Background: Ulcers are discontinuity of skin/mucous membrane. Chronic ulcers are caused by skin loss that takes long to heal. Skin grafting helps tissue regeneration, hastens healing process. Skin grafts are classified as Split-thickness skin grafts and full-thickness skin grafts. STSG consist of epidermis and some layers of dermis. FTSG consists of epidermis, dermis, and subcutaneous tissue.Methods: This retrospective and prospective study was conducted on 80 patients diagnosed with healing ulcers of the lower extremity admitted and treated at MVJMC and RH from January 2021-August 2021. Inclusion criteria were patients >18 years, both sexes. Exclusion criteria were patients who were having malignant/TB ulcers and children.Results: Data was analysed using SPSS-21. In our study, healing ulcers were seen in 80 patients, of which 48 (60%) males and 32 (40%) females. 4 (5%) patients had venous ulcers, 5 (6.25%) varicose ulcers, 10 (12.5%) post burn ulcers, 22 (27.5%) traumatic ulcers, 6 (7.5%) amputated stump and 33 (41.25%) diabetic foot ulcers. STSG 70 (87.5%) and FTSG 10 (12.5%). The uptake was 70-80% in 11 (13.75%), 80-90% in 20 (25%), 90-99% in 24 (30%) and 100% in 25 (31.25%). Complications observed 4 (5%) infections, 5 (6.25%) no graft uptake and 77 (88.75%) had no complications.Conclusions: Although FTSG can be offered in some cases, STGS is the gold standard in terms of efficacy for healing ulcers. Outcome of the graft depends not only on type of graft also on quality of recipient bed. Skin grafting improves the quality of life in reducing pain.
Background: Scrotal swellings are commonest clinical entities in surgical practice. Hydrocele is abnormal collection of serous fluid in the tunica vaginalis or any part of the processus vaginalis, which needs to be differentiated from other conditions and surgically managed. Methods: This prospective, observational study was carried out on 90 adult male patients between January 2021 to August 2021 diagnosed with scrotal swelling, admitted, treated at MVJMC and RH. Inclusion criteria were male patients of age >18 years. Exclusion criteria were patients with paediatric scrotal swellings. Routine blood investigations, COVID test and ultrasound of the scrotum was done. The patients underwent one of the standard surgical procedures and were observed for post-operative complications during their stay at the hospital and were followed up for 3 months. The collected data was analyzed using SPSS-21 software.Results: Collected data was analysed using SPSS-21. In our study hydrocele was seen in 48 (53.33%), epididymo-orchitis 5 (5.56%). 3 (3.33%) cases of varicocele, 2 (2.22%) cases of epididymal cyst and 1 (1.11%) each of sebaceous cyst, spermatocele, hematocele, sebaceous cyst, Fournier’s gangrene, infected encysted hydrocele, pyocele, scrotal abscess and filarial hydrocele. 2 (2.22%) testicular tumour and 21 (23.86%) testicular torsion. Of 90 patients 81 (90%) underwent surgery, while 9 (10%) patients were managed conservatively.Conclusions: Primary vaginal hydrocele was the commonest scrotal swelling. Ultrasound of the scrotum is diagnostic tool in differentiating from other swellings in the scrotum especially in testicular torsion when the testis can be saved. Jaboulay’s procedure was the commonest surgery performed with least complications.
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