scholarly journals EPIDEMIOLOGY OF GALL STONE DISEASE IN A TERTIARY CARE HOSPITAL- A CHANGING TREND IN CURRENT PERSPECTIVE

2017 ◽  
Vol 6 (75) ◽  
pp. 5332-5336
Author(s):  
Pawan Kumar Singh ◽  
Prafull Kumar Arya ◽  
Harpreet Singh Khetarpal ◽  
Kanika Goyal ◽  
Harpreet Singh Jolly ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Gall Stone ◽  
Stone Disease ◽  
Care Hospital ◽  
Current Perspective ◽  
Gall Stone Disease ◽  
Changing Trend

scholarly journals A study on laparoscopic cholecystectomy, indications, complications and conversion to open in a tertiary care hospital

2019 ◽  
Vol 6 (11) ◽  
pp. 3942
Author(s):  
N. Chandramouli
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Tertiary Care ◽  
Gall Stone ◽  
Stone Disease ◽  
Care Hospital ◽  
Open Conversion ◽  
Calot’S Triangle ◽  
Institutional Ethics ◽  
Gall Stone Disease ◽  
A Prospective Study

Background: Disease of gall bladder, especially the stones, is one of the most common health problems leading to surgical intervention. Laparoscopic cholecystectomy is the gold standard operation for gall stone disease with a good safety profile. The aim of the study was to discuss the indications, complications encountered and open conversion rate of laparoscopic cholecystectomy in a tertiary care hospital.Methods: It was a prospective study, conducted at Sri Adichunchanagiri Hospital and Research Center, B.G. Nagara, Karnataka after the approval from institutional ethics committee (IEC). This study included 30 patients who presented to the ER or OPD with pain abdomen, from October 2018 to March 2019, and diagnosed to have gall stone disease with or without inflammation. All the patients were worked up as per standard institutional protocol. Patients clinical characteristics, ultrasonogram (USG) findings, surgical management and complications were recorded.Results: Mean age was 41.1±6.06. The indications for cholecystectomy in gall stone disease at our institute during the aforementioned timeline were symptomatic gall stones (60%) and calculus cholecystitis (40%). All underwent laparoscopy and 2 patients were converted to open surgery intra-operatively in view of difficulty in dissection of Calot’s triangle. 3 patients had post-operative complications and treated conservatively.Conclusions: Laparoscopic cholecystectomy is a standardised, efficacious procedure for the treatment of gall stone disease whether symptomatic or infected. Complications are minimal but a thorough knowledge of open procedure is also essential in case of intra-operative conversion.

scholarly journals Study of persistent post laparoscopic cholecystectomy symptoms: a 6 month long follow up of 62 patients

2018 ◽  
Vol 5 (10) ◽  
pp. 3368
Author(s):  
Sagar Soitkar ◽  
Divish Saxena ◽  
Nitin Wasnik ◽  
Murtaza Akhtar
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Tertiary Care ◽  
Gall Stone ◽  
Stone Disease ◽  
Complete Relief ◽  
Care Hospital ◽  
Psychiatric Illnesses ◽  
Gall Stone Disease ◽  
Symptomatic Gall Stone

Background: Majority of patient undergoing laparoscopic cholecystectomy for symptomatic gall stone disease is either cured or show improvement in their pre-operative symptoms. However, in few patients these preoperative symptoms may still persist and may continue to bother them even after surgery. The aim of this study is to evaluate and manage these patients with persistent post cholecystectomy symptoms.Methods: 62 patients of diagnosed symptomatic cholelithiasis had undergone laparoscopic cholecystectomy at a tertiary care hospital. They were evaluated with a questionnaire both before and; 3 months and 6 months after surgery. The symptoms present pre-operatively and the symptoms that persisted after laparoscopic cholecystectomy or emergence of any new symptoms were taken into consideration.Results: Out of 62 operated patients, 38 patients (61.3%) were relieved of their symptoms after cholecystectomy on follow up after 3 months whereas 24 patients (38.7%) had persistence of their symptoms. However, at 6 months follow up 16 out of these 24 patients showed improvement of their symptoms. Pain in right hypochondrium and non-specific dyspepsia were the commonest symptoms that were persistent. Thus, in this study 54 (87.1%) patients had complete relief after laparoscopic cholecystectomy and were satisfied with the treatment and in 08 (12.90%) patients the symptoms were not relieved.Conclusions: All the patients undergoing laparoscopic cholecystectomy should be evaluated in detail regarding their symptoms, psychiatric illnesses and be investigated thoroughly so as not to miss any other organic cause for their symptoms and should be counseled regarding persistence of their symptoms even after laparoscopic cholecystectomy.

scholarly journals Incidence of Choledocholithiasis in Gallstone Disease in Eastern Zone of India: A Single Centre Study

2017 ◽  
Vol 6 (1) ◽  
pp. 1417
Author(s):  
Mrigendra Kumar Rai ◽  
Vinod Kumar
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Gallstone Disease ◽  
Tertiary Care ◽  
Gall Stone ◽  
Common Bile Duct Stones ◽  
Stone Disease ◽  
Care Hospital ◽  
Bile Duct Stones ◽  
Gall Stone Disease

<p><strong>Background</strong>: Common bile duct stones are found in 10-15% of patients having gall stone disease and the incidence increases with the age, both in India and in western countries and the majority of common bile duct stones are secondary to gall bladder stones, their incidence is more in Northern India.</p><p><strong>Objective</strong>: To study the incidence of common bile duct stone in patients having gall stone disease in tertiary care hospital.</p><p><strong>Methods</strong>: This was a cross sectional study of 125 patients admitted in different wards of the department of surgery on the basis of symptoms and signs of gall stone disease and latter on trans-abdominal ultrasound and MRCP confirmed that 18.4% of total patients having also choledocholithiasis.</p><p><strong>Result</strong>: Incidence of choledocholithiasis was 18.4% in patients having gall stone disease. It was 3 times more common in females. Maximum incidence 35% in between 40-49 years, obese (52%) and middle socio-economic group (74%).</p><p><strong>Conclusion</strong>: Incidence of choledocholithiasis is in increasing trend and is more common in females in between 40-49 years age group. Obesity is the commonest risk factor.</p>

scholarly journals Prospective randomised trial of standard pressure versus low pressure laparoscopic cholecystectomy in a tertiary care hospital from Kolkata: Our experience

2018 ◽  
Vol 9 (4) ◽  
pp. 17-22
Author(s):  
Bikash Chandra Ghosh ◽  
Ambar Gangopadhyay
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Laparoscopic Surgery ◽  
Gall Stone ◽  
Low Pressure ◽  
Stone Disease ◽  
Care Hospital ◽  
Significant Difference ◽  
Gall Stone Disease ◽  
Standard Pressure ◽  
Symptomatic Gall Stone

Background: Laparoscopic cholecystectomy (LC), the procedure of choice for symptomatic gall stone disease. An emerging trend is to perform Low pressure pnuemoperitonium laparoscopic surgery as it has additive advantages over standard pressure to avoid complications while providing adequate working space.Aims and Objectives: The current study was designed with an aim to compare the advantage of low pressure pneumoperitoneum vs standard pressure pneumoperitoneum in laparoscopic cholecystectomy.Materials and Methods: The study was conducted in the department of General Surgery in R.G.Kar Medical College from January 2014 to June 2015. A total of 52 patients with symptomatic gall stone disease were recruited, 26 patients in each group randomly. Some intraoperative and post-operative parameters were studied.Results: All the intra-operative (IO) cardio-respiratory parameters (Pulse, Mean Arterial Pressure (MAP), End tidal CO2, spO2) were recorded just before incision, 20 minutes intra-operatively and before reversal of general anesthesia (GA). The IO parameters in our study, were found to be significant only at 20 minutes IO and before reversal of GA. The post-operative (PO) parameters (Pulse, MAP, Respiratory rate, spO2) and pain by VAS score at 6 hours, 12 hours and 24 hours post-operatively were studied. In PO period, we observed significant differences at 2 hours post-operatively in all parameters except MAP. There was significant difference in pain at 6, 12 and 24 hours when compared in both groups. The shoulder tip pain (STP) and 2 hours PO nausea and vomiting were found to be significantly higher in Standard pressure Laparoscopic cholecystectomy (SPLC) compared to Low pressure Laparoscopic cholecystectomy (LPLC). The operative time, duration of hospital stay and return to normal life after surgery though had differences but it was statisticallyinsignificant.Conclusion: Low pressure laparoscopic surgery is safe with least post operative complications when performed by experienced surgeons even in patients of ASA III.Asian Journal of Medical Sciences Vol.9(4) 2018 17-22

scholarly journals Clinical profile of patients with renal stone disease in a tertiary care hospital in Navi Mumbai

2020 ◽  
Vol 4 (3) ◽  
pp. 288-291
Author(s):  
Anuradha Panchal ◽  
Raj Gautam ◽  
Aniket Ray ◽  
Pranav Narayan ◽  
Rohith Pillai ◽  
...  
Keyword(s):  
Renal Stone ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Stone Disease ◽  
Clinical Profile ◽  
Care Hospital ◽  
Renal Stone Disease

scholarly journals A STUDY OF SEROPREVALENCE AND CHANGING TREND OF DENGUE IN A TERTIARY CARE HOSPITAL IN MANIPUR

2018 ◽  
Vol 7 (31) ◽  
pp. 3530-3535 ◽  
Author(s):  
Kokindro Singh L ◽  
Chitra Yengkokpam ◽  
Shivadutta Singh L ◽  
Lokhendro Singh H
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Changing Trend

scholarly journals A one-year study of cholelithiasis at a tertiary care hospital of South India

2018 ◽  
Vol 5 (7) ◽  
pp. 2444
Author(s):  
Ramalinga Reddy Rachamalla ◽  
Kishore Kumar Markapuram ◽  
Sreeram Satish
Keyword(s):  
Gall Stone ◽  
Stone Disease ◽  
Hormonal Contraceptives ◽  
Care Hospital ◽  
Mixed Diet ◽  
Female Ratio ◽  
Gall Stones ◽  
Increased Risk ◽  
Gall Stone Disease ◽  
One Year

Background: Gall stone disease is a chronic recurrent disease of hepatobiliary system characterised by formation of gall stones due to impaired metabolism of bile acids, cholesterol and bilirubin. The prevalence of cholelithiasis is variable and has been reported as 2-29% in India with differences in interstate and interregions. The objective of the present study was mainly focuses on the total clinical study with surgical management and their outcome.Methods: A prospective study for a period of one year was done after approval from ethical committee. The socio-demographic factors, clinical history, physical examination, laboratory investigations with ultrasound abdomen were done in all the cases. Surgical repair by Laparoscopic and open cholecystectomy was done.Results: Females were more predominant with male: female ratio of 1:1.97. Mean age of study population was 34.12±6.2 years and was more common during 5th decade of life. Pain in the hypochondrium was most common sign. Mixed stones were most common and mostly observed in cases of mixed diet. Laparoscopic cholecystectomy was most commonly performed with zero conversion rate. Wound infection was the most common post-operative complication in both the types of repair.Conclusions: To conclude, from the present study females were more commonly affected by cholelithiasis than males with a ratio of 1:1.97. Females are more prone during fertile age and reasons are multifactorial due to hormones, parity and hormonal contraceptives. Gall stone disease is more common during fourth and fifth decade of life in both males and females. Mixed diet (non-vegetarian) is associated with increased risk of developing gall stones than vegetarian diet.

scholarly journals A clinical study on epidemiology and etiological factors of acute pancreatitis-hospital based study in South India

2021 ◽  
Vol 8 (10) ◽  
pp. 3060
Author(s):  
Rajesh S. ◽  
Raju P. V.
Keyword(s):  
Acute Pancreatitis ◽  
South India ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Gall Stone ◽  
Geographical Location ◽  
High Morbidity ◽  
Care Hospital ◽  
Etiological Factors ◽  
Males And Females

Background: Acute pancreatitis is an important cause of acute abdomen with high morbidity and mortality. This study aimed to evaluate the epidemiology and etiological factors of acute pancreatitis in a tertiary care hospital in South India.Methods: This retrospective study was carried among 70 patients. Data was collected and analysis done based on age, gender, etiology and severity of acute pancreatitis.Results: Males were found more commonly affected than females in the ratio (M:F) of 5:1. Mean age of the study group was 37.2 years and maximum incidence was seen in the age group of 31 to 40 years. Overall alcohol was the most common etiological factor followed by idiopathic cause and gall stone disease.Conclusions: Males were more commonly affected than females with acute pancreatitis. Alcohol and gall stones were the leading cause of acute pancreatitis in males and females respectively. Alcohol was the most common cause in this geographical location.

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