iosr-JDMS   Volume-21 ~ Issue-2 ~ February 2022

Abstract: An 84 year old female presented to the Emergency Department with a right sided groin lump. Her arrival had been preceded by a 3-week cough being managed by her General Practitioner. She had not had any recent overseas travel, fevers or contact with COVID-19 positive patients. A 2cm ovoid lump was palpable below and lateral to the pubic tubercle with erythematous skin. The lump was minimally tender however this increased by the next morning. The lump was slightly warm and a cough impulse was elicited. Initial investigations revealed a normal white cell count of 8.6 (normal 4.0-11.0) and mildly elevated CRP of 21 (normal <10). Computed tomography (CT) of the abdomen and pelvis identified an incarcerated appendix within the right femoral canal with appendicitis. The patient was treated with......

[1]. Kalles V, Mekras A, Mekras D, Papapanagiotou I, Al-Harethee W, Sotiropoulos G, Liakou P, Kastania A, Piperos T, Mariolis-Sapsakos T. De Garengeot's hernia: a comprehensive review. Hernia. 2013 Apr;17(2):177-82. doi: 10.1007/s10029-012-0993-3. Epub 2012 Sep 16. PMID: 22983696.
[2]. Liipo TK, Seppälä TT, Mattila AK. De Garengeot's hernia: 40 years after Bassini inguinal hernioplasty. BMJ Case Rep. 2015 Mar 2;2015:bcr2014208327. doi: 10.1136/bcr-2014-208327. PMID: 25733091; PMCID: PMC4369007.
[3]. Talini C, Oliveira LO, Araújo AC, Netto FA, Westphalen AP. De Garengeot hernia: Case report and review. Int J Surg Case Rep. 2015;8C:35-7. doi: 10.1016/j.ijscr.2014.12.042. Epub 2015 Jan 14. PMID: 25622240; PMCID: PMC4353942.
[4]. Pan CW, Tsao MJ, Su MS. A case of De Garengeot hernia requiring early surgery. BMJ Case Rep. 2015 Jul 21;2015:bcr2015211102. doi: 10.1136/bcr-2015-211102. PMID: 26199302; PMCID: PMC4513554.
[5]. Al-Subaie S, Mustafa H, Al-Sharqawi N, Al-Haddad M, Othman F. A case of de Garengeot hernia: the feasibility of laparoscopic transabdominal preperitoneal hernia repair. Int J Surg Case Rep. 2015;16:73-6. doi: 10.1016/j.ijscr.2015.09.021. Epub 2015 Sep 25. PMID: 26432998; PMCID: PMC4643449.

Abstract: Aim and objective : To study the efficacy, cosmesis between skin adhesive and suture material and also to compare time taken for closure post operative pain, scar dehiscence between two groups. Materials and Methods: A Comparative study was done among 100 patients of both sexes of age group 18-60 years in elective procedure with incision less than 10cm (Hernia repair, Thyroid surgeries, Lipoma excision, Varicose veins surgery) done in Govt Rajaji Hospital Madurai between June 2021 and December 2021. Observation and Results : The Mean time taken for skin closure in adhesive group is 2.72 minutes ±1.32 and that of suture group is 4.88 minutes ±1.533. It is observed that patient with skin glue have lesser postoperative pain in early hours.......

Key words: Octylcyanoacrylate, Vancouver scale, Cosmesis

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Abstract: The patient profile, sociodemographic characteristics and management has changed substantially over the years for pyogenic liver abscesses. This study aimed to understand the various organisms causing liver abscess and evaluate their antibiotic sensitivity. From April 2021 to January 2022 a prospective study was done among fifty patients presenting with ultrasound confirmed liver abscess. The mean age of the participants is 51.5 years (S.D=10.4 years). The median age was 49.5 years ranging between 33-71 years. Majority of them were males (n=48, 96%) and the rest were females (n=2, 4%). Right lobe abscess was present in 62% (n=31), left lobe abscess was present in 20% (n=10) and multiple abscesses were present in 18% (n=9) cases. E.Coli was the common agent (58%) followed by Klebsiella.....

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Abstract: The term multidrug-resistant (MDR) applies to a bacterium that is simultaneously resistant to a number of antimicrobial drugs belonging to different chemical classes or subclasses through various mechanisms [1]. One of the methods used by many authors and authorities to characterize organisms as MDR is based on the results of invitro antimicrobial susceptibility test. Antimicrobial drug resistance can be acquired as a result of mutation or acquisition of resistance genes via horizontal gene transfer, or can be an innate feature of an organism that is encoded chromosomally [2].MDR in both the hospital and community environment are important concern to the clinician, patients and the......

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[3]. Ussiri1 EV, Mkony CA, Aziz MR: Surgical wound infection in clean-contaminated and contaminated laparotomy wounds at Muhimbili National Hospital. East Cent Afr j Surg 2005, 10:1–5.
[4]. Buteera AM, Byimana J: Principles of management of open fractures. East Cent Afr j Surg 2009, 14:1–119.
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Abstract: Background Studies show that CRP, Procalcitonin and Leucocyte count are not sensitive tools for diagnosis. Out of the three biomarkers, CRP has the best discriminative capacity in the diagnosis of acute appendicitis. This is followed by leucocyte count and Procalcitonin. All of them had poor sensitivity and a negative likelihood ratio. Aim and Objective The aim was to evaluate the diagnostic value of Procalcitonin, C –reactive protein and Leucocyte count in uncomplicated or complicated appendicitis Material and Methods.....

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Abstract: Percutaneous Nephrolithotomy (PCNL) is nowadays a widely used method for the treatment of kidney stones more than 2 cm, staghorn calculi and multiple renal calculi. It remains the gold standard for the treatment of renal stones as compared to the less invasive extracorporeal shockwave lithotripsy and is achieved with lower morbidity as compared to the open surgery. PCNL is a procedure to remove complex upper tract renal calculi by the means of a nephroscope, although the skin incision for PCNL may appear small, the intensity of intra-operative and post-operative pain is significant because of the soft tissue injury. However, the procedure of Percutaneous Nephrolithotomy can.....

[1]. Jonnavithula N, Pisapati M.V, Efficacy of peritubal local anaesthetic infiltration in alleviating postoperative pain in percutaneous nephrolithotomy. J Endourol.2009; 23(5): 857-60.
[2]. Parikh G.P, Shah V.R, et al. The analgesic efficacy of peritubal infiltration of 0.25% bupivacaine in percutaneous nephrolithotomy. A prospective randomized study. J Anaesth Clin Pharmacol 2011; 27: 481- 4.
[3]. Gokten OE, Kilicarslan H, Dogan HS, Turker G, Kordan Y. Efficacy of levobupivacaine infiltration to nephrosthomy tract in combination with intravenous paracetamol on postoperative analgesia in percutaneous nephrolithotomy patients. Journal of endourology. 2011 Jan 1;25(1):35-9.
[4]. Jonnavithula Nirmala AK, Devraj R, Vidyasagar S, Ramachandraiah G, Murthy PV. Role of buprenorphine in prolonging the duration of post-operative analgesia in percutaneous nephrolithotomy: Comparison between bupivacaine versus bupivacaine and buprenorphine combination. Indian journal of urology: IJU: journal of the Urological Society of India. 2015 Apr;31(2):132.
[5]. Tangpaitoon T, Nisoog C, Lojanapiwat B. Efficacy and safety of percutaneous nephrolithotomy (PCNL): a prospective and randomized study comparing regional epidural anesthesia with general anesthesia. Int Braz J Urol. 2012 Jul-Aug;38(4):504-11. doi: 10.1590/s1677-55382012000400010. PMID: 22951179.

Abstract: Breast cancer is the most common female cancer worldwide. The incidence of breast cancer is rising in India (22.9%). In young women, breast cancer tends to be more aggressive, larger in size and possesses a poorer prognosis when compared to older women [2-4]. Young women tend to have more advanced disease [2-5]. Age is an independent prognostic factor even when size and nodal status are considered. Young aged patients have a worse prognosis than older one [2,3]. Young patients have a higher incidence of invasive ductal carcinoma (IDC), a greater number of lymph node-positive cancers, and are more likely to have lymphovascular invasion [4]. Young women are more likely to have tumors that are ER-negative [2, 5, 14]. diagnosed cancer in women after cervical cancer [1]. There are a number.....

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Abstract: Objective: To study the profile of various conventional risk factors in men and women with acute myocardial infarction amongst rural population of Jharkhand so that the modifiable risk factors are identified and treated to prevent future coronary events in patients with acute myocardial infarction. To increase awareness about CAD, its consequences and modifiable risk factors among rural population of Jharkhand.
Materials and Methods: It is a hospital based observational study. On admission detailed history was taken and a complete examination was done. ECG was done at the time of admission and was repeated if necessary. The serum cardiac enzyme levels were measured at the time of admission and at 6hrs after admission for diagnosis of MI. In history special attention was.....

Key Word: Myocardial Infarction; Diabetes Mellitus; Dyslipidemia; Hypertension; Obesity

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Abstract: Anatomical study of hollow viscera like stomach by routine method has many limitations and hazards too. The formalin is known to cause various health hazards on long standing exposure. So to improve the students' perception regarding shape of hollow viscera, this technique is developed. This technique will definitely improve the understanding of shape of hollow viscera without exposing teachers and learners to hazard of formalin..

Key words: Singel's 3D technique, hollow viscera, shape, stomach, silicon gun

[1]. Anja Bo¨ ckers et alThe Gross Anatomy Course: An Analysis of Its Importance Anat Sci Educ 3:3–11 (2010)
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Abstract: Benign Prostatic Hyperplasia (BPH) is the most common cause of Lower Urinary Tract Symptoms (LUTS) in males.1 In 1992, the American Urological Association (AUA) designed a symptom index (AUA-7) for BPH which was widely accepted.2,3 Together with an extra component on quality of life (QoL), the AUA-7 was then named the International Prostate Symptom Score (IPSS), which was in turn recommended by the World Health Organization-sponsored International Consultation on BPH.4-6 IPSS has become a cost-effective, sensitive and specific screening tool for BPH. According to Ethnologue 2021, there is 117 million Punjabi speaking people in the world, which makes it the 14th most spoken language of the world.7 We performed the current study to assess the reliability.....

[1]. Partin AW, Dmochowski RR, Kavoussi LR, Peters CA. Campbell-Walsh-Wein Urology. 12th edition. Philadelphia: Elsevier; 2021. 3343p.
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[3]. Liu CC, Wang CJ, Huang SP, Chou YH, Wu WJ, Huang CH. Relationships Between American Urological Association Symptom Index, Prostate Volume, and Disease-Specific Quality of Life Question in Patients with Benign Prostatic Hyperplasia. The Kaohsiung Journal of Medical Sciences. 2004;20(6):273-8.
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[6]. Nickel JC, Herschorn S, Corcos J, Donnelly B, Drover D, Elhilali M, et al. Canadian guidelines for the management of benign prostatic hyperplasia. The Canadian journal of urology. 2005;12(3):2677-83..

Abstract: Aim: The aim of this study is to evaluate the factors determining the preoperative prediction of difficult laparoscopic cholecystectomy,To reduce the conversion ratio of laparoscopic to open cholecystectomy and to assess the validity of Randhawa & Pujahari scoring system in predicting preoperative difficult laparoscopic cholecystectomy. Methods : From January to December 2018, a prospective study of the cases admitted to Department of General Surgery in Coimbatore Medical.....

Key Word: laparoscopic cholecystectomy, scoring system, prospective study

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Abstract: Background: Hernia repair is one of the most commonly performed general surgical procedures worldwide. Today, Stoppa's repair has been considered as an alternative to Lichtenstein's tension free mesh hernioplasty in the case of bilateral inguinal hernias. This new technique is theoretically closer to ideal hernia repair and based on the concept of providing a strong, mobile and physiologically dynamic posterior inguinal wall. The technique is simple, easy to learn and does not require complicated dissection or suturing. Aims and Objectives: To establish the influence of Stoppa's repair on early clinical outcomes of bilateral inguinal hernia repair and limited study of long term outcomes, especially with regards to post-operative pain, operative time, wound complications, recurrence, time taken to ambulate.....

Keywords: Stoppa's repair, Lichtenstein's meshplasty, Inguinal hernia, Postoperative Pain, Hernioplasty

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