Background: Cancer is a biggest burden of modern society. Gastric cancer is the second leading cause of cancer death in the world. The objective of study was to study the clinico pathological features and management and outcome of gastric cancer patients admitted to hospital. Methodology: A prospective descriptive study was conducted in 50 diagnosed patients of gastric adenocarcinoma using pre-designed questionnaire collecting information on demographics, stage and site of tumor, clinical history, duration of stay etc. Results: There were 50 patients with male to female ratio 2.5: 1 with mean age of 62+/-7.89 SD. 88% patients had tumor at antrum region. 25 (50%) and 28 (56%) patients gave h/o smoking and alcohol consumption respectively with 23 (46%) had biopsy positive for H. pylori. Of the gastrectomies, 41 (82%) study subjects were managed by curative surgeries. The overall hospital stay in stage II gastric adenocarcinoma was 6-8 days and 7-8 days in stage III (p=0.16). Conclusion: systematic population screening program of upper gastrointestinal endoscopy should be established to detect early cases of gastric cancer show that treatment may be initiated early which has impact on survival for this dreaded diseases.
Amoebic liver abscess (ALA) is the commonest extra-intestinal manifestation of amoebic infection. Unfortunately, there is confusion among medical community regarding management of amoebic liver abscess. Aims: To assess outcome of patients with uncomplicated ALA treated using conservative approach. Methodology: Prospective, observational study was carried out over period of 2 year. Amoebic liver abscess was diagnosed on clinical, ultra sonographic, and serological features. All patients were treated with metronidazole. The indication for ultrasound guided aspiration of abscess was failure to improve clinically within 48 -72 hours Complications and outcome of patients were noted. Results: 80 (80%) patients were managed conservatively and 20 (20%) patients were managed by aspiration. 32% in 31-40 years of age group. 93% were male. We found the study participants who required intervention as a line of management had more deranged liver functions and that to found statistically significant. Conclusion:Conservative medical management of amoebic liver abscess is safe and effective.
Background There are a lot of advancement in techniques of elective inguinal hernia surgery, but progress for management of complicated inguinal hernia repair in emergency, fall behind. The aim of study was to know age distribution, pattern of presentation, to evaluate the outcome of various types of surgical procedure done for complicated inguinal hernia and their post-operative complications. Methods and Materials This retrospective study included 62 patients suffering from complicated inguinal hernia,and who underwent emergency surgery, from Jan-2016to Dec-2019. Results The mean of age of sampled patients was 53.88 + 14.23 years, with increased incidence in males.Right sided, indirect inguinal hernia was frequently involved.Commonest postoperative complication was wound infection.Tension free repair Lichenstein’s technique (Hernioplasty) was done in maximum cases. Conclusion Mesh repair (hernioplasty) is acceptable and safe option for inguinal hernia repair in emergency setting. Early hospitalization and timely surgical intervention are associated with better outcome.
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