iosr-JDMS   Volume-21 ~ Issue-4 ~ April 2022

Abstract: Midline incisions has advantage of rapid and wide access to the abdominal cavity with minimal damage to muscles, nerves, and the vascular supply of the abdominal wall, hence causing minimal long-term morbidity.1 However, wound complications after any laparotomy increases burden on resources of the health care system. 2 Wound complications after laparotomy include surgical site infection, stitch abscess, incisional hernia, wound dehiscence, evisceration.1 Wound infection and wound dehiscence after laparotomy are likely to be followed by incisional hernia within months or perhaps a few years. Acute wound failure (wound dehiscence.......

[1]. Burt BM, Tavakkolizadeh A, Ferzoco SJ. Incisions, Closures, and Management of Abdominal Wound. In: ZinnerMJ,Ashley SW, editors. Maingot's Abdominal Operations. New York: McGraw-Hill; 2007. p.71-101.
[2]. lsraelsson LA, Wimo A. Cost minimisation analysis of change in closure technique of midline incisions. Eur J Surg. 2000; 166: 642-6.
[3]. Kulaylat MN, Dayton MT. Surgical complications. la: Townsend M, Beauchamp RD, Evers BM, Mattox KL, editors. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. Philadelphia: Saunders Elsevier;20 I 2.p.281-327.
[4]. Sanders RJ, DiClementi D, Ireland K. Principles of Abdominal Wound Closure. Arch Surg. 1977;1 (12):1 184-7.
[5]. Jenkins TPN. The burst abdominal wound: a mechanical approach. Br J Surg. 1976; 63: 873-6..

Abstract: Background: The semiology of temporal lobe epilepsy in children can be profoundly affected by age and brain development. Children with temporal lobe epilepsy are more likely to demonstrate specific semiology. Our aim was to analyze clinical presentation, EEG and radiological assessment of childhood temporal lobe epilepsy in the population of Algiers. Materials and Methods: We retrospectively analyzed 32 patients with temporal lobe epilepsy. We took into account familial and personal medical history, clinical examination, EEG, radiological assessment based on cerebral magnetic resonance imaging and evolution.......

Key words: Temporal lobe epilepsy; childhood; clinical features

[1]. Harvey AS, Berkovic SF, Wrennall JA, et al. Temporal lobe epilepsy in childhood: clinical,EEG, and neuroimaging findings and syndrome classification in a cohort with new-onset seizures. Neurology 1997; 49:960–8.
[2]. Brockhaus A, Elger CE. Complex partial seizures of temporal lobe origin in children of different age groups. Epilepsia 1995; 36:1173-81.
[3]. Kuzniecky R, Ho SS, Martin R, et al. Temporal lobe developmental malformations and hippocampal sclerosis: epilepsy surgical
outcome. Neurology 1999; 52: 479-84
[4]. Cendes F, Andermann F, Gloor P, et al. Atrophy of mesial structures in patients with temporal lobe epilepsy: cause or consequence
of repeated seizures? Ann Neurol 1993; 34:795-801.
[5]. Raymond AA, Fish DR, Stevens JM, et al. Association of hippocampal sclerosis with cortical dysgenesis in patients with epilepsy.
Neurology 1994 ; 44:1841-5.

Abstract: Background: The semiology of frontal seizures is enriched with age. frontal seizures having a more crude semiology in young children than in older children .Our aim was to describe the clinical semiology of childhood-onset frontal lobe epilepsy in the population of Algiers. Materials and Methods: 29 patients were identified with frontal lobe epilepsy. The patients had childhood-onset frontal lobe epilepsy before age 15 years, which had been documented between January 2012 and December 2013.The age at seizure onset, onset seizure type, antecedent (illness or event) before the onset of frontal lobe epilepsy, semiology, and EEG recordings were studied.......

Keywords: Frontal lobe epilepsy, Childhood, Semiology

[1]. Williamson PD. Frontal lobe epilepsy: Some clinical characteristics. Adv Neurol 1995; 66:127-37.
[2]. Fogaras A, Janszky J, Faveret E, Pieper T, Tuxhorn I. A detailed analysis of frontal lobe seizure semiology in children younger than seven years. Epilepsia 2001; 42: 80-5.
[3]. Mosewich RK, So EL, O'Brien TJ, et al. Factors predictive of the outcome of frontal lobe epilepsy surgery. Epilepsia 2000; 4: 843-9.
[4]. Chauvel P, Kliemann F, Vignal JP, Chodkiewicz JP, Talairach J, Bancaud J. The clinical signs and symptoms of frontal lobe seizures: Phenomenology and classification. Adv Neurol 1995; 66:115-25.
[5]. Williamson PD, Spencer DD, Spencer SS, Novelly R, Mattson RH. Complex partial seizures of frontal lobe origin. Ann Neurol 1985; 18: 497-504.

Abstract: Background: In hemorrhoids, the anal canal venous plexuses become engorged. It can lead to bleeding, thrombosis, prolapse, pain. Study of clinical profile helps to educate the patients to take proper precautions to avoid the severe forms of it. The objective of the study was to study the clinical profile of patients with hemorrhoids at a tertiary care hospital. Methods: Present study was hospital based retrospective study. It was carried out at Government Dharmapuri Medical College in the department of general surgery among 100 patients who underwent hemorrhoidectomy during the study period from October 2020 to October 2021........

Keywords: Hemorrhoids, Symptoms, clinical profile

[1]. Burch J, Epstein D, Baba-Akbari A, Weatherly H, Fox D, Golder S, et al. Stapled haemorrhoidectomy (haemorrhoidopexy) for the treatment of haemorrhoids: a systematic review and economic evaluation. Health Technol Assess. 2008;12(8):1- 193.
[2]. Hemorrhoids. Centre for Health Informatics (CHI), set up at National Institute of Health and Family Welfare (NIHFW), by the Ministry of Health and Family Welfare (MoHFW), Government of India. Available at: https://www.nhp.gov.in/haemorrhoids _mtl; Accessed on 11 May, 2016.
[3]. Riss S, Weiser FA, Schwameis K, Riss T, Mittlböck M, Steiner G, et al. The prevalence of hemorrhoids in adults. Int J Colorectal Dis. 2012;27(2):215-20.
[4]. Lohsiriwat V. Hemorrhoids: From basic pathophysiology to clinical management. World J Gastroenterol. 2012;18:2009–17.
[5]. Pigot F, Siproudhis L, Allaert FA. Risk factors associated with hemorrhoidal symptoms in specialized consultation. Gastroenterol Clin Biol. 2005;29:1270–4.

Abstract: Résumé Introduction : La BPCO est une maladie respiratoire très fréquente, aux conséquences sévères en termes de morbi-mortalité qui sera selon certaines estimations la 3ème cause de décès en 2030 [1]. Elle pose donc un réel problème de santé publique. Cependant, elle reste une pathologie mal connue des patients, et sans doute mal prise en compte par le médecin généraliste notamment dans la phase de dépistage. Son principal facteur de risque est le tabagisme. Seule la prise en charge précoce peut stopper ou freiner la détérioration de la fonction respiratoire. Le dépistage paraît donc nécessaire et devrait être large chez les fumeurs........

Keywords: BPCO, dépistage, spirométrie.

[1]. Ruvuna L, Sood A. Epidemiology of Chronic Obstructive Pulmonary Disease. Clin Chest Med. 2020 Sep ;41(3) :315-327. doi:10.1016/j.ccm.2020.05.002. PMID: 32800187.
[2]. Salvi SS, Barnes PJ. Chronic obstructive pulmonary disease in non-smokers. Lancet. 2009 Aug 29;374(9691):733-43. doi: 10.1016/S0140-6736(09)61303-9. PMID: 19716966.
[3]. Lange P, Celli B, Agustí A, Boje Jensen G, Divo M, Faner R, Guerra S, Marott JL, Martinez FD, Martinez-Camblor P, Meek P, Owen CA, Petersen H, Pinto-Plata V, Schnohr P, Sood A, Soriano JB, Tesfaigzi Y, Vestbo J. Lung-Function Trajectories Leading to Chronic Obstructive Pulmonary Disease. N Engl J Med. 2015 Jul 9;373(2):111-22. doi: 10.1056/NEJMoa1411532. PMID: 26154786.
[4]. Pauwels RA, Buist AS, Calverley PM, Jenkins CR, Hurd SS; GOLD Scientific Committee. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary. Am J Respir Crit Care Med. 2001 Apr;163(5):1256-76. doi: 10.1164/ajrccm.163.5.2101039. PMID: 11316667.
[5]. Celli BR, MacNee W; ATS/ERS Task Force. Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. Eur Respir J. 2004 Jun;23(6):932-46. doi: 10.1183/09031936.04.00014304. Erratum in: Eur Respir J. 2006 Jan;27(1):242. PMID: 15219010

Abstract: L'invagination Intestinale Aiguë (I.I.A.) est le télescopage d'un segment intestinal dans le segment d'aval. C'est une affection grave et dramatique du tube digestif nécessitant un diagnostic précoce et un traitement d'urgence. Nous rapportons un rare cas d'invagination intestinale aigüe chez un nourrisson de 4 mois reçu 4 jours après le début de la symptomatologie. Ce dernier a présenté toute la triade clinique d'Ombredane. Après une réanimation pré-opératoire, la laparotomie exploratrice a été réalisée. Une invagination iléo-coeco-colo-colique a été retrouvée et dont l'épine irritative retrouvée en per-opératoire est une appendicite aigue dans sa forme méso-coeliaque. Une désinvagination......

[1]. Wasseem M., Rosenberg H. K. Intussusception. Pediatr Emerg Care, 2008, 24 : 793-800.
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[3]. LECLAIR M.D., PLATTNER V., HELOURY Y. Invagination intestinale aiguë du nourrisson : physiopathologie, diagnostic, traitement d'urgence. Rev Prat Paris 1998, 48 : 765-769.
[4]. Applegate K. E. Intussusception in children : evidence-based diagnosis and treatment. Pediatr Radiol, 2009, 39 Suppl 2 : S140-143.
[5]. Ito Y., Kusakawa I., Murata Y. et al. Japanese guidelines for the management of intussusception in children, 2011. Pediatr Int, 2012, 54 : 948-958..

Abstract: a 27-year-old female presented to the emergency department with complaints of difficulty in using both upper and lower limbs for the past two days. The patient was asymptomatic for two days after which she developed difficulty in using both her lower limbs after which she developed weakness in both her upper limbs. She had no complaints related to cranial nerves and her sensory system. however, she had a history of joint pain in all small and large joints for the past two years without any swelling. she had a history of a similar illness for which she was treated and her previous records were not available. she had complaints of dryness in her mouth for the past 2 years and dryness in her eye.....

[1]. Longmore, M., Wilkinson, I., Davidson, E., Foulkes, A., & Mafi, A. (2010). Oxford handbook of clinical medicine (8th ed.). Oxford University Press.pp.418
[2]. Harrison, T. R., Fauci, A. S., & Langford, C. A. (2006). Harrison's rheumatology. New York: McGraw-Hill.pp.130
[3]. Ho K, Dokouhaki P, McIsaac M, et al.Renal tubular acidosis as the initial presentation of Sjögren's syndromeBMJ Case Reports CP 2019;12:e230402.
[4]. Seror R, Ravaud P, Bowman SJ, et al. EULAR Sjogren's syndrome disease activity index: development of a consensus systemic disease activity index for primary Sjogren's syndrome. Ann Rheum Dis. 2010; 69:1103–1109. PMID: 19561361.
[5]. Harrison, T. R., Fauci, A. S., & Langford, C. A. (2006). Harrison's rheumatology. New York: McGraw-Hill.pp.132.

Abstract: Résumé : Introduction : L'accident vasculaire cérébrale est une pathologie préoccupante. Plusieurs étiologies peuvent être en cause. L'hypercoagulabilité constitue une des rares causes de l'AVC, notamment chez le sujet jeune. Matériels et Méthodes : Nous rapportons le cas d'une jeune patiente sans antécédents particuliers, qui a présenté un AVCI et dont le bilan étiologique a objectivé un excès du facteur VIII.....

[1]. Hichem Bouzenada, Nefti Morad, Yacine Larfi, Mohamed Bendini, Fayçal Messaoudi, Prévalence de la thrombophilie dans les accidents vasculaires cérébraux ischémiques du sujet jeune. Étude prospective de 182 cas, Revue Neurologique, Volume 172, Supplement 1, 2016, Page A65
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Abstract: Résume : Les schwannomes sont des tumeurs nerveuses bénignes rares, développées à partir des cellules de Schwann, dont la localisation pleurale est très rare. Nous rapportons un cas de schwannome pleural malin primitif chez un homme âgé de 76 ans, qui a consulté pour une douleur thoracique chronique avec une altération d'état générale, le bilan radiologique a objectivé une masse pleurale postérieure droite, et dont le diagnostic est confirmé par une étude immunohistochimique d'une biopsie scannoguidée et par biopsie sous thoracoscopie réalisée à visée diagnostique et thérapeutique. Mots clés :Schwannome pleurale , malin , localisation rare........

Keywords: Pleural Schwannoma, malignant, rare location

[1]. Marouf, R., & Alloubi, I. Schwannome bénin primitif de la plèvre. Pan African Medical Journal, 33.164.17625
[2]. I. Issoufoua , R. Sani , L. Belliraj , F.Z. Ammor , A. Moussa Ounteini , J. Ghalimi , M. Lakranbi , Y. Ouadnouni , M. Smahi . Pneumonectomie pour poumon détruit post-tuberculeux : une série de 26 cas opérés. Revue de Pneumologie Clinique2016). 72(5), 288–292.
[3]. Mc Clenathan JH, Bloom RJ. Peripheral tumors of the intercostal nerves. Ann Thorac Surg. 2004;78(2):713–4.
[4]. Woodruff JM, Selig AM, Crowley K, Allen PW. Schwannoma (neurilemoma) with malignant transformation: a rare, distinctive peripheral nerve tumor. Am J Surg Pathol. 1994; 18 (9): 882-895.
[5]. Tateishi U, Gladish GW, Kusumoto M, Hasegawa T, Tsuchiya R, Moriyama N, et al. Chest wall tumors: radiologic findings and pathologic correlation: part 1. Benign tumors. Radiographics 2003;23:1477–90.

Abstract: Introduction: Maxillary transverse deficiency is one of the most commonly undiagnosed problem. MARPE has generated much interest in the recent times, with good amount of supporting evidences. Thus, in this study, we are performing micro osteoperforation, a minimally invasive technique of accelerated orthodontics in the mid palatal suture region for Rapid Maxillary Expansion (RME) using mini- implants for skeletal anchorage to investigate whether micro osteoperforation makes mid palatal suture opening more predictable by reducing the resistance and optimizing its opening.......

Keywords: MARPE, Micro osteoperforation, Maxillary expansion, Maxillary skeletal expansion, Mid palatal suture, Cone beam computed tomogram

[1]. Lee KJ, Choi SH, Choi TH, Shi KK. Maxillary transverse expansion in adults: Rationale, appliance design, and treatment outcomes. Seminars Orthodontics 2018;24(1);52-65.
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[3]. Haas AJ. The treatment of maxillary deficiency by opening the midpalatal suture. Angle Orthod. 1965;35(3):200-17.
[4]. Shenava S, Nayak USK, Bhaskar V, Nayak A. Accelerated Orthodontics – A Review. Int J Sci Study. 2014;1(5):35-39.
[5]. de Albuquerque Taddei SR, Andrade Jr I, Queiroz-Junior CM, Garlet TP, Garlet GP, de Queiroz Cunha F et al. Role of CCR2 in orthodontic tooth movement. Am J Orthod Dentofacial Orthop. 2012;141(2):153-60.

Abstract: Introduction: Diabetes is one of the Challenging epidemic diseases of the Medical History. Impaired fasting glucose (IFG), also known as pre-diabetic state of hyperglycemia which refers to a condition in which the fasting blood glucose level is consistently elevated above than normal levels, however, it is not as high enough to be diagnosed as diabetes mellitus. Objective: To see the frequency of Impaired fasting glucose (IFG) in hypertensive patients. Study design: This is a descriptive cross-sectional study. Study setting and duration: This study was conducted in an Out Patient Diabetic Clinic at Hyderabad city, duration of study was six months after approval from Ethical Review Committee......

Keywords: Impaired fasting glucose (IFG) and hypertension (HTN)

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