Chronic pancreatitis is a fairly common condition with pain being the major symptom, and longitudinal pancreaticojejunostomy (LPJ) is performed for symptomatic relief. The aim of the study is to assess relief of pain post-LPJ for chronic pancreatitis and to evaluate the factors influencing relief of symptoms. A prospective observational noninterventional study enrolling 28 patients. This study involved a questionnaire studying various risk factors and pain related to chronic pancreatitis, pancreaticojejunostomy, and postoperative assessment of pain relief at 1 and 6 months from surgery. Pain was assessed using Visual analogue scale (VAS). In chronic pancreatitis, there is a significant relief in symptoms of pain post-LPJ; the degree of relief was less in the alcoholics vs non-alcoholics (p=0.09) and smokers. There was also reduction in analgesic requirement and frequency of acute attacks of pain. Fifty-seven percent of patients had a complete remission of their pain after LPJ for CP. In chronic pancreatitis, there is a significant relief in symptoms of pain post-LPJ, although the degree of relief is less in the alcoholics and smokers.
Inguinal Hernia is a very common clinical entity with varied presentations. We are presenting four unusual cases of inguinal hernias , who came to us at The Sri Aurobindo Medical College and Postgraduate Institute at Indore. Out of the four cases three presented with incarcerated inguinal hernias in emergency, while one was a routine case. They presented with following unusual features ; (1)Strangulated Meckel's Diverticulum as content (2) Inflamed Appendix Vermicularis as content (3) Strangulated omentum showed metastasis of a hidden intraabdominal adenocarcinoma (4) Beaded hernial sac which revealed mesothelial hyperplasia on histopathology.
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