After the first laparoscopic cholecystectomy performed in 1988 by Dubois and Perissat, it soon became the gold standard for cholelithiasis and has evolved like a revolution in surgical field in recent times. This study was conducted to study and compare laparoscopic cholecystectomy with open cholecystectomy in terms of operative time, post-operative pain, post-operative analgesic requirement, post-operative oral intake resumption, time required for ambulation of patient, duration of hospital stay and complications and conversion rate. This was an observational comparative study and results were compared using Z Test of significance. All cases of symptomatic gall stones were included in this study. Of 159 cholecystectomy patients 124 patients had laparoscopic cholecystectomy of which 6 patients had to be converted to open cholecystectomy and 35 patients underwent open cholecystectomy. Main outcome measures were Operating time, Pain severity, Analgesic requirement, Time of resumption of oral feeds, Time of ambulation , Length of hospital stay, Rate of conversion from LC to OC, and Complications. After studying all these outcome measures we reached to a conclusion that Laparoscopic cholecystectomy is a safe, valid alternative to OC in patients with symptomatic cholelithiasis. The technique has a low rate of complications, implies a shorter hospital stay, and offers the patient a more comfortable postoperative period than OC.
INTRODUCTION: Incisional hernia, a failure of the abdominal wall fascia to heal, is a common postoperative complication following abdominal surgery with an incidence varying between 2% and 50%. Incisional hernia entails signicant morbidity and discomfort resulting in disturbances in day to day activities. In spite of various available techniques available to surgeon, these hernias recur leading the surgeon to search for an ideal procedure of their repair with preferably zero or universally acceptable minimal recurrence rate. Laparoscopic incisional hernia repair, controversy has endured despite of numerous studies and data suggesting success of laparoscopic incisional hernia repair. However, there is relative lack of evidence to support adoption of laparoscopic repair as standard technique in regard to post operative morbidity and cost effectiveness. AIMS AND OBJECTIVE: To compare open and laparoscopic incisional hernia repair technique with respect to the post-operative complications and perioperative morbidity. MATERIAL AND METHODS: This is prospective, observational, comparative study, comparing patients who underwent laparoscopic incisional hernia and open incisional hernia repair during study period of November 2015 to August 2017 in Department of General Surgery, J.L.N. Hospital and Research centre, Bhilai. STATISTICAL METHOD: Data is analyse using percentages , mean and standard deviation. Continuous variable analysed by Unpaired T-test. Categorical data analyzed using chi square test or Fisher exact test. CONCLUSION: In our study laparoscopic incisinal hernia repair has more favourable outcome in terms of less hospital stay, shorter duration of surgery, less post-operative pain, early to resume daily activity and lesser wound related complications.
Foreign body ingestion is quite common in pediatric population, and these cases are usually difficult to manage due to delay in diagnosis. Ingestion of multiple magnetic foreign bodies together is very dangerous and can lead to serious complications like bowel obstruction, fistula and even death. Urgent endoscopic retrieval followed by surgical exploration, if required remains the best approach for removing multiple ingested magnets, thus preventing further injury to the gastrointestinal tract. We report a case of a 2-year-old child who developed a gastrocolic fistula following the ingestion of multiple magnetic beads, which remained undiagnosed weeks after ingestion. Most of the magnetic beads were successfully retrieved endoscopically, however a few remained despite extensive search. Hence the patient underwent emergency laparotomy which showed a gastrocolic fistula, was subsequently repaired after removal of remaining magnetic beads remaining magnetic beads from the colon.
Initially considered to be a respiratory disease, COVID-19 is now recognized as a multisystem disease known to affect all the major organs, including the gastrointestinal system. Based on recent studies, coronavirus 2 causes dysregulation of multiple biological pathways, triggers an exaggerated immune response, and affects multiple organs. The gastrointestinal symptoms in COVID-19 are common but often overlooked. This is an observational study analyzing the clinical characteristics and outcomes of three COVID-19 patients aged 80-year, 75-year, 69-year presented to our institution from April 2021 to June 2021 and were diagnosed with COVID-19 and subsequently develop perforation peritonitis and gangreneos large bowel as a first presentation. All patients tested COVID-19 positive upon admission and received standard care.
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