Introduction: Negative pressure wound therapy (NPWT) provides a novel option for wound treatment. Negative pressure wound therapy is a wound treatment method that subjects the wound bed to negative pressure by means of a closed system. Negative pressure wound therapy gives a moist wound healing environment that is essential for wound healing. Materials and Methods: The study was held in the surgery department of a tertiary care centre with total 50 numbers of patients of age 18 years and above. Patients were examined clinically, and necessary investigations done. Results: The difference in the rate of wound contraction was apparent since 5 th day and by the time of discharge/intervention, means percentage of wound contraction was 90.9% in Negative pressure wound therapy as compared to 74.54% in conventional group patients. Mean hospital stay was significantly more in similar cases managed by conventional dressing as compared to Negative pressure wound therapy (17.23 vs 11.13 days). Conclusion: Present study showed that Negative pressure wound treatment appears to be a better option to conventional chronic wound dressings with early development of granulation tissue, rapid wound contraction and reduced hospital stay.
Introduction: Ureteric stents have become one of the most basic and valuable tools in the urological practice. Indwelling ureteral stents provide direct drainage of the upper urinary tract to the bladder without the need for external diversion. The indications for insertion of stents into the urinary tract has expanded significantly during the last decade. However, their use is not free of complications and problems. The present study was designed to observe the clinical profile of patients presenting with obstructive uropathy at a tertiary care centre requiring DJ stents and to study the complications of indwelling DJ stents. Material and Methods: Data collection by meticulous history taking and clinical examination, appropriate laboratory and radiological investigations, operative findings, and follow-up of cases. Results: Study was conducted with 50 patients. nodule was 23%. Mean age of the subjects was 44.32 year. Overall male predominance was seen in present study with 70% males. Obstructive uropathy forms the major indication for DJ stenting followed by upper urinary tract infections (10%). Associated Complications were noticed in 46% of cases. Most common associated complication of DJ stenting was dysuria (24%) and increased frequency (22%). Urinary tract infection, haematuria, and stent migration was seen in 12%, 8% and 4% cases. Conclusion: Double stenting is an easy and effective procedure for the management of obstructive uropathy. However, we recommend that their use must be strictly restricted to selected cases and routine use should be avoided, as they are not free of complications. Moreover, close follow up of stented patients is essential for early detection of complications and a lot of stress should be paid on the counselling of the patients regarding stents complications and their timely removal in order to avoid stent encrustation/migration which could otherwise be highly fatal for the patient.
INTRODUCTION - Traumatic brain injury [TBI] most affects the working population and their earning capacity. The various sub categories of TBI in terms of clinical features,Glasgow coma scale [GCS] and radiology are well defined.We have attempted an analysis in terms of long term Glasgow outcome score [GOS] and tried to correlate with the various factors of TBI. MATERIALS AND METHODS – All patients of TBI over 12 years and below 60 years and those without other major trauma were included over a period of about two years. The clinical features, presentation GCS, treatment given, and outcomes were assessed.The three month GOS was scored for all patients and was used to analyse the the initial data in its light. RESULTS – A total of 200 patients were eligible for the study and were included. Of these 159 were males and 41 were females.The average age was 37.16 years.There was a relatively higher proportion of mild TBI and greater prevalence of fractures and EDH [extradural hematoma].On analyzing with three month GOS we found that 90.4 % of the patients with mild TBI had a three month GOS of 5 whereas only 31.9% of patients with moderate or severe TBI had a three month GOS of 5. CONCLUSION – The long term GOS is most representative of the extent to which the patient has been able to return to their pre TBI lives. In our study the three month GOS co related well with the initial GCS. Further prospective data can elaborate more on the effect of other clinical features and radiology on long term GOS
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