Diabetic foot ulcers are the major complication of diabetes mellitus; 15% of diabetic people suffer from foot ulcers. Phenytoin is used as a topical application in many studies on diabetic foot ulcers and it is found to stimulate the formation of granulation tissue as early as 2-7 days. 1 OBJECTIVEThe objective of this study was to compare the efficiency of topical phenytoin application on healing in diabetic foot ulcer with control group using conventional wound dressing. METHODTotally, 100 patients with diabetic foot ulcer attending Thanjavur Government Medical College Hospital are randomized into two groups, assigned regular saline and betadine dressing for the control group. 2 and phenytoin powder application for the study group. Patient with vascular impairment or uncontrolled diabetes are not included. Both study and control group are compared in terms of number of days required for healing, rate of granulations tissue formation. Rate of reduction in mean ulcer surface area. Quality of graft bed. Skin graft take up and serial culture and sensitivity of wound swabs to assess the effect of topical phenytoin on bacterial load. RESULTSThe rate of granulation tissue formation was assessed at the end of 2 weeks; 81 to 90% granulation was seen in study group. In study group, 84% cases graft take up was good and 70% in the control group. Graft take up was 72.4% and 58.43% respectively. Hospital stay 21 days in study group and 45 days in control group. CONCLUSIONIn our present study it was concluded that the rate of granulation tissue formation, overall graft survival and patient compliance was better in topical phenytoin dressing group. 3 as compared to conventional dressing group. 4
Introduction: Hernia is defined as an abnormal protrusion of a viscus or a part of the viscus through a normal or an abnormal opening in the walls of its containing cavity. The external abdominal hernia is the most common form of spontaneous hernia. The treatment options of hernia should be concerned with prevention of recurrence, prevention of infections and economic considerations. The purpose of this study is to report the observations made in the postoperative follow up of hernia repair by three stitch hernioplasty method, in the Department of general surgery, Thanjavur Medical College, over a period of 2 years. Materials and Methods: 100 cases of inguinal hernia admitted at Thanjavur Medical College and Hospital during the study period June 2015 to June 2017 who satisfied the inclusion and exclusion criteria were included in the study. For all these patients, the usual Lichtenstein's repair was not done but a slightly modified procedure, THREE STITCH HERNIOPLASTY was done after getting the consent. Results: Various factors were analysed like age incidence, sex, side and Postoperative complications observed in this group of patients were in 100 patients studied 12 developed seroma, 4 developed haematoma, 2 developed wound infection, 2 developed chronic groin pain, Only one developed recurrence, none developed foreign body sinus and all the patients returned to work early i.e. before 6 weeks except 2. Conclusion:The Three Stitch Hernioplasty is a simple method, easy for the beginners to adopt, has less foreign body reaction, less time consuming, causes less tissue trauma and lesser chance of vascular injury.
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