scholarly journals Role of laparoscopy in treatment of tubercular pyoperitoneum

2018 ◽  
Vol 5 (6) ◽  
pp. 2244
Author(s):  
Anubhav Goel ◽  
Ankur Bansal ◽  
Jinendra Rana ◽  
Chandrodaya Kumar
Keyword(s):  
Gastrointestinal Tract ◽  
Hiv Infection ◽  
Lymph Nodes ◽  
Diagnostic Laparoscopy ◽  
Abdominal Tuberculosis ◽  
Peritoneal Tuberculosis ◽  
Frequent Site ◽  
Surgical Setting

Background: Abdominal TB, which may involve the gastrointestinal tract, peritoneum, lymph nodes or solid viscera, constitutes up to 12% of extrapulmonary TB and 1-3% of the total. Tuberculosis can involve any part of the gastrointestinal tract and is the sixth most frequent site of extrapulmonary involvement. Both the incidence and severity of abdominal tuberculosis are expected to increase with increasing incidence of HIV infection. Peritoneal tuberculosis occurs in three forms: wet type with ascitis, dry type with adhesions, and fibrotic type with omental thickening and loculated ascites. Aim of the present study was to evaluate the role of laparoscopy in cases of pyoperitoneum.Methods: In present study authors included the cases of pyoperitoneum which is diagnosed by ultrasound aspiration and no sign of perforation of bowel and is hemodynamic stable.Results: A total of 14 cases of pyoperitoneum were included. All underwent diagnostic laparoscopy. 3 had underlying ruptured appendicitis and excluded from study. Rest 11 had no perforation associated with it. 7 were female and 4 were male. Through lavarge of peritoneum done and drain placed in pelvis. Fluid was sent for ADA estimation which was increased in all eleven cases. DOTS treatment was started in all cases and they respond well to treatment in 6 month follow up.Conclusions: Tubercular pyoperitoneum is common entity in surgical setting. Laparoscopy has got encouraging role in these cases as it avoids laparotomy and complications associated with it.

scholarly journals The role of diagnostic laparoscopy in the era of modern imaging techniques: a study from a single center

2019 ◽  
Vol 6 (5) ◽  
pp. 1578
Author(s):  
Muzafar Yousuf Parray ◽  
Ajaz Ahmad Malik ◽  
Yaqoob Hassan ◽  
Ishfaq Ahmad Wani ◽  
Munir Ahmad Ahmad Wani ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Liver Disease ◽  
Diagnostic Laparoscopy ◽  
Abdominal Tuberculosis ◽  
Final Diagnosis ◽  
Diffuse Liver Disease ◽  
Chronic Appendicitis ◽  
Focal Liver Disease ◽  
Abdominal Malignancy

Background: Despite the tremendous progressive evolution in the field of medicine, wherein, most of the diseases can be diagnosed based on history, clinical examination and investigations, there are quite a number of diseases which remain undiagnosed. It is here, where the role of diagnostic laparoscopy becomes important to reach to a conclusion for further management of patients.Methods: This study comprising of 70 patients undergoing diagnostic laparoscopy at SKIMS over a period of 4 years. This study was done to evaluate the role of diagnostic laparoscopy in patients with acute and chronic abdominal conditions wherein final diagnosis could not be achieved after all necessary imaging, serological, cytological, and microbiological investigations.Results: Out of 70 patients subjected to diagnostic laparoscopy in our study, the commonest indication was as cites of undetermined etiology (42.9%) followed by chronic abdominal pain (25.7%) diffuse liver disease (11.4%) acute abdominal pain (SAIO, cholecystitis, acute appendicitis, PID, endometriosis) (5.7%) abdominal tuberculosis (4.3%) focal liver disease (2.9%) bleeding per rectum (2.9%) abdominal malignancy (2.9%) and primary infertility (1.4)%. The post diagnostic laparoscopy outcome (final diagnosis) were abdominal malignancy 22 (31.4%) followed by abdominal tuberculosis 16 (22.9%) diffuse liver disease 6 (8.6%) focal liver disease 6 (8.6%) PID 4 (5.7%) SAIO 4 (5.7%) post-operative pelvic adhesions 3 (4.3%) Meckel’s diverticulum 2 (2.9%) abdominal plus pulmonary tuberculosis 1 (1.4%), endometriosis 1 (1.4%), ovarian cyst 1 (1.4%), pseudomyxoma peritonei 1 (1.4%), chronic appendicitis 1 (1.4%) and inconclusive 2 (2.9%). Diagnostic laparoscopy confirmed pre-operative diagnosis in 10 (14.3%) patients. In 29 (41.4%) patients pre-operative diagnosis was corrected by diagnostic laparoscopy. In 29 (41.4%) patients diagnosis was made only after diagnostic laparoscopy.Conclusions: Diagnostic laparoscopy is a safe, quick, and effective adjunct to non surgical diagnostic modalities, for establishing a conclusive diagnosis with high percentage of accuracy in diagnosis and impact in further management in selected patients.

scholarly journals Unique Gut Microbiome in HIV Patients on Antiretroviral Therapy (ART) Suggests Association with Chronic Inflammation

2021 ◽  
Author(s):  
Aya Ishizaka ◽  
Michiko Koga ◽  
Taketoshi Mizutani ◽  
Prince Kofi Parbie ◽  
Diki Prawisuda ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
T Cell ◽  
Antiretroviral Therapy ◽  
Hiv Infection ◽  
Chronic Inflammation ◽  
Gut Microbiome ◽  
Hiv Replication ◽  
Major Site ◽  
Age Related

Chronic inflammation is a hallmark of HIV infection and is associated with the development and progression of age-related comorbidities. Although the gastrointestinal tract is a major site of HIV replication and CD4 + T-cell depletion, the role of HIV-associated imbalance of gut microbiome in chronic inflammation is unclear.

Vitamin A: dietologist’s position

2020 ◽  
pp. 49-57
Author(s):  
S. V. Orlova ◽  
E. A. Nikitina ◽  
L. I. Karushina ◽  
Yu. A. Pigaryova ◽  
O. E. Pronina
Keyword(s):  
Immune Response ◽  
Urinary Tract ◽  
Gastrointestinal Tract ◽  
Vitamin A ◽  
Developed Countries ◽  
Therapeutic Practice ◽  
The Past ◽  
Increased Risk ◽  
Mucous Membranes

Vitamin A (retinol) is one of the key elements for regulating the immune response and controls the division and differentiation of epithelial cells of the mucous membranes of the bronchopulmonary system, gastrointestinal tract, urinary tract, eyes, etc. Its significance in the context of the COVID‑19 pandemic is difficult to overestimate. However, a number of studies conducted in the past have associated the additional intake of vitamin A with an increased risk of developing cancer, as a result of which vitamin A was practically excluded from therapeutic practice in developed countries. Our review highlights the role of vitamin A in maintaining human health and the latest data on its effect on the development mechanisms of somatic pathology.

Role of Diagnostic Laparoscopy in Infertility – Study of 50 cases

2012 ◽  
Vol 2 (7) ◽  
pp. 290-292
Author(s):  
Dr Vandana K Saini ◽  
◽  
Dr Sachin C Patel ◽  
Dr Kishor Kawad
Keyword(s):  
Diagnostic Laparoscopy

Health and social problems associated with HIV infection and AIDS in the professional activity of specialists with secondary medical education

2020 ◽  
pp. 5-13
Author(s):  
L. Guseva
Keyword(s):  
Medical Education ◽  
Hiv Infection ◽  
Clinical Signs ◽  
Modern Society ◽  
Progressive Increase ◽  
Professional Activity ◽  
Infected People ◽  
Immunodeficiency Virus ◽  
Epidemiological Characteristics

The article considers urgent problem of modern society – progressive increase in the number of people infected with the human immunodeficiency virus (HIV). Epidemiological characteristics of the pathogen are given, clinical signs of the disease and a modern strategy aimed at reducing the number of infected people are presented. The role of specialists with secondary medical education in the implementation of the Strategy aimed at combating the spread of HIV infection epidemic in the Russian Federation is emphasized.

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