EVALUATION OF COMPLICATIONS AND SUCCESS RATES OF PCNL,USING MODIFIED CLAVIEN GRADING SYSTEM: A SINGLE-CENTER EXPERIENCE

2021 ◽  
pp. 32-34
Author(s):  
Abhishek Shukla ◽  
F.A. Khan ◽  
Ravinder Pal ◽  
S.S. Chipde ◽  
Neelam. K.Soni
Keyword(s):  
Retrospective Study ◽  
Perioperative Complications ◽  
Tertiary Care ◽  
Length Of Hospital Stay ◽  
Grading System ◽  
Transfusion Rate ◽  
Success Rates ◽  
Tertiary Care Centre ◽  
Female Ratio ◽  
The Mean

OBJECTIVE: The purpose of this retrospective study is to document the perioperative complications of percutaneous nephrolithotomy (PCNL) using the modied Clavien grading system at a tertiary care centre. MATERIAL & METHODS: A retrospective study of 133 patients who underwent standard PCNL in the department of Urology and Renal Transplant,during the period January 2019 to March 2020 at Sri Aurobindo Institute of Medical Sciences,Indore, India. A structured questionnaire was used to get relevant information,while peri-operative complications were recorded using the modied Clavien grading system. RESULTS: The mean age of patients was 38.2years,male: female ratio was 1.18:1. Stones were categorized as simple in 48.9% and complex in 51.1%. The lower calyx was the commonest site of stone location (45.5%) and puncture site (76.7%). The mean operative time was about 58 minutes and the mean haemoglobin drop was 1.5g/dl. The blood transfusion rate was 3% and the stone free rate after the procedure was 93.2%. The mean length of hospital stay was 3.4 days. CONCLUSION: PCNL is an effective treatment with good clearance rate and acceptable morbidity in experienced hands.

scholarly journals The Pattern of Day Case (Ambulatory) Percutaneous (PCNL): A Descriptive Retrospective Study from a Tertiary Care Hospital

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Rehan Fareed ◽  
Huma Shamim
Keyword(s):  
Retrospective Study ◽  
Tertiary Care ◽  
Ureteral Stones ◽  
Transfusion Rate ◽  
Care Hospital ◽  
High Grade ◽  
High Grade Fever ◽  
Access Methods ◽  
The Mean ◽  
Staghorn Stones

Background: Percutaneous nephrolithotomy (PCNL) has experienced remarkable development and alteration since it was first described in 1976 by Fernstorm et al. It has also experienced miniaturization of equipment, improvement in operative systems, and refining renal access methods leading to the achievement of maximum clearance of stone while causing minimal morbidity. For example, in endourological practice, when the patient is subjected to PCNL, he traditionally needs programmed inpatient admission, as part of their recovery, it is applicable as an outpatient method in properly selected cases. Objectives: We aimed at evaluating the safety and applicability of the outpatient PCNL procedure. Methods: This retrospective study was done on 210 cases of tubeless PCNL performed by a single urologist at our institute from January 2016 to January 2019. Patients’ mean age (134 males and 76 females) was 57 ± 11.8 years, and 7 patients aged 8 - 12 years. There were 71 pelvic or calyceal solitary stones, 62 non-complete staghorn stones, 17 ureteral stones, 32 renal + ureteric stones (simultaneous renal and ureteral stones) , and 28 complete staghorn stones. The average stone size was 3.5 ± 2.8 (range: 0.7 to 11.8 cm). Results: The mean operation duration was 85.0 ± 29.4 min, and the mean hospital stay was 21.7 ± 3.4 h. Out of 210 patients, 6 patients had longer stay due to high-grade fever and 3 patients due to severe pain, and also 7 patients refused discharge due to personal and social reasons. Our ambulatory PCNL rate was 97 % ( 194 out of 210). Within 72 h, 5 patients were readmitted due to high-grade fever, 3 patients due to haematuria, and 4 patients due to pain and dysuria, and all patients were discharged 2 - 4 days after conservative treatment. Thus, the readmission rate was 6.18% (12 cases were readmitted out of 194 cases). Patients showed a blood transfusion rate of 1.4 %. Also, 19 cases (9.02%) were found with post-operative fever, and no urosepsis was reported. No pulmonary complications and mortality were noted. No re-exploration was done, and no major leak was noted. The angio-embolization rate was 0.59%. We did not use HEMO-SEAL technology, cautery, or suture in the tracks. Conclusions: In conclusion, the outpatient PCNL procedure is an applicable and feasible procedure under selected criteria; however, more investigations using a larger sample size are needed.

scholarly journals A retrospective study on palmoplantar psoriasis and its associations in a tertiary care centre

2019 ◽  
Vol 5 (2) ◽  
pp. 277
Author(s):  
Saradha K. Perumal ◽  
Sudha R. Gopinath
Keyword(s):  
Diabetes Mellitus ◽  
Retrospective Study ◽  
Plaque Psoriasis ◽  
Tertiary Care ◽  
Overweight And Obesity ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Female Ratio ◽  
Plaque Type ◽  
One Year

<p class="abstract"><strong>Background:</strong> Psoriasis is a chronic immune mediated inflammatory condition of the skin. Palmoplantar psoriasis (PPP) is a clinical variant of plaque psoriasis affecting palms and soles extending to the wrist and the margins of the soles and heels. This study was done to find out the prevalence of palmoplantar psoriasis in our setting. The aim of the study was to determine the prevalence, demographic features and other co-morbidities of the palmoplantar plaque psoriasis in a tertiary care centre.</p><p class="abstract"><strong>Methods:</strong> We conducted retrospective study for a period of one year (January 2017 to December 2017) on palmoplantar plaque psoriasis patients attending the dermatology OPD.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among 552 enrolled psoriasis patients, 85 were clinically diagnosed to have palmoplantar psoriasis. The mean age of the patient was 45 years. Most of them belong to 4<sup>th</sup>, 5<sup>th </sup>and 6<sup>th</sup> decade of life. The male to female ratio was 1:2.26. The duration of the disease was more than one year in 73% of patients at the study time. Occupation of the patients included house-wives (50%), manual labourers (36%) and office goers, (13%). Hyperkeratotic plaque type psoriasis with scaling and fissures was the predominant morphological pattern recorded. Dyslipidemia (22%), overweight and obesity (56%), hypothyroidism (6%) and diabetes mellitus (12%) were the observed co-morbidities in this study.</p><p class="abstract"><strong>Conclusions:</strong> The prevalence of palmoplantar psoriasis (0.09%) was low in our study. Palmoplantar psoriasis affected middle aged adults and had a female predominance in this study. Overweight, obesity, dyslipidemia, diabetes mellitus and hypothyroidism were the co-morbid conditions observed in this study. Being a relapsing and chronic condition the disease poses a poor quality of life than plaque type psoriasis.</p>

scholarly journals Seroprevalence of Japanese encephalitis amongst cases of acute encephalitis syndrome in a tertiary care centre of north east India: a four year retrospective study

2019 ◽  
Vol 7 (9) ◽  
pp. 3490
Author(s):  
Daiji G. Mohan ◽  
Mayuri Gogoi ◽  
Ajanta Sharma
Keyword(s):  
Retrospective Study ◽  
Rural Areas ◽  
Clinical Symptoms ◽  
Monsoon Season ◽  
Tertiary Care ◽  
Research Work ◽  
Tertiary Care Centre ◽  
Female Ratio ◽  
Igm Antibodies ◽  
North East

Background: The present study was undertaken to investigate the trend of JE and the different parameters associated with it.Methods: It was a hospital-based retrospective study conducted from January 2014 to December 2017. A total of 3531 consecutive non-repetitive patients, satisfying the clinical case definition of AES as per the WHO guidelines, were included in the study. Cerebrospinal fluid (CSF) and serum samples were tested for JEV-specific IgM antibodies by the NIV JE IgM Capture ELISA Kit.Results: Of the 3531 patients admitted, 838(23.7%) cases were positive for JE IgM antibodies. There was a significant reduction in the JE positivity rate from 32.9% in 2014 to 13.3% in 2017. The male-to-female ratio was 1.6:1. JE positivity rate was significantly higher in adults as compared to children. The majority of cases occurred during the monsoon and post-monsoon season. Fever (100%), change in mental status (87.8%), headache (70.5%), neck rigidity (32.4%), unconsciousness (35.4%), seizure (43.9%) and paralysis (5%) were the major clinical symptoms. JE positivity was seen to be higher in the rural areas of Assam.Conclusions: A declining trend of JE was seen in this study, however further research work needs to be done to look for non-JE causes of AES.

scholarly journals Materanal and neonatal outcomes of triplet gestation in a tertiary care centre: a retrospective study

2019 ◽  
Vol 8 (11) ◽  
pp. 4453
Author(s):  
Neeraj Sharma ◽  
Deepika Kumari ◽  
Sonal Prasad ◽  
Akanksha Srivastava
Keyword(s):  
Retrospective Study ◽  
Birth Weight ◽  
Post Partum ◽  
Tertiary Care ◽  
Significant Rise ◽  
Triplet Pregnancy ◽  
Tertiary Care Centre ◽  
Maternal Complications ◽  
Neonatal Complications ◽  
The Mean

Background: A significant rise in triplet pregnancy rate has occurred recently. This rise is of concern, as these infants are frequently reported as a risk factor of adverse outcome. The aim of this study was to retrospectively study the outcomes of triplet births.Methods: A retrospective study was undertaken to analyze the clinical data of all patients with triplet gestation admitted to the labour room of Dr. Baba Saheb Ambedkar Hospital, Delhi to study the maternal and fetal outcomes. Authors retrospectively observed and analyzed the database to examine triplet gestations delivered between January 2014 and December 2018.Results: Over the five-year study period, there were total 44,011 deliveries. Out of these, there were 35 (0.079%) triplet pregnancies. Of all the triplet pregnancies studied 80% resulted from ovulation induction and assisted reproductive technology. The mean gestational age at delivery was 31.6±3.0 weeks, and the mean birth weight was 1,594±460 gm. The most common maternal complications were Preterm labour in 32 pregnancies (92%), anemia in 17 (49%), pre-eclampsia in 11 (31%), post-partum hemorrhage in 8 (22%). Of the total deliveries neonatal complications included Respiratory distress syndrome in 44 (42.2%), Hyperbilirubinemia in 41 (39%), Intrauterine growth restriction in 19 (18.1%). The perinatal mortality rate was 10.5%.Conclusions: Higher order pregnancies are associated with maternal and neonatal complications. These high risk women need more care and the neonates require intensive care and monitoring after birth, most commonly due to prematurity and low birth weight.

ANALYSIS OF THE CLINICAL PROFILE OF PATIENTS WITH CHRONIC URTICARIA IN TERTIARY TREATMENT CENTRE

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Sanjeev Kumar
Keyword(s):  
Chronic Urticaria ◽  
Social Life ◽  
Tertiary Care ◽  
Chronic Idiopathic Urticaria ◽  
Clinical Profile ◽  
Tertiary Care Centre ◽  
Female Ratio ◽  
Treatment Centre ◽  
The Mean ◽  
Delayed Pressure Urticaria

Introduction: Owing to its persistent relapsing path and inadequate reaction to treatment, persistent urticaria has a detrimental impact on both patients' work and social life. The aetiology and the explanation for the varying severity and frequency of clinical presentation are still a problem, despite advances in science. Aim: To research a tertiary care centre 's clinical profile of chronic urticaria. Methods: The study included patients of both sexes between the ages of 14 and 55 years with a clinical diagnosis of chronic urticaria for whom a cause could not be identified under a standard protocol assessment. Results: One hundred patients with chronic urticaria were studied and the mean age was 30.22 years and the male: female ratio was 1:2.85 predominated among females. The mean period of urticaria was 27.42 months, and urticaria lesions were resolved in less than 30 minutes in 48 percent of cases. In 38 percent, there was associated angioedema and 46 percent delayed pressure urticaria. Limitations: The study's drawback was the limited sample size. Conclusions: In our research, the clinical profile for chronic idiopathic urticaria is similar to that of other studies. Keywords: Chronic urticaria, chronic idiopathic urticaria, chronic spontaneous urticaria

scholarly journals Comparison of Polypropylene Sling with Combined Transconjunctival Retractor Plication and Lateral Tarsal Strip for Correction of Involutional Lower Eye Lid Ectropion

2017 ◽  
Vol 11 (1) ◽  
pp. 285-297 ◽  
Author(s):  
Ruchi Goel ◽  
Abhilasha Sanoria ◽  
Sushil Kumar ◽  
Deepanjali Arya ◽  
Smriti Nagpal ◽  
...  
Keyword(s):  
Success Rate ◽  
Tertiary Care ◽  
Success Rates ◽  
Tertiary Care Centre ◽  
Surgical Time ◽  
Old Patients ◽  
Group A ◽  
Lateral Tarsal Strip ◽  
The Mean ◽  
Group B

Purpose: The study aims to compare the effectiveness and complications of transconjunctival retractor plication (TRP) with lateral tarsal strip (LTS) and the polypropylene sling (PS) surgery for treatment of involutional lower lid ectropion. Method: A prospective randomised pilot study was conducted on 30 eyes of 30 patients suffering from epiphora having horizontal eyelid laxity >6mm and age >50 years at a tertiary care centre from December 2014 to March 2015. They were randomly divided into two equal groups for TRP with LTS (group A) and PS (group B). Success was defined as relief in epiphora and lid laxity ≤4mm at 12 months post operatively. Result: There were 19 male and 11 female patients with age ranging from 55-80 years. The mean grade of ectropion was 2.80±1.32 in group A and 2.87±1.60 in group B. The preoperative horizontal laxity increased with the grade of ectropion (p <0.001) while medial canthal laxity was variable. The average surgical time per procedure in group A was 66 minutes and in group B was 24 minutes. Group A had a success rate of 93.33%, while group B had a success rate of 87%. Post-operative complications occurred in 2 eyes in group B only. Conclusion: Both LTS with TRP and PS are effective in the management of involutional ectropion. LTS with TRP though more invasive has higher success rates and a lower incidence of complications as compared to PS. However, PS is an easy to perform out- patient procedure that is faster and better tolerated in old patients.

Trend of Hospital Admission and Outcome Study of Patients Admitted in a Neurology Unit at a Tertiary Care Neuroscience Hospital in Bangladesh

2018 ◽  
Vol 4 (2) ◽  
pp. 69-74
Author(s):  
Md Tauhidul Islam Chowdhury ◽  
Mohammad Shah Jahirul Hoque Choudhury ◽  
KM Ahasan Ahmed ◽  
Mohammad Sadekur Rahman Sarkar ◽  
Md Abdullah Yusuf ◽  
...  
Keyword(s):  
Neurological Disorders ◽  
Neurological Diseases ◽  
Tertiary Care ◽  
Length Of Hospital Stay ◽  
Retrospective Chart Review ◽  
Total Death ◽  
Neurological Patients ◽  
Study Population ◽  
The Mean ◽  
Day By Day

Background: Neurological disorders is becoming a growing concern both for developed and developing countries. Magnitude of the problem is increasing day by day. Among all neurological disorders, stroke is the leading cause of morbidity and mortality globally.Objectives: The purpose of the study was to see the trend of admission of patients with neurological diseases and to study the outcome of patients at referral neurology hospital in Bangladesh.Methodology: This retrospective chart review was conducted in the blue unit of the Department of Neurology at National Institute of Neurosciences and Hospital, Dhaka, Bangladesh from 1st January to 31st December 2016 for a period of one (01) year. All the admitted patients with both sexes were selected as study population. The outcome was observed among the study population.Result: A total number of 1044 patients were admitted during the study period. Majority of the patients were in the age group of the 41 to 50 years which was 417(39.9%) cases. Both male and female were in highest number in the month of May which was 63 and 48 cases respectively. The total death of the study population was 146(14.0%) cases. The mean length of hospital stay was 8.4±2.31 days.Conclusion: Middle aged male is the main bulk of the neurological patients, admitted in a referral neurology hospital in Bangladesh. Highest admission and mortality was observed in stroke patients.Journal of National Institute of Neurosciences Bangladesh, 2018;4(2): 69-74

Histopathological Study of Lesions of the Nasal Cavity, Paranasal Sinuses and Nasopharynx in a Tertiary Care Centre, Visakhapatnam over a Period of 2 Years

2021 ◽  
Vol 8 (33) ◽  
pp. 3054-3059
Author(s):  
Rajendra Prasad Jagannadham ◽  
Lakshmi Latchupatula ◽  
Sravani Ponnada ◽  
Neelima Lalam ◽  
Raghunadhababu Gudipudi ◽  
...  
Keyword(s):  
Nasal Cavity ◽  
Paranasal Sinuses ◽  
Histopathological Examination ◽  
Tertiary Care ◽  
Histopathological Study ◽  
Histopathological Diagnosis ◽  
Malignant Tumours ◽  
Tertiary Care Centre ◽  
Female Ratio ◽  
Male Predominance

BACKGROUND A variety of non - neoplastic and neoplastic conditions involve the nasal cavity, paranasal sinuses and nasopharynx and these are very common lesions encountered in clinical practice. Histopathological examination of these lesions is the gold standard for diagnosis because management and prognosis vary among different lesions. The aim of the present study was to evaluate the histopathological study of the lesions of the nasal cavity, paranasal sinuses and nasopharynx in relation to their incidence, age, gender and site wise distribution and to compare the results with the available data. METHODS A study of 88 cases was conducted for a period of 2 years from August 2017 to July 2019. After fixation, Processing and Haematoxylin and Eosin staining and special stains histopathological diagnosis was made. RESULTS Among 88 total cases, 58 were males and 30 were females. A male predominance was observed with a male to female ratio of 1.93 : 1. They were more common in third, fourth and fifth decade of life. Malignant nasal lesions were seen after fourth decade of life. Nasal lesions were more common in nasal cavity (67.05 %), followed by paranasal sinuses (18.18 %) and nasopharynx (14.75). Out of 88 total cases, 39 (44.32 %) were non - neoplastic, 30 (34.09 %) were benign and 19 (21.59 %) were malignant nasal lesions. CONCLUSIONS Sinonasal lesions and nasopharyngeal lesions can have various differential diagnoses. A complete clinical, radiological and histopathological correlation helps to categorize these sinonasal lesions into various non - neoplastic and neoplastic types. But histopathological examination remains the mainstay of definitive diagnosis. KEYWORDS Nasal Cavity, Paranasal Sinuses, Nasopharynx, Benign Tumours, Malignant Tumours, Histopathological Examination

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