, and the level of haemoglobin drop. Materials and Methods: The study was conducted from December 2020 to December 2022, at the Department of Urology, Mamata Medical College in Khammam, Telangana, India. Patients with renal stones diagnosed by Non-Contrast Computed Tomography (NCCT) Kidney Ureter Bladder (KUB) and meeting the inclusion criteria were enrolled. Patient demographic data, operative time, stone-free rate, haemoglobin level drop, postoperative fever, and hospital stay in prone and supine positions were recorded. Statistical tests like chi-square or Fisher-exact test were used to compare proportions, and the student t-test was used to compare means. Results: The overall operative time was 79.50 minutes in the prone group and 66.78 minutes in the supine group (p=0.0213). The average hospital stay was 2.68 days in the prone group and 2.72 days in the supine group (p=0.2432). Fall in haemoglobin levels, size of stones extracted, and stone-free rate at three months between the two groups (p>0.05) showed insignificant relation. Furthermore, there was no significant difference in complications between the two groups (p>0.05). Conclusion: PCNL performed with the patient in the supine position requires significantly less time during surgery. There was no significant difference in terms of stone-free rate, hospital stay, fall in haemoglobin levels, and complications between the supine and prone groups.
导读:经皮肾镜取石术(PCNL)是治疗大型或复杂肾结石的首选方法。尽管有积极的结果和明显的好处，但很少有随机试验比较仰卧位和俯卧位。目的:从手术时间、结石清除率、住院时间、术后并发症及血红蛋白下降水平等方面评价PCNL在俯卧位和仰卧位的疗效。材料和方法:该研究于2020年12月至2022年12月在印度特伦加纳邦Khammam的Mamata医学院泌尿科进行。经非对比计算机断层扫描(NCCT)诊断为肾结石的患者，符合入选标准。记录患者人口学资料、手术时间、结石清除率、血红蛋白水平下降、术后发热、俯卧位和仰卧位住院时间。使用卡方检验或费雪精确检验等统计检验来比较比例，使用学生t检验来比较均值。结果:俯卧位组手术总时间79.50 min，仰卧位组手术总时间66.78 min (p=0.0213)。俯卧位组平均住院时间2.68 d，仰卧位组平均住院时间2.72 d (p=0.2432)。两组在3个月时血红蛋白水平下降、结石取出大小和结石去除率差异无统计学意义(p>0.05)。两组并发症发生率比较，差异无统计学意义(p>0.05)。结论:采用仰卧位进行PCNL，手术时间明显缩短。仰卧位组和俯卧位组在无结石率、住院时间、血红蛋白水平下降和并发症方面没有显著差异。
{"title":"Evaluation of the Effectiveness of Percutaneous Nephrolithotomy in Supine and Prone Positions: A Prospective Interventional Study from Telangana, India","authors":"J Sasi Kumar, Y Anil Reddy, N Ramamurthy, Sagar Mahavir Soitkar, Ch Vamseedhar Reddy, Rahul Sharma, Nishanth Mydam, Jagdishwar Addepalli","doi":"10.7860/ijars/2023/64554.2921","DOIUrl":"https://doi.org/10.7860/ijars/2023/64554.2921","url":null,"abstract":"Introduction: Percutaneous Nephrolithotomy (PCNL) is the preferred method for treating large or complex renal calculi. Despite positive results and apparent benefits over the prone position, there are few randomised trials comparing the supine and prone positions. Aim: To evaluate the effectiveness of PCNL in prone and supine positions in terms of operative time, stone-free rate, hospital stay, postoperative complications, and the level of haemoglobin drop. Materials and Methods: The study was conducted from December 2020 to December 2022, at the Department of Urology, Mamata Medical College in Khammam, Telangana, India. Patients with renal stones diagnosed by Non-Contrast Computed Tomography (NCCT) Kidney Ureter Bladder (KUB) and meeting the inclusion criteria were enrolled. Patient demographic data, operative time, stone-free rate, haemoglobin level drop, postoperative fever, and hospital stay in prone and supine positions were recorded. Statistical tests like chi-square or Fisher-exact test were used to compare proportions, and the student t-test was used to compare means. Results: The overall operative time was 79.50 minutes in the prone group and 66.78 minutes in the supine group (p=0.0213). The average hospital stay was 2.68 days in the prone group and 2.72 days in the supine group (p=0.2432). Fall in haemoglobin levels, size of stones extracted, and stone-free rate at three months between the two groups (p>0.05) showed insignificant relation. Furthermore, there was no significant difference in complications between the two groups (p>0.05). Conclusion: PCNL performed with the patient in the supine position requires significantly less time during surgery. There was no significant difference in terms of stone-free rate, hospital stay, fall in haemoglobin levels, and complications between the supine and prone groups.","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":"135446419","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/2023/63780.2920
Mounish Raj Nagula, Yash Rohatgi, Abhijit Joshi
Introduction: The Minimally Invasive Procedure for Haemorrhoids (MIPH), also known as Stapled Haemorrhoidopexy (SH), has gained significant recognition and praise within the surgical community due to its speed and minimal postoperative pain. It was initially believed to have superior postoperative outcomes, resulting in reduced morbidity and mortality rates compared to traditional procedures. However, long-term follow-up data has now revealed previously undocumented sequelae and complications associated with SH. Aim: To share authors’ experience with SH, including patient demographics, operative details, recurrence rates, and postoperative complications, in a tertiary corporate teaching hospital. Materials and Methods: The present retrospective observational study was conducted at the Department of General Surgery and Advanced Laparoscopic Surgery, Dr. LH Hiranandani Hospital, Powai, Mumbai, Maharashtra, India. The study utilised data from the outcomes of SH performed by a single surgeon for Grade II and III haemorrhoids over a 15-year period, from December 2007 to December 2022. Data was extracted from the hospital’s Electronic Medical Records (EMR) and supplemented with information obtained through a telephonic questionnaire. A standard, prevalidated, semi-structured case record proforma was used for data collection. The parameters under study included donut completeness, haemorrhage, faecal urgency, urinary retention, anal stenosis, postoperative pain scores, return to work, and recurrence. Proportions, percentages, and means were calculated and reported for different groups. Results: A total of 245 patients were enrolled in the study. The average pain score at 12 hours postoperatively was 4, which decreased to 2 by day 10. Recurrent disease was observed in 16 patients (6%) at three months and in 24 patients (10%) at six months. Conclusion: The SH demonstrated advantages over conventional open surgery by causing significantly lower postoperative morbidity. However, its recurrence rates were slightly higher.
{"title":"Minimally Invasive Procedure for Haemorrhoids: A Retrospective Observational Study","authors":"Mounish Raj Nagula, Yash Rohatgi, Abhijit Joshi","doi":"10.7860/ijars/2023/63780.2920","DOIUrl":"https://doi.org/10.7860/ijars/2023/63780.2920","url":null,"abstract":"Introduction: The Minimally Invasive Procedure for Haemorrhoids (MIPH), also known as Stapled Haemorrhoidopexy (SH), has gained significant recognition and praise within the surgical community due to its speed and minimal postoperative pain. It was initially believed to have superior postoperative outcomes, resulting in reduced morbidity and mortality rates compared to traditional procedures. However, long-term follow-up data has now revealed previously undocumented sequelae and complications associated with SH. Aim: To share authors’ experience with SH, including patient demographics, operative details, recurrence rates, and postoperative complications, in a tertiary corporate teaching hospital. Materials and Methods: The present retrospective observational study was conducted at the Department of General Surgery and Advanced Laparoscopic Surgery, Dr. LH Hiranandani Hospital, Powai, Mumbai, Maharashtra, India. The study utilised data from the outcomes of SH performed by a single surgeon for Grade II and III haemorrhoids over a 15-year period, from December 2007 to December 2022. Data was extracted from the hospital’s Electronic Medical Records (EMR) and supplemented with information obtained through a telephonic questionnaire. A standard, prevalidated, semi-structured case record proforma was used for data collection. The parameters under study included donut completeness, haemorrhage, faecal urgency, urinary retention, anal stenosis, postoperative pain scores, return to work, and recurrence. Proportions, percentages, and means were calculated and reported for different groups. Results: A total of 245 patients were enrolled in the study. The average pain score at 12 hours postoperatively was 4, which decreased to 2 by day 10. Recurrent disease was observed in 16 patients (6%) at three months and in 24 patients (10%) at six months. Conclusion: The SH demonstrated advantages over conventional open surgery by causing significantly lower postoperative morbidity. However, its recurrence rates were slightly higher.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"22 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":"135446662","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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