While it is not possible to save every single lamb, but there is huge scope to reduce mortality percentage for economic sheep production through development of sheep flock health programs. These flock health programs require information on diseases and their predisposing factors causing mortality and thus huge economic losses. Therefore, this information pertaining to losses through deaths need to be in form of profile indicating importance of disease and predisposing factors in terms of susceptible age group, seasonal incidence of the disease and the annual variation in its occurrence. Hence an investigation of overall mortality to identify predisposing factors at Sheep Breeding Farm, Kralpathri was carried out from 2013 to 2020 with accurate data recording for lambing and mortality. Total of 7733 animals were studied. Among them 2385 male and 5348 females were studied. Overall mortality recorded was 823 (10.64%). Among them were 387 (16.23%) males and 436 (8.15%) females. High mortality was observed upto 1 year age i.e. 592 (29.39) than after 1 year age i.e. 231 (4.03). Majority of deaths occurred due to infectious diseases (625, 8.08%). Non infectious diseases contributed to 198 (2.56%) deaths. Among infectious diseases, pneumonia (164, 19.93 %) and 19.32 %) and among non-infectious diseases, hypothermia (108, 13.12%) and wild attack (47, 5.71%) were major contributors of mortality in the present investigation. The incidence of Gid was 8.51% (70 cases). Highest mortality was observed in spring (40.80 %)and winter (24.67 %). By adopting proper hygiene and basic managemental practices the mortality can be reduced to a large extent.
Heterotopic gastric mucosa (HGM) has been described as an incidental finding in various parts of gastrointestinal tract. HGM of the small bowel is a congenital disorder with variable manifestations like bleeding, obstruction or perforation, penetration into adjacent organs, and fistulization. We present a case of a 55 year old female being evaluated for anemia associated with recurrent episodes of diarrhoea and dyspepsia. The cause was found to be HGM in thejejunum.
Introduction The isolated absence of the external oblique musculo-aponeurotic complex in adults is an extremely rare anomaly. This complex is an important contributor to the strength of the inguinal canal. The present case report describes the unilateral absence of the external oblique muscle in a patient. Case presentation A 40-year-old male patient presented with a history of intermittent lower abdominal pain for 5 years which had increased over the past 6 months. Abdominal examination revealed unilateral reducible, incomplete, left sided direct inguinal hernia. Clinical discussion Elective unilateral Lichtenstein's mesh hernioplasty was planned for the patient. Intraoperatively, there was no evidence of the external oblique aponeurosis and the spermatic cord was noted deep to the thickened membranous fascial layer. The inguinal ligament was thin and atrophic and was attached to the pubic tubercle medially and anterior superior iliac spine laterally. There was no evidence of any superior aponeurotic connection to the inguinal ligament. A postoperative ultrasound examination of the abdomen confirmed the unilateral absence of the external oblique musculo-aponeurotic complex. Conclusion The possibility of such an anomaly should be considered in patients without other risk factors for hernia.
Background: Acute appendicitis is a common abdominal surgical emergency. Appendectomy has been proven to be the standard care for the treatment of acute appendicitis. Objective of the study was to compare laparoscopic and open appendectomy in terms of clinical outcome and complication rates.Methods: This was a single centric, retrospective study conducted at SKIMS, Soura from May 2018 to April 2021. Open and laparoscopic appendectomy patients were compared in terms of operative times, conversion rate, complication rates and duration of hospital stay.Results: Total 120 patients were included in this study with 40 in laparoscopic group while 80 patients in the open group. Increased operative time in laparoscopic group (p=0.033) and longer duration of hospital stay (p=0.021) with open group while as comparable complication rate in both procedures were observed. Higher rates of intra-abdominal collection in laparoscopic group as compared to open groupConclusions: Both laparoscopic and open appendectomy procedures can be performed routinely for acute appendicitis without the additional risks of complications.
Introduction: The use of grafts with multiple renal arteries has been considered a relative contraindication because of the increased incidence of vascular and urological complications. The aim of the study is to determine whether the kidney grafts with multiple arteries have an adverse effect on the post transplant graft function and survival. Methods: A total of 107 kidney transplants done in our centre till december 2015 were reviewed. These were divided in two groups; group A-kidney grafts with single renal artery. Group B-kidney grafts with multiple renal arteries. Eighty nine grafts had single renal artery and eighteen had grafts with multiple renal arteries and hence required multiple vascular anastomoses. Anastomoses time, average blood loss, warm ischemia time(WIT), cold ischemia time(CIT), serum creatinine at 3,6 and 12 months, delayed graft function(DGF), renal artery stenosis (RAS), urological complications, graft survival at one year were studied in each group. Results: No significant differences were seen in the two groups regarding serum creatinine (p value of 0.
Malignant Hyperthermia(MH) is a hypermetabolic syndrome which is quite rare in India. Inhalational anesthetics and succinyl choline have been reported as potent triggering agents of MH. Dantrolene remains the gold standard for treating this life-threatening syndrome. We encountered a case of malignant hyperthermia in a 34-year-old male undergoing ventricular septal defect closure under general anesthesia. We successfully managed our patient by timely recognition of this syndrome and by administering prompt, effective symptomatic treatment and without dantrolene which was not available in our hospital. JMS 2018;21(1):40-43
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