scholarly journals A study on newer technique for reconstruction of pre auricular soft tissue defect with temporo-parietal fascia flap (Khabeer’s flap)

2018 ◽  
Vol 4 (6) ◽  
pp. 1485
Author(s):  
Ahmed Abdul Khabeer ◽  
Phani Bhushan Ivaturi ◽  
Y. L. Ravi Jadhav ◽  
Venkatesh Dasoju
Keyword(s):  
Dead Space ◽  
Superficial Temporal Artery ◽  
Surgical Excision ◽  
Temporal Artery ◽  
Sinus Tract ◽  
Soft Tissue Defect ◽  
Medical College ◽  
Gandhi Medical College ◽  
A Prospective Study ◽  
Fascia Flap

<p class="abstract"><strong>Background:</strong> A pre auricular sinus is a congenital abnormality, which occurs due to failure of fusion of primitive tubercles from which pinna develops. Pre auricular sinuses are usually asymptomatic and when symptomatic present usually as discharging sinus, associated with abscess formation anterior to root of helix. Symptomatic pre auricular sinus requires surgical excision to prevent recurrence and reinfection. Treatment of pre auricular sinus by conventional methods usually presents a dead space due to removal of sinus tract. The present study is to overcome this defect by a superficial temporalartery based temporo-parietal fascia flap or Khabeer’s flap. The objective of this study is to describe a novel technique for excision of pre auricular sinus using supra auricular approach and using a temporo-parietal fascia flap for covering the defect created after excision of pre auricular sinus.</p><p class="abstract"><strong>Methods:</strong> A prospective study was carried out in Department of Otorhinolaryngology, Gandhi Medical College/Gandhi Hospital Secunderabad from 2014 to 2017. All the patients admitted with symptomatic pre auricular sinus underwent surgical excision by supra auricular approach and at the end superficial temporal artery based flap was placed to fill the dead space.  </p><p class="abstract"><strong>Results:</strong> A total of 20 pre auricular sinuses were operated during the study period. There were no recurrences, no collection of serous fluid and no cosmetic defect post operatively in any of the study subject.</p><p><strong>Conclusions:</strong> The newer approach was found to be safe as it does not confer any complications post operatively and can be used for management of pre auricular sinus.</p>

scholarly journals Clinicopathological evaluation of thyroid swelling in patient attending Hamidia Hospital Bhopal

2020 ◽  
Vol 7 (7) ◽  
pp. 2222
Author(s):  
Samir Shukla ◽  
Shashi kant Tiwari
Keyword(s):  
Thyroid Nodule ◽  
Surgical Excision ◽  
Thyroid Function Test ◽  
Needle Aspiration ◽  
Medical College ◽  
Neoplastic Lesion ◽  
Thyroid Swelling ◽  
Needle Aspiration Cytology ◽  
Gandhi Medical College ◽  
A Prospective Study

Background: The prevalence of thyroid nodule ranges from 4-10% in general population. Its treatment includes either conservative management or surgical excision of gland. Fine needle aspiration cytology (FNAC) has emerged as most accepted, accurate diagnostic procedure and considered the gold standard diagnostic test in evaluation of thyroid nodule, other tests like ultrasound, nuclear scan used in conjunction with FNAC. The aim of study was to study the spectrum of diseases in thyroid swelling and accuracy of FNAC in the diagnosis.Methods: A prospective study, with total 50 patients, was conducted during period from 2017-2019 in department of surgery, Gandhi Medical College Bhopal. All patients who underwent thyroid surgeries were selected for study. All patients underwent detailed history, clinical examination, routine investigations, thyroid function test, FNAC, ultrasonography neck and histopathological examination.Results: Of 50 cases female to male ratio was 9.2:1, with median age group was 38.6 years. Among all, 42 (84%) were benign, 3 (6%) malignant and 5 (10%) suspicious. Of 5 suspicious lesions, only 1 (5%) case found malignant. Hemi thyroidectomy was common surgery performed, followed by subtotal/near total and total thyroidectomy.Conclusions: Thyroid swellings are common in females occur in 3rd and 4th decade most commonly. FNAC is very useful and indispensable in the diagnosis. Most common non neoplastic and neoplastic lesion was solitary thyroid nodule and papillary carcinoma respectively.

THE EVALUATION OF THE RESULTS OF NEGLECTED CLUBFOOT MANAGED BY PONSETI METHOD

2021 ◽  
pp. 23-25
Author(s):  
Nandram Saryam ◽  
Raja Yadav ◽  
Manish Rajpoot
Keyword(s):  
Ponseti Method ◽  
Effective Technique ◽  
Congenital Talipes Equinovarus ◽  
Medical College ◽  
Relapse Pattern ◽  
Study Results ◽  
Talipes Equinovarus ◽  
Gandhi Medical College ◽  
A Prospective Study ◽  
Foot Disorder

Background: Congenital talipes equinovarus is the most common congenital foot disorder. neglected of clubfoot deformity occurs after the treatment by Ponseti method .we evaluate the relapse pattern of clubfoot basis of bhasker et al then treat the patient by Ponseti technique. Methods: This is a Prospective study .We are conducting a clubfoot clinic since 2013 in Department of Orthopaedics Gandhi medical college Bhopal . We register all clubfoot patient at our clubfoot clinic on his/her rst visit. All the clubfeet assessed with Pirani scoring system on the initial presentation to our institution and treat by Ponseti method. During this study there were a total of 558 children with 713 idiopathic clubfeet registered at our clinic. A total of 80 neglected clubfeet in 56 children presenting with neglected clubfeet were included in our study. Results: We found that The neglected feet in our study is (80 feet out of 713 feet. The male patient is 38 (67.86%) and female patient is 18 (32.14%). Male were predominantly involved as compared to female.The post treatment Pirani score after relapse treatment is 0.40 Conclusion: Ponseti technique is a simple, effective, inexpensive method for treatment of clubfeet there is, no requirement of special setup with limited resources and less rate of recurrence/complication than the surgical treatment It has been concluded that Ponseti method is a effective technique to treat congenital idiopathic clubfeet with success rate is 94.65% in our study

scholarly journals STUDY OF COMPLICATIONS OF MALARIA IN ADULTS PATIENTS: A PROSPECTIVE STUDY FROM BHOPAL

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Nikhil Gupta ◽  
RS Maniram ◽  
Garima Vijayvergiya
Keyword(s):  
Leukocyte Count ◽  
Severe Anemia ◽  
Major Health Problem ◽  
Major Health ◽  
Medical College ◽  
Major Complications ◽  
Gandhi Medical College ◽  
A Prospective Study ◽  
Time Of Admission ◽  
Poor Population

Background: Malaria is a major health problem all over the globe. WHO recorded that 228 million people suffered and 405000 died due to malaria in 2018. Severity of malaria is known to be the cause of serious morbidity and mortality in poor population. Understanding of its current symptoms and associated complication can help in early diagnosis. Aims and objectives: To study the malarial complications among the adult patients. Materials and Methods: Hundred malaria patients were studied at Gandhi Medical College and associated with Hamidia Hospital from Jan 2019 to Dec 2019. For all the subjects’ medical history, demographic details and medical complications were recorded. Results: Major symptoms at the time of admission were fever, nausea and headache. Major complications in SM patients were severe anemia, prostration, hyperpyrexia (9%) respiratory distress in (6%), thrombocytopenia (70%), low leukocyte count (21%), and cerebral malaria was recorded in 4%. No mortality was recorded during this study. Conclusion: Severe anemia, prostration, hyperpyrexia, ARDS, thrombocytopenia and low leukocyte count are the major complications of SM. Keywords: nausea, anemia, prostration, hyperpyrexia, thrombocytopenia

Treatment of temporal artery pseudoaneurysms

Vascular ◽  
2013 ◽  
Vol 22 (4) ◽  
pp. 274-279 ◽  
Author(s):  
Irene Thomassen ◽  
Elisabeth G Klompenhouwer ◽  
Edith M Willigendael ◽  
Joep AW Teijink
Keyword(s):  
Superficial Temporal Artery ◽  
Surgical Excision ◽  
Temporal Artery ◽  
Primary Treatment ◽  
Treatment Modalities ◽  
Diagnostic Process ◽  
Thrombin Injection ◽  
Invasive Treatment ◽  
Artery Pseudoaneurysm ◽  
Primary Treatment Modality

Purpose To give an overview of the etiology and diagnostic process of superficial temporal artery pseudoaneurysms and to evaluate different treatment modalities. Basic methods PubMed was used for searching multiple databases for relevant clinical studies. Principal findings A total of 62 studies were included, harboring 82 patients. Surgical excision is the most frequently described treatment, but less invasive treatment modalities as coiling and thrombin injections are gaining popularity. Surgical treatment was successful in all cases (67/67). Endovascular treatment was successful in 69% (9/13); the five cases treated with thrombin injection were all successful. Complementary, a description of our experience with thrombin injection is given. Conclusions Limited evidence of minimal invasive treatment for superficial temporal artery pseudoaneurysm is available. Based on this review combined with our limited experience, we suggest thrombin injections to be considered as the future primary treatment modality. In the case of unsuccessful exclusion of the aneurysm, surgical excision can be performed.

scholarly journals Surgical feed ligation performed in 22 year old female with scalp arteriovenous malformation

2019 ◽  
Vol 7 (7) ◽  
pp. 2829
Author(s):  
Nyoman Gde Trizka Santhiadi ◽  
I. Nyoman Semadi
Keyword(s):  
Arteriovenous Malformation ◽  
Superficial Temporal Artery ◽  
Vascular Anatomy ◽  
Major Complication ◽  
Surgical Excision ◽  
Temporal Artery ◽  
Endovascular Embolization ◽  
Pulsatile Mass ◽  
History Of ◽  
Feeding Vessel

Scalp arteriovenous malformation (AVM) are rare conditions that usually need surgical treatment. Its management is difficult because of its high shunt flow, complex vascular anatomy, and possible cosmetic complication. The etiology of scalp AVM may be spontaneous or traumatic. This vascular lesion present as scalp lump or a mass, grotesque, pulsatile mass with a propensity to massive haemorrhage. Various treatment option that have been adopted to treat these lesions include surgical excision, ligation of feeding vessel, trans arterial and transvenous embolization, injection of sclerosant into the nidus and electro thrombosis. A 22-years-old-female referred to cardiothoracic division with a 10 years history of a large fronto-parietal pulsatile reddish soft mass, progressively increasing in size, measuring about 15x6x2 cm, ulcerated area; without any symptoms and history of trauma. Three-dimensional CT angiography demonstrated a mass that was completely within the scalp and prominent vascular that was completely within the scalp and was not associated with bone or periosteum. The feeding arteries were originated from angular artery, supratrochlear artery, left and right superficial temporal artery. Surgical excision and ligation of feeding vessel was performed without complication. With pre-operative appropriate surgical planning, scalp AVM can be excised safely without any major complication. Though some cases may be treated with percutaneous or endovascular embolization, surgery remains the treatment of choice. In the event of scalp ulceration and haemorrhage, total excision is the only option.

scholarly journals 1588 A Rare Case of Arteriovenous Malformation Following TMJ Arthroscopy: A Case Report and Review of The Literature

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Farooq ◽  
R Sarai ◽  
K McMillan
Keyword(s):  
Arthroscopic Surgery ◽  
Superficial Temporal Artery ◽  
Surgical Excision ◽  
Temporal Artery ◽  
Av Fistula ◽  
Operative Complication ◽  
Normal Limits ◽  
Gradual Onset ◽  
Preauricular Approach ◽  
The Right

Abstract Patients undergo temporo-mandibular joint (TMJ) arthroscopy as part of the diagnosis and management of chronic pain in the TMJ. Known complications of the procedure include bleeding within the joint spaces, lacerations of the external auditory canal and local nerve damage. We present the case of a 25-year-old woman who developed an arteriovenous fistula in the right pre-auricular region secondary to TMJ arthroscopic examination. She had presented with ongoing TMJ pain necessitating further investigation with arthroscopy. Following her procedure her TMJ symptoms improved, however she developed right pre-auricular swelling of gradual onset, right-sided headaches, and pulsatile tinnitus. Due to her pregnancy of around 16 weeks this was originally linked to expansion in plasma volume and hyperdynamic circulation; however, this was later diagnosed as an extremely rare, post-operative complication of TMJ arthroscopy. Her examination revealed a pre-auricular pulsatile swelling measuring approximately 1.5 cm. Blood tests including ESR and CRP were within normal limits excluding temporal arteritis. An ultrasound scan revealed an AV fistula of the right superficial temporal artery; Her MRI confirmed single vessel supply. Following discussion in the vascular anomalies MDT, she underwent embolisation with PHIL and surgical excision via a preauricular approach. The procedure was successful, and the patient made a full recovery. The literature reports very few cases of iatrogenic arterio-venous fistulas resulting from TMJ arthroscopic surgery. Our case emphasises the importance of a multidisciplinary approach in combining embolisation with surgical excision resulting in the successful management of a rare post-operative complication.

scholarly journals Role of HbA1c with mortality and severity among the patients of Acute coronary syndrome: a prospective study

2019 ◽  
Vol 6 (3) ◽  
pp. 796
Author(s):  
Satish Chandel ◽  
Shishirendu Parihar ◽  
Bharat Gramani ◽  
T. N. Dubey
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Artery ◽  
Glucose Intolerance ◽  
Left Ventricular ◽  
Diabetic Patients ◽  
Study Cohort ◽  
Medical College ◽  
Coronary Syndrome ◽  
Gandhi Medical College ◽  
A Prospective Study

Background: Blockage of coronary artery lead to a reduction of blood flow towards heart resulting in Coronary Artery Disease (CAD). CAD leads to myocardial complications. CAD is one of the important causes of death all over the world including India. Diabetes mellitus is a risk factor for CAD. Reports have also shown to increase in cardiovascular morbidity among patients with glucose intolerance. In present study we tried to find the relationship of HbA1c levels with mortality, morbidity, and severity in Acute Coronary Syndrome (ACS).Methods: Two hundred patients with ACS were studied from 2018 to 2019 at Gandhi Medical College and Hamidia Hospital, Bhopal. Following a thorough medical history routine medical examination including laboratory investigations was performed in all the patients. Electrocardiography (ECG), creatine phosphokinase-muscle/brain (CPK-MB), echocardiography and coronary angiography (CAG) was also done as part of this study.Results: Mean age of the study cohort was 59.17±8.75 years. Out of 200 subjects, 110 (55%) were non-diabetic, 52 (26%) were diabetic, 38 (19%) had weakened glucose tolerance and 82 (41%) had hypertension. Left ventricular dysfunction (LVD) and heart failure (HF) were the common complications and were more prevalent among diabetic patients than the nondiabetics (p=0.009). HbA1c level (7.01±2.23) was high among subjects with complications than the subjects without complications (6.01±1.36).Conclusions: The patients with DM have higher morbidity and mortality than the non-diabetic patients of ACS and therefore such patients should be screened for diabetes and glucose intolerance for better management of CAD.

scholarly journals A prospective study of post-operative surgical site infections after abdominal surgeries

2021 ◽  
Vol 8 (10) ◽  
pp. 3088
Author(s):  
Sanjay Jain ◽  
Rahul Shivhare ◽  
Shoranki Pardhan ◽  
Deepti Chaurasiya
Keyword(s):  
Prospective Study ◽  
Surgical Site Infections ◽  
Emergency Setting ◽  
Related Factors ◽  
E Coli ◽  
Medical College ◽  
Contaminated Wound ◽  
Male Patients ◽  
Gandhi Medical College ◽  
A Prospective Study

Background: Surgical site infections have plagued surgeons since time immemorial. There is significant morbidity and mortality associated with surgical site infections. In this study we tried to identify the incidence, various patient and procedure related factors, which could have led to SSIs, the various organism associated with the SSIs and their pattern of sensitivity and resistance to various antibiotics.Methods: This study was conducted in the department of general surgery, Gandhi medical college and Hamidia hospital Bhopal. In this prospective study, we included all patients more than 12 years of age undergoing abdominal surgeries between 2018-2020. Patient data was recorded in a case recording form and all patients were examined post-operatively for soakage along with culture and antibiotic testing.Results: A total of 299 patients were included. Overall incidence of SSI was 23.07%, elective surgeries showed 19.5% incidence and elective showed 26.08% incidence. Higher incidence of SSI was found in, male patients (25.9%), contaminated and dirty surgeries, higher ASA scores, smokers, alcoholics diabetics, anaemics, and malnourished patients. E. coli and klebsiella were the most common organisms isolated in both elective and emergency setting. Organisms isolated were highly sensitive to colistin, meropenem, imipenem, gentamicin and amikacin. Amoxycillin, ceftriaxone, doxycycline were fairly resistant in the current study.Conclusions: Modifiable risk factors like smoking, alcoholism, anaemia, malnourishment, contaminated wound class and emergency surgeries should be addressed systematically along with judicious use of antibiotics and tailoring then according to culture profile whenever possible is needed to reduce SSI rate.

scholarly journals Role of preoperative nutrition in gastro-intestinal cancer patients: a prospective study

2016 ◽  
Vol 4 (1) ◽  
pp. 131
Author(s):  
Samir Shukla ◽  
M. C. Songra ◽  
Naveen Kumar Patbamniya ◽  
M. Damor ◽  
Vijay Tyagi
Keyword(s):  
Prospective Study ◽  
Clinical Signs ◽  
Normal Diet ◽  
Control Group ◽  
Medical College ◽  
Preoperative Nutrition ◽  
Total Parentral Nutrition ◽  
One Year ◽  
Gandhi Medical College ◽  
A Prospective Study

Background:This prospective study was carried out to compare outcome and postoperative complication in patients with gastro-intestinal malignancy who received preoperative total parentral nutrition with those whom doesn’t.Methods: The study was a prospective single-centre, two-arm, conducted in department of general surgery, Gandhi Medical College and Associated Hamidia Hospital, Bhopal, Madhya Pradesh, India of one year duration, a total of 60 patients with G. I. malignancy, with or without sign of malnutrition, were included in the study. Patients were randomized and 30 patients were placed in each arm (interventional and control group) patients in the control group were asked to continue their normal feeding while interventional arm were given TPN in addition to their normal diet, for 7 to 10 days before surgery.Results:Infectious complications were more in control group, while one case each of pneumonia and sepsis was observed in patients receiving supplementation. Complications related to nutritional status of the patient like wound infection and anastomotic leak were observed only in patients without supplementation. There was no death observed in interventional group but two deaths occurred in control group.Conclusions:Preoperative nutritional support is beneficial and should be routinely used in abdominal and gastrointestinal cancer patient with or without clinical signs of malnutrition.

scholarly journals Clinical profile of snake bite patients in tertiary care hospital in Himachal Pradesh: a prospective study

2018 ◽  
Vol 6 (7) ◽  
pp. 2444 ◽  
Author(s):  
Madan Kaushik ◽  
Vikas Banyal ◽  
Sachin Sondhi ◽  
Manish K. Thakur ◽  
Aseem Kaushik
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Himachal Pradesh ◽  
Snake Bite ◽  
Clinical Profile ◽  
Care Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Gandhi Medical College ◽  
A Prospective Study

Background: To study clinical profile of snake bite patients in tertiary care hospital in Indra Gandhi Medical College at Shimla, Himachal Pradesh of North India.Methods: Hospital based prospective observational study was conducted in the Department of Medicine, for the duration of one year from 1st June2013 to 31st May 2014.Results: A total of 78 patients were admitted with mean age of 38.46 years with male to female ratio of 1:1.6. Seasonal variation with peak incidence during rainy season was seen. Most common snake identified was green coloured and peak timing of snake bite was between 07:00am-04:00pm. There was delay in admission of more than 6 hours in 66.67% of cases. Hemotoxicity was predominant manifestation seen in 62.82% of cases and persistence of coagulopathy was most common complication (51.02%) despite giving optimal ASV. There was paucity in ASV administration seen in only 59.46% of referred patients. Mean ASV vials used were 23.41 vials ±8.72 vials.Conclusions: Mass education is required at both general population and health professional levels to improve snake bite management and monovalent ASV against Green pit viper is more practical option to manage cases in this region.

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