scholarly journals A clinical study of ventral hernia

2017 ◽  
Vol 4 (7) ◽  
pp. 2326 ◽  
Author(s):  
R. D. Jaykar ◽  
A. S. Varudkar ◽  
Anirudh K. Akamanchi
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Ventral Hernia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Age Groups ◽  
Care Hospital ◽  
Female Ratio ◽  
Surgical Ward ◽  
Ventral Hernias

Background: Ventral hernias are one of the most common problems confronting general surgeons. Incisional hernia is a common long-term complication of abdominal surgery and is estimated to occur in 3% to 13% of laparotomy incisions. Because there is no prospective cohort available to determine the natural history of untreated ventral hernias, most surgeons recommend that these hernias should be repaired when discovered. So, there was a need to study the disease with respect to the various presentations, to gauge the awareness levels of the patients coming to us and also to determine the best modality of treatment in our set-up. This study was done to know the proportion of ventral hernias occurring in both sexes, various age groups, various risk factors and complications of different types of ventral hernias, clinical presentations and their treatment. Methods: This was a prospective study done at our tertiary care hospital between August 2014 and August 2015 (12 months). A total number of 50 cases of anterior abdominal hernias excluding groin hernias, posterior abdominal wall hernia was studied. Data collection included a detailed history and a thorough clinical examination. Data was entered in the proforma, tabulated and analyzed using software package for statistical analysis (SPSS 2015).Results: Ventral hernia constituted 4% of all admissions to the surgical ward. Incisional hernia was the most common amongst the ventral hernias with an incidence of 46%. Infra umbilical midline was the most common site for herniation in 42% of cases followed by umbilical region in 32% of cases. Obesity and constipation were found to be the major predisposing risk factors. Small defects (<2cm) presented early with more complications.Conclusions: In the present study of ventral hernias, 50 cases of ventral hernias that were admitted to Department of Surgery in our tertiary care hospital. Ventral hernia constituted 4% of all admissions to the surgical ward. The male to female ratio was 1:1.9 The mean age was approximately 41 years. Incisional Hernia was strangulated umbilical hernia - intra operative the most common variety.

scholarly journals Association between obesity and periodontal disease among young and middle aged adults groups.

2019 ◽  
Vol 26 (10) ◽  
pp. 1688-1692
Author(s):  
Khurram Attaullah ◽  
Zubair Ahmed Khan ◽  
Muhammad Sibghatullah ◽  
Zaheer Hussain Chachar ◽  
Muhammad Ilyas Shaikh ◽  
...  
Keyword(s):  
Periodontal Disease ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Age Groups ◽  
Normal Weight ◽  
Periodontal Pocket ◽  
Care Hospital ◽  
Obese Patients ◽  
Ideal Weight ◽  
Female Ratio

Objectives: Developed and developing countries are facing an obesity epidemic with various health consequences. Few studies have addressed the relationship between obesity and periodontal health. The present study assessed the association of ideal weight, overweight and obese patients in two age groups. To compare frequency of periodontal disease among ideal weight, overweight and obese patients presenting in a tertiary care hospital. Study Design: Cross-Sectional Study. Setting: Medical outdoor at tertiary care hospital in Pakistan. Period: 15th January to 14th July 2017. Materials & Methods: A total 100 patients came to the medical outpatients department between 25 to 45 years of age were included. Patients fulfilling the inclusion criteria, subjects BMI score was determined by classifying him/her obese, overweight or normal weight. Periodontal pocket depth was determined by WHO probe of at least one tooth from each sextant under supervision of my supervisor and three senior trainees. Frequency of periodontal disease was seen in ideal weight, overweight and obese subjects in both age groups. Results: Age range in his study was from 25 to 45 years with mean age of 36.9 ±7.51 years. Out of 100 patients 66 (66%) were females & 34 (34%) were males and with male to female ratio 1.9:1. Periodontal disease was present in 47 female patients (71%) and in 24 male patients (70%). Periodontal disease was present in over weight and obese patients more than normal weight. Conclusion: This study concluded that there is positive correlation of periodontal disease in overweight and obese patients. The frequency of periodontal disease was highest in old obese patients.

scholarly journals A clinical study on ventral hernia at a tertiary care hospital

2018 ◽  
Vol 5 (2) ◽  
pp. 714
Author(s):  
Suresh Clement H. ◽  
P. Vamshi Bharath ◽  
Harsha Omkar M. ◽  
Bharath Kumar Reddy
Keyword(s):  
Ventral Hernia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Abdominal Wall Hernia ◽  
Complex Problem ◽  
Care Hospital ◽  
Operative Complications ◽  
Operative Evaluation ◽  
Ventral Hernias

Background: Ventral hernias comprise the second most common hernial presentations in the surgical world. This study was undertaken to know the different clinical types, age incidence, predisposing factors for ventral hernia and also to study the post-operative results of different operative procedures.  objective of present study was to investigate clinical profile of patients with ventral hernia.Methods: Forty cases of abdominal wall hernia were studied during the period of 2 years. Informed consent was obtained. Detailed history, thorough clinical examination was carried out. Patients were operated with standard surgical procedure. They were followed for 3-18 more months to observe occurrence of complications among them. Data was analyzed using proportions and presented.Results: Sixty percentage were Incisional hernia following an operation and remaining contributed to 40%. 22.5% patients had presented with complications like irreducibility, obstruction and strangulation. The presence of associated diseases, large hernia, poor condition of local tissue (muscle), all make the surgical management of ventral hernia a complex problem. Each patient was evaluated separately and thoroughly, and his surgery planned so as to obtain satisfactory results. Different methods of surgical procedures were undertaken in this study. The post-operative complication rate was minimal that is 12.5% and the recurrence rate observed was 0% but the sample size and follow up period (3-18 months) was short, in view of which I am not able to give a definite.Conclusions: Good pre-operative evaluation and preparation; sound anatomical knowledge and meticulous attention to surgical detail are the most important factors for prevention of post-operative complications and recurrence of hernia.

scholarly journals An Observational Study on Idiopathic Intracranial Hypertension (IIH) in a Tertiary Care Hospital in Bangladesh

2022 ◽  
Vol 8 (1) ◽  
pp. 333-340
Author(s):  
Md. RashidoonNabi Khan
Keyword(s):  
Risk Factors ◽  
Brain Tumor ◽  
Observational Study ◽  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Benign Intracranial Hypertension ◽  
Female Ratio

Background: Among the risk factors of cardiovascular diseases, hypertension is one of the major reason. Intracranial hypertension (IIH) is a pressure buildup around the brain. It can happen unexpectedly, as a result of a severe head injury, stroke, or brain abscess could be occurred. It could also be a chronic, long-term condition, known as IIH. It results in the signs and symptoms of a brain tumor. Which is also known as benign intracranial hypertension. Cerebrospinal fluid, or CSF, is the fluid that surrounds the spinal cord and brain. CSF can accumulate if too much fluid is produced or not enough is reabsorbed. This can induce symptoms similar to a brain tumor. Intracranial Hypertension can be classified into three categories, they are Acute, Chronic and Idiopathic. IIH is recognized when the increased intracranial pressure cannot be explained by any other underlying cause.Aim: The aim of the study was to observe idiopathic intracranial hypertension patients in a select tertiary care hospital of Bangladesh.Methods:This cross-sectional observational study was conducted at the Department of Neurosurgery, Sylhet M. A. G. Osmani Medical College Hospital, Sylhet, Bangladesh. The study duration was from January 2012 to December 2020. A total number of 47 participants had been recruited as study population.Results:Male: female ratio was 1:10.75, and 91% of the total participants were female. 40.43% of the participants were aged between 21-30 years. 46.81% were overweight and 34.04% were obese. Most common symptom was nausea, followed by visual impairment and double vision.Conclusion:The prevalence of Idiopathic Intracranial Hypertension is much higher among the female. Female and high BMI are significant risk factors of IIH. It is more prevalent among young adults, and results on various vision related symptoms.

scholarly journals Frequency, risk factors and materno-foetal outcomes among cases of Placenta previa at a tertiary care hospital: a two year study

2019 ◽  
Vol 8 (6) ◽  
pp. 2240
Author(s):  
Pamulaparthi Bindu Reddy ◽  
Gurram Swetha Reddy
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Tertiary Care Hospital ◽  
Placenta Previa ◽  
Tertiary Care ◽  
Previous History ◽  
Morbidity And Mortality ◽  
Care Hospital ◽  
Early Date

Background: Placenta previa refers to the presence of placental tissue that extends over the internal cervical os.  Placenta previa is linked to maternal hypovolemia, anaemia, and long hospital stay and with prematurity, low birth weight, low APGAR score in newborn. So it is very important to identify the condition at an early date to warn the condition thereby reducing the maternal and foetal morbidity and mortality. The present study was aimed to estimate the prevalence of PP, its associated predisposing risk factors and maternal morbidity, mortality and the perinatal outcome.Methods: A prospective observational study for two years was conducted at a tertiary care hospital. Pregnant mothers with >28 weeks of age with H/o ante partum haemorrhage were screened for placenta previa, confirmed by ultra sonography and included in the study. Clinical history, obstetric examination was done and followed up till the delivery. Maternal and foetal outcomes were recorded. Data analyzed by using SPSS version 20.Results: 1.4% incidence of PP was noted, mean age of group was 29.17±1.6 years. Age group of 21-30 years, multiparity Gravida 2-4, previous history of caesarean section and less number of ante natal checkups were significant risk factors and LSCS was most common outcome. Prematurity, low birth weight and APGAR <7 score for 1 minute was common foetal outcomes.Conclusions: Our study strongly suggests foetal surveillance programmes in cases of placenta previa. Measures should be made to bring awareness about PP, in urban slums and to increase medical checkups regularly. Making USG mandatory during every ANC and referral of cases of PP to tertiary care centres would definitely reduce the chances of morbidity and mortality.

Sign in / Sign up

Export Citation Format

Share Document