scholarly journals A clinico-observational study of intestinal stoma and their complications

2019 ◽  
Vol 6 (3) ◽  
pp. 691
Author(s):  
Shyam Bhutra ◽  
Amit Singh ◽  
Ramkishore Darwal ◽  
Piyush Jain ◽  
Vineet Kala
Keyword(s):  
High Morbidity ◽  
Ileal Perforation ◽  
Medical College ◽  
Stoma Formation ◽  
Surgical Expertise ◽  
Formation Type ◽  
Elective Setting ◽  
Intestinal Stoma ◽  
The Common

Background: The present study is designed to study the indications of intestinal stoma formation, type of stoma formation, complications of intestinal stoma made in patients under emergency or elective setting and postoperative care of the intestinal stomas.Methods: The study was carried out in Department of surgery at J. L. N. Medical College, Ajmer from January 2016 to September 2017. In this study only >12 years age patient were included. The data were collected prospectively and analysed.Results: It was observed that most patients were operated in emergency (90%) as compare to elective (10%) setting for the formation of intestinal stomas. The stoma was formed more in male (58%) as compared to female (42%). There were two peak age group 31-45 year and 45-60 years in which more stoma formation occur. The common indications for stoma were found to be ileal perforation with gangrenous ileum. The common stoma formed was ileostomy (64%) in compared to colostomy (34%). The loop stomas were formed in compared to end stoma and temporary stoma (84%) more formed compared to permanent stoma (16%). The most common complications were found to be skin excoriation (64%) as compared to other complications.Conclusions: Despite increasing surgical expertise, complications of intestinal stomas still occur frequently in all setups and result in high morbidity. Meticulous skin care with regular follow-up, early detection of complications with their timely management along with education and counselling can decrease morbidity.

scholarly journals Evaluation of prolonged febrile illness in elderly

2019 ◽  
Vol 6 (5) ◽  
pp. 1513
Author(s):  
Nirmal Chandra Sahu ◽  
Prafulla Kumar Dash ◽  
Arindam Maitra ◽  
Samarendra Nath Das ◽  
Saroj Kumar Tripathy
Keyword(s):  
Extrapulmonary Tuberculosis ◽  
Febrile Illness ◽  
High Morbidity ◽  
Effective Management ◽  
Elderly Age ◽  
Medical College ◽  
Institutional Ethics ◽  
A Prospective Study ◽  
Infectious Etiology

Background: Febrile illness in elderly patients in hospitals is a challenge to the physician for diagnosis and treatment due to high morbidity as well as mortality and it increases if the febrile illness is prolonged. So proper evaluation and effective management is necessary for a better outcome. Keeping in mind the scarcity of studies in elderly febrile illness in India this study was taken up.Method: A prospective study was designed in medical ICU of S.C.B Medical college and Hospital, Cuttack Odisha, India. 50 patients were included in this study from July 2007 to December 2008. Institutional Ethics Committee cleared the study.Results: In 50 elderly (Age>60 yrs) patients of prolonged febrile illness, 36 (72%) were male and 14 (28%) were female. All had fever for >21 days. Pallor was the commonest sign (62%). 30 patients had infectious etiology, 15 had malignancies. Tuberculosis was the commonest infection (28%) comprising of 46.66% of infectious etiology with Pulmonary Tuberculosis (PTB) in 20% and Extrapulmonary Tuberculosis (ETB) in 26.66%. Malignancies accounted for 30% of cases with Non-Hodgkin’s lymphoma (NHL) in 33.33% being the commonest amongst the malignancies. On follow up of 50 patients 21 (42%) got cured.Conclusion: Febrile illness in elderly needs carefully evaluation as infections account for  most of the cases and Tuberculosis in our part of India as a major cause in these patients is treatable. Malignancies remain the second most common cause where timely intervention goes a long way in reducing morbidity and mortality.

scholarly journals UTEROVAGINAL PROLAPSE

2018 ◽  
Vol 21 (05) ◽  
pp. 1059-1062
Author(s):  
Malahat Mansoor
Keyword(s):  
Rectus Sheath ◽  
Uterovaginal Prolapse ◽  
Central Park ◽  
Medical College ◽  
Younger Age ◽  
Surgical Expertise ◽  
Long Term Follow Up ◽  
Set Up

Objectives: To follow post-op patients after autologous rectus sheath repair ofutero-vaginal prolapsed. Study Design: Observational study. Place & Duration of study: ServicesHospitals, SIMS, LHR & Bhatti International Hospital, Central Park Medical College LHR.2008-2012. Methods: Pts from 28to38 yrs of age with utero-vaginal prolapse were selected.Due to their younger age group uterus retaining procedure was planned whether they hadcompleted their family or not ,So autologous rectus sheath graft was used with abdominal approachto suspend the uterus along with plication of round ligament These patients were thenobserved for immediate post op complications & 6 months onwards follow up was also noted.Results: 10 pts were included in the study. Only one pt had dysurea & 1 pt had 1st Degreecystocele on discharge. Long term follow up showed that 2 pts had 1st degree cystocele & only1 pt had 1st degree uterovaginal prolapse. Conclusions: An easier procedure for utero-vaginalprolapse that can be easily performed in a regular hospital set-up without the need of Laparoscope,mesh or high surgical expertise.

scholarly journals A clinicopathological study of Rhinosporidiosis

2016 ◽  
Vol 21 (2) ◽  
pp. 94-96 ◽  
Author(s):  
Sharfuddin Mahmud ◽  
Rojibul Haque ◽  
Abdullah Al Mamun ◽  
Rafiul Alam ◽  
DGM Akaiduzzaman ◽  
...  
Keyword(s):  
Age Distribution ◽  
Cross Sectional Study ◽  
Anatomical Site ◽  
Upper Respiratory Tract ◽  
Cross Sectional ◽  
Male Predominance ◽  
Medical College ◽  
Site Distribution ◽  
The Common

Introduction: Rhinosporidiosis is one of the common tropical diseases in ENT practice in this subcontinent having the affinity for the mucosa of upper respiratory tract –chiefly the nose & nasopharynx. Though this chronic granulomatous disease is quite common in this subcontinent but its distribution is not even.Objectives: The aim of this study is to find out the age distribution, clinical sign-symptoms& attachment of rhinosporidiosis, that’s mean to establish the clinical profile of the patient.Method: A cross sectional study was done at the department of ENT & HNS, Sir Salimullah Medical College Mitford Hospital from January to December 2012. The study included 49 patients treated in this department and histologically proved.Rersults: Among 49 patients there was male predominance(37), female were-12. Majority of the patient presented with the feature of nasal obstruction(27), nasal mass(23) and it’s majority site of attachment was nasal septum(30). In anatomical site distribution majority cases(39) it was distributed in nose & nasopharynx.Conclusion: This study suggests total excision, wide base cauterization and regular follow up to prevent recurrence.Bangladesh J Otorhinolaryngol; October 2015; 21(2): 94-96

scholarly journals Study of intestinal stoma: our experience at Rajarajeswari Medical College and Hospital

2019 ◽  
Vol 6 (10) ◽  
pp. 3622
Author(s):  
Veena A. ◽  
Hariprasad T. R. ◽  
Gopal S.
Keyword(s):  
Loop Ileostomy ◽  
Medical College ◽  
Stoma Formation ◽  
Artificial Opening ◽  
End Colostomy ◽  
Enteric Perforation ◽  
Intestinal Stoma ◽  
Perianal Sepsis ◽  
Carcinoma Colon ◽  
Operative Findings

Background: Stoma is an artificial opening of intestinal or urinary tract to the abdominal wall. The purpose of the present study was to identify indications for commonly performed intestinal stomas and to study complications related to it.Methods: This is a retrospective descriptive observational study carried out in a surgical unit of Rajarajeswari Medical College and Hospital, Bangalore from August 2015 to August 2016. Data was collected by previous record files including age, gender, history of presenting illness, indication, type of stoma, type of surgery, appropriate operative findings and follow up of the cases. The results were collected, analysed and compared with other studies.Results: A total of 25 patients were evaluated age ranged between 20-70 years. Out of 25 patients 17 were admitted in emergency while 8 in out-patient department. The most common type of stoma made was loop ileostomy (44%) followed by end ileostomy (28%), end colostomy (16%) and loop colostomy (12%). Main indication for a stoma formation was enteric perforation (56%) followed by carcinoma colon and rectum (32%), perianal sepsis (21%), Koch’s abdomen (11%), penetrating injuries (11%). Of the various complications encountered with intestinal stoma, peristomal skin Excoriation (16%) was the most common complication observed followed by other complications as mentioned in study.Conclusions: In spite of enormous exposure of general surgeons towards stoma formation the complications are inevitable. Early detection of complication and its timely management is the keystone.

scholarly journals Ear, nose and throat foreign bodies and their spectrum in rural South India

2020 ◽  
Vol 6 (9) ◽  
pp. 1632
Author(s):  
S. Juthika Rai ◽  
B. V. Chandre Gowda ◽  
Rakshita R. Kamath
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Tertiary Care ◽  
Adverse Outcomes ◽  
High Morbidity ◽  
Rural South ◽  
Early Presentation ◽  
Medical College ◽  
Nose And Throat

<p class="abstract"><strong>Background:</strong> Ear, nose and throat foreign bodies are among the most common emergencies presenting to Otorhinolaryngologists world over and when dealt with poorly can cause high morbidity and mortality. Our study aimed at analysis of age, gender, types of foreign bodies and various aspects of their management in rural population.<br /> <strong>Methods:</strong> An observational prospective study was conducted in MVJ Medical College and Research hospital, Hoskote which is a tertiary care teaching hospital in rural Karnataka. 224 patients complaining of foreign body in ear, nose and throat between June 2018 to December 2019 were analyzed.</p><p class="abstract"><strong>Results:</strong> Among 224 patients, majority were &gt;10 years of age (57%). Most common site was ear (63.8%) followed by nose and throat. Single site foreign bodies were vast with cotton being most common object. About 67% foreign bodies were organic objects with 28%living and 72% non-living. 4% of the cases needed anesthetic augmentation for removal of which only 8 cases required general anesthesia. 60% cases were previously attempted removal cases with 2.7% cases developing sequela at follow up.</p><p><strong>Conclusions:</strong> Early presentation, timely intervention and skilled removal by otorhinolaryngologists can help prevent adverse outcomes of foreign body Ear Nose and throat.</p>

scholarly journals Sigmoid volvulus - an important cause of intestinal obstruction: how to deal with it?

2020 ◽  
Vol 7 (2) ◽  
pp. 465
Author(s):  
Sujan Narayan Agrawal ◽  
Kamal Singh Kanwar
Keyword(s):  
Intestinal Obstruction ◽  
Common Factor ◽  
Sigmoid Volvulus ◽  
High Morbidity ◽  
Medical College ◽  
Course Of Action ◽  
Maximum Benefit ◽  
The Common ◽  
The Mean ◽  
Early Surgical Intervention

Background: The objective of the study was to discuss the appropriate course of action in cases of sigmoid volvulus. It becomes important due to its high morbidity and mortality and its acute emergency presentation.Methods: This is a retrospective study of sigmoid volvulus admitted in the department of surgery at Late SBRKM Government Medical College, Jagdalpur. The study period was from January 2017 to August 2019. A total of 27 cases were under study. On admission, they were examined, investigated and treated surgically and the outcome noted.Results: Out of 27 patients 25 were male and 2 cases were female. The mean age group was 65 years. The co-morbidities consisted of previous abdominal surgeries, diabetes mellitus, hypertension, and renal complications. The common factor was chronic constipation and purgative abuse. All underwent a definitive surgical procedure like sigmoidectomy and colorectal anastamosis or sigmoidectomy and colostomy. In the second group colostomy closure and end to end anastamosis carried on at a later date. We have lost 5 patients in the post-operative period.Conclusions: The sigmoid volvulus presents with the features of intestinal obstruction. The real danger is the gangrene of the bowel, as a consequence of ischaemia. It requires an early surgical intervention for the maximum benefit of the patient.

scholarly journals Assessment of postoperative relief and complications correlated with septoplasty and septoplasty with turbinectomy

2019 ◽  
Vol 5 (5) ◽  
pp. 1344
Author(s):  
Sharad Rawat ◽  
G. D. Mahajan ◽  
Tejal Sonar ◽  
Ashwini Rathod
Keyword(s):  
Prospective Study ◽  
Nasal Septum ◽  
Nasal Symptom ◽  
Common Symptom ◽  
Deviated Nasal Septum ◽  
Nasal Blockage ◽  
Medical College ◽  
The Common ◽  
Made In

<p class="abstract"><strong>Background:</strong> Nasal obstruction was the common symptom of deviated nasal symptom. Many surgical procedures are available to correct the deviation. The current study was aimed to assess and compare the postoperative relief and complications of septoplasty alone and septoplasty with turbinectomy.</p><p class="abstract"><strong>Methods:</strong> This prospective study was done on 50 patients with nasal blockage due to deviated nasal septum. Study was done at department of ENT, Dr. D.Y. Patil Medical College and Hospital, DPU between July 2016 to September 2018. Patients randomly selected and operated with septoplasty alone (n=25) and septoplasty with turbinectomy (n=25). Assessment and comparisons was made in terms of postoperative relief and complications in both the groups.  </p><p class="abstract"><strong>Results:</strong> Significant postoperative relief was seen in group of patients after septoplasty with turbinectomy. Retained deviation and dryness of nose are the common complications observed in group of patients treated with septoplasty and septoplasty with turbinectomy respectively and on follow up of 4 weeks postoperatively the rate of frequency of complications was reduced in group of patients managed with septoplasty with turbinectomy.</p><p class="abstract"><strong>Conclusions:</strong> Postoperative relief and reduction in complication rate after 4 week follow-up was higher in group of patients operated with septoplasty with turbinectomy compared to group of patients managed with septoplasty alone.</p>

scholarly journals Prevalence of anemia in geriatric population of Kashmir: A hospital based study

2017 ◽  
Vol 1 (1) ◽  
pp. 26-30
Author(s):  
Nazia Hilal ◽  
Azher Mushtaq
Keyword(s):  
Morphological Type ◽  
Age Group ◽  
Quality Health Care ◽  
Geriatric Population ◽  
Medical College ◽  
Common Causes ◽  
Quality Health ◽  
The Common ◽  
Lost To Follow Up

Anemia is a common concern in geriatric age group in developing countries. The purpose of this study was to identify the common causes and types of anemia in elderly patients in educationally backward region with limited access to quality health care. This was an observational study was done in Shri Maharaja Hari Singh (SMHS) Hospital of Government Medical College Srinagar, over a period of two years. 2000 patients above 60 years of age attending the outpatient clinic were screened for anemia based on WHO criteria. A random and non-consecutive selection of 100 anemic patients was done to study the morphological type and cause of anemia. 1160 (58%) patients were males and 840 (42%) were females.  Total 812 out of 840 (96.67%) females and 738 out of 1160 (63.62%) males were found to be anemic. Maximum numbers of anemic patients were found in the age group 60-69 years. Mean age was 74.5 years. All the types of anemia based on peripheral smear were evident, normocytic being the commonest constituting 77.5%, followed by microcytic hypochromic 11.1%, macrocytic 7.05% and dimorphic 4.35%. 21% were lost to follow up and almost one fourth of the patients (24%) needed further evaluation before labelling them as having anemia due to old age. The common causes of anemia noted were gastrointestinal malignancy (31%), renal insufficiency (15%) and tuberculosis (9%). The inability to evaluate anemia in elderly individuals can lead to delay in the diagnosis of treatable as well as threatening disease conditions.

scholarly journals Clinical profile and management of pleomorphic adenoma of head neck: our experience

2019 ◽  
Vol 5 (6) ◽  
pp. 1615
Author(s):  
Rameshwar T. Pawar ◽  
Ashok Z. Nitnaware ◽  
Seema V. Patel ◽  
Tanvi S. Rekhade
Keyword(s):  
Pleomorphic Adenoma ◽  
Surgical Excision ◽  
Age Group ◽  
Medical College ◽  
Long Term Follow Up ◽  
Male Preponderance ◽  
The Common ◽  
Head Neck

<p class="abstract"><strong>Background:</strong> Pleomorphic adenoma constitutes one of the common salivary gland tumors. Our aim is to study the clinical presentation of pleomorphic adenoma, preoperative and postoperative histopathological findings and management of tumors.</p><p class="abstract"><strong>Methods:</strong> A retrospective study of 43 patients was conducted at department of ENT, Government Medical College and Hospital, Nagpur between January 2017 to February 2019. Data was collected and analysed.  </p><p class="abstract"><strong>Results:</strong> Maximum patients were of age group 40-60 years with male preponderance. Parotid being most common gland involved, 35 cases of all 43 were post-operatively confirmed to be pleomorphic adenoma.</p><p class="abstract"><strong>Conclusions:</strong> Pleomorphic adenoma is most commonly diagnosed in age group 40-60 years. Surgical excision is treatment of choice. Long term follow-up of the cases is warranted owing to risk of late recurrences.</p>

Modulation of carotid strain by statin therapy in atherosclerosis patients

VASA ◽  
2017 ◽  
Vol 46 (2) ◽  
pp. 108-115 ◽  
Author(s):  
Christian Alexander Schaefer ◽  
Anna Katharina Blatzheim ◽  
Sebastian Gorgonius Passon ◽  
Kristin Solveig Pausewang ◽  
Nadjib Schahab ◽  
...  
Keyword(s):  
Statin Therapy ◽  
Pulse Wave ◽  
Ultrasound Examination ◽  
Ankle Brachial Index ◽  
Radial Strain ◽  
Strain Analysis ◽  
Duplex Ultrasound ◽  
Strain Imaging ◽  
The Common

Abstract. Background: The beneficial effect of statin therapy on the progress of atherosclerotic disease has been demonstrated by numerous studies. Vascular strain imaging is an arising method to evaluate arterial stiffness. Our study examined whether an influence of statin therapy on the vessel wall could be detected by vascular strain imaging. Patients and methods: 88 patients with recently detected atherosclerosis underwent an angiological examination including ankle-brachial index (ABI), pulse wave index (PWI), central puls ewave velocity and duplex ultrasound. Captures for vascular strain analysis were taken in B-mode during ultrasound examination of the common carotid artery and evaluated using a workstation equipped with a speckle tracking based software. A statin therapy was recommended and after six months a follow-up examination took place. Meanwhile, the non-adherence of a group of patients (N = 18) lead to a possibility to observe statin effects on the vascular strain. Results: In the statin non-adherent group the ABI decreased significantly to a still non-pathological level (1.2 ± 0.2 vs. 1.0 ± 0.2; p = 0.016) whereas it stagnated in the adherent group (1.0 ± 0.2 vs. 1.0 ± 0.2; p = 0.383). The PWI did not differ in the non-adherent group (180.5 ± 71.9 vs. 164.4 ± 75.8; p = 0.436) but under statin therapy it decreased significantly (261.8 ± 238.6 vs. 196.4 ± 137.4; p = 0.016). In comparison to the adherent group (4.2 ± 2.0 vs. 4.0 ± 1.8; p = 0.548) under statin therapy the radial strain decreased significantly in the non-adherent group (4.7 ± 2.0 vs. 3.3 ± 1.1; p = 0.014). Conclusions: Our findings reveal a beneficial influence of statin therapy on the arterial wall detected by vascular strain analysis.

Sign in / Sign up

Export Citation Format

Share Document