Aim: Prospective analysis of results of primary closure in fistula in ano in terms of (a) Immediate- Bleeding, perianal haematoma, pain, suture line dehiscence and healingperiod. (b) Later - Incontinence & reccurence rate and Patient’s compliance & feasibility of technique in NSCBMC Jabalpur. Methods: Prospective study was conducted in Department of Surgery, NSCB Medical College, Jabalpurbetween Aug. 2012 to Sept. 2013. Total 60 patients were taken and divided in two groups, group-A (30 patients) taken as case study in which pimary closure was done and group-B (30 patients) taken as control group in which open fistulectomy was done. Results: Majority of patients were 31 to 60 years (80%). More number of males than females. (M=93.3%, F=6.7%). Perianal Discharge (90%), Pain (56.7%) and Swelling (33.3%) were the main complaints. Fistula-in-ano with a single opening (83.3%) was the commonest occurrence and posterior opening (70%) situation was more common. Bleeding was seen in open method (group-B=30%) whereas none of the patients shows bleeding in primary closure technique (group-A). Perianal haematoma was more seen in open method (group-B=20%) compare to primary closure method (group-A=6.6%).
BACKGROUND The number of trauma cases is increasing day by day in our setup. Daily 10-15 patients of trauma came to MYH, we found that among these patients many patients have under the influence of alcohol. Alcohol consumption is the leading cause of trauma and reason for visitation to emergency department. We wanted to prospectively study the incidence of alcoholism in victims of trauma admitted in Dept of surgery, MYH Indore and correlate the severity of trauma in relation to blood alcohol concentration. METHODS This cross sectional study conducted at Maharaja Yashwant Rao Hospital from January 2019 to march 2020 and it includes all patients 16 years and above with traumatic injury admitted in Department of Surgery. Breath analyzer test will be done on all patients and levels will be documented. RESULTS In our study head injury (73.6 %) was the most common type of injury in which breath analyzer testing was found positive in 82 %,followed by burn (12.7 %) in which breath analyzer testing was found positive in 2.1 %, followed by poly trauma (4 %) in which breath analyzer testing was found positive in 4.3 %, followed by blunt trauma chest (2.4 %) in which breath testing was found positive in 2.7 %, followed by limbs (0.7 %) in which breath analyzer testing was found positive in 0.9 %. CONCLUSIONS In our study we have found that out of total 3105 patients history of alcoholism is present in 1420 patients while breath alcohol analyzing test positive in 2072 patients and there is significance relationship between trauma and history of alcoholism with the p value of <0.0001. We also found that significant relationship between trauma and breath alcohol analyzing testing with the p value of <0.0001. KEYWORDS Glasgow Coma Scale, Blood Alcohol Concentration, Road Traffic Accidents, Emergency Department, Breath Analyzer
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