Laparoscopic appendicectomy was better than open appendiectomy with respect to wound infection rate, early resumption of oral feeds, postoperative pain, lesser use of analgesics, postoperative hospital stay and return to normal activities. Although above mentioned advantages were at the cost of slightly increased duration of surgery and cost of surgery.
BACKGROUND The sites with deeper periodontal pockets showed greater postoperative gingival recession. The purpose of this study was to correlate the gingival recession following the periodontal flap surgery with the amount of bone loss at the treated site and to propose a prediction chart of post -operative gingival recession based on certain clinical parameters. METHODS A total of 120 sites in patients with chronic and aggressive periodontitis were treated with flap surgery. Clinical parameters such as probing pocket depth (PPD), recession depth (RD) and clinical attachment level (CAL) were recorded at baseline, 1 month, 3 months and 6 months post-surgery. The extent of bone loss in the surgical site was measured in digital radiographs (RVG) at baseline. The prediction chart for post-operative recession depth was prop osed based on the amount of bone loss in surgical site and the clinical parameters. RESULTS The difference in mean PPD, CAL and gingival recession depth from baseline to 1 month, 3 month and 6 months was statistically significant. Out of 120 sites, 38 sites with the bone loss of 3-5 mm showed increase in gingival recession from baseline (0.89 mm ± 0.924 mm) to 6 months (1.47 mm ± 0.979) post-surgery. The difference was statistically significant (p<0.05). The mean gingival recession was increased from baseline (1.46 mm ± 1.58 mm) to 1 month (2.80 mm ±1.54 m), 3 months (2.93 mm ± 1.465 mm) and 6 months (2.98 mm ± 1.49 mm) after surgery in 54 sites with the bone loss of 5-10 mm. The difference was statistically significant (p<0.001). CONCLUSIONS In our study, it was concluded that gingival recession following flap surgery correlates with the bone loss at the surgical site and sites with greater bone loss showed increased postoperative recession. KEY WORDS Chronic Periodontitis, Aggressive Periodontitis, Flap Surgery, Gingival Recession, Bone Loss, Prediction.
<p class="abstract"><strong>Background:</strong> Warts are common viral infections of the skin caused by human papilloma virus. Most of the treatment modalities for common warts remain unsatisfactory. Immunotherapy has become one of the important therapeutic modality. This study was conducted to evaluate the efficacy of intralesional measles, mumps and rubella (MMR) vaccine immunotherapy in palmoplantar warts.</p><p class="abstract"><strong>Methods:</strong> 60 patients of various age groups and both sexes who have single or multiple palmoplantar warts not on any other concurrent systemic or topical therapy were randomly included for the study. Patients with other types of warts, signs of other infection, pregnancy, lactation and immunosuppression were excluded from the study. MMR Vaccine was injected intralesionally at 2 week intervals until complete clearance or for a maximum of 3 treatments. The outcome in terms of treatment relapse, recurrences and adverse effects were evaluated.<strong></strong></p><p class="abstract"><strong>Results:</strong> Only 54 patients completed the study and 41 (75.9%) of them showed complete response and 13 (24%) of them showed partial or no response.</p><p class="abstract"><strong>Conclusions:</strong> Intralesional MMR vaccine therapy appears to be a safe and effective treatment option with no significant adverse effects and low recurrence.</p>
Implantation of the fertilized ovum outside the uterine cavity is called ectopic pregnancy. It is associated with adverse outcome if not treated earlier. The fate of ectopic pregnancy depends on many factors. Important among them being site and duration of ectopic pregnancy. The main serious outcome is rupture. If the ectopic pregnancy ruptures and the patient survives this catastrophe, the ectopic mass gets organized and presents as pelvic mass with pain. Treatment is removal of that mass which is very difficult because of inflammation and subsequent adhesions. Here we are presenting a case of gravida 4 with puerperal sterilisation done 1 1/2 years back came with the history of 40 days amenorrhea, pelvic pain and vaginal bleeding. USG revealed a left adnexal mass of about 5.7 x 4.4 x 2.8 cms. Laparotomy was proceeded with and total salpingectomy was done. We have decided to report this case because cornual pregnancies cause disastrous effect on the patient. This case was managed successfully using modified Coffey's suspension.
Misplaced IUCD is the condition when the tail of IUCD is not seen through the cervical os. IUCD migration subsequent to uterine perforation is an uncommon but serious complication. Incidence of perforation varies from 1-3 per 1000 insertions. 4 24 years old female, P3L2A0 with the complaints of severe dysmenorrhea for 4years and abdominal pain with low back pain for 2years. She had 2FTND and IUCD inserted 6months after last delivery in April 2007. 5months later, with 2months amenorrhea, diagnosed as pregnancy with expulsion of IUCD, as there was no thread seen through external cervical os. USG was not done. This pregnancy was terminated at 7th month due to Anencephaly in February 2008. Interval laparoscopic sterilisation done in July 2010. USG on 28/09/2013 revealed IUCD in right ovary when she went for ovum donation and advised removal. After 7.5 years, on 11/10/2013 laparoscopic removal of IUCD done from right ovary which was surrounded by adhesions and pus. Perforated site seen in the fundus of uterus as depression. Appropriate antibiotics given. Post-operative period was uneventful. On follow up, the patient is free of abdominal pain and back pain. This case report highlights the need for vigilance in misplaced IUCD. Plain X ray abdomen and pelvis can pick up the diagnosis and exclude the perforation and migration. So that further complications and morbidity are prevented.
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