Background: The present study was conducted for assessing and comparing the efficacy of Desarda vs Lichtenstein technique for thetreatment of primary inguinal hernia.Materials & Methods: 100 patients scheduled to undergo treatment for inguinal hernia were enrolled. Complete demographic andclinical details of all the patients was obtained. All the patients were randomized into two study groups: Group A (50 patients)-undergoing treatment by Desarda technique, and Group B (50 patients)- undergoing treatment by Lichtenstein technique. Forperforming Lichtenstein tension-free mesh repair, a polypropylene mesh was trimmed to fit the inguinal floor. Chronic pain wasassessed on a VAS score of 0 to 10 with 7 to 10 indicating strong pain while 3 to 6 indicating moderate pain. All the results weresubjected to statistical analysis using SPSS software.Results: Group A and group B subjects took 15.3 days and 14.2 days respectively for returning to basic activity. Group A and groupB subjects took 5.1 days and 8.3 days respectively for returning to home activity (p- value < 0.05). Mean hospital stay was 3.2 daysand 2.9 days among subjects of group A and group B respectively. Foreign body sensation was felt in one patient each of both thestudy groups. Incidence of seroma formation was higher among the patients of group B in comparison to patients of group A. Meanoperative time was significantly lower among patients of group A.Conclusion: Outcome is better for Desarda technique in comparison to Lichtenstein technique for the treatment of primary inguinalhernia.
Aim: The aim of this study to evaluate the outcome of varicose vein surgery with and without venous stripping.Material and methods: This research covered 100 varicose vein operations across all surgical units. This research included all varicose vein patients between the ages of 18 and 70 who also had incompetent perforators and the saphenofemoral valve. The research excluded individuals with age extremes between 18 to 70, deep vein thrombosis, concomitant short saphenous vein varicosity, venous ulcer or other skin abnormalities, and recurring varicosity.Results: The left leg was more commonly involved than the right side. The left limb was involved in 64% and the right limb was involved in 36% of patients in group 1 and 70% and 30% in group 2. 30% of patients who had venous stripping experienced hematoma development in the thigh, compared to 6% of patients who received the Trendelenburg operation alone without venous stripping. 18% of patients had haemorrhage. Due to the tissue stress that occurs during venous stripping, there is an increased risk of hematoma development in the thigh in individuals who undergo stripping. The ineffective perforators in the legs of both groups were accessed by making a transverse incision at the preoperatively indicated spot under Doppler guidance. In the days after the operation, these wounds were checked. In each group, 6% of patients had slower wound healing. On the first post-operative day, when patients were urged to walk, 70% of those who had had stripping and 90% of those who had undergone ligation alone were able to do so comfortably. It was discovered that there was increased discomfort, tissue stress, hematoma development, and bruising in the case of venous stripping.Conclusion: There is no noticeable difference between the two processes with regards to wound healing, hospital stay, or pain treatment. It would seem that the Trendelen burg technique with incompetent perforator’s ligation without venous stripping is preferable to the Trendelenburg method with incompetent perforator’s ligation with venous stripping, based on the observed characteristics.
Background: Inguinal hernia repair is a commonly performed general surgery procedure in both adults and children with inguinal hernias constituting more than 95% of all groin hernia repairs. The present study was conducted to assess risk factors of inguinal hernia. Materials & Methods: 94 cases of inguinal hernia of both genders were enrolled. Parameters such as the type of hernia, primary or recurrent was noted. Period of swelling, side and risk factors were recorded. Results: Out of 94 patients, males were 60 and females were 34. Side was right in 28, left in 30 and bilateral in 36. Type of hernia was primary in 54 and recurrent in 40. Period of swelling was <1 year in 32, 1-2 years in 40 and >2 years in 22. The difference was significant (P< 0.05). Common risk factors for inguinal hernia were COPD in 24, lifting heavy objectsin 88, alcoholism in 26, smoking in 34, diabetes in 30, family history in 11, bowel disturbances in 72 and age >60 yearsin 26. The difference was significant (P< 0.05). Conclusion: Common risk factors for inguinal hernia were COPD, lifting heavy objects, age >60 years, alcoholism, smoking, diabetes, family history and bowel disturbances.
Aim: The aim of this study to compare the topical sucralfate and ordinary saline for diabetic ulcer dressing.Materials and method: Of the 100 patients, 50 received traditional normal saline dressings and the other 50 received sucralfate dressings. Both groups used pressure relief from the affected area but no antibiotics. Both groups received once-daily dressings. The patients were followed up on a daily basis for 3 weeks in both groups. Results: Thirty percent of the patients had ulcers on the dorsal surface of the forefoot, and ten percent had ulcers on the medial malleoli. In conventional normal saline dressings, about 50% of the patients had ulcers on the plantar aspect and about 10% on the lateral malleoli, and 28% of the patients had ulcers on the dorsal surface of the forefoot and 20% had ulcers on the medial malleoli. In Sucralfate dressing, approximately 46% of the plantar aspect and approximately 6% of the lateral malleoli are affected. Dressing with sucralfate. In the Sucralfate dressing, 88% of patients had a negative culture. whereas 98% of patients receiving conventional normal saline dressings had a positive culture. Diabetic ulcers in the Sucralfate dressing had a better mean percentage reduction of area of 43.59±7.81 when compared to the Conventional normal saline dressings, which had a mean percentage reduction of area of 21.85±5.84 when the two groups were studied using an independent sample. The T-test was found to be statistically significant (P 0.0001). Conclusion: Sucralfate dressing is an efficient modality for facilitating wound area reduction in diabetic foot ulcer patients, and it can be used as an adjunct to conventional treatment (conventional dressings and debridement) for faster and better healing of diabetic ulcers. The wounds in the sucralfate dressing group contracted more than the wounds in the ordinary saline group
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