scholarly journals Overview of Kshar-sutra in treatment of Ano-rectal diseases- review of cases treated at ACTH in 2011-2012: Retrospective study

2021 ◽  
Vol 2 (1) ◽  
pp. 19-26
Author(s):  
Shiv Mangal Prasad ◽  
Bishun Dayal Prasad Patel ◽  
Raj Kishor Sah ◽  
Bijendra Shah
Keyword(s):  
Retrospective Study ◽  
Medical Record ◽  
Fiscal Year ◽  
Age Group ◽  
Institute Of Medicine ◽  
Fissure In Ano ◽  
Microsoft Excel ◽  
Fistula In Ano ◽  
Anorectal Diseases ◽  
The Common

Background Anorectal disorders including Fissure in Ano, Fistula in Ano and hemorrhoids are among the most common digestive complications. To our knowledge there is no any retrospective study of previous medical record data of Ayurveda Campus and Teaching Hospital (ACTH), Institute of Medicine, Tribhuvan University, Kirtipur, Kathmandu, Nepal available on the prevalence of major anorectal problems. Therefore, this retrospective was carried out to analyze the medical record of Shalya department OPD in fiscal year 2011-12 A.D. to estimate the prevalence of anorectal problems among the patients of anorectal complaints. Materials and Methods: This was a retrospective study conducted from January 2020 to December 2020 A.D. All the patients visiting the Department with anorectal complaints were screened. Name, sex, age, address and diagnosis was entered into Microsoft excel 2016 from registers of medical record; and analyzed in SPSS Version 2021 after coding the variables in excel.  The findings were presented with percentage and frequency in pie and bar diagram. Results: Overall, anorectal cases (n=1067) were enrolled and analyzed in the study. The findings of major anorectal diseases like Fissure in Ano, Fistula in Ano and Hemorrhoids were commonly found in age group of 21-30 year; and followed by 31-40 year and 41-50 year. Fistula in Ano was also significantly found in the old age group of 61-70 year. Furthermore, the prevalence of Fissure in Ano, Fistula in Ano, Internal and External Hemorrhoids were 20%, 32%, 31.2% and 12% among ano-rectal problems in this hospital during this fiscal year respectively. Conclusion: Anorectal diseases are one of the common diseases observed in adolescent and adult patients which is more common in male than female. The prevalence of hemorrhoids is higher among Fissure in Ano and Fistula in Ano. Ksharasutra is the most effective procedure for treatment of these anorectal diseases.

scholarly journals PREVENTION AND MANAGEMENT OF GUDAGATA VIKARA (ANORECTAL DISORDERS)- AYURVEDIC PERSPECTIVE

AYUSHDHARA ◽  
2020 ◽  
pp. 11-25
Author(s):  
Borkar Sneha P ◽  
Dongre Amol A
Keyword(s):  
Lifestyle Changes ◽  
Age Group ◽  
Pruritus Ani ◽  
Fissure In Ano ◽  
Scientific Review ◽  
Fistula In Ano ◽  
Anorectal Disorders ◽  
Anorectal Diseases ◽  
The Subject ◽  
Google Search

Gudagata Vikara (Anorectal disorders) refers to ailments of the anus and/ or rectum. Gudagata Vikara includes; Arsha (Haemorrhoids), Bhagandara (Fistula in Ano), Parikartika (Fissure in Ano), Guda Kandu (Pruritus Ani), etc. These are some common disorders in human being. A study by Sharma et al. showed that Hemorrhoids (49%) and fistula-in-ano (27%) were commonest anorectal conditions, mostly affecting the age group 18-45 years. Apathya Ahara and Vihara leads to vitiation of Doshas causing Mandagni and vitiation of Apanavayu resulting in stagnation of Mala in Gudavali which leads to anorectal disorders. In present study a thorough and scientific review of Ahara (diet) and Vihara (lifestyle) has been carried out for the prevention and management of anorectal diseases. Materials and methods: Ayurvedic treaties, text books, Dissertation, Articles from PUBMED, SCOPUS, Google scholar, Mesh, Google search has been searched thoroughly related to the subject. Discussion: Gudagata Vikara, Anorectal Disorders, Ahara (Diet), Vihara (Lifestyle), Dinacharya, Ritucharya, Sadvritta has been discussed. Conclusions: Food articles mentioned in Ayurvedic text are effective in the management of Anorectal diseases. Lifestyle changes according to Dinacharya, Ritucharya and Sadavritta and following do’s and don’ts are effective in the management of Anorectal diseases

scholarly journals Mannheim Peritonitis Index (Mpi) Score as A Predictor of Outcome in Patients with Secondary Peritonitis

2018 ◽  
Vol 4 (2) ◽  
pp. 6-9
Author(s):  
Pravin Joshi ◽  
Rajesh Poudel ◽  
Kailash Chandra
Keyword(s):  
Retrospective Study ◽  
Scoring Systems ◽  
Age Group ◽  
Medical Sciences ◽  
Mannheim Peritonitis Index ◽  
Bacterial Peritonitis ◽  
Post Operative Period ◽  
Surgical Emergencies ◽  
Perforation Peritonitis ◽  
The Common

INTRODUCTION: Secondary bacterial peritonitis from hollow viscous perforation is one of the common surgical emergencies and carries higher mortality. Several scoring systems are applied to predict the outcome of patients with perforation peritonitis. Mannheim Peritonitis Index (MPI) is one among many. Our aim of the study is to evaluate Mannheim peritonitis Index for predicting the outcome in patient with secondary bacterial peritonitis. MATERIALS AND METHODS: A retrospective study was conducted in the Department of General Surgery, Universal College of Medical Sciences, Bhairahawa from February 2012 to July 2013. All patients clinically diagnosed as peritonitis and who underwent laparotomy were included in the study. MPI score of all the study patients were calculated and categorized into three groups depending upon the score; less than 15, 15-25 and more than 25. Mortality of patients from each group was calculated and predictive value of each factor was determined.  RESULTS: Total 60 patients were included in the study. Forty-four were male and sixteen were female. There were total five mortalities. All were of above 50 years age group. Patients beyond 50 years of age had a significantly higher (p = .005) probability of dying in the early post-operative period. MPI score more than 15 was not statistically significant (p = .06), patients with MPI more than 25 had more probability of dying, hazard ratio (HR 3.4 with 95% CI).Journal of Universal College of Medical Sciences (2016) Vol.04 No.02 Issue 14, page: 6-9

scholarly journals Occurrence of most common shade for crown fabrication in anteriors and posteriors in south Indian population - A retrospective study

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 403-409
Author(s):  
Shree Ranjan Pandey ◽  
Subash Sharma ◽  
Sowmya K
Keyword(s):  
Retrospective Study ◽  
Indian Population ◽  
South Indian Population ◽  
Age Group ◽  
The South ◽  
Microsoft Excel ◽  
Chi Square ◽  
South Indian ◽  
Males And Females ◽  
Shade Selection

Shade selection is a very important part of the treatment as it dictates the final outcomes of treatment and patient satisfaction. The most prevalent shade used in dentistry is A2/B2 shade for crown fabrication. This study was conducted on the south Indian population of the Saveetha dental college university where out of 617 patients were analysed so that the shade choices used in crown fabrication is assessed. This university based study involved the collection of data from the database from which cases of crown fabrication shade were selected and cross verified. All the data was compiled and tabulated in Microsoft Excel and exported to IBM SPSS 20. Data was represented through frequency distribution tables and Chi square tests. The highest frequency of shade used for crown fabrication amongst the South Indian population was A2 in males and females, the second most commonly used shade was A1 in females and A3 in males. Within the limitation of this study, it was found that the most common shade for crown fabrication used in the south Indian population was A2 shade, followed by A3 shade in males and A1 shade in females. The least commonly used shade was A4. The maximum cases which had a requirement of crown fabrication with esthetically pleasing shade were under the age group of 21 - 30 yrs.

scholarly journals A Retrospective and Epidemiological Survey of Patients with Esophagus Cancer in Ilam City During a 10 Years Period

2017 ◽  
Vol 2 (1) ◽  
pp. 11
Author(s):  
Hamed Zarei ◽  
Hamed Tavan
Keyword(s):  
Retrospective Study ◽  
Lipid Profile ◽  
Urban Areas ◽  
Epidemiological Survey ◽  
High Rate ◽  
Anatomical Site ◽  
Tumor Type ◽  
Age Group ◽  
Esophagus Cancer ◽  
The Common

Background: esophagus cancer is the sixth deadly cancer among other types with high rate of death which has made it one of the common cancers. Based on what mentioned, this retrospective study was designed to assess the tumor incidence rate in a 10 years period in Ilam city.Materials and methods: this is a retrospective study during 1385 till 1394 in Ilam city. Our source of patients was the afflicted patients. The sample size and the statistical society of research were determined based on census. The research materials included of two types first included the demographic information of patients (age, gender, tumor type, level of education, residency, smoking and lipid profile) and the second part was some information about the esophagus cancer (anatomical site, pathologic findings and lipid profile).using SPSS version 19, the data was analyzed. Results: the statistical society included 150 individuals afflicted with esophagus cancer in which the most prevalent age group was men older than 70 years (31.3%). In terms of anatomical site, the middle third of esophagus had 75 cases (50%), the last third had 45 cases (30%) and the first third had 30 (20%) individuals. Furthermore, as time went on, the number of new cases increased. Conclusion: the risk factors for occurring the cancer were the age group greater than 70 years, being male, lower educational situation, unemployment, living in an urban areas, smoking, hereditary, hyperlipidemia (LDL, TG, CHOL) and finding tumor in middle third of esophagus (because of existing helicobacter pylori virus and impropriate diet). Being able to identify endangered people, one could begin treating patients and thereby, saving time, cost and increasing the rate of survivors.

scholarly journals The Colostomy Complications in Anorectal Malformation: A Retrospective Study

2021 ◽  
Author(s):  
Mohammed Ali Hamdi ◽  
Wamedh Mustafa Mohamed ◽  
Usama Faris Taha Al-Ani
Keyword(s):  
Retrospective Study ◽  
Anorectal Malformations ◽  
Age Group ◽  
Associated Anomalies ◽  
Surgical Department ◽  
Pediatric Age Group ◽  
Stoma Formation ◽  
The Common ◽  
Indications And Complications ◽  
Male To Female

Abstract Background A colostomy is a surgical approach that creates an opening for the colon, or/and large intestine through the abdomen. Anorectal malformations are a group of abnormalities of the rectum and anus that are present at birth. Objective To analyze the common complications of colostomy in anorectal formations. Methods This was a retrospective study conducted on 50 temporary colostomies performed in children at the Surgical Department of the Abu Ghraib General Hospital in the period from January 2018 to January 2020. Information was collected regarding the patients' age, sex, body weight, associated anomalies, colostomy types and sites, and the indications and complications of colostomies. Results A total of 44 (88%) cases were reported in the children's 1st month of life. The ratio of male to female was 1:1. Pelvic colostomy was performed in 48 (96%) patients, as 40 (80%) children underwent a loop-type, and 8 (16%) patients underwent double-barrel colostomy. Transverse colostomy was performed on two patients. Prolapse occurred in 50% of the patients, and skin excoriations occurred in 22% .A total of 10% of the children developed sepsis. Bleeding was seen in 4% of the children after colostomy performance. Stenosis presented in 6% of the children, and this was corrected by repeated dilatation and re-fashioning. Obstruction of intestines was observed in one patient. The retraction developed in 6% of patients. Conclusions Imperforate anus was the most common indication for stoma formation in the pediatric age group. Loop colostomy was the most common type used, and it had the highest rate of complications. Prolapses and skin excoriation were the most common complications found.

scholarly journals KELAINAN REFRAKSI PADA ANAK DI BLU RSU PROF. Dr. R.D. KANDOU

e-CliniC ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Richard Simon Ratanna ◽  
Laya M. Rares ◽  
J. S. M. Saerang
Keyword(s):  
Retrospective Study ◽  
Medical Record ◽  
Infants And Children ◽  
Age Group ◽  
Medical Record Data ◽  
Record Data ◽  
Result Show ◽  
Male Patients ◽  
Group 10 ◽  
Group 1

Abstract: The vision is one very important factor in all aspects of life. Hypermetropia is refractive disorders found in most newborns, where the eyeball is too short so that the eyes of infants and children is the hypermetropia of 2-3 diopters, which will increase in the first few years but will be gradually reduced until the age of adolescence into emetrop. This study aims to determine the refractive  disorders in children at Eye Polyclinic BLU RSU Prof. Dr. R. D. Kandou Manado. Method: This is a descriptive retrospective study by looking at the medical record data at Eyes Polyclinic BLU RSU  Prof. Dr. R.D. Kandou Manado period June 2010 – June 2012. Results: The result show as much as 40,49% in male patients and 59,51% in women. In the age group 10-14 year is the most common age group was found that as many as 64,41% and least in age group 1-4 year is 0,62%. Refractive disorders most frequently found is 71,78% myopia. Conclusion: The results of the distribution of refractive disorders in children BLU RSU Prof. Dr. R. D. Kandou Manado, found 163 patient with refractive disorders in children, in which sufferers are women more found by 97 patients. Based on age, in the age group 10-14 years as many as 105 people. Refractive disorders in children are most commonly found are myopia, as many as 117 people. Keywords: refractive disorders, child.   Abstrak: Penglihatan adalah salah satu faktor yang sangat penting dalam seluruh aspekkehidupan. Hipermetropia merupakan kelainan refraksi yang terdapat pada sebagian bayi baru lahir, dimana bola matanya terlalu pendek sehingga mata bayi dan anak-anak adalah hipermetropia yaitu sebesar 2-3 dioptri, yang akan bertambah pada tahun-tahun pertama namun akan berangsur-angsur berkurang hingga pada usia remaja menjadi emetrop. Penelitian ini bertujuan untuk mengetahui kelainan refraksi pada anak di Poliklinik Mata BLU RSU Prof. Dr. R.D.Kandou Manado. Metode: Penelitian ini bersifat deskriptif retrospektif dengan cara melihat data rekam medik di Poliklinik Mata BLU RSU Prof. Dr. R. D. Kandou Manado periode Juni 2010 – Juni 2012. Hasil: Hasil penelitian menunjukkan sebanyak 40,49% pada penderita laki-laki, dan pada perempuan 59,51%. Kelompok umur 10-14 tahun merupakan kelompok umur tersering ditemukan yaitu sebanyak 64,41% dan paling sedikit pada golongan umur1-4 tahun sebanyak 0,62%. Kelainan refraksi yang paling sering ditemukan adalah miopia 71,78%. Simpulan: Hasil distribusi kelainan refraksi pada anak di BLU RSU Prof. Dr. R. D. Kandou Manado, didapatkan 163 penderita kelainan refraksi pada  anak, dimana penderita perempuan lebih banyak ditemukan yaitu sebanyak 97 penderita. Berdasarkan Umur, pada kelompok umur 10-14 tahun sebanyak 105 penderita.  Kelainan refraksi pada anak yang paling sering ditemukan adalah miopia, yaitu sebanyak 117 penderita. Kata kunci: kelainan refraksi, anak.

scholarly journals Evaluation of bowel habits in benign anorectal diseases

2018 ◽  
Vol 5 (3) ◽  
pp. 1031
Author(s):  
Navin Kumar ◽  
Farhanul Huda
Keyword(s):  
Functional Gastrointestinal Disorders ◽  
Colonic Transit ◽  
Bowel Habit ◽  
Common Disease ◽  
Fissure In Ano ◽  
Fistula In Ano ◽  
Bowel Habits ◽  
Bowel Movements ◽  
Bleeding Per Rectum ◽  
Anorectal Diseases

Background: Evaluation of bowel habit is useful indicator of functional gastrointestinal disorders. Assessment of bowel habit is retrospective in nature and it is best done by questionnaire technique. Aims and objectives of the study was to look for the bowel habit in common benign anorectal disorder.Methods: One-hundred patients with benign anorectal diseases who presented in the Surgery out patient’s department (SOPD) at AIIMS Rishikesh, India from January 2014 to December 2016 were included in the study. Inclusion criteria were all the cases of benign anorectal disorder attended in the Surgery OPD and exclusion criteria were cases with malignant anorectal disease. Patients were assessed on 7 questionnaires as bowel movements (number/day), consistency, feeling of incomplete defecation and/or difficult evacuation, straining at defecation, bleeding per rectum, pain during defecation, use of laxatives. These questionnaires were given to all these patients and asked to prepare a four-week daily diary.Results: One hundred patients with benign anorectal diseases enrolled in the study. All the patients came in the follow up with four-week daily diary. Author have encountered mainly haemorrhoid, Fissure in Ano and fistula in Ano at the General Surgery OPD. Most common disease was haemorrhoid (51%) and least common was fistula in Ano (3%). Most common bowel habits in haemorrhoid was passage of hard stool (51%) whereas in fissure in Ano it was straining at stool and in fistula in Ano it was passage of hard stool (100%), straining at defecation (100%) followed by bleeding and pain during defecation (67% each). Frequency of bowel movement was one per day and consistency was hard in majority of male and female patients. Laxative was used by 29% patients mainly for hard stool, incomplete evacuation and straining at stool.Conclusions: Bowel habit can be best investigated by questionnaire technique. Stool consistency is better guide of colonic transit time. Hard stool is the major cause of majority of the benign anorectal disorder.

scholarly journals Surgical causes of abdominal pain in children: a retrospective study

2018 ◽  
Vol 5 (6) ◽  
pp. 2283
Author(s):  
Balaji Dhanaram ◽  
Sakthivel Chandrasekar ◽  
Baskar Muthukumaraswamy
Keyword(s):  
Abdominal Pain ◽  
Retrospective Study ◽  
Surgical Intervention ◽  
Clinicopathological Features ◽  
Age Group ◽  
Common Causes ◽  
Mesenteric Adenitis ◽  
The Common ◽  
Surgery Department ◽  
Age And Sex

Background: Abdominal pain is a very prevalent problem in children and one of the common causes for visit to the hospital. They may be of acute or chronic presentation and depending on severity may also require admission to hospital.Methods: This is a retrospective study conducted in our hospital over a period of 3 years. About 200 children who came to the hospital with abdominal pain and received treatment in surgical outpatient or referred to surgery department from emergency were included in this study and all relevant data were collected.Results: The pain was found to be more in boys and in the age group of 9 to 12years. The most common cause was found to be mesenteric adenitis followed by acute appendicitis. About 38% of children required surgical intervention on that admission due to various surgical causes.Conclusions: The database of our retrospective study regarding age and sex incidence, clinicopathological features and therapeutic outcome was comparable to other studies in various literatures.

scholarly journals Prevalence of outflow of patients for esthetic rehabilitation through the maxillofacial surgical procedure - A retrospective study

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1464-1469
Author(s):  
Nadhirah Faiz ◽  
Subhabrata Maiti ◽  
Iffat Nasim ◽  
Jessy P
Keyword(s):  
Retrospective Study ◽  
Data Analysis ◽  
Surgical Treatment ◽  
Older Patients ◽  
Age Group ◽  
Prosthetic Rehabilitation ◽  
Microsoft Excel ◽  
Dental Esthetics ◽  
Patient Will

Dental esthetics is a field of dentistry concerned especially with the appearance of dentition as achieved through its arrangement, form and color. The type of malocclusion, the degree of malocclusion, age, patients’ esthetic desires, practitioners’ style of treatment as well as gender predilection can influence the final esthetic treatment the patient will be subjected to. From functional demands, over the years, patients’ demands have dynamically shifted to meeting the maximum esthetics possible. In older patients, it is difficult to treat the malocclusion by orthodontic procedures, hence bringing in the requirement of performing surgical treatment along with prosthetic rehabilitation. This will help maximize esthetics as well as provide a long term, sustainable solution for the patient. The aim of the study was to determine the prevalence of outflow of patients undergoing jaw-related surgery requiring prosthetic rehabilitation and its association with esthetic demand. A sample size of 1743 patients' information from SDC DIAS database of Saveetha Dental College was taken and a retrospective study was performed where the data collection was done using Microsoft Excel Spreadsheet and data analysis was done using SPSS version 20.0 software. It can be said that surgical treatment is done majorly due to esthetic desires. There is no significant association of the requirement of the treatment with age as well as the gender of the patient (P>0.05). There is a statistically significant association between Requirement of Prosthetic Rehabilitation and Age group (P<0.05).

scholarly journals Gambaran Kasus Kematian dengan Asfiksia di Bagian Kedokteran Forensik dan Medikolegal RSUP Prof. Dr. R. D Kandou Manado Periode 2013 - 2017

e-CliniC ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Nikita E. Kurniany ◽  
Johannis F. Mallo ◽  
Erwin G. Kristanto
Keyword(s):  
Carbon Dioxide ◽  
Retrospective Study ◽  
Medical Record ◽  
General Description ◽  
Age Group ◽  
North Sulawesi ◽  
Common Sign ◽  
Death Cases ◽  
Mechanical Asphyxia

Abstract: Asphyxia was a condition cause by lack of oxygen and excess of carbon dioxide in the blood. There are three types of asphyxia: mechanical, non-mechanical, and pathologic asphyxia. This study was aimed to obtain the general description of death cases due to asphyxia in Manado North Sulawesi in the period 2013-2017. This was a descriptive retrospective study using the medical record of cases at Forensic and Medicolegal Department of Prof. Dr. R. D. Kandou. The results of visum et repertum showed that there were 26 death cases due to asphyxia. Most cases were in 2016 (10 cases, 38.5%). The most common cases were in age group of 17-25 years old (7 cases, 27%). Males (17 cases, 65%) were more frequent than females. Death due to mechanical asphyxia caused by drowning was the most common cases (11 cases; 42.3%). The most common sign of asphyxia was cyanosis (21 cases). Conclusion: Majority of the death cases due to asphyxia were males, age group 17-25 years, with mechanical asphyxia caused by drowning and cyanosis as the asphyxia sign.Keywords: asphyxia, mechanical asphyxia, non-mechanical asphyxia, pathology asphyxia, forensic Abstrak: Asfiksia adalah suatu kondisi yang disebabkan karena berkurangnya oksigen dan berlebihnya karbon dioksida dalam darah. Asfiksia terdiri dari tiga jenis klasifikasi yaitu asfiksia mekanik, non-mekanik, dan patologik. Penelitian ini bertujuan untuk mengetahui gambaran umum tentang kasus kematian dengan asfiksia di Manado Sulawesi Utara periode 2013-2017. Jenis penelitian ialah deskriptif retrospektif menggunakan data hasil visum et repertum. Hasil penelitian mendapatkan 26 kasus kematian dengan asfiksia. Kasus terbanyak pada tahun 2016 yaitu 10 kasus (38,5%). Kelompok usia terbanyak ialah 17-25 tahun sebanyak 7 kasus (27%). Jenis kelamin laki-laki lebih banyak dari perempuan yaitu 17 kasus (65%). Kematian akibat asfiksia mekanik dengan jenis tenggelam merupakan kasus terbanyak yaitu 11 kasus (42,3%). Tanda asfiksia yang sering ditemukan ialah sianosis (21 kasus). Simpulan: Sebagian besar kasus kematian akibat asfiksia berjenis kelamin laki-laki, kelompok usia 17-25 tahun, dengan jenis asfiksia mekanik akibat tenggelam, dan sianosis sebagai tanda asfiksia.Kata kunci : asfiksia, asfiksia mekanik, asfiksia non-mekanik, asfiksia patologi, forensik

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