BACKGROUND Haemorrhoids are one of the most common afflictions of human beings from times immemorial. It is said that 40 percent of population have symptoms due to haemorrhoids at some time in their lives. Stapled haemorrhoidopexy under local anaesthesia has been emerging as the procedure of choice for symptomatic haemorrhoids. Aims and Objective- To assess the advantage of performing stapled haemorrhoidopexy under local perianal block. To study the post-operative complications after stapled haemorrhoidopexy. To assess the feasibility of stapled haemorrhoidopexy in grade III and grade IV haemorrhoids. To assess the advantages of stapled haemorrhoidopexy in anal skin regression after surgery. MATERIALS AND METHODS 60 patients of grade 3 and 4 haemorrhoids were operated by haemorrhoid stapler under local anaesthesia. RESULTS Stapled haemorrhoidopexy under local anaesthesia can be safely performed as a day care procedure in grade III and grade IV haemorrhoids. Patients following stapled haemorrhoidopexy under local anaesthesia have reduced post-operative pain, hospital stay, analgesic requirements and earlier return to work, early mobility out of bed, less operative time, short learning curve , less operative complications, cost effectiveness and good patient satisfaction. CONCLUSION Stapled haemorrhoidopexy under local anaesthesia is feasible to be used in those patients who are unwilling and unfit for other modes of anaesthesia with similar results with lesser complication rate and as a day care procedure.
Background: Hemorrhoids are one of the most common afflictions of human beings from times immemorial. It is said that 40% of population have symptoms due to hemorrhoids at some time in their lives. Stapled hemorrhoidopexy under local anesthesia has been emerging as the procedure of choice for symptomatic hemorrhoids. Aims and Objectives: The objectives of the study are as follows: (1) To assess the advantage of performing stapled hemorrhoidopexy under local pudendal block. (2) To study the post-operative complications after stapled hemorrhoidopexy. (3) To assess the feasibility of stapled hemorrhoidopexy in grade IV hemorrhoids. (4) To assess the advantages of stapled hemorrhoidopexy in anal skin regression after surgery. Materials and Methods: 50 patients of grade 4 hemorrhoids were operated by hemorrhoid stapler under local anesthesia. Results: Stapled hemorrhoidopexy under local anesthesia can be safely performed as a day care procedure in grade IV hemorrhoids. Patients following stapled hemorrhoidopexy under local anesthesia have reduced post-operative pain, hospital stay, analgesic requirements, and earlier return to work, early mobility out of bed, less operative time, short learning curve, less operative complications, cost effectiveness, and good patient satisfaction. Conclusion: Stapled hemorrhoidopexy under local anesthesia is feasible to be used in those patients who are unwilling and unfit for other modes of anesthesia with better results with lesser complication rate and as a day care procedure.
Acute Appendicitis is one of the most common surgical emergencies in clinical practice with estimated life time prevalence approximately 1 in 7.[1] The incidence is 1.5 to 1.9 per 1000 and is approximately 1.4 times greater in men then in women. [2] Aim
BACKGROUND Post burn contractures cause varying degree of functional and cosmetic problems and have tendency to recur even after intervention. Operative correction is usually recommended to release scar, restore function and improve cosmesis as these contractures do not heal on their own and even after intervention, they have a tendency to recur. Thus, additional interventions like splints and physiotherapy may be employed to minimize recurrence. The primary objective of this study was to evaluate the contracture scars based on a quantitative scale, their treatment modalities and patient compliance with rehabilitation protocol by assessing them at follow up visits over a course of six months.
BACKGROUND Hydatid cyst is the most common cause of cystic Liver disease worldwide. Hydatid disease is a zoonoses caused by small taeniidtype tapeworm Echinococcus. Man is an accidental intermediate and dead end host. Man does not harbour the adult worm. [1] The objectives of this study were-1. to compare the treatment of retrospective and prospective cases of hydatid cyst disease & 2. to study the hydatid cyst disease. [2] MATERIALS AND METHODS The study comprises of all treated cases of hydatid cyst in Dept. of Surgery, M.G.M. Medical College and M.Y Hospital, Indore retrospectively from 2007 to 2017 (100 cases) and prospectively from 1 year after the date of approval (20 cases) by local ethical committee.
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