Background: Haemorrhoids are dilated veins occurring in relation to the anus. There are various treatment modalities for haemorrhoids and among them surgical treatment is considered to be most effective one. Harmonic scalpel hemorrhoidectomy was compared with conventional in terms of symptomatic relief and complications.Methods: The aim of our study was to compare harmonic scalpel haemorrhoidectomy with conventional in terms of various intraoperative and postoperative factors for the treatment of grade III and IV haemorrhoids.Results: In our case study of 25 patients average time taken was 17.68 ± 2.84 minutes, while it was 28.44 ±3.69 minutes in control group. The mean blood loss was 8.96 ± 2.15 ml, 31.72 ± 3.28 ml in the case and control group respectively. Postoperative pain with VAS in case group on the first postoperative day was 5.92 ± 0.72, while it was 8.52 ± 0 in the control group. The dose of analgesia was less in case group. The postoperative wound site soakage was less in case study, early ambulation and return to normal work was faster in case study group.Conclusions: Harmonic scalpel haemorrhoidectomy is a simple, bloodless, safe and effective procedure in terms of blood loss, postoperative pain early return to routine work because of less lateral thermal injury.
Background: Foreign body ingestion is not so common in day today life but the recent change in increase in use of veil by Muslim girls has shown an upward trend in the accidental ingestion of these things. Foreign bodies with smooth edge are usually harmless with spontaneous passage while with sharp edge may have serious consequences in the form of bowel perforation of obstruction. The aim of our study was to evaluate and educate the young Muslim girls about the use and complication of hair pins. Methods: In this study 130 patients were admitted with the history of ingestion of foreign bodies in the department of Surgery, Government Medical College Srinagar over a period of two year from May 2016 to April 2018. All patients were evaluated including base line investigation, series of abdominal radiographs and frequent abdominal examinations. Results: Majority of patients were females in the age group of 11-20 with 71 (54.61%) of patients. Head scarf pins were the commonest foreign body in 78 (60%) of female patients. Maximum number of patients was managed conservatively.
Conclusion:The rising trend in the ingestion of metallic foreign bodies especially hair pins need to be used with precautions to prevent serious health hazards like bowel perforation.
Background: The pellet gun is a shot gun weapon which is used by law enforcement agencies to maintain law and order in conflict zones whenever need arises. Sometimes these minute sized pellets may lead to grave injuries to vital structures of the body which may sometimes led to permanent disability. The objective of this study was to investigations and manages these fatal injuries in war conflicted valley. Methods: The prospective study conducted in a tertiary care hospital of Government Medical College Srinagar at the time of civilian unrest in 2016 and onwards when thousands of people were injured with pellets by security agencies. Results: Maximum number (67.1%) of patients had injuries to eyes and face, among the total number of patients 69 (17.2%) of patients had abdominal injuries. CECT abdomen showed pellets in all 69 (100%) of patients, pellets in gut lumen in 48 (69.5%) of patients. In the abdominal group 40 patients underwent laparotomy which showed hemoperitoneum in 49 (71.01%), pneumoperitoneum in 6 (8.69%) of patients. Conclusion: Pellet gun weapon has become a common arsenal to suppress the unarmed civilian agitation which may lead to fatal injuries to vital structures of body, where prognosis remained poor despite of best available treatment.
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