Background: To evaluate quality of life of females after mastectomy and factors affecting the same, in various domains of life, and to assess whether a policy of mastectomy is practical or pragmatic in the scenario of low socioeconomic status prevalent in our region.Methods: Two hundred and forty post-operative mastectomized patients were clinically examined and subjected to a questionnaire designed by WHOQOL-BREF along with an ethically cleared questionnaire prepared according to the local prevailing conditions and Quality of Life was evaluated.Results: 52% patients reported no change in body image, only 2% patients reported depression. The total score of the quality of life was good for 40% of the patients with score of 96-130, followed by 55% with moderate 61-95 and only 5% patients with poor with score of <60.Conclusions: In developing countries like India where, there are no proper facilities for advanced haematological and radiological investigations, there is a severe lack of compliance between doctor and patient and there are no facilities for adjuvant and neo-adjuvant treatment, surgeons are forced to choose mastectomy as the surgery of choice for malignant breast lesions.
Background: Pain is one of the major discomfort which drives post caesarean mothers to seek help. Thus, it is important to know if any change in surgical technique could have effect on the post-operative pain which affects all the woman’s activities. Hence, the study was undertaken to study the effect of closure and non-closure of parietal peritoneum on postoperative pain.Methods: It was a hospital based interventional study done in a tertiary care hospital over one year. Detailed history, investigations, operative details, postoperative outcome in terms of pain were recorded and analysed.Results: Women in the closure group had more postoperative pain. P value was highly significant at 8h (P=0.0001), 16h (P=0.0001), 24h (P=0.00001) and 32h (P=0.000001), 40 hour (P=0.00001) and 48h (P=0.0001).Conclusions: Peritoneal should not be closed routinely in caesarean sections as it is shown to cause less postoperative pain.
Aim: Caesarean section is the commonest obstetric surgery. Any change in the operative technique however small, affects the postoperative outcome.Effect of nonclosure of peritoneum on postoperative outcome was evaluated. Method:This was an interventional study. Postoperative condition of the women was assessed after caesarean section. Peritoneum was either closed or left open and outcome was compared.Statistical analysis was done.Results: Most women in the nonclosure group had earlier ambulation and return of bowel activity and breastfed early in comparison to the closure group. More postoperative pain, nausea and vomiting was observed when peritoneum was closed. Since the stay in hospital was less in women with peritoneal nonclosure and because of use of lesser suture material, this was more cost effective too. Conclusion:Leaving the peritoneal open was a better method than closing it because patient was more comfortable, there was lesser morbidity and shorter hospital stay and cost effectiveness. Clinical significance:The policy of peritoneal nonclosure will help in decreasing maternal discomfort, shorter hospital stay and overall economical.
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