scholarly journals A comparative study of postoperative complications in emergency versus elective laparotomy at a tertiary care centre

2017 ◽  
Vol 4 (8) ◽  
pp. 2730 ◽  
Author(s):  
Chauhan S. ◽  
Chauhan B. ◽  
Sharma H.
Keyword(s):  
Postoperative Complications ◽  
Tract Infection ◽  
Comparative Study ◽  
Wound Infection ◽  
Tertiary Care ◽  
Nausea And Vomiting ◽  
Emergency Laparotomy ◽  
Postoperative Fever ◽  
Gastrointestinal Complications ◽  
Medical College

Background: The incidences of post-operative complications are higher after laparotomy particularly in emergency. This study was aimed to evaluate and compare postoperative complications after emergency versus elective laparotomy performed at Bundelkhand Medical College, Sagar.Methods: This comparative study was carried out at Department of General Surgery in Bundelkhand Medical College, Sagar, Madhya Pradesh during period of January 2015 to February 2016. All the patients who underwent laparotomy (elective or emergency) were included in the study. Demographic data about patients was collected and noted in pro forma. Patients were followed in postoperative period and any complication developed recorded. Complications compared according to nature of laparotomy whether elective or emergency.Results: A total of 350 patients underwent emergency laparotomy and 50 patients underwent elective laparotomy. 128 (36.57%) patients developed complications following emergency laparotomy while 11 (22%) patients developed complication after elective laparotomy. Postoperative complications following emergency laparotomy included pyrexia (18.2%) followed by nausea and vomiting (12%), wound infection (11.4%), respiratory tract infection (6.85%), urinary tract infection (2.28%), gastrointestinal complications (3.71%), toxemia and septicaemia (8%).  After elective laparotomy 20% patients showed postoperative fever, 10% patients suffered from postoperative nausea and vomiting and wound infection was noted in 4% patients.Conclusions: In comparison to elective laparotomy postoperative complications are more common in emergency laparotomy.

scholarly journals A COMPARATIVE STUDY OF POSTOPERATIVE COMPLICATIONS IN EMERGENCY VERSUS ELECTIVE LAPAROTOMY

2020 ◽  
pp. 1-3
Author(s):  
Binit Prasad ◽  
Mukesh Kumar ◽  
Debarshi Jana
Keyword(s):  
Postoperative Complications ◽  
Tract Infection ◽  
Comparative Study ◽  
Wound Infection ◽  
Demographic Data ◽  
Postoperative Nausea And Vomiting ◽  
Nausea And Vomiting ◽  
Emergency Laparotomy ◽  
Postoperative Fever ◽  
Gastrointestinal Complications

Background: The incidences of post-operative complications are higher after laparotomy particularly in emergency.This study was aimed to evaluate and compare postoperative complications after emergency versus elective laparotomy performed at IGIMS, Patna. Methods: This comparative study was carried out at Department of General Surgery in Indira Gandhi Institute of Medical Sciences, Patna, Bihar during period of January 2019 to December 2019 All the patients who underwent laparotomy (elective or emergency) were included in the study. Demographic data about patients was collected and noted in pro forma. Patients were followed in postoperative period and any complication developed recorded. Complications compared according to nature of laparotomy whether elective or emergency. Results: A total of 350 patients underwent emergency laparotomy and 50 patients underwent elective laparotomy.128 (36.57%) patients developed complications following emergency laparotomy while 11 (22%) patients developed complication after elective laparotomy. Postoperative complications following emergency laparotomy included pyrexia (18.2%) followed by nausea and vomiting (12%), wound infection (11.4%), respiratory tract infection (6.85%), urinary tract infection (2.28%), gastrointestinal complications (3.71%), toxemia and septicaemia (8%). After elective laparotomy 20% patients showed postoperative fever, 10% patients suffered from postoperative nausea and vomiting and wound infection was noted in 4% patients. Conclusions: In comparison to elective laparotomy postoperative complications are more common in emergencylaparotomy.

scholarly journals Comparative study of postoperative complications in elective versus emergency laparotomy at JSS hospital

2020 ◽  
Vol 4 (2) ◽  
pp. 233-236
Author(s):  
Dr. N Ravishankar ◽  
Dr. Sujit Kumar Sah ◽  
Dr. Shivkumar S ◽  
Dr. Arjun MV ◽  
Dr. Madhava Shenoy
Keyword(s):  
Postoperative Complications ◽  
Comparative Study ◽  
Emergency Laparotomy

scholarly journals Wound Infection in Orthopaedic Surgery: A Cross Sectional Study at Tertiary Care Teaching Hospital in Dhaka

2019 ◽  
Vol 30 (Number 1) ◽  
pp. 14-19
Author(s):  
N Islam ◽  
ASM S Chowdhury ◽  
M Mannan ◽  
Z Hossain ◽  
K Sabiha
Keyword(s):  
Wound Infection ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Clinical Findings ◽  
Aerobic Bacteria ◽  
Biochemical Tests ◽  
Cross Sectional ◽  
Care Teaching ◽  
Medical College ◽  
Collection Form

Infections after operative procedures caused by multiple organisms appears with pain, fever; poor wound healing, antibiotic prolongation, need in-patient longer stays and increased expenses. It increases both morbidity and mortality. A cross-sectional descriptive study was conductedat Orthopaedics ward in Holy Family Red Crescent Medical College, a tertiary care teaching hospitalin Dhaka, Bangladesh for 3-month period to identify the frequently causative bacteria of wound infections and days of appearances of such infections. Tota1135 samples from patients with mean age of 35.77*I4.38 were analyzed. Patient history and clinical findings were collected in a data collection form during the study. Fifty-sixptis samples or wound swabs were collected from infected operated area and culture and biochemical tests for aerobic bacteria were done. Total of 21 from 36 samples were growth positive cultures (58.33%) and 15 were growth negative (41.66%). Most frequent organismcausing post-operative wound infection (POW!) was Pseudomonas aeruginosa,29.57% of positive isolatesandtheir post-operative days of appearances was mostly 6-10 days with82.7% frequencies. Surgical site infection is an unsettled ongoing problem which, although, cannot be completely rusticated.However, adequatepreventivestrategies against the most commonly isolated organism and proper care of wounds may reducethe occurrences of such infection.

scholarly journals A comparative study between coblation adenoidectomy and conventional adenoidectomy

2018 ◽  
Vol 4 (3) ◽  
pp. 721
Author(s):  
V. Saravana Selvan ◽  
Muthamil Silambu ◽  
D. Vinodh Kumaran
Keyword(s):  
Comparative Study ◽  
Pain Score ◽  
Tertiary Care ◽  
Conventional Technique ◽  
School Absenteeism ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Intraoperative Bleeding ◽  
Medical College

<p class="abstract"><strong>Background:</strong> The objective of the study was to compare the advantages and results between coblation adenoidectomy and conventional adenoidectomy by curettage.</p><p class="abstract"><strong>Methods:</strong> The study was<strong> </strong>conducted in Stanley medical college, Chennai (a tertiary care centre) from June 2013 to June 2016. Fifty patients were studied who underwent adenoidectomy. Twenty five patients underwent conventional adenoidectomy by curettage and rest by nasal endoscopy assisted coblation adenoidectomy. Following outcomes were evaluated: pain score on first day, days reporting pain, analgesic days, school absenteeism, endoscopic adenoid grading and intraoperative bleeding.  </p><p class="abstract"><strong>Results:</strong> Patients who underwent coblation adenoidectomy showed better results during follow up with lesser complications.</p><p class="abstract"><strong>Conclusions:</strong> Coblation adenoidectomy is a better technique when compared to conventional technique of curettage.</p>

scholarly journals A clinical study of continuous and interrupted fascial closure in emergency midline laparotomy at a tertiary care centre

2017 ◽  
Vol 4 (6) ◽  
pp. 2014
Author(s):  
Rahul D. Kunju ◽  
Vinayak Thakkannavar ◽  
Shrivathsa Merta K. ◽  
Sachin H. G. ◽  
Allen Netto ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Wound Infection ◽  
Wound Closure ◽  
Tertiary Care ◽  
Fascial Closure ◽  
Emergency Laparotomy ◽  
Closure Technique ◽  
Burst Abdomen ◽  
Midline Laparotomy ◽  
Laparotomy Wound

Background: Commonest approach in emergency open abdominal surgeries remains to be midline laparotomy because it is simple, saves time and causes minimal blood loss. Optimal technique for laparotomy wound closure has been a topic of debate since long. Risk factors for development of incisional hernia and burst abdomen are wound infection, systemic illnesses of patient and closure technique. Factors related to patients like age, gender, body mass index (BMI), systemic illnesses are not modifiable when an emergency laparotomy is the only option. Hence closure technique is one factor where surgeon has total control, which can bring down the incidence of burst abdomen and incisional hernias.Methods: Prospective study conducted in 150 patients who underwent emergency midline laparotomy from December 2014 to February 2016 in Krishna Rajendra Hospital attached to Mysore Medical College and Research Institute, Mysore, Karnataka, India with 6 months’ follow-up after surgery.Results: Most of patients in the study belonged to 30-40-year group and were males (78%). Gastrointestinal perforation peritonitis (52%) was the single most common indication for emergency midline laparotomy. In the continuous and interrupted groups, post-operative wound infection was found in 54.6% and 34.6%, wound dehiscence was found in 16% and 6.6% and incisional hernia in 14.4% and 4% respectively.Conclusions: Interrupted suturing is superior to continuous technique in emergency midline laparotomy wound closure in terms of complications and post-operative morbidity.

scholarly journals Incidence and Susceptibility of Uropathogens Isolated among the Patients at Tertiary Care Hospital in Eastern Nepal

2016 ◽  
Vol 5 (2) ◽  
pp. 51-55 ◽  
Author(s):  
Bigu Kumar Chaudhari ◽  
Ganesh Kumar Singh ◽  
Kamal Prasad Parajuli ◽  
Kewal Shrestha
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Diffusion Method ◽  
Care Hospital ◽  
E Coli ◽  
Medical College ◽  
Tract Infections

Background Urinary Tract Infection (UTI) is one of the most common infectious diseases which affect almost all ages groups of population. Production of â-lactamases is responsible for antibacterial resistance which is frequently observed in Enterobacteriaceae isolates, particularly by E. coli and Klebsiella pneumoniae. This investigation has been carried out to determine the current status of prevalence and susceptibility of uropathogens isolated among the patients at tertiary care hospital in eastern Nepal.Material and Methods This study was done at the department of Microbiology, Nobel Medical College Teaching Hospital, Biratnagar, Nepal during May 1st 2015 to October 31st 2015. Midstream cleancatch urine was sampled from 1730 suspected urinary tract infection patients of different age and sex groups. Uropathogens were recognized in term of standard and specific microbiological techniques and antimicrobial susceptibility pattern was determined by Kirby Bauer Disc diffusion method following Clinical and Laboratory Standards Institute (CLSI) guidelines.Results Out of 1730 suspected specimens Culture resulted a total of 761 (43.98 %) positive and 969 (56.02%) negative among that significant growths of uropathogens including 700 (91.98 %) unimicrobial and 60 (7.88 %) polymicrobial growths. In term of Gender distribution 443 (25.60 %) were male and 1287 (74.40 %) were female hence the ratio is 0.34:1, respectively. E. coli was the leading isolate (66 %), followed by Klebsiella spp. (12 %), Enterococcus spp. (8 %), Pseudomonas spp. (6 %), Acinetobacter anitratus (5 %), Proteus spp. (3 %).Conclusion The high frequency of multidrug resistance in bacterial uropathogens was seen. Principally, resistance patterns were seen higher for amoxycillin, co-trimoxazole, flouroquinolones and third-generation cephalosporins, Existing uropathogens highlights the highest rate of vulnerability to nitrofurantoin, amikacin and gentamicin which provide much better antibiotic coverage and can be adapted for practical treatment of urinary tract infections.  Journal of Nobel Medical College Vol.5(2) 2016; 51-55

scholarly journals A CLINICAL COMPARATIVE STUDY BETWEEN MISOPROSTOL (PGE1) AND DINOPROSTONE (PGE2) FOR INDUCTION OF LABOUR AT TERM - A PROSPECTIVE RANDOMISED CONTROLLED TRIAL

2019 ◽  
Vol 3 (9) ◽  
Author(s):  
Dr Beena. B ◽  
Dr Shyla. S ◽  
Dr P.K. Syamala Devi
Keyword(s):  
Comparative Study ◽  
Low Cost ◽  
Economic Status ◽  
Controlled Trial ◽  
Tertiary Care ◽  
Fetal Monitoring ◽  
Induction Of Labour ◽  
Tertiary Care Centre ◽  
Medical College ◽  
Randomised Controlled

Background: Comparative study beween misoprostol and dinoprostone for induction of labour at term has been done at various centres which showed misoprostol to be more effective. This study was done, 18 years back in 2001, when the most common method of induction was dinoprostone. Since then both the drugs has been used equally for induction of labour at term. But in recent past, PGE1 is not being used widely because of fear of untoward effect.  Hence, the importance this article which shows misoprostol to  be more effective with less side effects, easy for storage and low cost. This study is to compare the effectiveness between the two molecules of prostaglandins PGE1 and PGE2 for induction of labour in term. The complication can be reduced by proper selection, 1 to 1 and continuous fetal monitoring. Methods: It was a prospective RCT. 200 Women at term in whom induction of labour was indicated with no contraindications for the use of prostaglandin attending labor room in a tertiary care centre (SAT Hospital Government Medical College Trivandrum) for a period of five months, from September 1St 2000 to January 31st 2001 was chosen to compare the effectiveness of Misoprostol and Dinoprostone for induction of labour at term. Both the groups were comparable in age, parity and bishop score. Results: Among 200, 123(61%) were primigravida and 146 (73%) were in the age group of 21 – 30 yrs. Median induction delivery interval was about 9 hrs shorter in PGE1 group. Only14.14% required oxytocin augmentation in PGE1 Group compared to 50.54% in PGE2 group. There was 8 failures in PGE2 and there was one case of hyper stimulation in PGEI group for which LSCS was done. PGE2 costs 10 times more than PGE1. Conclusion: Misoprostol is faster acting with low induction delivery interval and requirement for oxytoccin augmentation. Misoprostol is low cost drug, affordable to most of our patient from low socio economic status. Keywords: Term pregnancy, Tab Misoprostol, PGE1, Dinoprostone gel, PGE2, Induction of labour.

scholarly journals Rate of Wound Infection of Non-traumatic Emergency Laparotomy at a Teaching Hospital in Bangladesh: Experience of 100 cases

2017 ◽  
Vol 2 (1) ◽  
pp. 9-12
Author(s):  
Din Mohammad ◽  
Mahbuba Begum ◽  
Abdur Rabban Talukder ◽  
Md. Abdus Salam
Keyword(s):  
Wound Infection ◽  
Infection Rate ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Positive Culture ◽  
Wound Infection Rate ◽  
Emergency Laparotomy ◽  
Bacteriological Examination ◽  
Postoperative Wound ◽  
Ulcer Perforation

Background: Wound infection is an important issue for surgical operations. Objective: The purpose of the present study was to measure the rate of wound infection of non-traumatic emergency laparotomy cases.Methodology: This descriptive cohort study was carried out in the Department of Surgery at Dhaka Medical College, Dhaka from July 1997 to June 1998 for a period of 1(one) year. Pre-operative patients were carefully assessed for any host factors related to wound infection. Different per-operative factors that influence the rate of postoperative wound infection were also analyzed. Swabs were taken from the suspected postoperative wound and sent for bacteriological examination. Result: In this series, 100 cases of emergency laparotomies (non-traumatic) were analyzed. Bacteriological examination showed positive culture in most of the cases but three were found to be negative result. Wound infection rate of specific type of operation were 12.5%, 20.0%, 6.6%, 40.0%, 40.0%, 33.3%, 50.0%, 50.0%, and 100.0% in duodenal ulcer perforation, pre-pyloric and gastric ulcer perforation, acute appendicitis, burst appendix, ileal perforation, small intestinal obstruction due to bands and adhesions, volvulus of sigmoid colon, obstructed inguinal hernia, generalized peritonitis due to puerperal sepsis respectively. The overall surgical wound infection rate was 19.0%. Conclusion: The rate of wound infection of non-traumatic emergency laparotomy cases are frequently found in a well-established tertiary care teaching hospital. Bangladesh J Infect Dis 2015;2(1):9-12

scholarly journals PREVALENCE OF URINARY TRACT INFECTION IN CHILDREN (AGE 1 MONTH TO 5 YEARS) WITH FEVER ADMITTED IN JHALAWAR MEDICAL COLLEGE, JHALAWAR

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Rakesh Kumar Sharma ◽  
Kapil Kumar ◽  
Anita Devi
Keyword(s):  
Urinary Tract Infection ◽  
Preschool Children ◽  
Urinary Tract ◽  
Tract Infection ◽  
Tertiary Care ◽  
Tertiary Care Centre ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Culture Positive

Background: The present study is undertaken to estimate the prevalence of urinary tract infection in febrile preschool children (1 month to 5 years of age) in febrile children visiting at tertiary care centre of Jhalawar, Rajasthan Methods: It was a cross-sectional, prospective, observational, non interventional study, carried out to analyse the prevalence of urinary tract infection in febrile preschool children (1 month to 5 years of age) in febrile children visiting medical college, Hospital Jhalawar. The study was conducted in Department of Paediatrics, between Dec. 2019  to  March 2020. The study was approved by Ethics Committee.   Results: During the study period, we have screened total 1379 preschool children (under 5 years of age) with fever. Out of this total 1379 febrile children, 86 children found to be culture positive cases for UTI (CP-UTI). The prevalence of culture positive cases for UTI in this study was 6.23%. In the prospect of age, 24 (27.91%) children were found to be infant and 62(72.09%) children were found to be of age between 1 years to 5 years. Conclusion: UTIs in preschool children are often having vague and variable symptoms, often fever is the only symptoms. An untreated UTI can lead to subsequent damage and impairment of renal structure and function, it is very important to diagnose and treat UTI in preschool children. Keywords: Urinary tract infection, E.coli, Fever.

scholarly journals Study of different surgical management approach in lower limb varicose veins at tertiary care hospital

2017 ◽  
Vol 4 (8) ◽  
pp. 2520
Author(s):  
Mohd Shafiuddin ◽  
T. P. Bhavanishankar
Keyword(s):  
Wound Infection ◽  
Lower Limb ◽  
Varicose Veins ◽  
Tertiary Care ◽  
Management Approach ◽  
Care Hospital ◽  
Contributing Factors ◽  
College Hospital ◽  
Male Predominance ◽  
Medical College

Background: The present study was conducted with the aim to evaluate the clinical features and management of varicose veins in terms of recurrence and symptoms improvement.Methods: This clinical study was conducted for a period of two years during January 1990 to February 1992. A total of 21 patients who presented with symptoms of varicose veins in lower extremities to Karnataka Medical College Hospital Hubli were involved in the study. After thorough clinical examination and investigation all the patients are subjected to relevant treatment.Results: Long saphenous system is the most common venous system affected by varicosity in 18 (85.7%) cases. Incompetence of perforator veins was seen in about 20 (95.3%) cases. Trendelenburg’s operation was done in all cases of long saphenous involvement. Sub fascial ligation of perforators was done in 2 patients. Wound infection is the common postoperative complication observed in 5 patients. Preoperative stay in hospital was longer in patients with ulcer (13 days), whereas patients with postoperative wound infection (14 days) had longer postoperative stay.Conclusions: This study showed that the prevalence of lower limb varicose veins has a male predominance and is more common in younger age group. Occupation involving standing for longer periods of time is one of the important contributing factors in the development of varicosities. There is no single method of appropriate treatment for all cases. Multiple ligations of saphenous vein and excision of varicosed tributaries were done in 9 patients. If cases are selected properly with good operative technique the complications are negligible.

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