Background:The clinical study of incidence and role of co-morbid conditions in management and outcome of burns patients. The objective of this study was to determine the role of comorbid conditions in burns patient management and to understand the outcome the morbidity and mortality in burns patients with comorbid conditions.Methods: One hundred patients suffering burn injury with associated comorbid conditions had been selected randomly (every third burns patient with associated comorbidity). Co-morbidities associated were noted from history given by the patients. It is a prospective observational clinical study of 2 years of duration. Patients admitted in the department of burns and reconstructive surgery from the 2104 October up to twenty-four months were included in this prospective study.Results: It is a clinical observational prospective study. Study involve 100 burns patients with comorbidities: alcoholics (53%), smokers (15%), diabetic (12%), obesity (7%), psychiatric illness (6%), epilepsy (5%), bronchial asthma (2%). It was observed that morbidity and mortality were more in alcoholic (49%) and diabetic patients (33%) when compared to other co-morbid conditions. Wound infections and delayed wound healing was found more in diabetic patients. Incidence of higher percentage of burns was found in alcoholic patients.Conclusions: This study concluded that comorbid conditions increased the duration of hospital which also affected mortality, with longest stay of 102 days and average duration of stay of patients with co-morbid conditions was 45-65 days.
Large soft tissue leg defect involving upper and middle third remains a therapeutic challenge. Clinical study of management of upper one third defects was done to analyze the various reconstructive procedures for leg defects and also to enhance the quality of work done to produce good results with minimal complications as possible. This Prospective Clinical study conducted in the department of Plastic and Reconstructive surgery, includes 20 cases of upper one third of leg defects admitted. Patients >15years of age with Soft-tissue defects of upper one third leg requiring flap cover are included in this study. The operative procedure was chosen according to the nature and size of the defect. The earliest flap cover was given within 1 week of trauma. Primary flap cover was given in 10 (50%)patients, delayed primary flap cover in 9 (45%) patients and secondary flap cover in 1 (5%) patient. In 14 (70%) patients Gastrocnemius flaps were done, of which Gastrocnemius muscle flaps with SSG were done in 9 patients (45%) and Gastrocnemius Myocutaneous flap in 5 patients (25%). Fasciocutaneous Flaps in 4 patients (20%), Venous flap in one patient (5%) and Advancement Flap in 1 patient (5%) were done.
Syngnathia is a rare anomaly that involves fusion between the maxilla and the mandible. The fusion may be due to adhesions of the soft tissue between the bony fusion between maxilla and mandible. The latter is a very rare incongruity. These children present in the neonatal period with difficulties in the airway protection and feeding problems. Surgical management involves break down of the adhesions in the first few days of life. The prognosis is generally favorable.
Summary – A 83 year old male presented with lump in right lower quadrant of abdomen since 1 year. It was associated
with pain since 3 months and was of pricking type. No other associated complaints. On HPE the lump was Spindle cell
neoplasm. After thorough evaluation he was subjected to chemotherapy and then underwent surgery and the huge
defect was reconstructed using pedicled ALT flap.
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