Background: India, has an estimated annual incidence of 6-7 million burn cases. In the state of Odisha, there are very few epidemiological studies of Burn injuries. Therefore a hospital based descriptive study among the admitted burn cases was conducted. Methods: The study was conducted among the burn cases admitted to the burn unit of Surgery Department of SCB Medical College and Hospital, Cuttack during the time period from 1st January 2014 to 31st May 2015.A total of 145 patients were included for the study. Results: Socio-demographic profile of burn cases showed 83 (57.2%) were females and rest 62 (42.8%) were males. Regarding residence, 109 (75.1%) of the burn victims were from rural area and the rest 36 (24.9%) were from urban area. Also 140 cases (96.5%) belonged to low socio-economic status and were having BPL card. Regarding the nature of burn, 108 (74.5%) cases had it accidentally while 33 (22.7%) had burn due to suicidal attempt and the rest 4 (2.8%) had homicidal burn and all these 4 cases were married females. 104 (71.7%) cases were affected by flame, 12 (8.2%) cases were due to scald while 29 (20%) were due to electric burn. Among the burn cases due to flame, kerosene was the most common cause. Conclusions: The study revealed that thermal burn was the most common type of burn and the victims were in their active productive period of life (21-40 years), married, illiterate and were from rural areas. Among the thermal burn victims, use of kerosene was the most common cause of burns in both the sexes.
No abstract
Background: Despite the high incidence, the technical aspects of hernia repair continue to evolve making it the most common operations performed by general surgeons. Lichtenstein mesh hernioplasty repairs all hernias without distortion of the normal anatomy and with no suture line tension. This study was performed to evaluate the outcomes of Lichtenstein mesh herinioplasty in emergency inguinal hernia patients.Methods: A 84 patients were operated for complicated (obstructed irreducible) inguinal hernia. A follow-up period of 6 months using the Quantitative and Qualitative Measurement Instrument for evaluation of Lichtenstein hernioplasty outcomes was completed for 44 emergency patients.Results: The age incidence of the hernia patients in the study group was 40% (25-35 years) followed by 24% (15-25 years). The anatomical position of the hernia in the study group was to the right having a dominant percentage of 72% followed by left (24%) with none in bilateral. Early postoperative complications in mesh repair (Lichtenstein hernioplasty) comprising of factors like wound infection (10%), hematoma (5%), seroma (10%) was significantly lower compared to tissue repair with wound infection (20%), hematoma (5%) and seroma (25%). Further mesh rejection in Lichtenstein hernioplasty was 0% for the study population. Similarly, late postoperative complications in Lichtenstein hernioplasty comprising of factors like wound dehiscence (4%), neuralgia (27%) was significantly lower compared to tissue repair with wound dehiscence (27%), neuralgia (41%).Conclusions: The study revealed that the use of polypropylene prosthesis in the emergency setting (obstructed hernia) is safe and outcomes are satisfactory.
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