Background: Breast disorders in the child-bearing women are common. It can be palpable or nonpalpable, benign or malignant. Many women suffering from different breast problems, breast abscess are commonly develops during the breast feeding period.Objectives: 1. To study the spectrum of breast diseases, in the reproductive age. Methodology: prospective study (cohort), enrolled 227 patients, study spans from July 2018 -December 2019, (18 month). Results: Among 227 patients, age ranging from 16-45 years, in our study breast diseases were broadly divide into Breast lump, breast pain & nipple discharge. Lump is commonly observed (48.89%), diagnosed by triple assessment, accuracy of clinical diagnosis was 76.25%. Among all patients, 240 Pathology diagnosed, commonest is Fibroadenoma (42.09%), only 2 had ductal carcinoma. Conclusions: Efficiently diagnosis of the different breast diseases with minimal available tools. BBD is the common occurrence in reproductive age of general population, cancer to be diagnosed in advanced age.
Background: Fistula In-Ano is one of the major ano-rectal issues. Crypto glandular infection is the main cause, can be multiple that extends from same primary opening. Fistulectomy, sphincter saving operations usually recommended for fistula. Objectives: 1. to assess the modes of presentation. 2. To assess treatment modality 3. To assess postoperative outcome. Material and method: Prospective cohort study 49 patients included, carried out at dept. of surgery tertiary care centre, MUHS Nasik, Maharashtra India, between Jan 2014 to Jan 2019. Result: Maximum patients observed in 46-55 years age group (42.87%). M:F ratio was 3.9:1 Most of them low socioeconomic class. (85.72%) showed low fistula, posteriorly situated with single external opening. Surgeries were fistulectomy, fistulotomy, fistulectomy with closure and curettage. Minimum complication observed infection, incontinence, recurrence. Duration of healing (46.94%) observed in 7-12 weeks, primary healing was (95.91%). Conclusion:A Good outcome was achieved in the majority of patients with few complications; however there is a need for large-scale trials to evaluate the different surgical treatment modalities.
INTRODUCTION: Incisional hernia, a failure of the abdominal wall fascia to heal, is a common postoperative complication following abdominal surgery with an incidence varying between 2% and 50%. Incisional hernia entails signicant morbidity and discomfort resulting in disturbances in day to day activities. In spite of various available techniques available to surgeon, these hernias recur leading the surgeon to search for an ideal procedure of their repair with preferably zero or universally acceptable minimal recurrence rate. Laparoscopic incisional hernia repair, controversy has endured despite of numerous studies and data suggesting success of laparoscopic incisional hernia repair. However, there is relative lack of evidence to support adoption of laparoscopic repair as standard technique in regard to post operative morbidity and cost effectiveness. AIMS AND OBJECTIVE: To compare open and laparoscopic incisional hernia repair technique with respect to the post-operative complications and perioperative morbidity. MATERIAL AND METHODS: This is prospective, observational, comparative study, comparing patients who underwent laparoscopic incisional hernia and open incisional hernia repair during study period of November 2015 to August 2017 in Department of General Surgery, J.L.N. Hospital and Research centre, Bhilai. STATISTICAL METHOD: Data is analyse using percentages , mean and standard deviation. Continuous variable analysed by Unpaired T-test. Categorical data analyzed using chi square test or Fisher exact test. CONCLUSION: In our study laparoscopic incisinal hernia repair has more favourable outcome in terms of less hospital stay, shorter duration of surgery, less post-operative pain, early to resume daily activity and lesser wound related complications.
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