Surgical Update: International Journal of Surgery and Orthopedics最新文献_第9页

Demographic study in operated patients with inguinal hernia 腹股沟疝手术患者的人口学研究

Surgical Update: International Journal of Surgery and Orthopedics Pub Date : 2019-03-31 DOI: 10.17511/ijoso.2019.i01.04

V. Malviya, T. Sainia, K. Parmar, S. Sharma

{"title":"Demographic study in operated patients with inguinal hernia","authors":"V. Malviya, T. Sainia, K. Parmar, S. Sharma","doi":"10.17511/ijoso.2019.i01.04","DOIUrl":"https://doi.org/10.17511/ijoso.2019.i01.04","url":null,"abstract":"Background: Inguinal hernia is most common anterior abdominal wall hernia and affects all ages with male predominance. The main cause of inguinal hernia is increased abdominal pressure and muscle weakness of abdominal wall. Diagnosis of inguinal hernia is mostly made by clinical examination. Herniotomy, herniorrhaphy, hernioplasty by open operation and laparoscopic procedures is the operative treatment. Material and Method: This retrospective study was conducted in the department of surgery in J.K. Hospital in 411 operated patients with diagnosis of inguinal hernia. Results: Highest number of patients belongs to 41-60 years age group (42.8%). 94.6% were male and 5.3% were female patients. Risk factors included benign prostate hypertrophy (37.9%), chronic cough (18.5%), heavy weight lifting (33.6%), chronic constipation (13.6%), abdominal wall muscle weakness due to older age (24.8%) & previous appendicectomy (0.7%). Less common risk factors are positive family history (15.6%), smoking (30.6%), obesity (21.2%) and pregnancy (0.4%). 69.8% patients presented as indirect, 28.2% as direct inguinal hernia and 1.2% as both variety. 67.6% patient presented as right inguinal hernia followed by left (29.2%) and bilateral (3.2%) respectively. Elective operation (94.4%) is more common than emergency operation (5.6%). Open hernioplasty (96.6%) was the most common procedure. Open herniorrhaphy was performed in few patient (2.7%). Open herniotomy was procedure of choice for paediatric patients (0.7%). Conclusion : This demographic study of inguinal hernia in this region can guide as to better understanding of the trends of this disease.This useful information may aid in the assessment and definitive care of these patients with inguinal hernia.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127664858","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

A case of primary actinomycosis and secondary eumycetoma in anterior abdomen wall – A case report 原发性放线菌病并发前腹壁脓肿1例

Surgical Update: International Journal of Surgery and Orthopedics Pub Date : 2018-12-31 DOI: 10.17511/ijoso.2018.i04.09

Dr. Agil. S, Dr. Ratna Ratna, D. N., Prof. Dr. A. Rekha

引用次数: 0

A study on comparison of retro-muscular pre-fascial placement of mesh versus other methods of mesh repair of ventral hernias 肌后筋膜前补片置入与其他补片修复腹疝方法的比较研究

Surgical Update: International Journal of Surgery and Orthopedics Pub Date : 2018-12-31 DOI: 10.17511/ijoso.2018.i04.08

Jitendra R. Darshan, A. Nema, J. Sheth, J. Gohil

{"title":"A study on comparison of retro-muscular pre-fascial placement of mesh versus other methods of mesh repair of ventral hernias","authors":"Jitendra R. Darshan, A. Nema, J. Sheth, J. Gohil","doi":"10.17511/ijoso.2018.i04.08","DOIUrl":"https://doi.org/10.17511/ijoso.2018.i04.08","url":null,"abstract":"Introduction: Ventral hernias repair are most routinely performed procedure in daily life of general surgeons. The objective of the present study is to compare the outcome of retro-muscular repair over other methods of ventral hernia repair. Methodology: 90 diagnosed cases of ventral hernias were randomly split into two groups A (retro-muscular meshplasty) and B (onlay, inlay & underlay meshplasty). The comparison across groups was carried out in terms of operation length, postoperative pain, wound complications, length of hospital stay & recurrence. Results: No difference was found between the groups regarding age, gender, type and classification of hernia. Operation length was 110 min in retro-muscular repair and 90min in onlay and 114 min underlay method. Statistically difference was seen between these groups. Among complications recurrence, seroma, mesh infection and wound complications were seen in group B. Postoperative pain and well being score were better in retro-muscular group. Conclusions: Retro-muscular meshplasty have more advantage compare to other open methods in ventral hernia repair. Retro-muscular meshplasty is still most appropriate method in open ventral hernia repair","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126963517","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

Comparative study of radiological and clinical outcomes by using single and double interlocking distal screws for humerusshaft fractures 单、双联锁远端螺钉治疗肱骨干骨折的影像学和临床疗效比较研究

Surgical Update: International Journal of Surgery and Orthopedics Pub Date : 2018-12-31 DOI: 10.17511/ijoso.2018.i04.04

D. S. V. Tumbal, Dr Milind M Joshi

引用次数: 0

Comparative study of prophylactic ilioinguinal neurectomy and preservation of ilioinguinal nerve in open mesh repair of inguinal hernia 预防性髂腹股沟神经切除与保留髂腹股沟神经在开放式补片修复腹股沟疝中的比较研究

Surgical Update: International Journal of Surgery and Orthopedics Pub Date : 2018-12-31 DOI: 10.17511/ijoso.2018.i04.05

Pramoda Sangolagi, Arun Kumar Tukaram

{"title":"Comparative study of prophylactic ilioinguinal neurectomy and preservation of ilioinguinal nerve in open mesh repair of inguinal hernia","authors":"Pramoda Sangolagi, Arun Kumar Tukaram","doi":"10.17511/ijoso.2018.i04.05","DOIUrl":"https://doi.org/10.17511/ijoso.2018.i04.05","url":null,"abstract":"Background: Inguinal hernia is one of the most common surgery done in any hospital. Complaints of Chronic inguinal pain is one of the common problem these patients. This study aims at evaluating the long-term outcomes of neuralgia and paraesthesia following routine ilioinguinal nerve division, compared to nerve preservation when performing Lichtenstein’s tension free inguinal hernia repair. Methods: The present study is a randomized controlled trial of 80 cases of inguinal hernias admitted in General Surgery Department in ESIC Medical College, Kalaburagi from January 2017 to June 2018. The patients were randomly chosen into Lichtenstein hernia repair with ilioinguinal neurectomy or Lichtenstein hernia repair with nerve preservation. After surgery, all patients were monitored carefully for pain and paraesthesia. Pain was assessed using visual analogue scale. Paraesthesia was assessed by the monofilament test and evaluated after comparison with the opposite side. Results: In the present study, the incidence of pain as well as the severity of pain is far higher in the nerve preservation study group as opposed to the neurectomy study group. Hypoesthesia is not a significant complication following ilioinguinal neurectomy and does not significantly add to the morbidity of the patient. Conclusions: Prophylactic neurectomy can be an appropriate solution in the prevention of chronic groin pain following Lichtenstein inguinal hernia repair and can be considered as an ideal inclusion into the standard hernia repair procedures. Hypoesthesia is not a significant complication following ilioinguinal neurectomy and does not significantly add to the morbidity of the patient.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124515635","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

Clinico pathological study of right iliac fossa masses and their management 右髂窝肿块的临床病理研究及治疗

Surgical Update: International Journal of Surgery and Orthopedics Pub Date : 2018-12-31 DOI: 10.17511/ijoso.2018.i04.01

V. Reddy, Sateesh Sateesh, Prasad Reddy G.V.V

{"title":"Clinico pathological study of right iliac fossa masses and their management","authors":"V. Reddy, Sateesh Sateesh, Prasad Reddy G.V.V","doi":"10.17511/ijoso.2018.i04.01","DOIUrl":"https://doi.org/10.17511/ijoso.2018.i04.01","url":null,"abstract":"Aim: The present study aims to study causes, modes of presentation, investigations of choice and management of right iliac fossa masses. Materials and Methods: A prospective study was undertaken on 50 patients presenting with mass in right iliac fossa to surgery outpatient department during the period august 2015 to October 2017. All cases were investigated and managed as per protocol and their data recorded. All the demographic variables were tabulated as per percentage among total cases. Results: In this series out of 50 patients, 23 patients (46%) diagnosed to have Appendicular mass followed by Ileocaecal TB (20%), Appendicular abscess (16%), CA Caecum (12%) and psoas abscess (6%). Appendicular pathology is more common in 3 decade, Ileocaecal TB in 4decade, CA Caecum and Psoas abscess in 6 decade.In total of 50 patients, 28 (56%) were males and 22 (44%) were females. In the present study pain was the commonest symptom of presentation seen in all cases, fever was present in 78% cases, vomiting was present in 42% cases, loss of weight and appetite was present in 24% cases, constipation was present in 16% cases, diarrhea was present in 8% cases, mass per abdomen was present in 26% cases. Conclusion: The common cause of right iliac fossa mass is of appendicular pathology followed by lleocaecal TB, Carcinoma caecum and psoas abscess in that order, with male preponderance and most of cases falling in 3 decade.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130987480","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

Diagnostic laparoscopy in right iliac fossa pain 右髂窝疼痛的腹腔镜诊断

Surgical Update: International Journal of Surgery and Orthopedics Pub Date : 2018-12-31 DOI: 10.17511/ijoso.2018.i04.02

Dr. Ravichandran K.S., Dr. Sivachandran K.

引用次数: 1

Colonoscopic assessment of large bowel diseases and its effectiveness 大肠疾病的结肠镜评估及其有效性

Surgical Update: International Journal of Surgery and Orthopedics Pub Date : 2018-12-31 DOI: 10.17511/ijoso.2018.i04.07

Anil S. Degaonkar, Shivcharan D. Bhalge, Aashish R. Chavan

{"title":"Colonoscopic assessment of large bowel diseases and its effectiveness","authors":"Anil S. Degaonkar, Shivcharan D. Bhalge, Aashish R. Chavan","doi":"10.17511/ijoso.2018.i04.07","DOIUrl":"https://doi.org/10.17511/ijoso.2018.i04.07","url":null,"abstract":"Introduction: Colonoscopy, for any suspected colonic disease is the first line of investigation. The spectrum of colonic diseases varies from benign to malignant lesions, of which the incidence and mortality differ across the world due to differences in risk factors. Colonoscopy is carried out for diagnostic and/or therapeutic purposes. Materials and Methods: It was a hospital based cross sectional study conducted in Dr. Shankarrao Chavan Govt. Medical College, Nanded, during study period of May 2016 to December 2017 on 104 patients presented with clinical features of large bowel diseases. Results: The mean age of the patients was 45.59 ± 18.46 years (range 5 – 95). Males constituted 64.4% patients while females were 35.6%. On colonoscopy most common suspected diagnosis was carcinoma rectum (45.3%), followed by inflammatory bowel disease (26.7%) and rectal polyp (12%). Most of the lesions were found overall in rectum (49.5 %) followed by sigmoid colon (16.8%) and caecum (12.6%). Conclusion: Colonoscopy is a safe and simple procedure helps in locating various lesions in the entire colon and confirming the diagnosis by histopathology. Colonoscopy helps not only in the diagnosis but also in the treatment and follow up of the patient especially in the colonic diseases like colonic cancer and inflammatory bowel diseases.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122612100","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

Comparitive study between stretching exercises and cortico steroid injection in treatment of patients with plantarfasciitis 伸展运动与皮质类固醇注射治疗足底筋膜炎的比较研究

Surgical Update: International Journal of Surgery and Orthopedics Pub Date : 2018-09-30 DOI: 10.17511/ijoso.2018.i03.01

Dr. Dinesh Chand Gupta, Dr. Siddhartha Jain, D. Turkar

{"title":"Comparitive study between stretching exercises and cortico steroid injection in treatment of patients with plantarfasciitis","authors":"Dr. Dinesh Chand Gupta, Dr. Siddhartha Jain, D. Turkar","doi":"10.17511/ijoso.2018.i03.01","DOIUrl":"https://doi.org/10.17511/ijoso.2018.i03.01","url":null,"abstract":"Introduction: Plantar fasciitis is the commonnest cause of heel pain. Its cause is uncertain so as there is a lot of treatment methods for it. Our study compares the outcome of two common treatment modaliy known as local infiltration of steroid injection and plantar fascia stretching exercises with each other regard to decrease pain intensity and improvement in function. Materials and methods: 80 patients with complain of heel pain clinicaly diagnosed as plantar fasciitis are included in the study. Other causes of heel pain are ruled out in them. One group with local steroid injection while the other group was treated with plantar fascia stretching exercises. They are re evaluated regard to function and pain scores after 2 and 10 weeks, Results: Two groups were similar regard to sex, age, height, weight and body mass index .Significant decrease in pain and improvement in function was reported in steroid group but, after the 10th week, two groups reported the same results in those manners. Discussion: It seems that because after 10 weeks of treatment with both therapeutic methods, the results were comparable , it is better to use the less complicated and less invasive method (stretching), but in cases which prompt pain relief and better function is desired, local steroid injection may be better.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130496788","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

Prevalence of helicobacter pylori infection in perforated duodenal ulcer in a rural hospital 某农村医院十二指肠溃疡穿孔患者幽门螺杆菌感染情况分析

Surgical Update: International Journal of Surgery and Orthopedics Pub Date : 2018-09-30 DOI: 10.17511/ijoso.2018.i03.02

D. S. G. Prabhu, D. Abraham

{"title":"Prevalence of helicobacter pylori infection in perforated duodenal ulcer in a rural hospital","authors":"D. S. G. Prabhu, D. Abraham","doi":"10.17511/ijoso.2018.i03.02","DOIUrl":"https://doi.org/10.17511/ijoso.2018.i03.02","url":null,"abstract":"Background : The association of Helicobacter pylori with uncomplicated peptic ulcer disease is well documented. The aim of this study was to observe the prevalence of Helicobacter pylori in duodenal ulcer perforation and to know the sensitivity and specificity ofrapid urease test in detecting Helicobacter pylori on table. Methods : This retrospective observational study was conducted at the department of General Surgery, MOSC Medical college hospital Kolenchery Ernakulum for a period of twelve months from February 2015 to February 2016. A total of fifty cases were included in the study. After stabilization in the Emergency room they were taken up for laparotomy and perforation closure after on table Rapid urease test was done.Specimen from the perforation site was sent for histopathology examination by Giemsa staining. Results: Fifty patients with duodenal perforation were taken up for laparotomy and DU perforation closure was done after on table one-minute rapid urease test. A specimen from the perforation site was sent for pathological examination by Giemsa staining. 35 patients (70%) out of 50 patients were tested positive for Rapid urease test. Of these 35 patients 20 patients (57%) had a previous history of APD and 15 patients presented with duodenal ulcerperforation for the first time. The Sensitivity and specificity of rapid urease test was found to be 100%. Conclusion: The prevalence according to our study of H.pylori in DU perforation is 70% and the Rapid urease test was positive in those cases with a long duration of APD. The sensitivity and specificity of One-minute rapid urease test is almost 100%.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122892070","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