iosr-JDMS   Volume-17 ~ Issue-2 ~ February-2018

Abstract: Background: The Rural population makes 90 percent of India. Previously their access to modern methods of surgical treatment was limited. Now with wider skill set and training in rural surgeons, total knee arthroplasty has become a regular feature of treatment in rural population, although patterns of osteoarthritis in India mainly involve the medial compartment. It is pertinent to note that total knee arthroplasty has longer rehabilitation, morbidity, and costs.This may make it unaffordable to most Indians from rural population. Total knee arthroplasty of course remains the only choice in severe & tricompartmental arthritis. We decided to investigate the possibility of using Unicondylar knee replacement for treatment of medial compartmental osteoarthritis in a tertiary care rural medical setup in western Maharashtra. Methods: 41 patients were evaluated.........

Keywords: Osteoarthritis, Unicondylar, Total knee Arthroplasty/Replacement, Rural India

[1]. Repicci JA, Eberle RW Minimally invasive surgical technique for unicondylar knee arthroplasty. J South Orthop Assoc 1999;8:20–27.
[2]. Morris MJ, Molli RG, Berend KR, Lombardi AV Jr. Mortality and perioperative complications after unicompartmental knee
[3]. arthroplasty. Knee 2013;20:218–220.
[4]. Komistek RD, Allain J, Anderson DT, Dennis DA, Goutallier D. In vivo kinematics for subjects with and without an anterior cruciate ligament. Clin Orthop Relat Res 2002;404:315–325.
[5]. Price AJ, Oppold PT, Murray DW, Zavatsky AB. Simultaneous in vitro measurement of patellofemoral kinematics and forces following Oxford medial unicompartmental knee replacement. J Bone Joint Surg [Br] 2006;88-B:1591–1595

Abstract: Introduction: Tissue repair following skin incisions should be with good strength with least tissue damage and less inflammation with aesthetically acceptable scar. So we compared the conventional and stapler suturing in terms of the above parameters. Materials &Methods: 100 sequentially admitted patients were divided into 2 groups and one underwent stapler suturing and the other underwent conventional suturing. We measured the length of the incision sutured per minute, pain score, scar type, expenses and wound infections. Results: The mean age of people is 44.56 + 14.9 years with males 62% and Females 38%. The complication rates between two groups are stapler group 4% and............

Key words: Wound healing, skin stapler, conventional skin suturing

[1]. Medina dos Santos LR, Freitas CAF, Hojaji FC et al. Prospective study using skin staplers in head and neck surgery. AM J Surg. 1995; 170-451-452
[2]. Kumar R, Hastir A, Goyal S, Walia RS. Sutures versus staplers for skin closure of midline incision in laparotomy patients and their outcome. Int J Surg Med. 2017; 3(4): 211-215. doi:10.5455/ijsm.sutures-versus-staplers-for-skin-closure
[3]. Ritchie AJ et al carried out a prospective double blind randomized study comparing staples versus sutures in the closure of scalp wound and found that stapling was significantly faster and less painful.
[4]. Stillman RM, Bella FJ, Seligman SJ, Skin Wound Closure: The effect of various wound closure methods on susceptibility to infection. Arch Surgery, 1980; 115:674-679. [7] Iavazzo C, Gkegkes ID, Voulouman
[5]. Sujata sarabahi, VK Tiwari, Principles and practice of wound care, 1edition, evolution of wound care, chap 1,pp 3-24;2012.

Abstract: Background: Type 2 Diabetes Mellitus is associated with the development of premature atherosclerosis. Deficiency of insulin and insulin resistance influences important enzymes and pathways in lipid metabolism. Diabetic dyslipidemia plays an important role in the pathogenesis of accelerated atherosclerosis. Methods: A total of 100 Type 2 Diabetes Mellitus (DM) patients who presented as in-patients with Acute coronary syndrome (ACS) were taken as cases and 50 controls with no diabetes mellitus were included. Lipid profile, fasting and postprandial was done for this study. Results: Our study shows statistically significant difference between cases and controls lipid profile in fasting and postprandial state. Lipid profile showed significant postprandial elevation of triglycerides(TGs), Very low density lipoproteins(VLDL) and decrease in High density lipoproteins(HDL) in cases.............

Keywords: Type 2 Diabetes Mellitus, Acute coronary syndrome, Fasting and postprandial lipid profile

[1]. Garcia MJ, McNamara PM, Gordon T, Kannel l. WB. Morbidity and mortality in diabetics in the Framingham population, Sixteen year follow-up study. Diabetes. 1974; 23:105-11.
[2]. Fagan TC, Sowers J. Type 2 diabetes mellitus- greater cardiovascular risks and greater benefits of therapy. Arch lntern Med 1999; 159:1033-34.
[3]. Haffiner SM, Lehto'S, Ronnemaa T, Pyorala K, Laakso M. Mortality from coronary heart disease in subjects with type2 diabetes and in non-diabetic subjects. NEJM 1998; 339:229-34.
[4]. Taskinen M. Quantitative and qualitative lipoprotein abnormalities in diabetes mellitus. Diabetes 1992; 41:12-17.
[5]. Patsch JR, Miesenbock G, Hopferwieser T, Muhlberger V,Knapp E, Dunn JK, patsch W. Relation of triglyceride metabolism and coronary heart disease: Studies in the postprandial state. Arteriosclerosis and Thromb 1992; 12 :1336-45..

Abstract: Introduction: Veins of lower limbs are more involves for various venous disorders as compare to upper limbs. Most common venous disorders occurring in lower limbs are varicose veins, deep venous thrombosis and venous ulcers. Varicose veins are found in large population of world affecting both the males and females. Surgical operations are performed in all over the world to cure it. In the varicose vein surgery, surgeon successfully do the ligation as well as stripping of the great saphenous vein and its tributaries. Duplication of a great saphenous vein can be a potential cause for recurrent varicose veins after surgery as well as complications may occur during the surgery............

Key words: Varicose Vein, Coronary surgery, Cerebrovascular disorders

[1]. Tuncer I, Büyükmumcu M, Çiçekcibaşı AE, Salbacak A. Vena saphena magna dublikasyon Genel Tıp Derg 2002; 12: 105-107.
[2]. Tanyeli E, Yıldırım M, Soyluoğlu İ. Vena saphena magna'nın dökülme yeri ve aksesuar v. saphena magna sıklığı. Morfoloji Derg 2001; 9: 9-11.
[3]. Nair UR, Griffiths G, Lawson RA. Postoperative neuralgia in the leg after saphenous vein coronary artery bypass graft: a prospective study. Thorax 1988; 43: 41-43.
[4]. Karabulut AK, Üstün ME, Uysal İİ, Salbacak A. Saphenous vein graft for bypass of the maxillary to supraclinoid internal carotid artery: an anatomical short study. Ann Vasc Surg 2001; 15: 548-552
[5]. Williams NS, Bulstrode CJK, Bailey H ,Ronan O'Connell P, Love RJM. Bailey and Love's Short Practice of Surgery.25th Ed. Hodder Arnold, 2008.p. 925-939...

Abstract: The vestigial remnants of the mesonephric ducts are found in about 1-22% of adult cervices1,2. Mesonephric hyperplasia of cervix is a benign condition that is of pathological significance as it can be confused with and misdiagnosed as minimal deviation adenocarcinoma of the endocervix or as carcinoma in-situ. We report a case of diffuse mesonephric hyperplasia of cervix mimicking minimal deviation adenocarcinoma of endocervix..

Key words: Diffuse mesonephric hyperplasia, minimal deviation adenocarcinoma , mesonephric hyperplasia of cervix.

[1]. Ferry JA, Scully RE. Mesonephric remnants, hyperplasia and neoplasia in the uterine cervix. A Study of 49 cases. Am J Surg Pathol 1990;14:1100-11.
[2]. Lang G, Dallenbach-Hellweg G. The histogenetic origin of cervical mesonephric hyperplasia and mesonephric adenocarcinoma of the uterine cervix studied with immunohistochemical methods. Int J Gynecol Pathol 1990;9:145-57
[3]. McCluggage WG, Oliva E, Herrington CS, McBride H, Young RH.CD10 and calretinin staining of endocervical glandular lesions, endocervical stroma and endometrioid adenocarcinomas of the uterine corpus: CD10 positivity is characteristic of, but not specific for, mesonephric lesions and is not specific for endometrial stroma. Histopathology 2003;43:144-50.
[4]. Bague S, Rodríguez IM, Prat J. Malignant mesonephric tumors of the female genital tract: A clinicopathologic study of 9 cases. Am J Surg Pathol 2004;28:601-7.

[5]. Rabban JT, McAlhany S, Lerwill MF, Grenert JP, Zaloudek CJ . PAX2 distinguishes benign mesonephric and mullerian glandular lesions of the cervix from endocervical adenocarcinoma, including minimal deviation adenocarcinoma. Am J Surg Pathol 2010;34:137-46.Ordi J, Nogales FF, Palacin A,

Abstract: Aim: An audit of head and neck cancer cases is a need based study to find its incidence as compared to other total body malignancies. Material and Methods: This is an Institutional retrospective analysis which was done at curie Manavata Cancer Centre in northern Maharashtra, Western part of India from 14th May 2007 to 21st September 2014. Total cases operated at the centre were 14368 out of which 1802 were head and neck cancers. Results: Incidence of Head & Neck cancer cases in our 7 years study contributes around 11.1%. Males are more affected for Head & Neck cancer than females contributing for around 82.01% followed by females, which is around 17.9%. Oral cavity malignancies contribute around 76.6% out of all head & neck cancer cases followed by larynx which is around 11.48%. The least affected is caner of cheek which is around 0.01%. Tongue cancers are more commonly..........

Keywords: Head and Neck Cancers, Oral Cavity Malignancies, Tongue Cancer, Cheeck, Buccal Mucosa.

[1]. Mishra, A., V. P. Singh, and V. Verma. "Environmental effects on head and neck cancer in India." ASCO Annual Meeting Proceedings. Vol. 27. No. 15S. 2009.

[2]. Kulkarni, Manik Rao. "Head and neck cancer burden in India." Int J Head and Neck Surg 4(1 ),2013, 29-35.

[3]. Mishra, Anupam, and Rohit Meherotra. "Head and Neck Cancer: Global Burden and Regional Trends in India." Asian Pacific Journal of Cancer Prevention 15(2 ),2014, 537-550.

[4]. Moore, Malcolm A., et al. "Cancer epidemiology in South Asia-past, present and future." Asian Pac J Cancer Prev 11.Suppl 2,2010, 49-66.

[5]. Sankaranarayanan, R., et al. "Head and neck cancer: a global perspective on epidemiology and prognosis." Anticancer research 18(6B),1997, 4779-4786.

Abstract: Background: As HIV is the world´s leading infectious killer and Andhra Pradesh is recognized as one of the high risk state in India, basing on the high antenatal prevalence for the by NACO (National Aids Control Organization), India, has to be given priority to know the impact of Health education intervention on cessation of smoking and alcohol practices and improvement of other healthy practices of people living with HIV/AIDS. The setting of the study was at Government General Hospital (Anatapuramu, Andhra Pradesh). A Health education based interventional follow up study was conducted during the period from July, 2015 to June, 2016 on 200 HIV positive persons attending the hospital targeting their behavior, habits of smoking & alcohol and other healthy practices expecting the achievement of positive results. Results: In the study group, about 61% are males & 39% are females and are all heterosexuals............

Keywords: Impact, Health education, Counseling, People living with HIV/AIDS (PLWHA).

[1]. https://www.hiv.gov/hiv-basics/overview/data-and-trends/global-statistics
[2]. Burkhalter JE, Springer CM, Chhabra R, Ostroff JS, Rapkin BD. Tobacco use and readiness to quit smoking in low-income HIV-infected persons. Nicotine & Tobacco Research. 2005;7:511-522. Doi:10.1080/14622200500186064. [PubMed].
[3]. Gritz ER, Vidrine DJ, Lazev AB, Amick BC, III, Arduino RC. Smoking behavior in a low-income multiethnic HIV/AIDS population. Nicotine & Tobacco Research. 2004; 6:71-77. Doi: 10.1080/14622200310001656885. [pubMed].
[4]. Mamary EM, Bahrs D, Martinez S. Cigarette smoking and the desire to quit among individuals living with HIV/AIDS Patient Care & STDS. 2002:16:39-42. Doi:10.1089/1087291027534229389. [PubMed].
[5]. Webb MS, Vanable PA, Carey MP, Blair DC. Cigarette smoking among HIV+ men and women: Examining health, substance use, and psychosocial correlates across the smoking spectrum. Journal of Behavioral Medicine. 2007;30:371-383. Doi:10.1007/s10865-007-9112-9. [PMC free article] [PubMed].

Abstract: Background: Acute Fatty Liver Of Pregnancy (AFLP) Is A Rare Life Threatening Condition. It Is An Idiopathic Disorder With Extremely High Mortality (10–85%) In The Third Trimester. Incidence Of AFLP-1:7000-16000. Case Report: A 25 Year Old Primi Gravida At 33 Weeks, IVF Conception, DCDA Pregnancy, Presented With Vomiting, Yellow-Colored Sclera And Urine. Clinical Evaluation And Biochemical Investigations Showed Features Of Liver Impairment. A Clinical Diagnosis Of Acute Fatty Liver Of Pregnancy Was Suspected And Termination Of Pregnancy By LSCS Was Planned After A Multi-Disciplinary Approach Which Involved A Team Of Obstetrician, Medical Gastroenterologist, And Anesthetist And Neonatologist .Pre-Operative Transfusion Done. Intraoperatively, She Had A Massive PPH Leading To Sub-Total Hysterectomy. Postoperatively Patient Was Managed In ICU. Multiple Transfusions Were.........

Key words: Acute Fatty Liver, Pregnancy, Jaundice, Hypoglycemia

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[2]. Nelson DB, Yost NP, Cunningham FG. Acute Fatty Liver Of Pregnancy: Clinical Outcomes And Expected Duration Of Recovery. Am J Obstet Gynecol 2013; 209: 456.E1‑7.
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[4]. Bacq Y. The Liver In Pregnancy. In: Schiff ER, Sorrell MF, Schiff L, Maddrey WC, Editors. Schiff‟s Diseases Of The Liver (2006). 10th Edn Lippincott: Williams And Wilkins (LWW) 1281–1304.
[5]. Ch‟ng CL, Morgan M, Hainsworth I, Kingham JG (2002) Prospective Study Of Liver Dysfunction In Pregnancy In Southwest Wales. Gut 51: 876-880..

Abstract: Osler-Weber-Rendu Syndrome Is A Rare Genetic Vascular Disorder With Various Clinical Manifestations. Most Common Manifestations Were Epistaxis And Gastrointestinal Bleeding With ArterioVenous (AV) Malformations Also Occurring In Pulmonary And Hepatic Circulation. Management Include Treatment Of Vascular Lesions. Our Case Report Describes A Case Of Hereditary Hemorrhagic Telangiectasia (HHT) Of An Adult Male, Associated With Recurrent A-V Malformations (AVM's) In Lungs Who Presented With Recurrent epistaxis And hemothorax And Resulting In Breathing Difficulty.He Was Diagnosed With A-V Malformations In Lungs Twice Within 9 Years. On Detailed Evaluation He Was Diagnosedwith Osler‑Weber‑Rendu Disease Based OnCuracaocriteria. We Successfully Managed the Patient's Hemothorax by Thoracentesis. This Case Emphasizes The Need For Careful Examination And Investigation And To Consider Such Rare Diseases When All The Common Causes Of Hemothorax Are Ruled Out.

key words: AV Malformation, Epistaxis,Hereditary Hemorrhagic Telangiectasia

[1]. Vukomanović, V., Matović, M., Ignjatović, V., &Belić, B. (2014). Rendu-Osler-Weber Syndrome: A Case Report. Open Access Macedonian Journal Of Medical Sciences, 2(4), 613-617. [2]. Begbie, M., Wallace, G., &Shovlin, C. (2003). Hereditary Haemorrhagic Telangiectasia (Osler-Weber-Rendu Syndrome): A View From The 21st Century. Postgraduate Medical Journal, 79(927), 18–24.
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[4]. Porteous ME, Burn J, Proctor SJ. (1992).Hereditary Haemorrhagic Telangiectasia: A Clinical Analysis. J Med Genet. 29(8):527-30. [5]. Irani, F., &Kasmani, R. (2009). Hereditary Hemorrhagic Telangiectasia: Fatigue And Dyspnea. CMAJ : Canadian Medical Association Journal, 180(8), 839.

Abstract: Rhegmatogenous Retinal Detachment (Rrd)Is Separation Of Neurosensory Retina From Retinal Pigment Epithelium With Accumulation Of Subretinal Fluid Within The Potential Space In Between. Rrd Is Caused By A Full Thickness Break In The Neurosensory Retina Which Initiates Separation Of The Neurosensory Retina From The Underlying Retinal Pigment Epithelium. Vitreous Synresis Needs To Be There Foe Seepage Of Srf And Detachment.Majority Of Rrd Cases Are Caused By More Than One Retinal Break Which Needs To Be Kept In Mind For Appropriate Surgical Management. Myopia,Peripheral Retinal Degenerations, Pvd, Ocular Trauma, Previous Cataract Surgery Are Important Predisposing Factors. Patients May Have Rrd Or Break Or Lattice In The Fellow Eye Representing An Important Risk Of Bilateral Visual Loss.The Surgical Repair Of Rrd Can Reverse Many Of The Pathological Changes Noted During Retinal Detachment, Although The Functional........

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[3]. Wolfensberger Tj. Foveal Reattachment After Macula-Off Retinal Detachment Occurs Faster After Vitrectomy Than After Buckle Surgery. Ophthalmol 2004;111(7); 1340-3.
[4]. Orlin A, Hewing Nj,Nissen M, Lee S Et All. Retina 2014 Jun ;34(6):1069-75.10.1097/Iae.0000000000000050.
[5]. Rush Bb, Simunovic Mp, Sheth S, Kratz A, Hunyor Ap. Ophthalmic Surg Lasers Imaging Retina. 2013 Jul-Aug;44(4):379-9.Doi:10.3928/23258160-20130604-02. Epub 2013 Jun 12

Abstract: Rhegmatogenous Retinal Detachment (RRD)Is Separation Of Neurosensory Retina From Retinal Pigment Epithelium With Accumulation Of Sub-Retinal Fluid Within The Potential Space In Between. By A Full Thickness Break In The Neurosensory Retina. Vitreous Synresis Needs To Be There For Seepage Of SRF And Detachment. Majority Of RRD Cases Are Caused By More Than One Retinal Break, Which Needs To Be Kept In Mind For Appropriate Surgical Management. Myopia ,Peripheral Retinal Degenerations, PVD, Ocular Trauma, Previous Cataract Surgery Are Important Predisposing Factors. Patients May Have RRD Or Break Or Lattice In The Fellow Eye Representing An Important Risk Of Blateral Visual Loss. Facultative Events In Development Of A RRD.........

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Abstract: Internal Resorption Is An Unusual Form Of Tooth Resorption That Begins Centrally Within The Tooth, Apparently Initiated In Most Cases By A Peculiar Inflammation Of The Pulp, It Starts In Either The Pulpal Chamber Or In The Root Canal. Internal Root Resorption Is A Particular Category Of Pulp Disease Result Of The Action Of Clastic Cells Stimulated By Pulpal Inflammation.It Is Further Classified As Either Inflammatory Or Replacement.Root Canal Treatment Is The Treatment Of Internal Root Resorption Through Removing The Granulation Tissue And Blood Supply Of The Clastic Cells.This Review Will Focus On The Internal Root Resorption Of Permanent Dentition.

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[3]. Nascimento Gjf, Emiliano Gbg, Silva Ihm, Carvalho Ra, Galvão Hc. Mecanismo, Classificaçãoe Etiologia Das Reabsorções Dentárias. Rev Fac Odontol Porto Alegre. 2006 Dec; 47(3):17-22.
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Abstract: AbstractModern dentistry involves both functional and esthetics role. Interdental papilla loss results in Gingival Black Triangle (GBT), which is considered esthetically unacceptable. It is strongly associated with aging, periodontal disease and post orthodontic treatment. Reconstruction of the lost interdental papilla is difficult and challenging objective to be achieved, as it is strongly associated with the patient smile. Apart from its esthetic function, absence of interdental papilla raises concern over phonetic problems, food and plaque accumulation, which further deteriorate the present condition. Treatment for papilla loss involves correcting oral hygiene procedure, prosthetic restorations and tissue volumizing.Therefore, the present review discusses the different types of papilla loss classifications, etiology associated with open gingival embrasures and all currently available nonsurgical treatment..........

Keywords- Open gingival embrasures, Gingival black triangle, Interdental papilla, Papillareconstruction, Hyaluronic acid

[1]. P. Ziahosseini, F. Hussain, And B. J. Millar, Management Of Gingival Black Triangles, Br. Dent. J., 217(10):559–563, 2014.
[2]. V. P. Singh, A. S. Uppoor, D. G. Nayak, And D. Shah, Black Triangle Dilemma And Its Management In Esthetic Dentistry, Dent. Res. J. (Isfahan)., 10(3):296–301, 2013.
[3]. P. PalathingalAnd J. Mahendra, Treatment Of Black Triangle By Using A Subepithelial Connective Tissue Graft, J. Clin. Diagnostic Res., 5(8):1688–1691, 2011.
[4]. H. S. Cho, H. S. Jang, D. K. Kim, J. C. Park, H. J. Kim, S. H. Choi, C. K. Kim, B. O. Kim, The Effects Of Interproximal Distance Between Roots On The Existence Of Interdental Papillae According To The Distance From The Contact Point To The Alveolar Crest, J Periodontol., 77(10):1651-7, 2006.
[5]. J. R. KurthAnd V. G. Kokich, Open Gingival Embrasures After Orthodontic Treatment In Adults: Prevalence And Etiology, Am. J. Orthod. Dentofac. Orthop., 120(2):116–123, 2001..

Abstract: In this study of 105 cases of miniappendicectomy as the day surgery procedure with above technique is safe with no mortality and reduced morbidity. Moreover, the operative time is reduced, dosage of analgesic used is reduced and patients were able to do routine work early. As miniappendicectomy cause less tissue dissection so there is less pain, wound infection, hematoma and incisional hernias. This decreased the duration of hospital stay and helps in early recovery. Patients with perforation peritonitis, appendicular lump, obesity and doubtful diagnosis are excluded from the procedure. It is true that miniappendicectomy as a day surgery procedure improves the quality of surgical treatment but also increases efficacy of health care institutions. Miniappendicectomy as day surgery procedure also improves quality of life in patients at minimum cost.

key words: Miniappendicectomy, Button-Hole Appendicectomy, Day Surgery, Minimum Invasive Surgery.

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