History and Metamorphosis of Hand Surgery India

2021 ◽  
Author(s):  
George A. Anderson
Keyword(s):  
Tamil Nadu ◽  
Road Traffic ◽  
Deformity Correction ◽  
Hand Surgery ◽  
Research Unit ◽  
Indian Society ◽  
Medical Council ◽  
College Hospital ◽  
Medical College ◽  
The Government

AbstractThe advent of hand surgery in India reads like a fortuitous saga, a continuum of the hand deformity correction on leprosy patients pioneered by Dr. Paul Wilson Brand at the Christian Medical College (CMC) Vellore, Madras State (Tamil Nadu [TN]), in 1948. The “Hand Research Unit,” established in 1951, became the largest repository for hand reconstructive surgeries and with its head-start drew in most hand dysfunctions in the country. Early industrialization and disorderly road traffic generated hand injuries that threatened workforce in India. Propitiously, a hand injury service was opened in 1971 at the Government Stanley Medical College Hospital, Chennai. The inexorable growth of hand surgery continued and incorporated the gamut of conditions that required hand care and rehabilitation, including brachial plexus injuries. Continuing Medical Education programs, Hand Surgery workshops, Indian Society for Surgery of the Hand meetings, Hand Fellowships, etc., increased the number of “hand surgery” practitioners, which drew the attention of the Medical Council of India to commence a postgraduate Hand Surgery program that it eventually gazetted. The sagacity of the members of the Board of Studies of TN Medical University honored the historical role of CMC Vellore in hand surgery and allowed it to commence the first Master of Chirurgiae Hand Surgery course in India in 2015. An intuitive understanding of 70 years of hand surgery accomplishments that redesigned and restored deformed and injured hands and protected livelihoods have made young surgeons increasingly take hand surgery as a career.

Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital - One Year Experience

2020 ◽  
Vol 22 (2) ◽  
pp. 110-117
Author(s):  
Md Mahmudul Islam ◽  
Khondkar AK Azad ◽  
Md Aminul Islam ◽  
Rivu Raj Chakraborty
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Chest Trauma ◽  
Road Traffic ◽  
Tube Thoracostomy ◽  
Rib Fracture ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
The Mean

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117

scholarly journals Lifestyle-associated risk for cardiovascular diseases among doctors and nurses working in a medical college hospital in Tamil Nadu, India

2016 ◽  
Vol 5 (2) ◽  
pp. 281
Author(s):  
G Vijayakrishnan ◽  
Shailendra KumarB Hegde ◽  
AkshayaK Sasankh ◽  
Sanjana Venkateswaran ◽  
Ganeshkumar Parasuraman
Keyword(s):  
Cardiovascular Diseases ◽  
Tamil Nadu ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
Doctors And Nurses

scholarly journals A PROSPECTIVE STUDY ON CLINICO-PATHOLOGY OF VARICOSE VEINS AND ITS' SURGICAL MANAGEMENT

2020 ◽  
pp. 1-10
Author(s):  
Om Prakash ◽  
K. Govardhanan
Keyword(s):  
Prospective Observational Study ◽  
Varicose Veins ◽  
College Hospital ◽  
Medical College ◽  
Experienced Radiologist ◽  
Associated Symptoms ◽  
Observational Study Design ◽  
The Government ◽  
A Prospective Study ◽  
Symptoms And Signs

Background: Varicose veins primarily considered to be a cosmetic problem have been widely mistaken to be medically unimportant and given low priority for treatment. The associated pain, swelling, open ulceration and other morbidities increase cost of its management. The debilitation adds on to the time lost from work and wages. Aim: To study the aetiogenesis, pathology, presentation, complications, and management of varicose veins in the study populations. Methods: The current study followed a prospective observational study design among 60 patients visiting Meenakshi Medical College Hospital and Research Institute with symptoms and signs of varicose veins and clinically diagnosed as having varicose veins. Various presentations and complications and treatments were noted and finally followed up for minimum of 6 months. Results and Conclusion: It is found that varicose veins and their associated symptoms and complications constitute the most common chronic vascular disorders leading to surgical treatment. The incidence is on the rise. It is more common in middle- aged group and in males. Patients presented with spectrum of symptoms and signs, dilated and tortuous veins being more common presentations. Long saphenous system is the most common venous system affected. Ankle (lower perforator being the most common incompetent perforators. The outcome of cases of primary varicose vein depends on a thorough and complete clinical examination and duplex scan by an experienced radiologist. Operative line of treatment is a primary procedure in the management of varicose veins of lower Stripping of LSV up to knee and non-stripping of SSV is associated with less morbidity. Accurate assessment reduces the risk of recurrent varicose veins. There must be ample support from the Government so that even the poor will be benefited from the newer modality of treatment of varicose veins.

Combating COVID- 19 in SRM Medical College Hospital, Tamil Nadu, South India: an overview

2021 ◽  
Vol 23 (23) ◽  
Author(s):  
Ms. Amutha Christinal ◽  
Ms. Catherine Priyadharsini ◽  
Ms. Annie Jasline ◽  
Ms. Reji Baby
Keyword(s):  
Tamil Nadu ◽  
South India ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College

scholarly journals Road Traffic Accidents by 'Nasimon' and 'Karimon'-A Study in Faridpur

2012 ◽  
Vol 7 (1) ◽  
pp. 6-9
Author(s):  
ASMJ Chowdhury ◽  
MS Alam ◽  
SK Biswas ◽  
RK Saha ◽  
AR Mondal ◽  
...  
Keyword(s):  
Low Socioeconomic Status ◽  
Urban Areas ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Accident ◽  
Motor Vehicles ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
College Hospital ◽  
Medical College

Road traffic accidents in Bangladesh have been rapidly increasing with huge mortality through road accidents each year. There are many causes of road accidents in recent years; one important cause is running of locally made improvised three wheelers (flat bed tricycle) in the urban areas and also on the highways, popularly known as 'Nasimon' and 'Karimon'. This prospective study was carried out in Faridpur Medical College Hospital from January through June 2011, to study the accident patients caused by 'Nasimon' and 'Karimon'. Fifty six (12%) patients were of RTA by 'Nasimon' and 'Karimon' out of a total of 468 patients admitted into our hospital during this period. Most patients (41, 73.21%) were male, highest accidents (24, 42.86%) were observed among 21-30 years age group and most victims (33, 58.93%) were belonged to low socioeconomic status. Commonest (31, 55.36%) victims were passengers of 'Nasimon' and 'Karimon' while maximum number of accidents (46, 82.14%) took place in the urban areas and on the highways. Injury pattern of victims were similar to that found in any other road accident patients. These three wheelers 'Nasimon' and 'Karimon' are run in violating of Bangladesh Motor Vehicles Act (1983) as they are totally unfit for plying on the highways. Strict surveillance against these illegal and risky vehicles on the highways and in the urban areas by law enforcing agencies is required as a measure to reduce the burden of road accidents in our country.DOI: http://dx.doi.org/10.3329/fmcj.v7i1.10289Faridpur Med. Coll. J. 2012;7(1): 06-09

Comparison of incidences and indications of multi primary caesarean with primi caesarean mothers in a tertiary care teaching hospital

2017 ◽  
Vol 6 (10) ◽  
pp. 4263
Author(s):  
M. Sujatha Alagesan ◽  
M. Meena
Keyword(s):  
Birth Weight ◽  
Caesarean Section ◽  
Teaching Hospital ◽  
Tamil Nadu ◽  
Caesarean Section Rate ◽  
Tertiary Care ◽  
Foetal Distress ◽  
College Hospital ◽  
Medical College ◽  
Clinical Profiles

Background: The incidences and indications of caesarean sections between the primary caesarean multies and caesarean primies were comparable in respect of their demographical and clinical variables of mothers and their foetal outcomes. Aim and objective of the study was to analyze the incidences and indications of primary caesarean multies and caesarean primies. To compare the incidences and indications of mothers between the primary caesarean multies and caesarean primies. To compare the demographic and clinical profiles of the mothers and babies.Methods: During January to June 2016 total of 3583 deliveries were conducted in Tiruneleli Medical College Hospital, Tamil Nadu, India. Among them 89 and 1168 were primary caesarean multies and caesarean primies respectively. They had been compared according to the objectives.Results: The caesarean incidences were 62.5% among the primies and 4.8% among the multies as Primary. The primary caesarean incidences among the multies were statistically significantly lesser in the 15-24 ages than the primi (P<0.05). 25-29 age bracket the incidences were not differed significantly (P>0.05). After 30 years of age, the incidences were statistically significantly increased among the multies (P<0.05). The birth weight of babies did not show any statistically significant indications between the two groups (P>0.05). The indications of Foetal distress, Severe Oligo hydration and others did not show any statistically significantly difference between the groups (P>0.05). Mal presentation and Ante Partum hemorrhage were significantly more among the multies than primies (p<0.05) and Failed indication and CPD were the significantly lesser indication than the primies (P<0.05).Conclusions: Without reducing the caesarean section rate in primi we cannot bring down the overall caesarean rate of delivery.

scholarly journals Outcome of Antegrade Interlocking Intramedullary Nailing in Fracture Shaft of the Femur in Community Based Medical College Hospital, Bangladesh

2015 ◽  
Vol 4 (1) ◽  
pp. 13-17
Author(s):  
Mamunur Rashid Chowdhury ◽  
Md Anwarul Haque ◽  
Md Nasir Uddin ◽  
Md Saiful Islam ◽  
Sabrina Alam Mumu ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Intramedullary Nailing ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Medical College Hospital ◽  
Community Based ◽  
College Hospital ◽  
Common Cause ◽  
Medical College

Day by day road traffic accident in Bangladesh is increasing. Mymensingh-Dhaka highway passes beside the Community Based Medical College Hospital, Bangladesh. We often have to manage a greater number of traumatic patients. In road traffic accident the incidence of fracture shaft of femur is the most common. That's why my study was done to evaluate the result of management of fracture shaft of the femur with antegrade interlocking intramedullary nailing under the department of Orthopedic Surgery in CBMCH,B in the period between January 2009 to July 2013. Total 88 patients were selected for interlocking nailing initially in the study. Out of them 8 patients did not report in subsequent follow up. So the result of the study was based on 80 patients (48 males; 32 females) with the range of 20- 68 years of age. The average age of the patient was 36 years. Motor vehicle accidents was the most common cause of fracture shaft femur (65%) and the second most common cause was fall from height (20%) specially fall from tree. Among the patients; right sided femur involvement was 67.5% (54) and left sided femur involvement was 32.5% (26). The majority fracture of the shaft of the femur was lower third (70%). The patients were mostly in the day-laborers' groups (35%), and, the next group was students. The mean union time was 18 weeks with the range of 15-30 weeks. After operation, complications were found such as; infection 3.75%(3), non-union 1.25% (1). Excellent functional outcome was found in 82.5% (66), good in 12.5% (10), fair in 5%(4). This functional outcome study was evaluated by Klemm & Borner 1 criteria. CBMJ 2015 January: Vol. 04 No. 01 P: 13-17

scholarly journals Siddha Diagnostic Methodology of Envagai thervu for Gunmam Patients at Government Siddha Medical College & Hospital, Palayamkottai

2020 ◽  
pp. 1-13
Author(s):  
Rakulini Raveendran
Keyword(s):  
Tamil Nadu ◽  
South India ◽  
The Body ◽  
Age Group ◽  
Microsoft Excel ◽  
College Hospital ◽  
Medical College ◽  
Diagnostic Methodology ◽  
The Voice ◽  
Study Setting

Introduction: Siddha Medicine is a system of traditional medicine originating in ancient Tamil Nadu in South India and Sri Lanka. Traditionally, it is taught that the siddhars laid the foundation for this system of medicine. Siddha system has a unique diagnostic method to identify the diseases and their causes. According to the Saint Theraiyar, there are eight tools of diagnosis: symptoms of the body, the colour, the voice, the eyes, the tongue, stools, urine and the pulse. Aim: The aim of this study was to study the siddha diagnostic methodology of envagaithervu for gunmam patient sat government siddha medical college & hospital, palayamkottai. Study Setting: Government Siddha Medical College, Palayamkottai from April to August 2019. Methodology: It is an observational study. After identifying the eligible subjects, Data will be collected by using the interview administrated questionnaire & relevant data will be collected by measurement. Collected data were processed and statistically analysed by a simple statistical method using Microsoft Excel. Results and Discussion: Majority of the gunmam subjects were females (60%) and age group within 41-60 & 51-60 years. The maximum number of subjects were observed in Pitha Kaalam. Majority of the gunmam subjects had Abdominal pain, eructation, generalized body weakness. Vali azhalnaadi (38%) and azhalvalinaadi (32%) were observed in majority of the gunmam subjects. Neikuri was observed as valiazhal & azhalvali in gunmam subjects. Conclusion: This study has given quite evidence for literatures. These collected information are helpful for further studies in gunmam.

scholarly journals Profile of unnatural deaths in a teaching hospital of West Bengal, India

2020 ◽  
Vol 7 (3) ◽  
pp. 971
Author(s):  
Satabdi Mitra ◽  
Saumabrata Panja
Keyword(s):  
Traffic Accidents ◽  
Burn Injury ◽  
Road Traffic ◽  
Care Facility ◽  
Health Care Facility ◽  
Binary Logistic Regression ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Fall From Height

Background: Enquiry into unnatural deaths with all its manners being, suicidal, accidental or homicidal depends on circumstantial evidences for acceptable judgment in court of law. Objectives were to study socio-demographic characteristics of the study and to find out influencing factors, if any, behind these sudden, suspicious, undesirable deaths.Methods: A record-based, descriptive study with cross-sectional design was conducted for first six months of 2017 in NRS medical college hospital among 1603 unnatural deaths undergone police inquest. Besides the records obtained from medical record section, findings were corroborated from mortuary. Data were analyzed in SPSS 22.0 and Epi Info 7.0.Results: Mean age of the deceased was 37.18±17.42 years. Regarding cause of injury, more than 1/3rd (36.6%) was attributed to poisoning, followed by burn injury (24.8%), road traffic accidents (22.8%), fall from height (6.9%) and others the rest. Majority (68.3%) died within twenty hours of reaching the health care facility. More than half of the deceased committed suicide followed by accident and suicide the least. Binary logistic regression revealed, unnatural deaths inflicted by selves or others, i.e. suicide or homicide respectively, had statistically significant (p<0.05) association to productive age, urban residence, burn and RTA, longer survival and conservative nature of management.Conclusions: As suicide was found to comprise lion share of unnatural deaths, development and implementation of addressing the issue at all the levels, starting from individual to community is the need of the hour.

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