Background: Various techniques for treatment of inguinal hernia have been studied. The use of a mesh is costly and has its own complications. In Desarda’s technique- external oblique muscle aponeurosis is placed in the form of an undetached strip for inguinal hernia repair. The objective of this study is to compare the outcomes of Lichtenstein’s repair versus Desarda’s technique.Methods: In this prospective study, 50 patients with inguinal hernia were enrolled at A. J. Institute of Medical Sciences and Research centre. 25 patients each were divided into two groups by randomization and were operated using Lichtenstein’s hernioplasty and Desarda’s technique. Patients were assessed for cost effectiveness, operation time, postoperative pain, hospital stay, foreign body sensation, return to non-strenuous activity, complications and recurrence rate in the postoperative period on day 1, 3, 5, 1 month and 6 months.Results: With regards to pain, foreign body sensation and duration of surgery Desarda’s repair was better than Lichtenstein’s repair (p<0.05). Mean hospital stay in Desarda’s group was comparable to the Lichtenstein group (p=0.16). Return to normal non-strenuous activity after 7-15 days in Desarda was 80% and 64% in Lichtenstein. No case of recurrence or chronic groin pain in either group was found.Conclusions: Based on the result, reduced cost of treatment, lesser post-operative pain and no mesh related complications authors can conclude that Desarda’s technique is equally effective as Lichtenstein’s repair for inguinal hernia and can consider it as the method of choice in treating inguinal hernia.
Leiomyoma though a common entity encountered in our daily practise, its occurrence in breast is extremely uncommon. There are a very few reported cases of leiomyomas occurring in breast parenchyma. This tumour clinically simulate commonly occurring tumours of breast. This case report is of such a case of a mesenchymal neoplasm occurring in breast of a woman of child bearing age. The histopathological diagnosis requires careful differentiation from lesions that have smooth muscle proliferation, especially leiomyosarcoma. The most commonly performed treatment is resection of the lesion with free margins. Although breast leiomyoma is rare, it should be considered among the differential diagnoses for breast nodules of benign appearance.
Background: Chronic venous disease (CVD) is a multifactorial condition affecting among populations worldwide. The symptoms appear early in the progression of the disease and as the time progresses the severity of the disease increases. Thus a proper clinical management tool is essential to prevent potential harms of the disease, which also entails a significant loss of the quality of life in these individuals. The aim of the present study is to make use of the tool phleboscore for the patients with lower limb problems to quantify the risk of developing CVD complications. Methods: A prospective observational study with 2788 patients with lower limb complaints of venous disease was conducted in the out-patient department at A. J. Institute of medical sciences, Mangalore. Patients were asked about the symptoms of the venous diseases like sensation in the limb, any changes in the limb. The patients with two or more symptoms were assessed with phleboscore questions. Based on the phleboscore a descriptive analysis of the collected data was done. Results: With regards to the phleboscore patients were divided into three classes; low risk, moderate risk and high risk. Almost 73.6% patients were at medium risk of developing CVD. 7.6% patients at high risk. 63.5% of patients with sedentary lifestyle were at medium risk. Conclusions: Phleboscore is an essential tool to assess the potential risk of patients developing CVD. This tool helps in early identification of patients who are about to go into high risk group and help them by early interventions to prevent the development of more serious disease.
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