International journal of contemporary surgery最新文献

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Intra-Peritoneal Bupivacaine Instillation for Post-Operative Pain Relief after Laparoscopic Cholecystectomy: A Prospective Study 腹膜内布比卡因灌注缓解腹腔镜胆囊切除术后疼痛:一项前瞻性研究
International journal of contemporary surgery Pub Date : 2019-07-17 DOI: 10.5958/2321-1024.2019.00033.3
S. Suma, M Vikranth Suresh, M. Nikhil, P N Sreeramulu
{"title":"Intra-Peritoneal Bupivacaine Instillation for Post-Operative Pain Relief after Laparoscopic Cholecystectomy: A Prospective Study","authors":"S. Suma, M Vikranth Suresh, M. Nikhil, P N Sreeramulu","doi":"10.5958/2321-1024.2019.00033.3","DOIUrl":"https://doi.org/10.5958/2321-1024.2019.00033.3","url":null,"abstract":"Background \u0000Pain relief remains milestone achievement ascribed to laparoscopic cholecystectomy. Post laparoscopic cholecystectomy patient still complains of port site/incisional pain, shoulder pain and vague upper abdominal pain. A simple method of portal or incisional infiltration and intra-peritoneal spraying of a local anesthetic agent over gall bladder fossa can reduce postoperative pain. \u0000Method \u0000This study was conducted to determine whether Bupivacaine wash at gall bladder fossa and infiltration of local anesthetic at trocar sites has any effect in postoperative pain relief. This prospective study was conducted on 68 patients, where 20 ml of normal saline wash was given in group A and 20ml of 0.25% bupivacaine wash was given in group B at the gall bladder fossa and in both the groups, the same local anesthetic was infiltrated at the port sites and the outcomes was studied. \u0000Results \u0000Pulse rate and blood pressure were significantly low in group B than group A. The median pain score was significantly low in group B than group A. Also, the total number of analgesic doses used in group B was significantly less than the group A. \u0000Conclusions \u0000Instillation at gall bladder fossa and infiltration to the port sites using 0.25% bupivacaine is an effective method of postoperative pain relief after laparoscopic cholecystectomy.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133888081","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}
引用次数: 3
Locking Versus Non-Locking Plate Fixation in the Management of Maxillofacial Fractures: A Prospective Comparative Study 锁定与非锁定钢板固定治疗颌面骨折:前瞻性比较研究
International journal of contemporary surgery Pub Date : 2019-07-17 DOI: 10.5958/2321-1024.2019.00017.5
N. Verma, N. Mann, Jaspreet Kaur, S. Gill
{"title":"Locking Versus Non-Locking Plate Fixation in the Management of Maxillofacial Fractures: A Prospective Comparative Study","authors":"N. Verma, N. Mann, Jaspreet Kaur, S. Gill","doi":"10.5958/2321-1024.2019.00017.5","DOIUrl":"https://doi.org/10.5958/2321-1024.2019.00017.5","url":null,"abstract":"Introduction \u0000Various methods of fixation have been advocated for the treatment of maxillofacial fractures. A new type of plating system, initially developed by Raveh et al. is locking plate/screw system. This system has various advantages over conventional non locking plating system like better stability, ease of plate adaptation, early restoration of function, internal locking system which decreases the chance of screw loosening and infection. \u0000Objectives \u0000A comparative evaluation of locking plates system versus conventional miniplates in maxillofacial fractures. \u0000Method \u0000Twenty patients presenting with maxillofacial fractures were treated with locking plates and conventional non locking plates in two years from 2014 to 2016. Ten patients were treated with locking plate system in group A and 10 patients with conventional non locking plates in group B. Patients were evaluated on clinical and radiographic parameters during three months follow up. \u0000Results \u0000Postoperative outcomes for both groups were extremely favorable with a relatively small number of complications. There was no case of postoperative wound dehiscence, infection, damage to tooth roots, plate exposure and plate removal, malunion and any other complication in both the groups. Postoperative occlusion disturbance was seen in 20% cases in both group A as well as group B in mandible fractures. In maxillary fractures postoperative occlusion disturbance was seen in one case (20%) in group B. \u0000Conclusion \u0000This study concluded that despite the significant theoretical advantages of locking system seen in biomechanical studies, no statistical significant results were found between these two systems. The postoperative outcomes for both groups were almost similar with a relatively small number of complications.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114298878","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}
引用次数: 0
Clinical Profile and Outcome of Diabetic Foot in a Tertiary Care Centre 三级保健中心糖尿病足的临床概况和结果
International journal of contemporary surgery Pub Date : 2019-07-17 DOI: 10.5958/2321-1024.2019.00016.3
Abhishek Gupta, S. Sharma, J. Sharma
{"title":"Clinical Profile and Outcome of Diabetic Foot in a Tertiary Care Centre","authors":"Abhishek Gupta, S. Sharma, J. Sharma","doi":"10.5958/2321-1024.2019.00016.3","DOIUrl":"https://doi.org/10.5958/2321-1024.2019.00016.3","url":null,"abstract":"Background \u0000This study attempted to determine the disease burden in terms of clinical profile and outcome of diabetic foot admissions at a tertiary care hospital in a developing country. \u0000Method \u0000This study was done in Department of Surgery at Shri Guru Ram Rai Institute of Medical and Health Sciences and Shri Mahant Indiresh Hospital, Dehradun. Duration of the study was 1 year. The demographic characteristic, type of foot lesion, etiology, isolated micro-organism, treatment, and outcome were reviewed. \u0000Results \u0000A total of 49 patient were diagnosed with Diabetic Foot. All patients had type 2 diabetes with no gender predominance. Majority of the patient were above age of 40 years and diabetes control was very poor. Before admission, the ulcers had already developed for 4.7 ± 2.9 weeks; however, the majority of patients were unaware of the preceding causes. More than 70% of ulcers were in Wagner gradeg3 with infection event in nearly all patients. The most common isolates from culture were Gram-negative bacteria. A total of 8 patient required lower extremity amputations (LEAs) at various level of the foot were carried out, including major LEA. \u0000Conclusions \u0000Diabetic foot problems constitute a source of morbidity, a reason for LEA surgery as well as being a cause of death among patients with diabetes mellitus","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114907806","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}
引用次数: 1
A Clinical Study of Management of Perforative Peritonitis and Its Surgical Outcome 穿孔性腹膜炎的治疗及手术效果的临床研究
International journal of contemporary surgery Pub Date : 2019-07-17 DOI: 10.5958/2321-1024.2019.00036.9
C ChandraKumarP, Venkatesh Kharalkar, B. Raghavendra
{"title":"A Clinical Study of Management of Perforative Peritonitis and Its Surgical Outcome","authors":"C ChandraKumarP, Venkatesh Kharalkar, B. Raghavendra","doi":"10.5958/2321-1024.2019.00036.9","DOIUrl":"https://doi.org/10.5958/2321-1024.2019.00036.9","url":null,"abstract":"Background \u0000Secondary peritonitis presents common life-threatening conditions associated with high mortality and morbidity. Management of perforative peritonitis poses significant challenges to the treating surgeons with respect to surgical outcome thereby demanding thorough evaluation and appropriate management in such cases. \u0000Objectives \u0000To study the clinical profile, management of perforative peritonitis and its surgical outcomes. \u0000Methodology \u0000A case series study of 513 patients with Perforative Peritonitis was studied in setting of tertiary care hospital in the department of general surgery at Vijayanagara Institute of Medical Sciences, Ballari, Karnataka during the period of June 2015 to January 2018. Among the selected patients the clinical profile, etiological profile and the surgical interventions were undertaken and the outcome were noted. Appropriate descriptive statistics were used to analyse the findings and to draw the inferences. \u0000Results \u0000There were 390 males and 123 females. The mean age of patients was 35.95 ± 24.87 years. Common cause of perforative peritonitis were acid peptic disease (35.7%), infectious disease (23%), trauma (13%) and malignancy (2.3%). Complication rate and mortality among the patients was 47.2% and 9.6% respectively. Elderly age, comorbid condition, infectious disease etiology and malignancy and site of perforation were the important determinants of mortality among the patients. \u0000Conclusion \u0000GI perforations are one of the most common surgical emergencies. Mortality depends on the age and general condition of the patient, associated pre-operative co-morbidities, site of perforation and etiology.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125921564","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}
引用次数: 2
Efficacy and Safety of Sarclav in the Treatment of Acute Otitis Media in Children 沙克拉夫治疗儿童急性中耳炎的疗效和安全性
International journal of contemporary surgery Pub Date : 2019-07-17 DOI: 10.5958/2321-1024.2019.00015.1
Abhayjeet Singh, Harsimrat Singh, Himani Singh
{"title":"Efficacy and Safety of Sarclav in the Treatment of Acute Otitis Media in Children","authors":"Abhayjeet Singh, Harsimrat Singh, Himani Singh","doi":"10.5958/2321-1024.2019.00015.1","DOIUrl":"https://doi.org/10.5958/2321-1024.2019.00015.1","url":null,"abstract":"Background \u0000Acute otitis media (AOM) is a community-acquired respiratory tract infection in childhood frequently encountered by primary-care physicians and can cause a significant morbidity. Increasing bacterial resistance has led to concern about the current options for empirical antibiotic treatment and has prompted a search for effective treatments. \u0000Objectives \u0000To evaluate the clinical efficacy and safety of Sarclav (cefpodoxime proxetil) in the treatment of children with acute otitis media. \u0000Patients and Method \u0000A prospective, multicenter study was conducted on 1380 children aged from 1 to 13 years with AOM who were prescribed a 5–10 day course of Sarclav (cefpodoxime proxetil) (8 mg/kg/day). Patients were followed-up after 7–14 days from baseline visit. Efficacy was assessed by the percentage of patients with clinical cure, improvement or failure at the follow-up visit. Safety was evaluated by recording the occurrence and severity of any adverse events and by the physicians’ and patients’ assessment of overall tolerability. \u0000Results \u0000Clinically, 82.5% of patients were cured, 16.4% were improved and there was failure of therapy in 1.1% of the patients. The overall combined cure and improvement rate of all related signs and symptoms was 98.9%. Adverse events, diarrhea and skin rash, were reported by only 16 patients (1.2%). The overall tolerability according to the physicians’ and patients’ assessment was excellent in 93.9% and 88.9%, respectively. Compliance was attained in 99.5% of patients. \u0000Conclusion \u0000Sarclav (cefpodoxime proxetil) is an effective, safe, well-tolerated antimicrobial agent for treatment of acute otitis media in children. It can be considered as an excellent choice for the empirical treatment of bacterial AOM.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115647166","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}
引用次数: 0
Assessing Pressure Ulcer Knowledge of General and Orthopedic Surgical Residents Using the Pieper Pressure Ulcer Knowledge Test 使用Pieper压疮知识测试评估普通外科和骨科住院医师的压疮知识
International journal of contemporary surgery Pub Date : 2019-07-17 DOI: 10.5958/2321-1024.2019.00027.8
S. Mishra, S. Mahmood
{"title":"Assessing Pressure Ulcer Knowledge of General and Orthopedic Surgical Residents Using the Pieper Pressure Ulcer Knowledge Test","authors":"S. Mishra, S. Mahmood","doi":"10.5958/2321-1024.2019.00027.8","DOIUrl":"https://doi.org/10.5958/2321-1024.2019.00027.8","url":null,"abstract":"Objective \u0000To determine the knowledge of postgraduate and non-postgraduate general and orthopedic surgical residents regarding pressure ulcer (PU) prevention, staging and wound description. \u0000Study Design \u0000Cross sectional, descriptive survey. \u0000Place and Duration of Study \u0000Six major tertiary care hospitals in India, from Sep-2018 to Nov-2018. \u0000Methodology \u0000All consenting postgraduate and non-postgraduate general and orthopedic surgical residents were included in the study using convenience sampling. An adapted version of Pressure Ulcer Knowledge Test (PUKT) comprising of 47-true/false items was used as a research tool. For every correct response, 1 point was awarded. Whereas, an incorrect or NK response was scored as 0. All the data was entered and analyzed using SPSS version 21. \u0000Results \u0000A total of 126 trainees comprising 120 (95.23%) males and 6 (4.76%) females participated in the study. The average PUKT score obtained by the surgical residents was 30.2+3.7 (65.65%), thus indicating a “low” level of knowledge. \u0000Conclusion \u0000The current levels of knowledge regarding PU prevention among the surgical residents in our study was “low”. The authors recommend continuous education for PU prevention in a hospital care setting.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134538414","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}
引用次数: 1
Morbidity Pattren in Patients of Ileostomy: An Observational Study 回肠造口患者的发病率模式:一项观察性研究
International journal of contemporary surgery Pub Date : 2019-07-17 DOI: 10.5958/2321-1024.2019.00024.2
Rao Aftab Alam, P. Singhal, Anurag Bijalwan, Syed Altamash
{"title":"Morbidity Pattren in Patients of Ileostomy: An Observational Study","authors":"Rao Aftab Alam, P. Singhal, Anurag Bijalwan, Syed Altamash","doi":"10.5958/2321-1024.2019.00024.2","DOIUrl":"https://doi.org/10.5958/2321-1024.2019.00024.2","url":null,"abstract":"Introduction \u0000An ileostomy is an opening constructed between the small intestine and the abdominal wall usually by using distal ileum but sometimes more proximal small intestine. It is a lifesaving surgery that enables the individuals with co-morbidities to recover from the acute stress of a major surgery. An ileostomy may be permanent or temporary depending upon the reason for surgery. An ileostomy is associated with multiple morbidities. \u0000Aims & Objectives \u0000To study the morbidity in patients with ileostomy. \u0000Material and Method \u0000The present study was a prospective and descriptive study which was conducted on patients admitted in general surgery department of Shri Guru Ram Rai Institute of Medical and Health Sciences in patients who underwent ileostomy as a part of abdominal surgery. Total number of 50 patients were studied. The parameters studied were site of ileostomy, dermatitis, abdominal pain, stomal complications, odour, wound infection, nutritional status, anaemia, diarrhoea, electrolyte imbalance and psychological problems at 2wk, 1mth, 2mth, 3mth post-operative period. \u0000Conclusion \u0000The study shows significant morbidity like electrolyte abnormalities (52%), skin problems(32%), stoma diarrhoea(54%), psychosocial disturbances(50%) in first 2 week post surgery. It also shows that Typhoid and tubercular pathology is the commonest indication for loop ileostomy. It is of paramount importance that ileostomies are properly sited, improper siting may increase the incidence of dermatitis, leakage, foul odour and other complications. Whenever possible ileostomy should not be located too proximal to the terminal ileum, to avoid high output, electrolyte abnormalities and malnutrition. Despite of ileostomy, proper care of peristomal skin, nutritional status, taking food with high residue and proteins, electrolyte and fluid requirements of patients can be managed and can lead to near normal life style of patient.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134214068","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}
引用次数: 0
Incidence of Differentiated Thyroid Carcinoma in Multinodular Goitre Patients in Western UP 中国西部多结节性甲状腺肿分化型甲状腺癌的发病率分析
International journal of contemporary surgery Pub Date : 2019-07-17 DOI: 10.5958/2321-1024.2019.00034.5
Y. Kumar, V. R. Singh, Sushil Gaur
{"title":"Incidence of Differentiated Thyroid Carcinoma in Multinodular Goitre Patients in Western UP","authors":"Y. Kumar, V. R. Singh, Sushil Gaur","doi":"10.5958/2321-1024.2019.00034.5","DOIUrl":"https://doi.org/10.5958/2321-1024.2019.00034.5","url":null,"abstract":"Background \u0000The prevalence of multinodular goitre in all over the world is high, commonly in developing countries. Incidence of differentiated thyroid carcinoma among patients with multinodular goitre is increased in recent literature. \u0000Aim of Study \u0000To determine the incidence rate of differentiated thyroid carcinoma among patients with multinodular goitre. \u0000Patients and Method \u0000This study is a cross sectional study carried out in Surgical Ward of Saraswati Institute Of Medical Sciences,Hapur, during the period from September 2016 to July 2017 on convenient sample of 60 patients with multinodular goitre. \u0000Clinical history and examination, fine needle aspiration and postoperative histopathology examination was done to confirm the diagnosis. \u0000Results \u0000Mean age of patients was 43.9 years, with 5 males and 55 females. Fine needle aspiration test showed that 13 (21.7%) multinodular goitre patients had differentiated thyroid carcinoma, while 47 (78.3%) patients had benign goitre. The histopathology of multinodular goitre patients revealed that 41.7% of them had colloid goitre, 16.7% of them had micro-papillary carcinoma and 38.3% of them had follicular adenoma. Differentiated thyroid carcinoma among multinodular goitre patients was significantly associated with smoking and exposure to ionizing radiation. \u0000Conclusions \u0000The incidence of differentiated thyroid carcinoma among multinodular goitre patients is high.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126840256","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}
引用次数: 0
A Prospective, Randomized, Controlled Study For Efficacy of Phenytoin Sodium Powder, Eusol Solution, Nanocrystalline Silver Gel in Diabetic Foot Ulcer 苯妥英钠粉、真索溶液、纳米晶银凝胶治疗糖尿病足溃疡疗效的前瞻性、随机、对照研究
International journal of contemporary surgery Pub Date : 2019-07-17 DOI: 10.5958/2321-1024.2019.00014.X
A. Chauhan, B. Patel, P. Sharma, F. S. Mehta
{"title":"A Prospective, Randomized, Controlled Study For Efficacy of Phenytoin Sodium Powder, Eusol Solution, Nanocrystalline Silver Gel in Diabetic Foot Ulcer","authors":"A. Chauhan, B. Patel, P. Sharma, F. S. Mehta","doi":"10.5958/2321-1024.2019.00014.X","DOIUrl":"https://doi.org/10.5958/2321-1024.2019.00014.X","url":null,"abstract":"Background \u0000  \u0000Diabetic foot is one of the most significant and devastating complications of diabetes. Not all foot complications can be prevented, but it is possible to dramatically reduce their incidence through appropriate management and prevention. Various dressings are available that fulfils a number of functions like cosmesis, haemostasis, protection, support and absorption. \u0000  \u0000Objectives \u0000To study and compare the efficacy of different topical agents like phenytoin sodium powder, eusol solution, nanocrystalline silver gel in patient with diabetic foot ulcer by recording the mean ulcer size pre-treatment, during the course of treatment (1 week, 2 week, 3 week and 4 week follow up) and post- treatment and mean percentage of the wound size healing after treatment. \u0000Material & Method \u0000This prospective study was conducted in the Department of General Surgery, Geetanjali Medical College & Hospital, affiliated to Geetanjali University from January 2017 to June 2018. 90 patients with diabetic foot ulcers without any other co-morbid conditions and ulcers belonging to Grade I & II as per Wagner diabetic foot ulcers classification were compared with the efficacy of different topical agents. \u0000Results \u0000Out of 90 patients, there was a highly significant reduction in the mean ulcer size after 2 week, 3 week and 4 week follow up in nanocrystalline silver gel group (p<0.05) as compared to the phenytoin sodium powder and eusol solution group and the formation of granulation tissue was higher in nanocrystalline silver gel group (90%) as compared to phenytoin sodium powder (80%) and eusol solution (73.33%). \u0000Conclusion \u0000Dressings done with nanocrystalline silver gel was found to be more efficacious than the other topical agents in patients with diabetic foot ulcers in terms of increased rate of wound healing, greater reduction in the mean ulcer size after treatment, absence of pain, swelling and type of discharge after treatment, greater incidence of formation of granulation tissue and less duration of antibiotic therapy and hospital stay.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121773929","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}
引用次数: 0
Choledochodudenostomy Revisited: The Present Scenario 胆总管吻合术的回顾:目前的情况
International journal of contemporary surgery Pub Date : 2019-07-17 DOI: 10.5958/2321-1024.2019.00020.5
A. Mathur, Manmeet Kaur
{"title":"Choledochodudenostomy Revisited: The Present Scenario","authors":"A. Mathur, Manmeet Kaur","doi":"10.5958/2321-1024.2019.00020.5","DOIUrl":"https://doi.org/10.5958/2321-1024.2019.00020.5","url":null,"abstract":"Background \u0000Choledochoduodenostomy as a surgical management of common bile duct obstruction aims at free flow of bile to duodenum, being more physiological, relatively quick, simple and with fewer anastomotic sites. \u0000Objectives \u0000Investigate the safety and long term outcome of this procedure and to access its uses in present era of endoscopy and interventional radiology.. Material and methods- Study was conducted in the Department of Surgery at Shri Guru Ram Rai Institute of Health and Medical Sciences, Dehradun. Over a period of 7 years retrospectively until 2015 and prospectively from then on till december 2017. A total of 34 patients who underwent Choledochoduodenostomy(CDD) were evaluated by going through their hospital records and regular OPD follow up. Results – the results were encouraging with 33 of our patients did well in the long term follow up. Average duration of surgery was 115 minutes. Postoperatively one patient had haematemesis, later on she went to develop recurrent stricture. She later also developed long-term impairment of hepatic functions. No case of feared sump syndrome, or reflux cholangitis was observed. \u0000Conclusions \u0000Authors are of the view that Side to side choledochoduodenostomy, should be considered by surgeons, as a simpler, less technically demanding and physiologically better procedure. It does not carry the problems usually feared with it. The excellent long term results of this series allow us to have more frequent but indicated use of this procedure, even in the young patients.","PeriodicalId":113416,"journal":{"name":"International journal of contemporary surgery","volume":"258 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115103710","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}
引用次数: 0
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