BACKGROUNDDifferent types of Fingertip injuries are found in human population and different modalities of treatment options are available. Results of the treatment vary according to the mode of treatment. In our institute, we prefer cross-finger flap coverage for composite tissue loss of fingertip defect. The aim of the study is to find out long-term result of cross-finger flap in comparison with STSG.
Introduction: Inguinal hernia (IH) is a common problem in general population in India. Different methods of treatment are available. Each method of repair has advantages and disadvantages and different results. At present, open method of prosthetic mesh repair (Lichtenstein method) for IH is well accepted. We prefer open method (Lichtenstein method) of repair of IH at our institute. The aim of study is to find out the different outcomes in post-operative period of open method of mess repair in uncomplicated IH of male patients. Methods: The study was conducted in between February 2019 and February 2020 at Bhima Bhoi Government Medical College and Hospital, Balangir. It was a time bound descriptive observational prospective study conducted in 80 patients of uncomplicated IH of male patients. They were treated with open method of polypropylene mesh repair (Lichtenstein method). All patients were kept on follow-up. Clinical data and final report of all patients were analyzed and reported. Results and Conclusion: Results were assessed in terms of post-operative complications such as edema of scrotum and penis, surgical site infection, severe pain in scrotum of operated site (orchitis), retention of urine, and late post-operative complication such as infection of operated site, keloid/hypertrophy scar of operated site, chronic pain of operated site, recurrence of hernia, and seroma. In this study, it was found that maximum percentage of patients between 31 and 40 years of age suffered from uncomplicated IH. Maximum percentage of side distribution of IH was on the right side of groin and 1.25% was bilateral IH. Regarding complications, 13.75% of patients had postoperative complications and 18% had long-term post-operative complications. It was concluded that post-operative complications were less and so Lichtenstein method of IH repair is best open method in the present era.
BACKGROUNDPoroma is a benign cuticular appendageal tumour, first described by Goldman and Pinkus 1956. 1 Its sites of occurrences are sole, 2 scalp, 3 chest and neck 4 and leg. 5 It is very rarely seen in the periungual and subungual region of thumb. A 42-year-old male patient presented with a painless, red colour nodule of 9 years' duration on the thumb which was diagnosed clinically to be a case of angioma. On excision and histopathological study, it was diagnosed as a case of periungual eccrine poroma. Due to its rare occurrence in such a site, I am reporting it.
Paronychia is an inflammatory condition of alongside of nail of toe or finger. It is seen commonly in housewives and housemaids. Paronychia may be acute or chronic. Majority of patients with acute paronychia respond well to nonsurgical treatment. Patients with chronic paronychia of great toe do not respond to nonsurgical treatment. Patients suffer from chronic pain in finger or toe. Many treatment methods are available for chronic paronychia of great toe. All have merits, demerits, and different outcomes. This study is conducted to find out the outcome of a modified surgical technique in chronic paronychia of great toe of patients. This is a method adopted with a little modification of existing method.This study was conducted among 50 patients of chronic paronychia of great toe, who were between 15 to 55 years of age, from December 2019 to December 2020. These patients were operated and kept on follow-up for 1 year and observed for different outcomes likes skin graft take off, complete wound healing of operated area, relief from chronic pain of great toe, acceptance of cosmetic appearance, and recurrence of disease. Clinical data was recorded in case record form by examining the patient, asking questions to them, and conducting descriptive analysis. Results in terms of skin graft take off, complete wound healing of operated area, relief from chronic pain of great toe, acceptance of cosmetic appearance, and recurrence of disease were assessed during follow-up period. Postoperative result showed that 98% of patients had complete wound healing and complete graft take up, acceptance of cosmetic appearance was 94%, recurrence was 2%, and 90% were relieved from chronic pain of disease great toe. It was concluded that this was a better method for treatment of chronic paronychia of great toe.
BACKGROUNDWound repairs normally culminate in fine scars, the only evidence of dermal injuries. In certain individuals; however, the repair process may go awry and wound may heal with large elevated scar known as Keloid or hypertrophic scar. Many treatment methods are available. All have merits and demerits, but till now initial treatment for keloid is intralesional injection of Triamcinolone Acetonide (TA).The aim of this study is to find out the different local effects of intralesional injection of Triamcinolone Acetonide (TA) on keloid.
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