scholarly journals TO COMPARE THE EFFICACY OF SINGLE DOSE VERSUS CONVENTIONAL (MULTIPLE DOSES) ANTIBIOTIC USE IN LAPAROSCOPIC CHOLECYSTECTOMY IN TERMS OF SSI

2021 ◽  
Vol 5 (8) ◽  
Author(s):  
Mehar Chand ◽  
A.K. Malhotra ◽  
U.K. Chandel ◽  
Kartik Syal ◽  
Bhartendu Nagesh
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Dose ◽  
General Surgery ◽  
Antibiotic Use ◽  
P Value ◽  
Wound Sepsis ◽  
Medical College ◽  
Multiple Doses ◽  
Gandhi Medical College

Background: To compare the efficacy of single dose versus conventional (multiple doses) antibiotic use in laparoscopic cholecystectomy in terms of SSI Methods: This study was carried out in the department of General Surgery Indira Gandhi Medical College Shimla (H.P.) on patients admitted with radiologically proven cholelithiasis. Results: In SD group of patients out of 50 patients, 03 patients (6%) developed wound sepsis and in C group 02 patients (4%) developed wound sepsis. P value was 0.65 which is statistically insignificant. Conclusion: The wound sepsis wise difference in both groups was found insignificants. Keywords: Single dose, Conventional, Gallstone, Wound sepsis

scholarly journals TO COMPARE THE TYPE OF WOUND INFECTION OF SINGLE DOSE VERSUS CONVENTIONAL (MULTIPLE DOSES) ANTIBIOTIC USE IN LAPAROSCOPIC CHOLECYSTECTOMY IN TERMS OF TYPE OF SSI (SUPERFICIAL INCISIONAL SSI OR DEEP INCISIONAL SSI)

2021 ◽  
Vol 5 (8) ◽  
Author(s):  
Mehar Chand ◽  
A.K. Malhotra ◽  
U.K. Chandel ◽  
Kartik Syal ◽  
Bhartendu Nagesh
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Dose ◽  
Wound Infection ◽  
General Surgery ◽  
Antibiotic Use ◽  
Wound Sepsis ◽  
Medical College ◽  
Multiple Doses ◽  
Gandhi Medical College

Background: To compare the type of wound infection of single dose versus conventional (multiple doses) antibiotic use in laparoscopic cholecystectomy in terms of SSI Methods: This study was carried out in the department of General Surgery Indira Gandhi Medical College Shimla (H.P.) on patients admitted with radiologically proven cholelithiasis. Results: In SD group out of 03 patients who developed wound sepsis all were having Superficial incisional SSI and in C group also all patients (02) who developed wound sepsis had superficial incisional SSI. Conclusion: The type of infection wise difference in both groups was found insignificants. Keywords: Superfical, Deep, Gallstone, Wound sepsis

scholarly journals Single dose versus multiple dose antibiotics in laparoscopic cholecystectomy: A prospective comparative single blind study

2019 ◽  
Vol 5 (1) ◽  
pp. 11-15
Author(s):  
Ashok Koirala ◽  
Dipendra Thakur ◽  
Sunit Agrawal ◽  
Bhuwan Lal Chaudhary
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Dose ◽  
Surgical Site Infection ◽  
Multiple Dose ◽  
Randomized Study ◽  
Prophylactic Antibiotics ◽  
Site Infection ◽  
Medical College ◽  
Symptomatic Cholelithiasis ◽  
Multiple Doses

Introduction: There is a controversy on single dose or multiple doses of prophylactic antibiotics for prevention of surgical site infection during laparoscopic cholecystectomy in a developing country setting. The objective of this study was to compare single versus multiple doses of prophylactic antibiotics in terms of surgical site infection in laparoscopic cholecystectomy patients. Methods: This was a prospective, comparative, randomized study was conducted in a medical college hospital. Two hundred consecutive patients with symptomatic cholelithiasis planned for routine laparoscopic cholecystectomy were enrolled in the study. Patients were randomly divided in a Single dose (SD) group and multiple dose (MD) group. SD group were given injection ceftriaxone (1gm) before induction of anesthesia and MD group received ceftriaxone (1gm) before induction of anesthesia and continued a total of 3 doses postoperatively for next 24 hours. Results: A total of 200 patients were studied, of which 100 were in single dose (SD group) and another 100 in multiple dose (MD group). The mean age of patients with symptomatic cholelithiasis was 41.76 ± 13.38 years with minimum of 16 years and maximum of 73 years. Of the total patients, 4 patients in single dose (SD) group and 3 patients in multiple dose (MD) group developed surgical site infection of various severity which was not statistically significant. (p=0.500). Conclusion: There is no difference in terms of surgical site infection in patients taking either single or multiple doses of antibiotics in laparoscopic cholecystectomy in a medical college setting in Nepal.

scholarly journals FOLLOW UP STUDY OVER A PERIOD OF SIX MONTHS WITH RESPECT TO REHABILITATION AND RECURRENCE AFTER BURN SURGICAL PROCEDURES.

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Yashpal Ramole ◽  
Badri Patel ◽  
M. C. Songara ◽  
Ishant Chaurasia
Keyword(s):  
General Surgery ◽  
Range Of Movement ◽  
Rehabilitation Protocol ◽  
Full Extent ◽  
Medical College ◽  
Follow Up Study ◽  
Burn Surgery ◽  
Gandhi Medical College ◽  
Score Range

The study was conducted in the Department of General Surgery, Gandhi Medical College, Bhopal over the period of one & half year. Evaluation started with History and clinical examination including range of movement of joints. Scar was scored as per Clinical Assessment Score. Range of movement was measured using goniometer. Although most patients came for follow up and were compliant with the rehabilitation protocol, their compliance needs to be re-evaluated at every follow up and they should be encouraged to follow the advices strictly. Also they must be counseled that contracture may not be corrected to the full extent despite best of treatment and compliance with rehabilitation protocol but a good level of improvement can be achieved. Keywords: Burn, Surgery, Rehabilitation & Recurrence.

scholarly journals TO STUDY THE FUNCTIONAL AND THE RADIOLOGICAL OUTCOME OF TUBERCULOSIS OF SPINE OPERATED BY POSTERIOR APPROACH.

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Anil Kumar ◽  
Manoj Kumar Thakur ◽  
Rahul Kumar Singh
Keyword(s):  
Lumbar Spine ◽  
Posterior Approach ◽  
P Value ◽  
Radiological Outcome ◽  
Skeletal System ◽  
Kyphotic Angle ◽  
Medical College ◽  
Significant Difference ◽  
Gandhi Medical College ◽  
Tuberculosis Of Spine

Background: Tuberculosis is ubiquitous in distribution. Globally, nearly 30 million people suffer from tuberculosis. 3 million deaths occur due to tuberculosis per year. India has burden of 6 million cases. Of these 1-3% constitutes skeletal system involvement. Methods: The present study included prospective cases of tuberculosis of dorsal and lumbar spine admitted and operated at Indira Gandhi Medical College, Shimla between May 2017 to May 2018 and retrospective patients who have been operated before May 2017. Results: There was improvement from preoperative kyphotic angle to postoperative kyphotic angle and improvement in kyphotic angle as a significant difference less than 0.05 (p value is 0.01). Conclusion: At the end of our study, we concluded that good sagittal balance along with good fusion of the vertebrae leads to better functional outcome in patients. Keywords: Spine, TB, Kyphotic angle.

scholarly journals TO EVALUATE COMPLICATION OF LAPAROSCOPIC TRANSPERITONEAL PYELOLITHOTOMY FOR MANAGEMENT OF RENAL PELVIC STONES

2022 ◽  
Vol 6 (1) ◽  
Author(s):  
Bharat Thakur ◽  
Ankit Panwar ◽  
Shivek Mohan ◽  
Ved Kumar Sharma
Keyword(s):  
Postoperative Complications ◽  
General Surgery ◽  
Renal Pelvis ◽  
Low Grade ◽  
Medical College ◽  
Gandhi Medical College ◽  
Laparoscopic Transperitoneal ◽  
Antipyretic Medication

Background: To evaluate complication of laparoscopic transperitoneal pyelolithotomy for management of renal pelvic stones Methods: This study has been conducted in the Department of General surgery, Indira Gandhi Medical College, Shimla on selected patients of Renal pelvis stones admitted in institution Results: There were no major postoperative complications. Two patient developed mild low grade fever which subsided on oral antipyretic medication. One patient had a cough and one patient had ileus. Conclusion: We concluded that there were no major intraoperative or postoperative complications were seen in our study. Keywords: Laparoscopic Transperitoneal Pyelolithotomy, Pelvic stone, Complication

scholarly journals Three port versus four port laparoscopic cholecystectomy: a prospective comparative clinical study

2019 ◽  
Vol 7 (8) ◽  
pp. 3054
Author(s):  
Shams Ul Bari ◽  
Faheem Ul Islam ◽  
Ajaz A. Rather ◽  
Ajaz A. Malik
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Operative Time ◽  
P Value ◽  
Analgesic Requirement ◽  
Medical College ◽  
Number Of Patients ◽  
Operative Complications ◽  
Comparative Clinical Study ◽  
Average Operative Time ◽  
Prospective Comparative Study

Background: Although, traditional laparoscopic cholecystectomy is performed using four-port technique, various modifications were made to further enhance the advantages of laparoscopic cholecystectomy. Aim of the study is to compare the results of three-port and four-port laparoscopic cholecystectomy at single center in terms of technical feasibility, safety of the procedure, operative time, intra-operative complications, postoperative pain and post-operative analgesia requirementMethods: It was a  prospective comparative study conducted  in the department of surgery Skims Medical college Srinagar, India from July 2015 to March 2017. The study was performed on all adult patients with ultrasound documented cholelithiasis and gall bladder Polyposis. The total number of patients studied was 100 which were divided into two groups of 50 each.Results: The average operative time in three port group was 29.2 minutes (range, 15-37) compared to 30.66 minutes (range, 15-42) in four port group, which was statistically insignificant. The final visual analog scores for pain in the postoperative period was 2.30 vs 2.86 in three port and four port group respectively, with a P value=0.008, which was statistically significant.Conclusions: The three-port technique is as safe as the standard four-port technique and can be a viable alternative to four port cholecystectomy with an advantage of less pain and less analgesic requirement and better cosmetic results.

scholarly journals DURATION OF SURGERY OF LAPAROSCOPIC NEPHRECTOMY -AN INITIAL EXPERIENCE IN IGMC, SHIMLA

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Bhartendu Nagesh ◽  
D.K Verma ◽  
R S Jhobta ◽  
Sanjiv Sharma ◽  
Mehar Chand
Keyword(s):  
Operating Time ◽  
Standard Of Care ◽  
Laparoscopic Nephrectomy ◽  
P Value ◽  
Dense Adhesion ◽  
Medical College ◽  
Duration Of Surgery ◽  
The Mean ◽  
Gandhi Medical College ◽  
Hydronephrotic Kidney

Background: Laparoscopic nephrectomy has been established as the standard of care for the management of benign non-functioning kidneys and has gained worldwide popularity over the past decade. Methods- This study was conducted in the Department of General surgery, Indira Gandhi medical college, Shimla on 20 selected patients of benign non functional kidney admitted for elective Laparoscopic Nephrectomy between July 2018 to June 2019 Results: In this study, the mean operating time in success full laparoscopic nephrectomies was 103.7 + 20.6 min in lap converted to open it was    165 .7 +26.99 min and in hand-assisted tame taken was 150 min which is statically not significant with p value =0.1317. Conclusion: The mean time taken for completion of laparoscopic nephrectomy in first 4 cases was 105 min and in next 4 cases was 108 min and in last 4 cases it was 97 min there was definitive learning curve as in last 4 cases operating time was less as compared to initial cases but operating time also depends on other factors like in hydronephrotic kidney due to well maintained plane dissection take less time ,but in  pyonephrotic kidney ,tubercular kidney,previously intervension like PCN, there were dense adhesion resulting in more time for disection. Keywords: Laparoscopy, Nephrectomy, Duration of surgery

scholarly journals A COMPARATIVE STUDY OF KETOFOL (KETAMINE AND PROPOFOL) WITH PROPOFOL ALONE FOR RECOVERY IN PATIENTS UNDERGOING LAPAROSCOPIC CHOLECYSTECTOMY

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Priyanka Thakur ◽  
Prteet Negi ◽  
Ajay Sood ◽  
Aparna Sharma
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Controlled Trial ◽  
Verbal Command ◽  
Medical College ◽  
Recovery Profile ◽  
Eye Opening ◽  
One Year ◽  
Gandhi Medical College ◽  
Double Blinded ◽  
Mean Time

Background: To compare the recovery in ketofol (ketamine and   propofol) with propofol alone for vas in   patients undergoing laparoscopic cholecystectomy Methods: Prospective, randomized, double blinded controlled trial. After approval by the research ethics committee and written informed valid consent of the patients, the proposed study was carried out for a period of one year in 60  patients , in ASA-I and ASA-II patients, aged between 19 to 60 years of either sex, who were  posted for laproscopic cholecystectomy surgery at Indira Gandhi Medical College, Shimla. Results: Recovery profile was statistically significant for two groups. In group P after stopping infusion ,mean time for eye opening was 8.27 ± 1.28 which was less than group K ( 12.53 ± 1.48).  Mean time of response to verbal command in group P(8.4 ± 1.19) was less than group K (12.5 ± 1.46) and mean time of extubation in group P (9.5 ± 1.25) was also less than group K (14.33 ± 1.52). Conclusion- Patients of Group P after stopping of infusion took less time for eye opening, obeying verbal command and also less time for extubation  in comparison to group K . Keywords: Recovery, Propofol, Ketamine

scholarly journals TO STUDY THE SOCIO-ECONOMIC AND CLINICAL PROFILE OF URINARY STONES PATIENTS AT INDIRA GANDHI MEDICAL COLLEGE AND HOSPITAL, SHIMLA

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Samant Negi ◽  
Vishal Prashar
Keyword(s):  
General Surgery ◽  
Young Male ◽  
Urinary Stones ◽  
World Population ◽  
Age Group ◽  
Medical College ◽  
The World ◽  
Study Population ◽  
One Year ◽  
Gandhi Medical College

Background: Urolithiasis affects about 12% of the world population at some stage in their lifetime. It affects all ages, both sexes and races but occurs more frequently in men than in women within the age of 20–49 years. Methods: The study was conducted over a period of one year from July 2017 to June 2018 in urolithiasis patients admitted in the Department of General Surgery and Urology at IGMC Shimla. Results: Study population consisted total of 100 patients (M=61, F=39). Majority of the patients were in the age group of 30-45 years (n=42). Minimum and maximum age at presentation were 11 years and 74 years respectively. Conclusion- We conclude that in our study maximum patients were young male and non- vegetarian. Keywords: Age, Sex, Non- vegetarian.

scholarly journals Prevalence of subclinical hypothyroidism in cases of cholelithiasis

2017 ◽  
Vol 5 (1) ◽  
pp. 34
Author(s):  
Brijendra Singh Raghuwanshi ◽  
Sandeep Jain ◽  
Mahendra Damor ◽  
Naveen Kumar Patbamniya
Keyword(s):  
Prospective Study ◽  
Subclinical Hypothyroidism ◽  
P Value ◽  
Age Group ◽  
Provisional Diagnosis ◽  
Abdominal Ultrasonography ◽  
Medical College ◽  
Gandhi Medical College ◽  
A Prospective Study ◽  
Multiple Stone

Background: This prospective study was carried out to analyse the prevalence of subclinical hypothyroidism in patients of gall stones.Methods: A prospective study was carried out in the Gandhi Medical College and associated Hamidia Hospital Bhopal from 2015 to 2016. Data was collected from patients who were admitted in surgical wards, with a provisional diagnosis of cholelithiasis. Patient was diagnosed cholelithiasis on abdominal ultrasonography and was tested for having subclinical hypothyroidism by testing fasting blood samples for serum TSH.Results: A total of 50 patients of cholelithiasis were included in present study. Females were 42 out of 50 (84%) and males were 8 out of 50 (16%). Most common age group was 41-50 (36%) correct (insignificant at p<0.05). 12 (24%) out 50 patients were hypothyroid. Out of total 42 females 11(26.19 %) were hypothyroid (insignificant at p<0.05). All stones in hypothyroidism patients were >1cm and overall 58% stones were >1cm (statically significant P<0.05). 03 out of 12 hypothyroidisms (25%) patient had single stones while 9 (75%) patient have multiple stone (statically significant P value <0.05). In hypothyroid cases most stones were of cholesterol type (58%) (Statically significant at P value≤0.05).Conclusions: Early diagnosis of hypothyroid state at subclinical level by monitoring TSH level so that they can be treated at early stages and burden of Cholelithiasis thus can be prevented.

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