New Indian Journal of Surgery最新文献

Atypical Mycobacterial Infection in Post Abdomino-Thoracic Trauma: A Case Report 胸腹外伤后非典型分枝杆菌感染1例报告

New Indian Journal of Surgery Pub Date : 2023-06-15 DOI: 10.21088/nijs.0976.4747.14223.7

J. Joseph, Sunayana Bhat

{"title":"Atypical Mycobacterial Infection in Post Abdomino-Thoracic Trauma: A Case Report","authors":"J. Joseph, Sunayana Bhat","doi":"10.21088/nijs.0976.4747.14223.7","DOIUrl":"https://doi.org/10.21088/nijs.0976.4747.14223.7","url":null,"abstract":"Objective/Background: SSIs remain a significant cause of morbidity and mortality after surgery. One in eight patients develop SSI after exploratory laparotomies making it one of the major factors responsible for post-operative mortality and morbidity. Atypical mycobacteria are responsible for a spectrum of diseases ranging from superficial skin infections to widely disseminated systemic infections. Health care associated infections due to non-tuberculous mycobacteria is on the rise due to contaminated hospital water supplies, solutions, improperly sterilized instruments and devices. Our case is of an atypical mycobacterial infection in a patient with abdomino-thoracic trauma who underwent multiple surgeries. Case presentation: A 24 year old gentleman presented with a penetrating stab injury to the abdomen and left hemi-thorax following an assault. Patient underwent an emergency exploratory laparotomy which revealed a 4 x 4 cm defect in the left hemi-diaphragm, through which the stomach was herniating into the left thoracic cavity. During the 2nd post-operative week, patient developed empyema thorax, for which pigtail drain was placed initially and later thoracotomy with decortication and intercostal drainage were performed. Following discharge after 2 weeks, he presented with fever, body pain and pus discharge from the previously inserted intercostal drain site. Pus obtained was positive for acid fast bacilli and gene expert was negative. Atypical mycobacterial infection was diagnosed based on high index of suspicion and he received treatment for 6 months. Conclusion: This case highlights that identification of atypical mycobacterial infections in post-operative patients require a high index of suspicion. Management requires multi-drug approach and surgical intervention wherever necessary. Even with the existing sterilization techniques and preventive measure, atypical mycobacterial infection cannot be completely eliminated from a hospital set-up and hence must be considered in all nosocomial infections.","PeriodicalId":232888,"journal":{"name":"New Indian Journal of Surgery","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128021958","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 Study of Initial Experience of Trans-Abdominal PrePeritonial Inguinal Hernia Repair at aTertiary Care Center 三级护理中心经腹膜前腹股沟疝修补术的初步经验研究

New Indian Journal of Surgery Pub Date : 2021-12-31 DOI: 10.21088/nijs.0976.4747.12421.9

Sundaresh Ram, Dharamanjai Kumar Sharma

{"title":"A Study of Initial Experience of Trans-Abdominal PrePeritonial Inguinal Hernia Repair at aTertiary Care Center","authors":"Sundaresh Ram, Dharamanjai Kumar Sharma","doi":"10.21088/nijs.0976.4747.12421.9","DOIUrl":"https://doi.org/10.21088/nijs.0976.4747.12421.9","url":null,"abstract":"Introduction: Inguinal hernia surgery remains till date one of the most commonly performed surgeries. Overall decrease in recurrence rate along with shorter hospital stay, faster return to normal activities and a lower incidence of post-operative pain has led to the widespread acceptance of laparoscopic hernia repair especially Laparoscopic Transabdominal Preperitoneal repair in the management of inguinal hernia. The study was done to evaluate the initial experience of a tertiary care center in the laparoscopic hernia repair including the intra and post-operative complications and associated technical difficulties. Methodology: This prospective, descriptive study was performed in 22 patients during the period of 2018 to 2021. The patients were evaluated thoroughly for the predisposing factors, technical aspects of the procedure, intra-operative details, post-operative complications and the time taken for the procedure were noted. The patients were also followed up for a period of 6 months for late complications. Results: All the patients in the study group were male and majority of them were older than 40 years. Majority of the patients had heavy work as the risk factor and all of them presented with inguinal or inguino-scrotal swelling which reduced by itself. Majority of patents had right indirect and incomplete inguinal hernia. The mean operative time in initial cases were longer, but on acquiring experience, the operating time came down to approximately 90 minutes. The complications associated with the procedure were minimal with a return to normal routine in a mean of 15 days. Conclusion: Laparoscopic hernia repair is a significantly lengthier procedure especially in the learning phase of the surgeon’s team, but the operative time decreases with increasing experience. Good technique and knowledge about laparoscopic anatomy of inguinal region ensures minimal complications and faster recovery. Keywords: TAPP; TEP; Laparoscopic Hernia Repair; Inguinal Hernia Surgery.","PeriodicalId":232888,"journal":{"name":"New Indian Journal of Surgery","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127829449","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

Evaluation and Management of Diabetic Foot According to Wagner’s Classification 根据Wagner分类对糖尿病足的评估与处理

New Indian Journal of Surgery Pub Date : 2020-07-01 DOI: 10.21088/NIJS.0976.4747.11320.16

S. Kumaraswamy

引用次数: 1

The Study of Clinical and Epidemiological Profile of Gall Bladder Diseases at a Tertiary Care Hospital 某三级医院胆囊疾病临床及流行病学调查

New Indian Journal of Surgery Pub Date : 2020-07-01 DOI: 10.21088/NIJS.0976.4747.11320.7

A. Bhavikatti

引用次数: 0

A Retrospective Study of Choledochal Cysts: Surgical Treatment Modalities and Outcome in Children at Our Institution: A Five Year Experience 回顾性研究胆总管囊肿:手术治疗方式和结果在我们机构的儿童:一个五年的经验

New Indian Journal of Surgery Pub Date : 2020-07-01 DOI: 10.21088/NIJS.0976.4747.11320.5

A. Bhagwat

引用次数: 0

Clinico-Pathological Study of Salivary Gland Tumours 唾液腺肿瘤的临床病理研究

New Indian Journal of Surgery Pub Date : 2020-07-01 DOI: 10.21088/NIJS.0976.4747.11320.4

Abhijit Medikeri

引用次数: 0

A Rare Case of Ileal Actinomycosis Mimicking Crohns Ileitis 罕见的模拟克罗恩氏回肠炎的回肠放线菌病一例

New Indian Journal of Surgery Pub Date : 2020-07-01 DOI: 10.21088/NIJS.0976.4747.11320.28

G. VinayH

引用次数: 0

The Technique of Inguinal Hernia, Compare of Time, Post-Operative Complication in Tertiary Care Center, Chhatisgarh 腹股沟疝手术技术、时间、术后并发症在印度恰蒂斯加尔邦三级保健中心的比较

New Indian Journal of Surgery Pub Date : 2020-07-01 DOI: 10.21088/NIJS.0976.4747.11320.8

A. Goenka

引用次数: 0

Innovative Use of Patients Own Hair for Holding Central Line 创新地使用病人自己的头发来保持中心线

New Indian Journal of Surgery Pub Date : 2020-07-01 DOI: 10.21088/NIJS.0976.4747.11320.26

I. Pathan

引用次数: 0

Are Staplers Safer During Emergency Intestinal Anastomosis 吻合器在急诊肠吻合术中更安全吗

New Indian Journal of Surgery Pub Date : 2020-07-01 DOI: 10.21088/NIJS.0976.4747.11320.11

Aarti Mehta

引用次数: 0