BACKGROUND Breast abscess can occur as a complication of mastitis. The conventional treatment of breast abscess has been incision and drainage. Minimally invasive surgery is the current trend. Conventional Incision and drainage of breast abscess leads to more pain, delayed wound healing and prolonged cessation of breast feeding. As the condition occurs in young women, scar is a major concern. This study attempts to evaluate a newer method (USG guided percutaneous needle aspiration) and compare it with the conventional method i.e. incision and drainage who presented to Basaveshwara Teaching and General Hospital, Kalaburagi. METHODS This is a non-randomized controlled trial. The main source of data for the study are patients admitted to Basaveshwara Teaching and General Hospital, Kalaburagi, attached to Mahadevappa Rampure Medical College, Kalaburagi, with primary diagnosis of lactational breast abscess less than 5 cms. Study period is from January 2016 to June 2017. 100 cases were included in the study and were divided into group A and group B based on the size of abscess. Sample size was taken for convenience during the study. RESULTS Average age in our study was 24.5 yrs. Most common mode of presentation is pain and lump (69). Most of the patients presented within 2 weeks (92%). 95% were unilateral cases, 5% were bilateral cases. In group A, 22% had mild and annoying pain, group B 48% patients didn't have any pain, 2% suffered from mild and annoying pain. Group A-26 patients were hospitalized for more than 5 days. Group B-40 patients were treated on OPD basis. Breastfeeding interruption in 100% cases of incision and drainage; no breastfeeding interruption in group B. complication were residual abscess, incomplete wound healing and scar formation. CONCLUSIONS 'Incision and dependent drainage' has been the gold standard technique in the treatment of breast abscess for years; but now the latest trend is 'USG guided percutaneous needle aspiration' which involves less postoperative pain, no cessation of breast function, results in no scar, is cosmetically beneficial and needs less hospital stay. USG guided percutaneous needle aspiration is better than incision and drainage. HOW TO CITE THIS ARTICLE: Patil SB, Vagger VM. To compare the effectiveness of conventional incision and drainage verses usg guided percutaneous needle aspiration in treatment of breast abscess.
ABSTRACT:Inguinal hernia is the most common hernia seen in females. Only independent risk factors for inguinal hernia in females are positive family history and obstipation. Here we present a case of 60yr old female with irreducible inguinal hernia. On examination an intra-vaginal foreign body was found which was causing patient to strain during micturition leading to chronic increase in intra-abdominal pressure. A herniorrhaphy was done and foreign body was removed intraoperatively.
Introduction:Thyroid nodules are common entities presenting to the surgical outpatient department. They are defined as A discrete swelling in an otherwise impalpable gland. Incidence of malignancy has been observed to be quite high in solitary thyroid nodules. Thus, they have to be evaluated properly for optimum management. Aim of the study is to identify the incidence of malignancy in solitary nodule thyroid. Materials and Methods:This study was a prospective non-randomized hospital based interventional study carried out on 50 patients who presented clinically with solitary thyroid swellings who thereby underwent surgery for the disease from August 2020 to July 2022 at the Department of General surgery of our institute. Results:There were 50 cases of clinically detected solitary thyroid nodule with female preponderance more than males. The mean age of the incidence of solitary thyroid nodule was 40.6 years. The incidence of malignancy in solitary thyroid nodule was found to be 18%. Conclusions:It is concluded from the present study that 18% of solitary thyroid nodules are malignant, with female preponderance and a mean age of solitary thyroid nodule is 40.62 years.
BACKGROUNDMedical descriptions of right lower quadrant peritonitis, perityphlitis, appeared more than 500 years ago. Acute appendicitis is one of the most common acute surgical illnesses that every surgeon comes across and surgical intervention is the main stay of treatment. Use of single dose pre and post-operative antibiotics instead of 5 days course for treating patients with uncomplicated acute appendicitis post appendectomy showed same results. Hence this study is undertaken to study effectiveness of the outcome of use of two doses of antibiotic therapy with those of regular 5 days antibiotic course in patients undergoing open appendectomy who presented to Basaveshwara Teaching and General Hospital, Gulbarga. METHODSThis clinical, randomized control trial was conducted from September 2016 until September 2018. The trial enrolled 100 patients aged 15 to 32 years with uncomplicated acute appendicitis confirmed by clinical evaluation and radiographic study. RESULTSThere were 100 patients in the surgical study group. The mean age of the patients was 22.90 ± 4.93. The results of study group and control group on evaluation didn't show any significant difference. The results of this study concluded that two doses of antibiotics were as effective as conventional five-day antibiotics dose yielding same outcome. CONCLUSIONSAs clinical outcome in both groups of our study were not statistically significant. And as costs in the two-dose group is less than that of five-day doses group, prescription of two dose of prophylactic antibiotics prior to surgery of uncomplicated acute appendicitis is sufficient. Hence, we conclude the same from above study.
ABSTRACT:Liver is the largest solid abdominal organ with a relatively fixed position, which makes it prone to injury. Liver trauma is the second most frequent event during an abdominal trauma and is the leading cause of death (20-40%) in these cases. So it's a must to identify and treat liver trauma at the earliest for better outcome. A 22 year male was brought to casualty with history of road traffic accident. On examination, patient was drowsy but irritable with Glasgow Coma Scale (GCS) of13(E3+M6+V4). His abdominal examination was normal. Patient was admitted with the diagnosis of Traumatic brain injury and was put on treatment. After 48 hours of admission, patient became conscious and oriented with GCS of 15. He started complaining of pain abdomen. Abdominal examination revealed same findings as found at the time of presentation with additional positive shifting dullness. USG abdomen showed liver and splenic contusions with hemoperitoneum of 2000ml. Patient was posted for exploratory laparotomy because of massive hemoperitoneum. A thorough abdominal examination revealed a destructed and devascularized hepatic segments II and III (Grade IV).Physical examination of the abdomen is unreliable; drugs, alcohol and head and spinal cord injuries complicate clinical evaluation. Hence one should investigate for abdominal injuries especially liver trauma as Liver injuries present a serious risk for shock because the liver tissue is delicate and has a large blood supply and capacity. INTRODUCTION:Trauma is recognised as a serious public health problem. In fact, it is the leading cause of death and disability in the first four decades of life and is the third most common cause of death overall. 1 The liver is the largest solid abdominal organ with a relatively fixed position, which makes it prone to injury. Liver trauma is the second most frequent event during an abdominal trauma and is the leading cause of death (20-40%) in these cases. 2 So it's a must to identify and treat liver trauma at the earliest for better outcome.We report a case of unusual presentation of liver injury presented to our institution.
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