BACKGROUND This is a retrospective descriptive study of 422 cases of abdominal wall hernias done by single surgeon and their follow-up upto 12 years. Abdominal wall hernias are a group of conditions, which occur mainly through the natural openings and weak areas of abdominal wall-1. Groin, 2. Ventral part of the anterior abdominal wall, 3. Previous operative sites and 4. Through natural openings and weak areas of abdominal wall. MATERIALS AND METHODS 422 cases of abdominal wall hernias treated in the last 12 years along with their management were studied. They were followed upto 12 yrs. The differences in the selection of cases and surgical skill are excluded in the study by including cases done by single surgeon (1 st Author) only. Only open surgeries are included in the study to avoid learning curve mistakes. Mode of Presentation-Elective and emergency surgery and their management is discussed. Anatomical tissue repair, monofilament polypropylene mesh repair in primary and recurrent hernias of various varieties and their results were studied. Bowel resections, omental excisions and separation of bowel adhesions (Adhesiolysis) in sliding and irreducible hernias are analysed. Various complications including mortality are discussed. RESULTS No recurrences were observed in mesh hernioplasty patients. 6 cases of recurrences were observed in anatomical repair patients-1.4%. Monofilament polypropylene mesh was used and fixed to the tissues with 2.0 prolene. 3 patients expired in our series in complicated and strangulated cases-0.7%. CONCLUSION Prolene mesh repair is definitely superior to anatomical tissue repairs in all cases of abdominal wall hernias. Anatomical tissue repair in young good musculature and small defects gives equally good results in experienced hands.
BACKGROUND In the modern era, diabetes is the most common metabolic disorder. Infections and mortality are 4.2 times higher in diabetics than in non-diabetics. [1] Most commonly they are highly difficult to treat, especially of foot and other lower limb infections. The objectives of this study are 1. to know the morbidity and mortality of diabetic infections of the foot and other SSTIs and 2. to estimate the amputation rates (both major and minor) of the lower limbs, in diabetic patients. MATERIALS AND METHODS We have studied retrospectively 290 cases of diabetic infections of lower limb and other areas operated by single surgeon [1 st Author] for the last 10 years. We have classified and analysed in the following order-RESULTS Nearly, 95% of patients recovered well. Among them, minor amputations like removal of the part of toe or whole toe or two toes includes 50 out of 290. Some of the patients presented with already amputated toe (in other hospitals) with non-healing wound. They are also included in the amputations category. Major amputations like below knee, above knee, knee disarticulation-2.7%. 5 (1.7%) patients died due to septic shock (3), GI bleed (1) and MI (1). Nearly 9 patients (3.1%) have left the hospital without completion of treatment for various reasons (LAMA)-3.1%. CONCLUSION The amputation rate, especially major amputation rate in diabetic foot is decreased considerably.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.