International Academic Research Journal of Surgery最新文献

{"title":"Surgical Management of Secondary Peritonitis Patients in a Tertiary Care Hospital","authors":"P. Thakur, U. K. Chandel, A. Kaundal","doi":"10.47310/iarjs.2022.v02i04.004","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i04.004","url":null,"abstract":"Background: In the majority of general surgical units around the world, Secondary Peritonitis is the common surgical emergency and has high risk of morbidity and mortality. The present study was done to evaluate the surgical management among Secondary Peritonitis cases in a tertiary care Hospital. Material and Methods: This cross sectional study was conducted by Department of Surgery, IGMC, Shimla over a period of twelve months from January 2021 – December 2021 among patients with a diagnosis of secondary peritonitis after fulfilling the inclusion and exclusion criteria. Relevant information was collected and further analysed by using IBM SPSS Statistics. Results: A total of 250 individuals with a diagnosis of perforation peritonitis were assessed in the current study. Males made up 205 (82%) of the total while females made up 45 (18%). The patients' average age was 47.28 17.34 years, ranging from 18 to 87. In the study, 99 (39.6%) of the total patients were under the age of 40, while 151 (60.4%) were beyond the age of 40. Of the total, 32 (12.80%) passed away while 218 (87.20%) were discharged after receiving treatment. In the present study, most of patients 89 (35.6%) of secondary peritonitis were managed by Cellan jones repair followed by Loop ileostomy in 43 (17.2%) patients End ileostomy in 27 (10.8%) patients and rest by other procedures. Conclusion: The study concluded that most of patients of secondary peritonitis were managed by Cellan jones repair followed by Loop ileostomy and End ileostomy.","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121932938","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}

{"title":"Evaluation of Site of Perforation among Secondary Peritonitis Cases and its Association with Outcome in a Tertiary Care Hospital","authors":"P. Thakur, U. K. Chandel, A. Kaundal","doi":"10.47310/iarjs.2022.v02i04.003","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i04.003","url":null,"abstract":"Background: The present study was carried out to evaluate the Site of Perforation among Secondary Peritonitis cases and its association with outcome in a tertiary care Hospital. Material and Methods: This cross sectional study was conducted by Department of Surgery, IGMC, Shimla over a period of twelve months from January 2021 – December 2021 among patients with a diagnosis of secondary peritonitis after fulfilling the inclusion and exclusion criteria. Relevant information was collected and further analysed by using IBM SPSS Statistics. Results: A total of 250 individuals with a diagnosis of perforation peritonitis were assessed in the current study. Males made up 205 (82%) of the total while females made up 45 (18%). The patients' average age was 47.28 17.34 years, ranging from 18 to 87. In the study, 99 (39.6%) of the total patients were under the age of 40, while 151 (60.4%) were beyond the age of 40. Of the total, 32 (12.80%) passed away while 218 (87.20%) were discharged after receiving treatment. The Most common cause was Duodenal perforation among 91 patients (36.4%), Gastric perforation among 83 patients (33.2%), Ileal perforation among 32 patients (12.8%), Jejunal perforation among 16 patients (6.4%) and Other among 28 patients (11.2%). Among the patients who expired due to Secondary Peritonitis, maximum 12(37.5%) had Gastric Perforation followed by Duodenal Perforation in 9 (28.1%) patients. Conclusion: The study concluded that most of patients of secondary peritonitis had Duodenal perforation followed by Gastric perforation. The most common type of perforation among patients who died from secondary peritonitis was gastric followed by duodenal.","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131319104","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}

{"title":"Etiology of Acute Intestinal Obstruction and its Association with Socio-demographic among Patients at Tertiary Care Institute of North India","authors":"Rohit Sharma, U. K. Chandel, A. Kaundal","doi":"10.47310/iarjs.2022.v02i04.002","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i04.002","url":null,"abstract":"Background: The etiology of acute intestinal obstruction, which is one of the commonest surgical emergencies, varies between countries and has also changed over the decades. Present study was done to evaluate the etiology of acute intestinal obstruction and its association with Socio-demographic among patients at IGMC Shimla. Material and Methodology: This cross sectional study was done among total of 50 patients admitted with features of acute intestinal obstruction in the general surgery department of Indira Gandhi Medical College Shimla, randomly selected during the period from 15 June 2019 to 15 June 2020. Data regarding etiology of acute intestinal obstruction and Socio-demographic Characteristics was extracted and analysed using Epi Info Software v7. Results: The study showed the peak incidence of Intestinal obstruction in the age group 51-60 (11) and 61-70(10) years .Mean age in our current study was 53 years and male to female ratio was 3:1. Most common etiology was Adhesive intestinal obstruction (40%), followed by tuberculosis (28%), Malignancy (16%), Obstructed hernia (6%),Volvulus (6%) and Perforated appendix (4%). 76% of small bowel and 24% of large bowel accounts to intestinal obstruction.In the present study Adhesions due to previous surgeries, Obstructed hernia, Malignancy and Volvulus occurred mostly in patients above 50 years of age while there were equal number of Koch abdomen and Perforated appendix among below 50 years and above 50 years patients .Adhesions due to previous surgeries nearly equally affected male and female but obstructed hernia affected males only. Interestingly, Tuberculosis affected females more than males in this study mainly because of low socioeconomic status. Obstructed umbilical and epigastric hernia affected 8.1% males. Colonic and rectosigmoid malignancies affected 21.6% males. Conclusion: Our study concluded that most of cases were of small bowel obstruction. Adhesions due to previous abdominal surgeries and tuberculosis were the commonest cause of intestinal obstruction and occurred mostly in patients above 50 years of age and in males.","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"198 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123966324","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}

{"title":"Socio-demographic and Clinical Characteristics of Patients with Acute Intestinal Obstruction at Tertiary Care Institute of North India","authors":"Rohit Sharma, U. K. Chandel, A. Kaundal","doi":"10.47310/iarjs.2022.v02i04.001","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i04.001","url":null,"abstract":"Background: Acute intestinal obstruction continues to be one of the commonest surgical emergencies. Present study was done to evaluate the Socio-demographic and Clinical Characteristics of patients with acute intestinal obstruction at IGMC Shimla. Material and Methodology: This cross sectional study was done among total of 50 patients admitted with features of acute intestinal obstruction in the general surgery department of Indira Gandhi Medical College Shimla, randomly selected during the period from 15 June 2019 to 15 June 2020. Data regarding Socio-demographic and Clinical Characteristics was extracted and analysed using Epi Info Software v7. Results: Intestinal obstruction occurs in all age groups, the age spectrum in our clinical study was 14 years to 85 years. The study showed the peak incidence in the age group 51-60 (11) and 61-70(10) years .Mean age in our current study was 53 years and male to female ratio was 3:1. Most common symptoms in present study were Abdominal pain (100%) followed by Vomiting (80%). Most common signs in present study were Distension (72%) and abdominal tenderness (64%). Conclusion: Our study concluded that most of the cases of acute intestinal obstruction were male, aged above 50 years. Abdominal pain was the most common symptom while abdominal distension was the most common sign among patients.","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"144 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115951354","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}

{"title":"Association between Blood Eosinophil Count and Tissue Eosinophil Grading Among Patients Suffering From Sinonasal Polyposis Attending Tertiary Care Hospital","authors":"Devender Singh, S. Dogra, M. Saroch, B. Chander, Sudesh Kumar, Ankush Sharma","doi":"10.47310/iarjs.2022.v02i03.001","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i03.001","url":null,"abstract":"Background: Present study aimed to evaluate the association between blood eosinophil count and tissue eosinophil grading among Patients suffering from Sinonasal Polyposis attending routine ENT OPD in Dr. RPGMC Tanda. Material and Methods: The present study was done as a hospital based cross sectional study in the department of ENT and Head and Neck Surgery, in Dr. RPGMC Kangra at Tanda. It was done in 30 patients of chronic rhinosinusitis with nasal polyposis (CRSwNP) from June 2018 to June 2019 who met the inclusion criteria. Data regarding Blood and Tissue eosinophil count was retrieved. Results: in the present study,there were a total of 30 patients out of which there were 16 males and 14 females. The mean age observed of patients was 42.47±13.68. Among the total, 17 patients were classified as Eosinophilic Chronic Rhinosinusitis with Nasal Polyposis (ECRSwNP) while 13 were classified as Non-Eosinophilic Chronic Rhinosinusitis with Nasal Polyposis (NECRSwNP). There were 9 cases of ECRSwNP where tissue eosinophils were >10/HPF while 8 cases had less than 10 tissue eosinophils/HPF. Similarly 9 cases of NECRSwNP had less than 10 tissue eosinophils/HPF while 4 cases had tissue eosinophils were >10/HPF. The association between blood eosinophil count and tissue eosinophil grading was not significant with p value of 0.225. Conclusion: Present study concluded that there was no significant association of blood eosinophil count between NECRSwNP and ECRSwNP with tissue eosinophils.","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130476340","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}

{"title":"Risk Factors of Abnormal Testosterone Levels in Liver Cirrhosis","authors":"Shubham Sharma, Roha . Shad","doi":"10.47310/iarjs.2022.v02i03.003","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i03.003","url":null,"abstract":"Background and aim: Liver diseases are associated with low testosterone. However, little is known about risk factors of changes in testosterone. This study determined testosterone levels in liver cirrhosis and associated risk factors with the abnormal testosterone levels. Methods: In this descriptive hospital-based study, 50 patients with evidence of liver cirrhosis diagnosed on history, imaging and investigations were included for a period of 12 months. Testosterone levels were measured by enzyme chemiluminescence immunoassay (ECLIA)and value less than 249 ng/dl was taken as cut-off for decreased levels. Results: 84% of the patients had abnormal testosterone levels. Age, SGOT, SGPT, serum albumin, PT, and INR were not significantly associated with abnormal testosterone levels. Testosterone levels were decreased in majority of the patients but testosterone levels in CTP class B and C were higher, signifying that testosterone levels are related with severity of liver disease. Conclusion: There is a significantly higher prevalence of abnormal testosterone levels in liver cirrhotic patients in this region.","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134584746","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}

{"title":"Comparison of Quality of life in patients of chronic pelvic pain after pulsed radiofrequency ablation versus thermal radiofrequency ablation of Ganglion Impar","authors":"Madhav Verma, K. Syal, R. Verma, Manoj Maitan, Akshu Bhardwaj","doi":"10.47310/iarjs.2022.v02i03.004","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i03.004","url":null,"abstract":"Background: The present study was done to compare the Quality of life in patients of chronic pelvic pain after pulsed radiofrequency ablation versus thermal radiofrequency ablation of Ganglion Impar. Material andMethods: The present study was prospective, randomized, single blinded study and was based on series of 30 patients presenting with chronic pelvic pain , having already failed conservative medical management, presenting in Pain clinic if IGMC Shimla. The patients were divided into 2 groups of 15 patients. Patients in Group A(n=15) were given thermal radiofrequency ablation where as patients in Group B were given pulsed radiofrequency ablation.Results: Mean 24 Hours Post Procedural American Chronic Pain Association Quality Of Life Scale Score(ACP) of the patients in Group A was 6.20 ± 0.414 where as mean 24 Hours Post Procedural ACP Score in patients of group B was 7.07 ± 0.704.(P=0.000). The mean 1 week Post Procedural ACP Score of the patients in Group A was 6.00 ± 0.000 where as mean 1 week Post Procedural ACP Score in patients of group B was 6.73 ± 0.704.( P=0.000). Mean 2 week Post Procedural ACP Score of the patients in Group A was 5.53 ± 0.516 where as mean 2 week Post Procedural ACP Score in patients of group B was 6.47 ± 0.743.(P =0.000). Mean 3 week Post Procedural ACP Score of the patients in Group A was 5.20 ± 0.414 where as mean 3 week Post Procedural ACP Score in patients of group B was 6.27 ± 0.458.(P=0.000). Conclusion: Present study showed that mean Post Procedural ACP Score (24 Hours, 1,2and 3 week) was significantly lower in group A as compared to group B. we can conclude that thermal radiofrequency ablation of ganglion impar for chronic pelvic pain produces Quality of Lifeand Functional Capacity in the patients as compared to patients who were treated with pulsed radio frequency ablation.","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126201640","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}

{"title":"Management of Incarcerated Inguinal Hernia Associated with Abdominal Tuberculosis in Muhammadiyah Babat Hospital, Indonesia","authors":"M. Putra, Doddy Setya Adi Putra, Muhammad Dony Hermawan","doi":"10.47310/iarjs.2022.v02i03.006","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i03.006","url":null,"abstract":"The rate of tuberculosis is expanding around the world, particularly in creating nations. The prevalence of abdominal tuberculosis has been found to be as high as 12% in individuals with extrapulmonary tuberculosis. Peritoneal thickening and intestinal attachments can happen in patients with stomach tuberculosis. Inguinal hernias are greatly uncommon in individuals with stomach tuberculosis; as it were 11 cases have been detailed within the English-language writing, half of which involved pediatric patients. No authoritative rule on the administration of such cases is accessible. In this report, we depict the abnormal finding of an imprisoned inguinal hernia in an grown-up with abdominal tuberculosis and propose a treatment to treat this complicated illness based on our successful encounter.","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127860978","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}

{"title":"Ocular Surface Disorders and Their Association with SocioDemographic Variables among Patients Admitted In Adult Intensive Care Unit Of A Tertiary Care Hospital","authors":"Ankush Sharma, R. Tuli, R. Sharma, U. Kumari, Devender Singh","doi":"10.47310/iarjs.2022.v02i03.002","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i03.002","url":null,"abstract":"Background: Present study was done to evaluate the ocular surface disorders and their association with Socio-demographic variables among Patients admitted in Adult Intensive Care Unit. Material and Methods: It was a prospective observational study carried in AICU over period of one year by Department of Ophthalmology, Dr. RPGMC Kangra at Tanda. All the patients who were admitted in AICU greater than 48 hours between ages of 18-65 years were included and evaluated for socio-demographic information like age, gender etc. Thorough ophthalmic examination was also done for ocular surface disorders and analyzed using epi info v7 software. Results: A total of 126 patients were included in the study. Mean age of the study participants was 41.8 years. Maximum patients, 23.8% of the patients were in age group of 51 and 60 years followed by 23% between 21 and 30 years and 41 and 50 years each. 64.3% of the patients were males while 35.7% were females. 101(80.2%) patients belonged to rural areas while 25(19.8%) belonged to urban areas. 73.8% of the patients belonged to lower upper Socioeconomic class followed by 11.2% patients in lower middle class. For 78.6% of the patients, duration of stay in AICU was up to one week followed by 12.7% had the hospital stay was between 1 week and 2 weeks. 74 (58.7%) of the patients had ocular surface disorders. Longer duration of stay in AICU was associated with significantly increased number of patients having ocular surface disorders (Pless than 0.0001). Presence of ocular surface disorders was not related with age (P=0.153) and gender (P=0.359). Conclusion: The present study concluded that there is a close association of ocular surface disorders with longer duration of stay of these critically ill AICU patients. Eye care should be an integral part of management of these patients.","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132884707","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}

{"title":"Comparison of Satisfaction Level Using Likert Scale among Patients of Chronic Pelvic Pain in Pulsed Radiofrequency Ablation versus Thermal Radiofrequency Ablation of Ganglion Impar","authors":"Madhav Verma, K. Syal, R. Verma, Manoj Maitan, Akshu Bhardwaj","doi":"10.47310/iarjs.2022.v02i03.005","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i03.005","url":null,"abstract":"The present study was done to compare the Satisfaction level using Likert Scale among patients of chronic pelvic pain in pulsed radiofrequency ablation versus thermal radiofrequency ablation of Ganglion Impar. Material and Methods: The present study was prospective, randomized, single blinded study and was based on series of 30 patients presenting with chronic pelvic pain , having already failed conservative medical management, presenting in Pain clinic if IGMC Shimla. The patients were divided into 2 groups of 15 patients. Patients in Group A(n=15) were given thermal radiofrequency ablation where as patients in Group B were given pulsed radiofrequency ablation.Results: Mean age (in years) in group A and B was found to be 47.60± 6.833 and 42.67±7.807 years respectively. The p value was calculated to be 0.76 which was found to be statistically non significant. According to Post 24 Hours Likert scale, in Group A, 2(13.3%) patients were satisfied and 13(86.7%) were very satisfied while in Group B, 1(6.7%) patient was neutral , 10(66.7%) were satisfied and 4(26.7%) patients were very satisfied. (P= 0.004). According to Post 1 week Likert scale, in Group A, 2(13.3%) patients were satisfied and 13(86.7%) were very satisfied while in Group B, 1(6.7%) patient was neutral , 9(60.0%) were satisfied and 5(33.3%) patients were very satisfied.(p=0.011) Similarly 100% of the patients of group A were satisfied with the procedure as compared to patients of group B 3 weeks after the procedure.( p =0.011). Conclusion: Present study showed that mean Post Procedural satisfaction level using Likert Scale (24 Hours, 1,2 AND 3 week) was significantly more in group A as compared to group B. we can conclude that thermal radiofrequency ablation of ganglion impar for chronic pelvic pain produces better satisfaction level in the patients as compared to patients who were treated with pulsed radio frequency ablation.","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"163 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134222403","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}