Objectives: The aim of our study was to compare the outcome of early (<2 weeks) versus delayed (>2weeks) laparoscopic cholecystectomy in patients of mild and moderate acute gallstone pancreatitis.Methods: The present study was carried for a period of two years (2012)(2013)
Objectives: To assess the occurrence of silent peptic ulcer disease (PUD) in patients who smoke and try to define the relationship between the two. Methods: The study was carried out between 10 th January 2014 to 28 th November 2014 in the general surgical department of SMHS hospital in Srinagar, Kashmir. The patients with Smoking exposure of at least one pack-year, and current smoker, Negative serology for H. Pylori, No (or occasional) history of NSAID intake/ alcohol consumption were included in the study. The end point of the study was one year follow-up. Results: The evidence of peptic ulcer disease on endoscopy was found in 23 subjects, 19 of these occurred in male subjects while 4 were in female subject.
Conclusion:Based on our study, we conclude that silent peptic ulcer disease is fairly common in smokers than previously thought, and the risk of acquiring it increases with increase in smoking exposure. We conclude that upper gastrointestinal endoscopy should be a routine at 10 pack-years of exposure irrespective of age. Also, PPI/H 2 blockers should be considered in smokers irrespective of symptoms.
Objectives: To compare the outcome of heavyweight mesh with lightweight mesh in the open repair of inguinal hernia. Method: The Study was a prospective one as a part of single centre randomized study carried over a period of two years 2012 to 2013 conducted on 70 male patients of inguinal hernia, the patients were randomly assigned to the groups of 35 patients each; one group underwent Lichtenstein mesh hernioplasty with heavyweight mesh (HWM) and other group underwent Lichtenstein mesh hernioplasty with lightweight mesh (LWM). Mesh placement and fixation was same in both groups. The patients were monitored in the general ward, all postoperative complications recorded. Severity of pain was analysed by VAS and the patients were assessed in the OPD after discharge, for any complications and recurrence. The patients were followed; complications if any, recorded as per the preset proforma and the two groups were analysed statistically, end point of study was follow up upto one year. Results: The study was conducted on 70 male patients of inguinal hernia, 35 patients in each group. The mean age of the patients in HWM was (p >0.05). The difference in height and weight of patients in both the groups was not statistically significant (p >0.05). There was no statistically significant difference between times of occurrence of hernia to operation in both the groups (15 months vs. 14.14 months). Post-operative pain was assessed by Visual analogue scale. The pain scores were calculated at 12 hrs. 24 hrs.7th day, I month and at 6 months. There was no statistically significant difference in the pain scores at 12 hrs. 24 hrs. 7 th day and at 1 month. However there was statistically significant difference in mean pain scores (VAS) at six months after operation between HWM group vs. LWM group (0.83 vs. 0.34) p < 0.05. The mean operating time in HWM group was 34.34 min.
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