A STUDY OF DISLOCATION AFTER PRIMARY TOTAL HIP REPLACEMENT BY POSTERIOR APPROACH

2021 ◽  
pp. 15-17
Author(s):  
Sushant Ghumare ◽  
Ajay Chandanwale ◽  
Abhay Patil ◽  
Vijay Yada ◽  
Shalva Natu
Keyword(s):  
Femoral Head ◽  
Posterior Approach ◽  
Demographic Data ◽  
Tertiary Care ◽  
Patient Counseling ◽  
Tertiary Care Centre ◽  
Total Hip ◽  
Implant Positioning ◽  
Male Patients ◽  
Necrosis Of Femoral Head

Dislocation after primary Total Hip Arthroplasty is devastating complication which may lead to neurovascular damage if not treated urgently. Posterior approach to hip is most commonly used worldwide. It said to have increased chances of dislocation postoperatively as compared to other approaches according to literature but still a debatable topic of discussion. In our study , we retrospectively studied 189 patients operated for primary THA in tertiary care centre fullling inclusion criteria. These patients were operated by same surgeon with posterior approach and uncemented implant with 28mm femoral head .Demographic data of patients and incidence of dislocation studied. Our observations and results found out that male patients are more common and are of young age group who undergone THA. Most common indication for surgery was Avascular necrosis of femoral head. Out of 189 , only 3 patients had episode of dislocation. With our study , we conclude that posterior approach to hip is safe if done by experienced surgeon with ideal implant positioning ,meticulous soft tissue repair & proper patient counseling for post-op rehabilitation

STUDY OF STAGING OF MAGNETIC RESONANCE IMAGING IN AVASCULAR NECROSIS OF FEMORAL HEAD

2021 ◽  
pp. 74-75
Author(s):  
Vinaychandra Sulgante ◽  
Vijaykumar S Mane
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Femoral Head ◽  
Avascular Necrosis ◽  
Imaging Modality ◽  
Tertiary Care ◽  
Resonance Imaging ◽  
Tertiary Care Centre ◽  
Classi Cation ◽  
Necrosis Of Femoral Head

Avascular Necrosis refers to the bone death in epiphyseal or subarticular location secondary to interruption of blood supply. MRI has become the most sensitive, specic and widely used diagnostic imaging modality for evaluation of AVN of femoral head. The aim was to study the stages of presentation of Avascular Necrosis of femoral head on Magnetic Resonance Imaging in tertiary care centre .It is a Hospital record based descriptive study carried out at the Department of Radio-diagnosis, those patients which showed signs for avascular necrosis of femoral head over a period of three years were included in the study. Staging of Avascular Necrosis of femoral head was done as per Ficat and Arlet classication and distribution was done on the basis of Age, Gender and Laterality. Out of 129 patients with suspected AVN, 68 patients showed features of AVN of femoral head on MRI .It was found that males were commonly affected with mean age group between 31-40 years. Most of the patients had bilateral involvement. It was found that most of the patients presented during stage III of the disease. It was also observed that Coronal sequence of T1w image was useful in diagnosing most cases of AVN and hence can be used as a rapid protocol in diagnosing AVN.

scholarly journals Precipitating factors leading to decompensation of heart failure in patients attending a tertiary care centre of Nepal

2020 ◽  
Vol 17 (1) ◽  
pp. 17-21
Author(s):  
Suman Adhikari ◽  
Ratna Mani Gajurel ◽  
Chandra Mani Poudel ◽  
Hemanta Shrestha ◽  
Sanjeev Thapa ◽  
...  
Keyword(s):  
Heart Failure ◽  
Hospital Admissions ◽  
Common Factor ◽  
Tertiary Care ◽  
Decompensated Heart Failure ◽  
Patient Counseling ◽  
Tertiary Care Centre ◽  
Acute Decompensation ◽  
The Government ◽  
Major Factors

Background and Aims: Heart failure is one of the debilitating conditions in patients with various forms of heart disease. It can have impacts on various aspects of the life of a patient. There have been few studies on the etiological aspects and precipitants of heart failure in the Nepalese population. The aim of our study is to find out the major factors that lead to decompensation of heart failure in patients who already have established heart failure. Methods: This study was a single-centre, prospective, observational study conducted in the emergency department of Manmohan Cardiothoracic Vascular and Transplant Centre (MCVTC) from 1st June 2019 to 30th November 2019. Hundred and one patients with established heart failure in the past, who presented again with decompensated heart failure were enrolled. Results: The mean age of the patients was 62.81 years (SD=15.92). Factors responsible for acute decompensation of heart failure were identified in 95.0 % of patients included in the study. The most common factor identified was poor compliance with medications and diet and fluid intake (38.6%). Next to it was arrhythmia identified in about 35.6% of cases.Other important factors responsible for decompensation in our study were infection (12.8%), anemia (4.9%) and ischemia (2.9%). Conclusion: Preventable and identifiable factors are responsible for the decompensation of heart failure. Most of these factors can be modified with the use of proper patient counseling/patient education, thereby reducing recurrent hospital admissions and economic burden to the patient and the government as well.

scholarly journals Recommending form of anticancer drugs in oncology unit of a tertiary care teaching hospital

2021 ◽  
Vol 12 (2) ◽  
pp. 1201-1207
Author(s):  
Pandiamunian Jayabal ◽  
Nithiya Dhanasekaran ◽  
Shanmugasundaram S
Keyword(s):  
Anticancer Drugs ◽  
Care Delivery ◽  
Demographic Data ◽  
Tertiary Care ◽  
Dose Intensity ◽  
World Health ◽  
Tertiary Care Centre ◽  
Cost Effective Treatment ◽  
The World ◽  
Oncology Unit

Cancer has become a chief ailment and danger to the global society. It is one of the foremost reasons for demise in the world. A survey by the World Health Organization (WHO) indicates that 8.2 million people died from cancer in 2012 and it may rise to 19 million by 2025. Drug interactions connected through anticancer drugs are a global concern and should not be ignored. Nausea, vomiting or some other mild response to extreme myelosuppression may vary from adverse drug reactions. Analysis of prescription trend is a possible method in ascertaining the position of drugs in culture and it has to be taken out at every hospital regularly. The research is developed to examine the prescription pattern of anticancer drugs in the clinical oncology unit of a tertiary care centre in India. The patient's demographic data, medication name, type, dose, intensity and duration etc., have been analyzed in each prescription  Commonly utilized anticancer narcotics and different forms of cancer were identified and the national essential drug list percentage of the medicines used was analysed. The current study intended to assess the tendencies and pattern of prescribing anticancer drugs. The prescribing practises were apposite and were in agreement with WHO strategies. The present study seemed to sustenance best proposing performs in order to endorse cost effective treatment and improved health care delivery.

scholarly journals Intestinal obstruction in a tertiary care centre in India: are the differences with the Western experience becoming less?

2021 ◽  
Author(s):  
Suvendu Sekhar Jena ◽  
Ravi Chandra Reddy Obili ◽  
Sri Aurobindo Prasad Das ◽  
Ruchir Bhavsar ◽  
Sanket Solanki ◽  
...  
Keyword(s):  
Developing Countries ◽  
Intestinal Obstruction ◽  
Demographic Data ◽  
Tertiary Care ◽  
Developed Countries ◽  
Western World ◽  
Tertiary Care Centre ◽  
Duration Of Symptoms ◽  
Operative Complications ◽  
Post Operative Complications

Abstract Background: Patients with intestinal obstruction consist of a major proportion of emergency room visits and the complication is associated with significant morbidity and mortality. It has a diverse etiology and varies from region to country. In developed countries it is mainly due to adhesions and in developing countries due to obstructed hernias. Although there are numerous studies from the western world there have been few recent publications from the developing world. Method: We retrospectively analyzed all the patients admitted for intestinal obstruction to our department from January 1996 to December 2019. Their demographic data, duration of symptoms before presenting to the hospital and duration of stay before surgery in the hospital were noted along with cause and level of obstruction. The type of procedure, any post-operative complications, mortality or re-exploration were also noted. Post-operative complications were graded as per Clavien Dindo classification. Results: A total of 986 patients presented with intestinal obstruction during this period out of which 743 patients underwent surgery. There were 429 (57.74%) males 314 (42.26%) females who had a mean age of 50.1 years (range 11 to 96 years). The commonest cause of obstruction was adhesions in 273 (36.7%) followed by carcinoma [130(17.5%)], tuberculosis [111(14.9%)], stricture [94(12.7%)] and hernia (5.4%) patients. Colorectal surgery was the most common previous procedure in the adhesive group [85(31.1%)]. Colon cancer was the common cause in carcinoma group. Ileum was the most common site of obstruction [329(44.3%)]. The overall operative mortality was 41 (5.5%). Conclusion: Postoperative adhesions are now the commonest cause of intestinal obstruction in our referral center with a comparable mortality rate with western reports. Though the etiology of intestinal obstruction is shifting towards the western pattern, tuberculosis, obstructed inguinal hernia still consists a major chunk of patients in developing countries.

scholarly journals A study of the pattern of non-venereal genital dermatoses in male patients at a Tertiary Care Centre from Hadoti region of Rajasthan, India

2021 ◽  
Vol 12 (e) ◽  
pp. e87-e87
Author(s):  
Asha Nyat ◽  
Arti Singh ◽  
Alpana Mohta ◽  
Ramesh Kumar Kushwaha ◽  
Devanshi Gupta ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Tertiary Care ◽  
Clinical Findings ◽  
Venereal Diseases ◽  
Fixed Drug Eruption ◽  
Tertiary Care Centre ◽  
Diagnostic Dilemma ◽  
Correct Treatment ◽  
Male Patients ◽  
Epidemiological Profile

Background: Non venereological diseases of genitalia can be a diagnostic dilemma to a dermatologist and also a cause of considerable concern to the patient because they tend to get misdiagnosed with venereal diseases. Aims: To study the pattern and clinico-epidemiological profile of non-venereal dermatoses of male genitalia in Hadoti region of Rajasthan. Materials and Methods: We conducted this prospective, descriptive study in 250 male patients with non venereal dermatoses in Rajasthan from January 2015 to July 2016. The demographic profile and clinical findings of the patients were recorded and appropriate investigations and histopathological examination were done as and when required. Cases having venereal diseases were excluded from the study by clinical examination, serological and microbiological tests for venereal diseases. Results: The age of the patients ranged between one to 70 years, with mean age being 27.1 years. The most common dermatosis was nodular scabies 54 (21.6%) followed by sebocystoma multiplex 24 (9.6%), fixed drug eruption 19 (7.6%), tinea genitalis 17 (6.8%) and genital psoriasis 14 (5.6%) cases. Conclusion: This study highlights the importance of diagnosing non-venereal dermatoses for both correct treatment of the patient as well as to alleviate the anxiety associated with venereophobia and cancer phobia.

scholarly journals Impact and outcome of cardiac diseases in pregnancy

2020 ◽  
Vol 10 (1) ◽  
pp. 102
Author(s):  
Gira Dabhi ◽  
Jignesh Chauhan ◽  
Munjal Pandya ◽  
Rahul Sinhar
Keyword(s):  
Heart Disease ◽  
Cardiac Disease ◽  
Nyha Class ◽  
Demographic Data ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Close Monitoring ◽  
Care Hospital ◽  
Tertiary Care Centre ◽  
In Pregnancy

Background: Present study done to study incidence, effect of pregnancy on cardiac disease and vice-versa and feto-maternal outcome in patients with cardiac disease in pregnancy at tertiary care hospital.Methods: It’s a retrospective observational study conducted in Department of OBGY at tertiary care hospital between 01 June 2019 to 31 May 2020. 28 cases of cardiac disease out of 8659 patients registered included in the study. Demographic data like age, parity, etiological factors of cardiac disease, mode of delivery, neonatal outcome noted from case records.Results: In study, 32% were unregistered cases and 10.7% had never sought any medical care before. Majority (53.6%) cases belonged to 20-25 years. Heart disease noted to be more in primipara (35.7%). 71.4% belonged to NYHA class 1+2 and had a relatively uneventful peripartum period. Majority (53.6%) patients had rheumatic valvular disease. Cases of Congenital heart disease were17.8%, pulmonary artery hypertension was 25%, Maternal mortality were 2(7.2%). 46.5% women delivered with caesarean section. PIH (18%) and anemia (7.2%) were most commonly associated conditions. 85.6% women delivered live newborns and full term, pre-term deliveries and IUGR were 71.4%, 17.8% and 10.7% respectively.Conclusions: Rheumatic origin is the most common cardiac disease associated with pregnancy. The availability of early diagnostic techniques and reference to tertiary care centre, timely admission and close monitoring of patient and delivery with multidisciplinary approach include specialized cardiologic care, high risk obstetric support and neonatology expertise can minimize feto-maternal morbidity and mortality. Pre-conceptional counselling, regular antenatal check-ups and contraceptive advice must be included in counselling part.

scholarly journals Demographic profile of subjects undergoing tympanoplasty in a tertiary care centre of Punjab: analysis of 60 cases

2020 ◽  
Vol 7 (7) ◽  
pp. 2613
Author(s):  
Manish Munjal ◽  
Gopika Talwar ◽  
Shubham Munjal ◽  
Tulika Saggar
Keyword(s):  
Gender Discrimination ◽  
Elective Surgery ◽  
Tertiary Care ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Minimum Age ◽  
Study Population ◽  
Male Patients

Background: Different tympano meatal vascularised flaps were compared in the tympanoplastic surgery in chronic suppurative otitis media.Methods: 60 cases with diagnosis of chronic suppurative otitis media were selected from ENT OPD of Dayanand Medical College and Hospital Ludhiana. 6 types of tympanomeatal flaps were used and 10 cases of each flap were taken. The study was conducted for the period of 1 year from June 2015 to August 2016.Results: Maximum numbers of patients were in the age group of 31-40 years (26.7%), followed by age group of >50 years (23.3%). Minimum age among these patients was 11 years and maximum 65 years. Mean age was 36.67. Graft failure was in 2 patients, 1 lies under age group 31-40 years and other was in more than 50yrs group. Female patients constituted 56.7% and male patients were 43.3% in our study population. Graft uptake was 93% in females and 100% in males. In our study on 60 patients, 41 (68.3%) patients had a rural and 19 (31.7%) an urban background.Conclusions: Age does not affect the results of tympanoplasty, whatever flap maybe utilised. Awareness in rural population regarding reconstructive ear surgery is there nowadays though there is still gender discrimination, with less number of ladies opting for this elective surgery.

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