Abstract:Aim: to devises a handmade endoloop knotting technique without the use of knot pusher thereby reducing the overall cost of laparoscopic appendectomy. Material and methods: This prospective study was conducted in MMIMSR Ambala from January 2015 to august 2017. All operations were performed by the same surgical team. Mesoappendix was coagulated with bipolar cautery and cut with scissors. Two handmade Meltzer loops were placed on base of appendix and tightened using conventionalgraspers. Results: 53 patients were included in the study. The time spent for preparing and tyingone loop was approximately 20-25 seconds. None of the patients had leakage from the appendicular stump. Only one polyglactin suture was used to make three loops. Knot pusher was not used in any of the patients. Conclusion: handmade endoloop used in this prospective study for securing appendicular stump using conventional laparoscopic graspers was found to be equally safe and can be easily mastered by any laparoscopic surgeon, which will reduce his dependency upon preformed endoloops making the procedure cost effective.
Otomycosis Is a common condition encountered in a general otolaryngology clinic setting so, We conducted a study with an aim to determine the frequency, common presenting symptoms, predisposing factors and spectra of fungi. Where we found that Patient with Otomycosis presents with nonspecific symptoms like pruritis, discomfort and pain in the ear, aural fullness, tinnitus, hearing impairment, and sometimes discharge, and also recurrence was seen in some cases which is very frustrating for both the patient and doctor as it frequently requires long-term treatment and follow-up. Mainstay of treatment involves removal of debris, thorough toileting of the external ear and the use of antimycotic agents.
Summary: Otomycosis is a very frustrating clinical entity for both the otolaryngologist as well as for patient. So educating people about the predisposing factors, risks, cause and care is an important concern to be addressed.
Otitis Media (OM) is an inflammatory condition which usually involves muco-periosteal covering of middle ear cleft (partial or full) comprising of eustachain tube (ET), hypo-tympanum, meso-tympanum, epi-tympanum,additus and the mastoid air cells.
Myringoplasty was introduced by Berthold5 long back in 1878 and included the surgical closure of tympanic membrane perforation including removal of epithelium and grafting with skin. This period witnessed an improvement in surgical techniques with improved optics and emergence of microsurgery, thus making the Myringoplasty safer and lowered the rate of graft rejection. In this study we have compared the the grafting technique in type-1 tympanoplasty of in CSOM mucosal inactive type.
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