scholarly journals Spectrum of Diseases in Patients with Non-Traumatic Acute Abdominal Pain Presenting to General Surgery Department in a Rural Tertiary Care Centre in West Bengal

2016 ◽  
Vol 5 (3) ◽  
pp. 1244-1248
Keyword(s):  
Abdominal Pain ◽  
General Surgery ◽  
West Bengal ◽  
Acute Abdominal Pain ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Surgery Department

APPENDICITIS IN PREGNANCY : OUR CLINICAL EXPERIENCE AT A TERTIARY CARE CENTRE

2021 ◽  
pp. 22-23
Author(s):  
Anil Kumar ◽  
Rekha Rani ◽  
Hamid Wani
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Correct Diagnosis ◽  
Tertiary Care ◽  
Fetal Loss ◽  
Common Symptom ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Lower Quadrant ◽  
Number Of Patients

Objective: Acute appendicitis is a common surgical condition presented to emergency. In this study we evaluated the clinical presentation, management and outcome of acute appendicitis complicating pregnancy at a tertiary care centre. Material And Methods: A total of 20 cases of pregnant women who were diagnosed as a case of acute appendicitis were studied from January 2018 to December 2020. Results: Total number of patients diagnosed with acute appendicitis were 20. There were 10 (50%) patients in rst trimester , 6 (30%) in second and 4 (20%) in the third trimester. Abdominal pain was the most common symptom seen in all patients. 12 (60%) patients were multigravida whereas 8 (40%) patients were primigravida. Duration of abdominal pain was 6 hours to 5 days with median of 30 hours. Right lower quadrant was the most common site of pain. Rebound tenderness was seen in 14 (70%) patients. Total leucocyte was raised in 14 (70%)cases. Ultrasound was done in all patients showing viable fetus and features of acute appendicitis in 12 (60%) cases. Surgery was done in 16 (80%) cases. Midline laparatomy was done in 3 patients whereas 4 (20%) patients were managed conservatively with antibiotics. Postoperative tocolytics were given in 6 patients. Postoperative complications such as wound infections seen in 5 cases and pelvic abscess in 1 case. Fetal loss was seen in 2 (10%)cases. Conclusion: Diagnosis of acute appendicitis during pregnancy can be difcult due to anatomical and biochemical changes during pregnancy. Correct diagnosis can be achieved by taking proper history, clinical examination and relevant investigations. Surgery remains the treatment of choice.

scholarly journals Effect of treatment on the quality of life of cervical cancer patients: a prospective study from a tertiary care centre of West Bengal

2019 ◽  
Vol 7 (1) ◽  
pp. 300
Author(s):  
Manisha Sarkar
Keyword(s):  
Quality Of Life ◽  
Cervical Cancer ◽  
Cancer Patients ◽  
West Bengal ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Financial Difficulties ◽  
History Of

Background: Cervical cancer is one of many health care ironies. Better survival rates demand better quality of life (QoL). The aim of present study was to determine the change in QoL of cervical cancer patients due to treatment.Methods: An observational prospective study was conducted from July 2017 to June 2018 among 80 new cervical cancer patients without any prior history of treatment for cervical cancer, attending radiotherapy department of a tertiary care centre of West Bengal using a semi-structured schedule and European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ). Information was collected on socio-demographic and clinical aspects and QoL domains. Those with history of surgery for cervical cancer, advanced stage of disease were excluded. EORTC QLQ was administered at baseline and one month after completion of treatment. Data was analysed by percentage, means±standard deviation, range and Wilcoxon signed rank test etc. using SPSS-16.Results: Only 60 patients could be analysed as 10 patients died and 10 lost to follow-up. After treatment there was a significant improvement in global health, physical, emotional and cognitive functioning as well as decrease in symptoms like fatigue, pain, insomnia, appetite loss and constipation along with worsening of financial difficulties. There was significant improvement in body image, decrease in problems of symptom experience, peripheral neuropathy and menopausal symptoms after treatment.Conclusions: The cervical cancer patients show an overall improvement in their QoL in most of the domains after one month of treatment except worsening of financial difficulties. 

scholarly journals Hypoparathyroidism, an innate risk of thyroidectomy

2017 ◽  
Vol 4 (6) ◽  
pp. 2018
Author(s):  
Arun S. ◽  
Rashmi Ravindran ◽  
Sreejayan M. P.
Keyword(s):  
Total Thyroidectomy ◽  
Blood Supply ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Main Trunk ◽  
Complications Of Thyroidectomy ◽  
Neck Anatomy ◽  
Surgery Department ◽  
Thyroid Capsule

Background: The identification and preservation of parathyroid glands (PT) with its intact blood supply is of utmost importance during thyroid surgery. To preserve the PT with intact blood supply, a medial to lateral dissection is advocated, with plane of dissection along the thyroid capsule. One of the earliest and feared complications of thyroidectomy is hypoparathyroidism (HPT). Aim was to study the incidence of temporary and permanent hypoparathyroidism during thyroidectomy.Methods: This was a hospital based prospective study, from 2008 to 2015. 472 cases who underwent thyroidectomy (182 near total and 290 total thyroidectomies) for any indications in general surgery department of a tertiary care centre were included.Results: The incidence of permanent and transient HPT after total thyroidectomy was 3.8 and 09%, where as it was 2.75 and 3.85% after near total thyroidectomy. The results of present study were comparable with other studies.Conclusions: Meticulous dissection, absolute hemostasis, and a thorough knowledge of neck anatomy are the key in reducing the post thyroidectomy complications. Transient or permanent hypo parathyroidism is due to inadvertent gland removal or injury to its vascular pedicle. Dissection close to the thyroid capsule and ligation of capsular branches of thyroid avoiding the main trunk of inferior thyroid artery holds the key.

scholarly journals PROFILE OF MEDICOLEGAL AUTOPSIES OF FEMALE SUBJECTS AT A BORDER DISTRICT TERTIARY CARE CENTRE OF WEST BENGAL - A PILOT STUDY

2020 ◽  
pp. 1-3
Author(s):  
Aloke Mazumder ◽  
Umme S Faisal ◽  
Partha Pratim Mukhopadhyay ◽  
Amartya Chatterjee
Keyword(s):  
Collaborative Research ◽  
Female Subject ◽  
West Bengal ◽  
Tertiary Care ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Medical College ◽  
One Year ◽  
Female Subjects

Present study has been conducted at Department of Forensic Medicine and Toxicology, Malda Medical College, located at Malda District of West Bengal state that covers both international and state borderand having a different socio economic scenario than rest of the country which is often reflected at the pattern of medicolegal cases reported here. On the other hand, death of a female subject of medicolegal category bears definite implication on such aspects. In view of this one year autopsy based study has been conducted where out of 1685 autopsies, 562 cases were of female subjects. It has been seen that majority of unnatural deaths of females were due to effects of Hanging ( 26.87% ) , followed by Burn (19.93%) and intake of Poison (15.12% ). As per the age group is concerned, commonest age group affected was 16- 20 yrs ( 23.13%), followed by 21- 25 yr ( 14.95%). Highest incidence of such deaths took place in the month of October ( 11.21%) followed closely by August and September. Besides implementing mass awareness program on it, a collaborative research team comprising of Medicos, Judiciary and Police Authority is required to minimize such fatal outcomes of females.

Evaluation of Demographical and Etiological Profile in Children with Chronic Abdominal Pain in a Tertiary Care Centre of Bihar

2018 ◽  
Vol 6 (2) ◽  
pp. 34 ◽  
Author(s):  
Anand Kumar Gupta ◽  
Jayant Prakash ◽  
Raju Kumar ◽  
Rakesh Kumar ◽  
Rizwan Ahmar ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Tertiary Care ◽  
Chronic Abdominal Pain ◽  
Care Centre ◽  
Tertiary Care Centre
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