(a) Laparoscopic cholecystectomy is a widely performed surgery in India and across the world for a wide range of indications. It is one of the most
commonly performed surgeries, and hence a study based on outcomes of Laparoscopic cholecystectomy in the elderly would go a long way in
determining the safety and success of Laparoscopic cholecystectomy in the elderly, and could help in timing surgery more effectively to avoid
complications and difculties.
(b) Materials and methods: Out of 250 patients who underwent Laparoscopic Cholecystectomy at JSS Hospital in the period starting January
2019 onwards who were selected by randomization, 65 patients t the criteria (age > 60 years) while 185 patients were aged <60. Data
regarding comorbidities, duration of surgery, duration of hospital stay, conversion to open cholecystectomy was compiled and studied.
(c) Results: A signicant number of the patients in the elderly age group had associated comorbidities. Duration of surgery was prolonged by a
mean duration of 9.5 minutes in the elderly. Duration of hospital stay was increased by a mean of 2.2 days in the elderly. Incidence of
conversion to open cholecystectomy was also higher in the elderly.
(d) Conclusions: Laparoscopic cholecystectomy is a relatively safe and easy surgery with few complications. However, one may experience
difculties while operating on the elderly, viz. Adhesions, contracted gall bladder with hepatic adhesions etc., Which may result in longer
duration of surgery and higher rates of conversion to open cholecystectomy.
BACKGROUNDMalaria is probably one of the oldest diseases known to mankind that has had profound impact on our history. It continues to be a huge social, economic and health problem, particularly in the tropical countries. The aims of this study are to study-1. Incidence and severity of renal impairment in patients confirmed to be suffering from malaria. 2. Short-term prognostic significance of renal impairment (in-hospital mortality and morbidity). 3. Correlation with other parameters of severe malaria as per WHO criteria.
BACKGROUNDMalaria is a major cause of mortality and morbidity in the tropical and subtropical regions of the world. The incidence of malaria worldwide is estimated to be 300 -500 million. India accounts for 77 percent of the regional total. The aim of this study is to identify the various species of malarial parasites, their clinical features and its complications.
Background: The term necrotizing fasciitis (NF) describes a group of life-threatening infections of the skin, soft tissues, and muscles, which tend to progress rapidly through the fascia planes, causing gradual destruction of the fascia. The mortality rate for NF remains high and has not changed significantly for several decades. The prognosis depends on accurate diagnosis and immediate institution of appropriate treatment.The current difficulty in initial diagnosis is due to the lack of obvious skin findings early on in the infection. Laboratory tests, including the laboratory risk indicator for necrotizing fasciitis, gas on imaging tests, and physical exam findings.Methods: This is a prospective study of 100 patients of necrotising fasciitis. Serum sodium and serum lactate at time of admission were used to predict mortality.Results: Total of 21 patients died. Above Serum lactate value of 2.95mmol/l mortality rate was 48.3%. and below it was 9.9%. Serum sodium was non significant in predicting mortality.Conclusions: The mortality of NF remains high. A simple model using serum lactate at time of admission may help identify patients at greatest risk of death.
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