scholarly journals Current scenario of tracheostomy: our experience

2020 ◽  
Vol 6 (7) ◽  
pp. 1336
Author(s):  
Kavita Sachdeva ◽  
Rashmi Hansdah
Keyword(s):  
Tertiary Care ◽  
Central India ◽  
Neck Surgery ◽  
Care Hospital ◽  
Operative Complications ◽  
Current Scenario ◽  
Indications And Complications ◽  
Stoma Stenosis ◽  
Lower Morbidity ◽  
Post Operative Complications

<p class="abstract"><strong>Background:</strong> Tracheostomy is an important surgical procedure done by ENT surgeons. In this study we have assessed the indications and complications encountered during tracheostomy and decannulation.</p><p class="abstract"><strong>Methods:</strong> 100 patients undergoing tracheostomy by the Department of Otolaryngology and Head and Neck Surgery between 1st January and 31st December 2015 in a tertiary care hospital in Central India were included in the study. The various indications of tracheostomy along with the complications encountered and decannulation following tracheostomy were studied.   </p><p class="abstract"><strong>Results:</strong> In this study, most   commonly (22%) tracheostomies were performed in young (31-40) years, male (73%) patients. This included 79% elective and 21% emergency tracheostomies. The indications of tracheostomy were retained secretions 61%, laryngopharyngeal obstruction 21%, and respiratory insufficiency 19%. 21 intra-operative complications included bleeding (18% cases) and apnoea (3% cases). Wound infection 19%; subcutaneous emphysema 10%; tube block 6% and   haemorrhage 2% constituted 37 immediate post-operative complications. 17 late post-operative complications included stoma stenosis 9%; granuloma formation 4% and trachea-oesophageal fistula and aspiration 2% each. 33% of total patients were decannulated easily.</p><p class="abstract"><strong>Conclusions:</strong> In conclusion we found that elective tracheostomy is associated with lower morbidity and mortality and strapping of tracheostomy site is an easy, safe and effective method   of tracheostomy closure in properly selected patients.</p>

scholarly journals Anterior Cervical Discectomy and Fusion: Operative Technique and Post-Operative Complications – An Experience in a Tertiary Care Hospital

2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Muhammad Akmal ◽  
Omair Afzal ◽  
Adeeb Ul Hassan ◽  
Muhammad Hassan Raza ◽  
Muhammad Ishfaq ◽  
...  
Keyword(s):  
Early Recognition ◽  
Tertiary Care ◽  
Anterior Cervical Discectomy ◽  
Care Hospital ◽  
Disc Disease ◽  
Mortality And Morbidity ◽  
Surgical Interventions ◽  
Cervical Discectomy ◽  
Operative Complications ◽  
Post Operative Complications

Background and Objective: The most common spinal procedure in our set up to address various disorders of the cervical spine like prolapsed intervertebral disc, trauma, and degenerative disc disease is an anterior cervical discectomy and fusion (ACDF). As there is no technique without complication, this procedure is also related with certain important complications. We evaluated post-operative complications of ACDF in our institution.Material and Methods: The preoperative data of 148 patients who were operated in last 3 years for ACDF isincluded in the study. Patients with previous neck surgery are excluded.Results: The most commonly performed surgical interventions is single level ACDF (65%). Dysphagia is mostsignificant (16%) complication. After which neurological deterioration (9%) with equal incidence of RecurrentLaryngeal Nerve Palsy and wound infection that is 8% each.Conclusion: The most common post-operative complications are dysphagia and worsening of preexistingneurology and multilevel ACDF is identified as the most common risk factor. Early recognition of complicationsand management may help to reduce mortality and morbidity.

scholarly journals FREQUENCY OF COMPLICATIONS IN PAROTID SURGERY.

2019 ◽  
Vol 26 (07) ◽  
pp. 1032-1035
Author(s):  
Agha Taj Mohammed ◽  
Sadaf Iqbal ◽  
Rasool Bux Behan ◽  
Jai Kumar Malhi
Keyword(s):  
Facial Palsy ◽  
Tertiary Care ◽  
Malignant Lesion ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Superficial Lobe ◽  
Parotid Surgery ◽  
Operative Complications ◽  
Post Operative Complications

Objectives: To determine the frequency of complications in parotid surgery at tertiary care hospital Hyderabad. Study Design: Cross-sectional study. Setting: Liaquat University, Hyderabad in the Department of General Surgery. Period: August 2016 to December 2017. Methods: We performed retrospective analysis of 43 patients undergoing parotidectomy. All patients undergoing parotidectomy during this time period were followed up for any post-operative complications. Results: A total of 43 patients met or criteria and were reviewed for the study. Amongst them there 31 males and 12 females. 79% of patients had benign parotid tumor while 20.9% had malignant lesion of parotid.  Out of 43 patients, 41.8% (n=18) patients presented with post-operative complications. The most common complication after parotidectomy was facial palsy. Facial palsy was found in 18.6% (n=8) patients. Upon follow-up and treatment, 5 patients improved whereas patients had permanent facial palsy. Conclusion: Most of the lesions of parotid are of benign aetiology, superficial lobe is most commonly involved. Few complications are involved with parotidectomies and facial nerve palsy is the most common complications. With surgical expertise and use of nerve detector, its incidence can be reduced. Other complications of the surgery should be managed at the earliest to prevent damage.

scholarly journals A CLINICAL STUDY OF POST-OPERATIVE COMPLICATIONS IN THYROID SURGERIES IN A TERTIARY CARE HOSPITAL IN SOUTHERN ODISHA

2016 ◽  
Vol 3 (26) ◽  
pp. 1195-1197
Author(s):  
Rahul Bharathan Nair ◽  
Koresh Prasad Dash ◽  
Tapas Kumar Rout ◽  
Rasananda Mangual ◽  
Rama Narayan Sahu
Keyword(s):  
Clinical Study ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Operative Complications ◽  
Post Operative Complications

Post-operative Complications of Patients Underwent Mastoidectomy at Tertiary Care Hospital

2021 ◽  
Vol 15 (6) ◽  
pp. 1394-1396
Author(s):  
M. W. Saleem ◽  
S. Ali, L. Wajid
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Case Series ◽  
Open Cavity ◽  
Care Hospital ◽  
Case Series Study ◽  
Study Results ◽  
Operative Complications ◽  
Prolonged Discharge ◽  
Post Operative Complications

Aim: To analyze the post mastoidectomy complications in patients presenting at tertiary care hospital. Methods: This case series study was conducted at Department of ENT, DG Khan Hospital, DG Khan from March 2020 to September 2020 over the period of 6 months. Total 65 patients came for open cavity mastoidectomy either male or female having age between 20-60 years were selected for this study. Results: In present study 65 patients had undergone open cavity mastoidectomy. Mean age of the patients was 39.95 ± 12.57 years. Out of 65 patients, cavity complications was found in 20 (31%) patients. Among the 20 patients who had cavity problems, the most common problem was prolonged discharge found in 19 (95%) patients followed by accumulation of wax in the cavity was found in 5 (25%) patients, Vertigo persisting beyond the immediate postoperative period was found in 3 (15%) patients, perichondritis of pinna was seen in 1 (5%) patients, development of facial palsy was found in 5 (50%) patients, recurrent cholesteatoma was found in 3 (15%) patients and wound infection was found in 2 (10%) patients. Conclusion: Results of present study showed higher rate of post operative complications after mastoidectomy. Sclerotic mastoid was most common. Higher rate of complications was seen after 40th decade of life. Most of the patients were male as compared to female. Prolonged discharge was the most common problem. Keywords: Mastoidectomy, Cavity, Meatoplasty, Pneumatisation, Cholesteatoma

Sero-Prevalence of Parvovirus B 19 Infection Among HIV Positive Patients Attending Tertiary Care Hospital in Central India

2017 ◽  
Vol 01 (04) ◽  
pp. 127-132
Author(s):  
Bhushan Shrikhande ◽  
Meena Mishra ◽  
Mohiuddin Qazi ◽  
Arvind Kurhade ◽  
Chandrashekhar Unakal ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Central India ◽  
Hiv Positive ◽  
Care Hospital ◽  
Parvovirus B 19

Morphological Presentation of Orofacial Clefts: An Epidemiological Study of 5004 Patients in a Tertiary Care Hospital of Central India

2021 ◽  
pp. 105566562110577
Author(s):  
Jaideep Singh Chauhan ◽  
Sarwpriya Sharma
Keyword(s):  
Cleft Palate ◽  
Epidemiological Study ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Tertiary Care ◽  
Central India ◽  
Care Hospital ◽  
Orofacial Clefts ◽  
Chi Square ◽  
The Right

Objective: To analyse the morphological presentation of orofacial clefts, gender, syndromes and systemic anomalies associated with them. Design: This was an epidemiological study performed in the patients who were registered for cleft lip and palate surgeries in our centre. The data was evaluated both retrospectively as well as prospectively. Patients/ Participants: The patients registered from November 2006 to April 2021 were studied. Out of 5276 patients, data of 5004 cases were analysed, rest 272 patients were excluded due to lack of information. Statistical analysis and Chi square test were applied. Results: Cleft deformities were more common in males than females. Cleft lip with palate was the commonest phenotype (52.2%). It was followed by isolated cleft lip (22.9%), isolated cleft palate (22.1%), rare clefts (1.62%) and syndromic clefts (1.18%). Unilateral variants were more frequent than bilateral. In unilateral, left side was more common than the right side. Among bilateral, most of the cases had premaxillary protrusion. In the present study, 3.46% of all the patients had associated anomalies affecting their other organs. Less common cleft phenotypes like microform cleft lip and submucous cleft palate ± bifid uvula showed frequency of 0.62% and 0.64% respectively. Conclusion: Thorough examination of cleft deformity should be done as it may appear as an isolated deformity or part of a syndrome and have associated systemic anomalies. This may help us to deliver comprehensive care to the patients and can prevent potential operative complications.

Study on Maternal and Neonatal Outcome of women undergoing Caesarean Section using Nice Classification in a Tertiary Care Hospital in Rural Area of Central India - An Observational Prospective Study

2021 ◽  
Vol 17 ◽  
Author(s):  
Shuchi M. Jain ◽  
Ketki. Thool ◽  
Manish A. Jain ◽  
Poonam V. Shivkumar
Keyword(s):  
Caesarean Section ◽  
Prospective Study ◽  
Neonatal Outcome ◽  
Caesarean Section Rate ◽  
Tertiary Care ◽  
Central India ◽  
Neonatal Morbidity ◽  
Bladder Injury ◽  
Care Hospital ◽  
Chi Square

Background : Caesarean section is often perceived to be safer than vaginal delivery for mothers and neonates, and thus has become increasingly common around the globe. However, it may actually be detrimental to maternal and neonatal health while consuming valuable resources. Objective : The objective of this study was to categorize the caesarean sections performed in our rural institute into various categories using NICE classification and to study the maternal and neonatal outcome in them. Method : This was a prospective study of all women who underwent caesarean section over a period of 18 months. Data was retrieved from the files of women for morbiditiy and mortality in mothers and babies. Data was entered in MS excel sheet and analyzed with percentages and chi square test using SPSS ver.17. Results: Caesarean section rate (CSR) was 36.88%. All CS were classified into four categories based on urgency as per NICE guidelines. There were 22.62% women in Category I, 38.61% in category II, 28.37% in category III and 10.40% in Category IV. Adhesions, extension of angle, lacerations in lower segment, scar dehiscence, atonic PPH and bladder injury were noted in (12.83%), 11.81%, 6.83%, 4.08% , 1.53% and 0.08% CS respectively. Caesarean hysterectomy was done in 0.24% cases. Postoperative morbidity was febrile morbidity (11.93%), postdural puncture headache (13.85%), paralytic ileus (11.49%), wound infection (8.83%), ARDS (0.70%), sepsis (0.78%), pulmonary edema (0.47%) and pulmonary embolism (0.03%). Maternal mortality was 0.03%. Neonates born were 2577 (29 were twin deliveries). 82.46% neonates were healthy, 16.80% had morbidities and 0.74% were still born. Apgar score of less than 7 was in 10%. 16.80% neonates were admitted in NICU during their hospital stay. Neonatal mortality was 1.47%. Conclusion : Intraoperative and post-operative complication were more in caesarean sections of category I and II as compared to category III and category IV. Neonatal morbidity, mortality and admissions to NICU were more in caesarean sections of category I and II as compared to category III and category IV. Thus though caesarean section is an emergency lifesaving procedure for mother and baby it may prove detrimental to their health.

scholarly journals To study pattern of obstetric cases referred at tertiary care centre in Central India

2017 ◽  
Vol 6 (6) ◽  
pp. 2370
Author(s):  
Prakriti Goswami ◽  
Jyoti Bindal ◽  
Niketa Chug
Keyword(s):  
Tertiary Care ◽  
Mode Of Delivery ◽  
Central India ◽  
Maternal Outcome ◽  
Child Health Services ◽  
Care Hospital ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Common Diagnosis ◽  
Mode Of Transport

Background: Maternal morbidity and mortality remains a major challenge to health systems worldwide. Referral services for identification and referral of high risk pregnancies are an integral part of maternal and child health services. Timeliness and appropriateness of referral are challenge to obstetricians, since delay in referral affects maternal outcome adversely, hence the identification of at risk patients and obstetric emergencies and their timely referral is of immense importance. The aim of this study was to review the pattern of obstetric cases referred to tertiary care centre, to identify their clinical course, mode of delivery and maternal outcomes.Methods: It was prospective observational study carried out from January 2015 to July 2016. Study population was all Obstetrics patients referred to Department of Obstetrics and Gynecology of Kamla Raja Hospital, G.R. Medical College, Gwalior, Madhya Pradesh, a tertiary care centre during the study period.Results: The total number of referred cases in above study period was 4085.The proportion of referred cases in the tertiary care hospital was 20.86%. Mode of transport used by the referred patients were hospital ambulances (38%) and private vehicles (62%). Most common diagnosis at the time of referral was anaemia (27.8%). Out of the total referred cases, 48% had vaginal delivery (either spontaneous or induced), 28% had caesarean section and 24% were managed conservatively. Hypertensive disorders (25.4%) constitutes the leading cause of maternal deaths amongst the referred cases.Conclusions: Peripheral health care system needs to be strengthened and practice of early referral needs to be implemented for better maternal outcome.

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