scholarly journals Metastatic neck node - a clinical study of 60 cases

1970 ◽  
Vol 15 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Maleka Afroz ◽  
Nasima Akhtar ◽  
Belayat Hossain Siddiquee
Keyword(s):  
Neck Region ◽  
College Hospital ◽  
Neck Node ◽  
Medical College ◽  
Neck Gland ◽  
A Prospective Study ◽  
Level Hospital ◽  
Head Neck ◽  
Supraglottic Larynx ◽  
Selection Of

Metastatic neck node is not uncommon in the otolaryngology department of a tertiary level hospital. Ignorance, illiteracy, delay in seeking medical advice and poor orientation of our general practitioners regarding management causes these patients to suffer from marked morbidity and mortality. It is a prospective study with random selection of sixty (60) cases of metastatic neck node admitted in the otolaryngology department of BSMMU and Dhaka Medical College Hospital during a period extending from September, 2002 to August, 2003. Here 53(88.33%) cases of metastatic neck nodes having a known primary in the head neck region and in other seven (11.67%) cases primary site of malignancy could not be detected. The commonest site of known primary was supraglottic larynx. Highest number 19 (31.67%) of presentation was seen in 5th decade. Male incidence 47 (78.33%) was more compared to female 13 (21.67%). Keywords: Neck gland, Metastatic neck node, Unknown primary.DOI: 10.3329/bjo.v15i1.4307 Bangladesh J of Otorhinolaryngology 2009; 15(1): 26-30

scholarly journals Tracheostomy in head-neck malignancy

1970 ◽  
Vol 16 (2) ◽  
pp. 120-125
Author(s):  
Mohammad Ashequr Rahman Bhuiyan ◽  
Md Shazibur Rashid ◽  
Md Kamruzzaman ◽  
Mohammed Shafiqul Islam ◽  
Khabir Uddin Ahmed
Keyword(s):  
Economic Status ◽  
Neck Region ◽  
Neck Surgery ◽  
Head Neck Cancer ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Neck Malignancy ◽  
Surgical Emphysema ◽  
Head Neck

Objectives: To find out the frequency ,indications and effects of tracheostomy in head-neck malignancy.Methods: Total 100 cases of head-neck malignancy that needed tracheostomy were studied in the department of Otolaryngology and Head-Neck surgery of Dhaka Medical College Hospital and Begum Khaleda Zia Medical College and Shahid Sohrawardi Hospital, Dhaka.Results: The mean age of the subjects was 53.60 years. Out of 100 cases male were 86 and female were 14 with male to female ratio 6.14:1. The highest number of the subjects were related to cultivation and majority of the subjects came from poor socio-economic status. Malignancy in head-neck region is multifactorial disease. Regarding habits 71% were smoker, 21% were habituated with chewing betel nut and leaf. Only 2% were alcoholic. In 93% tracheostomy was done on an emergency basis and rest 7% was elective. Carcinoma of larynx was the most frequent indication (65%), which was followed by carcinoma pyriform fossa (28%), carcinoma base of the tongue (3%), carcinoma tonsil 2% and carcinoma thyroid gland 2%. The rate of complications was 41%. Surgical emphysema was the commonest complications (19%), which were followed by haemorrhage (7%), wound infection (4%), tube displacement (3%), tube blockage (3%), crusting (2%), stomal stenosis and subglottic stenosis (1%). No fatality was found in this study.Conclusion: The rate of complication of tracheostomy is high in patients of head-neck malignancy with respiratory distress. Key words: Tracheostomy; Head Neck Cancer. DOI: 10.3329/bjo.v16i2.6847Bangladesh J Otorhinolaryngol 2010; 16(2): 120-125

scholarly journals Clinical evaluation of total abdominal hysterectomy - a prospective study in a tertiary care hospital

2015 ◽  
Vol 6 (2) ◽  
pp. 76-77
Author(s):  
Shirin Akhter ◽  
Rumana Nazneen
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Before And After ◽  
A Prospective Study

Total abdominal Hysterectomy are gradually rising in our country. This study has been designed to find out the common indications of abdominal hysterectomy in a tertiary care hospital,. to know the clinical characters of the patients and. o elucidate postoperative complication of abdominal hysterectomy.Methodology : Cross- sectional observational study was done during 1st October 2007 to 30th September 2008. Holy Family Red Crescent Medical College Hospital (HFRCMCH). Total 100 patients were selected following enclusion & exclusion criteria hyperposive sampling. Data were recorded before and after operation and analyzed by SPSS version 15.Result : In the present study patients with leiomyoma of uterus was found to be the major indication of hysterectomy followed by dys functional uterine bleeding (DUB) 18.0%, Pelvic inflammatory disease (PID) 14.0%, chronic cervicitis 10.0%, adenomyosis 10.0%, pelvic endometriosis 6.0%, cervical polyp 2.0%, ovarian cysts 1.0% and chriocarcinoma 1.0%. Mean duration of operation (hour) and hospital stay was 1.15 hours and 7.48 days respectively. Most common complication of present series was fever 20.0% followed by 13.0% had wound infection, 6.0% UTI and 2.0% wound dehiscence.Conclusion : Hysterectomy is now the most widely performed major operation in gynaecology. Indication and post operative complications of hysterectomy varies from region to region.Northern International Medical College Journal Vol.6(2) 2015: 76-77

scholarly journals A PROSPECTIVE STUDY ON CLINICO-PATHOLOGY OF VARICOSE VEINS AND ITS' SURGICAL MANAGEMENT

2020 ◽  
pp. 1-10
Author(s):  
Om Prakash ◽  
K. Govardhanan
Keyword(s):  
Prospective Observational Study ◽  
Varicose Veins ◽  
College Hospital ◽  
Medical College ◽  
Experienced Radiologist ◽  
Associated Symptoms ◽  
Observational Study Design ◽  
The Government ◽  
A Prospective Study ◽  
Symptoms And Signs

Background: Varicose veins primarily considered to be a cosmetic problem have been widely mistaken to be medically unimportant and given low priority for treatment. The associated pain, swelling, open ulceration and other morbidities increase cost of its management. The debilitation adds on to the time lost from work and wages. Aim: To study the aetiogenesis, pathology, presentation, complications, and management of varicose veins in the study populations. Methods: The current study followed a prospective observational study design among 60 patients visiting Meenakshi Medical College Hospital and Research Institute with symptoms and signs of varicose veins and clinically diagnosed as having varicose veins. Various presentations and complications and treatments were noted and finally followed up for minimum of 6 months. Results and Conclusion: It is found that varicose veins and their associated symptoms and complications constitute the most common chronic vascular disorders leading to surgical treatment. The incidence is on the rise. It is more common in middle- aged group and in males. Patients presented with spectrum of symptoms and signs, dilated and tortuous veins being more common presentations. Long saphenous system is the most common venous system affected. Ankle (lower perforator being the most common incompetent perforators. The outcome of cases of primary varicose vein depends on a thorough and complete clinical examination and duplex scan by an experienced radiologist. Operative line of treatment is a primary procedure in the management of varicose veins of lower Stripping of LSV up to knee and non-stripping of SSV is associated with less morbidity. Accurate assessment reduces the risk of recurrent varicose veins. There must be ample support from the Government so that even the poor will be benefited from the newer modality of treatment of varicose veins.

scholarly journals The Hayman Technique: A Simple Method to Treat Postpartum Hemorrhage due to Placenta Praevia

2018 ◽  
Vol 30 (1) ◽  
pp. 66-69
Author(s):  
Shahela Jesmin ◽  
Nishat Anam Borna ◽  
Mosammat Nargis Shamima ◽  
Iftekhar Md Kudrate E Khuda ◽  
Shahin Mahmuda
Keyword(s):  
Postpartum Haemorrhage ◽  
Uterine Cavity ◽  
Placenta Praevia ◽  
Artery Ligation ◽  
College Hospital ◽  
Cross Sectional ◽  
Simple Method ◽  
Medical College ◽  
Compression Suture ◽  
Level Hospital

Aim: To assess effectiveness of Hayman suture to control postpartum haemorrhage due to placenta praevia during caesarean sectionMethods: It is a cross sectional observational study performed in Rajshahi Medical College Hospital, tertiary level hospital, from January 2016 to December 2016. It included 32 patients with PPH following placenta praevia during elective& emergency caesarean section (C/S). All 32 patients underwent horizontal compression suture (bilateral anteroposterior compression) of lower uterine segment. Vicryl 0 tapercut needle was used. All patients were followed postpartum for evaluation of uterine cavity and menstrual cycles.Results Hayman suture was applied in 32 cases. In 27 cases Hayman suture was the only intervention. Hayman with uterine artery ligation required in 2 cases. In 1 patient along with Hayman B-lynch compression suture was given and 2 patients required total hysterectomy.Conclusion: The quick and simple Hayman technique seems to be effective, safe, lifesaving method in stopping hemorrhage due to placenta praevia.TAJ 2017; 30(1): 66-69

scholarly journals Pediatric appendicitis score in the diagnosis of childhood appendicitis: a validation study

2017 ◽  
Vol 4 (6) ◽  
pp. 2196 ◽  
Author(s):  
Kambalabettu Zohara Parveen ◽  
K. Shreedhara Avabratha ◽  
Kishan Shetty
Keyword(s):  
Biopsy Specimen ◽  
Laboratory Tests ◽  
Iliac Fossa ◽  
Diagnostic Value ◽  
College Hospital ◽  
Medical College ◽  
Right Iliac Fossa Pain ◽  
Laboratory Investigations ◽  
A Prospective Study ◽  
Appendicitis Score

Background: Pediatric appendicitis score (PAS) is a scoring system which includes symptoms, physical examination and laboratory tests in children suspected to have appendicitis. The objectives of this study were to analyze the diagnostic value of Paediatric Appendicitis Score and to aid early diagnosis of appendicitis.Methods: A prospective study was done in a Medical College hospital, in Mangalore in children aged between 4-16 years, admitted during study period June to December 2016, with right Iliac fossa pain, suspected to have appendicitis. Data from the children including demographic details, clinical features, laboratory investigations and ultrasound done were recorded in proformas after consent from parents. The PAS score was applied to them. If PAS was between 4-6, PAS scoring was repeated after 6 hours. Investigations done were noted. If child was taken up for surgery, histopathology report of the biopsy specimen was collected. The decision to operate or manage conservatively was taken up by the treating pediatric surgeon. PAS score was compared with ultrasound and biopsy report.Results: Sixty children were included in the study. Anorexia, emesis, migration pain, cough tenderness and leukocytosis were the features most consistently seen in appendicitis. Initial PAS were comparable to the repeat scores. Ultrasound showed presence of appendicitis in 88.3% of the children. Ultrasound showed appendicitis in all children with PAS ≥7. Twenty-six children out of 60 underwent surgery. Out of 20 children with PAS ≥7.15 (75%) were taken up for surgery and biopsy showed appendicitis. Biopsy was done in 26 children, of whom 58.1% had PAS ≥ 7. These findings were statistically significant. Conclusions: Paediatric appendicitis score is a valuable tool in diagnosing childhood appendicitis.

scholarly journals To estimate the incidence, etiology and risk factors of wound infections in women who undergoes cesarean section at Kilpauk Medical College Hospital: a prospective study

2017 ◽  
Vol 6 (5) ◽  
pp. 1793
Author(s):  
Jayalakshmi Subramani ◽  
Devika Perumal
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Wound Complications ◽  
Wound Infections ◽  
College Hospital ◽  
Obstructed Labour ◽  
Medical College ◽  
Increased Risk ◽  
Significant Extension ◽  
A Prospective Study

Background: Wound infections following caesarean section (or) gynaecologic surgery is a common complication that accounts for significant extension of hospital stays.Methods: This is a prospective analytical study, conducted in the department of obstetrics and gynaecology, kilpauk medical college, Chennai from Januray 2013 to November 2013. All cases who underwent ceaserean section were included in the study. Analysis was done in the form of percentages and proportions and represented as tables where necessary.Results: A total of 700 cases were analysed. The incidence of wound infections after caesarean section in this study was 8.14%. Study confirms that risk factors like anemia, chorioamnionitis; PROM, obstructed labour, preeclampsia, increased surgical time, increase BMI poses risk for wound complications. Whereas chorioamnionitis (66%) and obstructed labour (66%) showed increased risk for wound complications.Conclusions: Correcting malnutrion, anemia, stabilizing diabetes and eradicating all infection such as urinary tract infection, proper preparation of skin, proper surgeons scrubbing and using proper surgical technique can decrease the risk of postoperative wound infection.

scholarly journals Congenital Anomalies Presenting as Head-Neck Swellings: A Study of 50 Cases

2020 ◽  
Vol 23 (2) ◽  
pp. 171-179
Author(s):  
Md Zahidul Islam ◽  
Md Abdur Rahman ◽  
Md Sirajul Islam Mahfuz
Keyword(s):  
Dermoid Cyst ◽  
Branchial Arch ◽  
Medical College Hospital ◽  
Sex Distribution ◽  
Thyroglossal Cyst ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Male To Female ◽  
Head Neck

Purpose: To analyse the prevalence, distribution and presentation of different congenital head-neck lesions with their age, sex, site and side predilection. Methods: 50 patients of head-neck congenital swelling was selected from january/2013 upto december/2013 in the OPD of otorhino-laryngology, head and neck deptt. of Dhaka medical college hospital under a specific prospective study protocol. Results: The most frequent swelling was thyroglossal cyst(42%), followed by branchial arch anomalies (18%),dermoid cyst(14%),pre-auricular sinus(14%),lymphangioma(8%) and haemangioma(4%).Amongst the cervical swellings the sequential preponderence was thyroglossal cyst(52%),branchial arch anomalies(23%),dermoid cyst(13%), lymphangioma(10%) and haemangioma (2%).The majority of branchial arch anomalies(100%) were of second arch. The majority of patients were of first(52%) and second(30%) decade and the male to female ratio for thyroglossal cysts was 1:1.1.The majority of lesions were painless swelling and all were surgically excised. Conclusion: The overall frequency and age-sex distribution of congenital head-neck swellings as well as site, nature and type specific predominance of some of them in OPD of Dhaka medical college hospital are almost similar to international findings. Bangladesh J Otorhinolaryngol; October 2017; 23(2): 171-179

scholarly journals Prevalence of Metastatic Neck Nodes

2020 ◽  
Vol 25 (2) ◽  
pp. 102-107
Author(s):  
Md Momin Uddin ◽  
Samia Quadir ◽  
Sabiha Quadir ◽  
Kazi Shameemus Salam ◽  
Debabrota Roy ◽  
...  
Keyword(s):  
Paranasal Sinuses ◽  
Cervical Lymphadenopathy ◽  
Neck Surgery ◽  
Nodal Metastasis ◽  
Military Hospital ◽  
Neck Node ◽  
Cross Sectional ◽  
Head Neck Surgery ◽  
Head Neck ◽  
Supraglottic Larynx

Background: Head and neck cancers include cancers of the lips, mouth, nasal cavity, paranasal sinuses, pharynx and larynx. Most of these cancers are squamous cell carcinomas (SCCs). The presence of metastatic cervical lymphadenopathy is of particular importance as with every single nodal metastasis, survival of the patient is reduced by one half. Objective: To see the prevalence of metastatic neck node. Methods: The prospective cross-sectional clinical study was carried out in the Department of ENT and Head Neck Surgery, Combined Military Hospital, Dhaka during March’2018 to March, 2019. All 100 patients were included in this study and were treated at the Department of Otolaryngology of Combined Military Hospital, Dhaka. Results: Total 26 cases were found parotid among them 8(30.8%) in metastatic neck node and 18(69.2%) in without metastatic neck node. Total 10 cases were found paranasal sinuses among them 1(10.0%) in metastatic neck node and 9(90.0%) in without metastatic neck node. Which were statistically significant (p<0.05) between two groups. Conclusion: In this study observed that majority of metastatic neck node were found pyriform fossa, supraglottic larynx, base of tongue which were 68.2%, 68%, 77.8% respectively. In oral cavity and parotid site also found 48.1% and 30.8% metastatic neck node. Bangladesh J Otorhinolaryngol; October 2019; 25(2): 102-107

scholarly journals Perception and Practices of Home Management of Acute Watery Diarrhoea and Its Impact on Dehydration

2020 ◽  
pp. 38-46
Author(s):  
M. Z. Uddin ◽  
K. Fatema ◽  
R. S. Begum ◽  
T. Saad ◽  
M. M. Hossain ◽  
...  
Keyword(s):  
Dietary Restriction ◽  
Acute Diarrhea ◽  
Watery Diarrhoea ◽  
College Hospital ◽  
Clinical Indicators ◽  
Home Management ◽  
Medical College ◽  
A Prospective Study ◽  
The Impact ◽  
At Home

Background: Diarrhoea is one of the commonest causes of death in children in developing countries. Proper home management can reduce morbidity and mortality. High rates of dietary restriction, poor knowledge of preparation of ORS solutions and low attention given to clinical indicators are causes for seeking hospital management. This study was done to observe the knowledge of caregivers regarding home management of acute watery diarrhoea and to assess the impact of home management on severity of dehydration. Methods: This study was a prospective study carried out on children with acute diarrhea who attended outpatient department (OPD) of Rangpur Medical College Hospital and duration of the study was 6 months. A total of 100 cases were included in this study who fulfilled the definition of acute diarrhea by WHO. The investigator questioned each mother with the help of a preformed questionnaire. Results: In 85% of cases, caregivers perception about diarrhea was an increase in the frequency and fluidity of stool. About 95% of cases were initially treated at home; treatment was given at home with ORS (95%). There was change in feeding pattern and modified food was given (24%). Perception about ORS preparation was appropriate in 64% and inappropriate in 31% of cases. Inadequate amount of ORS was given in 74% cases. There was no interruption of breast feeding; dietary restriction during diarrhoea was observed only in 2% cases. Most of the parents did not know when to return immediately to hospital.  Dehydration status of diarrhoeal cases was no dehydration (81%), some dehydration (18%) and severe dehydration (1%). In majority of the cases different drugs were used. Conclusion: Most of the caregivers’ decided to treat diarrhoea at home. Many of them had wrong perception about preparation of ORS and some of them did not know how to make ORS solution. Inadequate amount of ORS was given in most of the cases. Thus to lessen hospital burden and to prevent dehydration increased emphasis should be given to health education of home management of diarrhea.

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