Background: Liver abscess is a disease of frequent occurrence which figures prominently in the differential diagnosis of upper abdominal and right lower respiratory tract diseases. These includes a recent increase in incidence reflecting more accurate diagnostic techniques especially after 1965 with the advent of radioisotopes scan and later on ultrasonography and CT scan. The reduction in mortality from 90% at the turn of century to the estimated 10-20% today cannot be ascribed to surgery alone.Methods: The study was conducted on 65 patients of liver abscess. Two compared modalities of percutaneous treatment of liver abscess were (1) needle aspiration and (2) pigtail catheter aspiration. All interventions were performed under ultrasonographic guidance. Only those patients having liver abscess/abscesses greater than 5 cm in at least one dimension, liquified & drainable were included in this study.Results: Amoebic liver abscess (63.33%) were more common than pyogenic liver abscess (26.67%). Clinical recovery was significantly earlier in catheter group (average 5 days) than in needle aspiration group (average 6.29 days) (p value 0.001). Average duration of i.v. antibiotic is significantly shorter in catheter group (6.4 days) than in needle aspiration group (9.5 days) (p value 0.002).Conclusions: Thus, our study concluded that in view of greater volume of pus drained in first sitting, early clinical recovery, shorter duration of hospital stay and slightly more success rate continuous catheter drainage is effective percutaneous treatment modality than intermittent needle aspiration.
Background: The incidence of primary bladder calculi in developed countries has been steadily and significantly declining since the 19th century because of improved diet, nutrition and infection control. In these countries, vesical calculi affect adults. However, bladder calculi remain common in developing and less developed countries. Despite the presence of several studies in countries with a high incidence of the disease, no complete uniformity in the reporting of data exists.Methods: The present study was carried out in 76% admitted patient of vesical calculus, investigated and treated by spcl. Some stones were subjected to bacteriological culture.Results: Incidence of vesical calculus was 1.01% of the total surgical admission and 14.87% out of total genito-urinary disease cases.Maximum number of patients were in the age group 0-10 years. Males predominated the females with a 12:1 ratio. E.coli was the commonest organism covering 22.3% of infection. All the cases were managed by spcl.Conclusions: It was concluded from our study that were common in children with low socio-economic status. Metabolic, infective, stasis and vitamin a deficiency (MISA) remained the important factor in its formation. They are usually single and commonly of mixed variety.
Background: This study “clinico-pathological correlation of abdominal lymphadenopathy" intended to know the various etiological causes behind the abdominal lymphadenopathy and different modes of presentation which can help in treatment and prognosis in our setup which helps in better management of these cases thus helping to improve prognosis.Methods: The" Clinico-Pathological Correlation of Abdominal Lymphadenopathy is a clinical study of 250 consecutive cases of abdominal Lymphadenopathy which were found during intraoperative laparotomy in Hamidia Hospital (Gandhi Medical College), Bhopal. This is observational study will be carried out in the Department of Surgery, Gandhi Medical College. Total 250 consecutive cases will be included in this study having per-operative findings of lymphadenopathy, where laparotomy will be done for various regions. Prior to surgery thorough history will be taken and meticulous physical examination will be performed. Necessary laboratory and imaging studies shall do to establish the diagnosis.Results: Tuberculosis is one of the common causes of Abdomen lymphadenopathy. Age incidence more in males and in second and third decade of life is more common. Abdominal pain, loss of weight and appetite with bowel disturbances are the common clinical manifestation. It is obvious from this study that tuberculosis is a problem in our country. Regarding the abdominal tuberculosis, the diagnostic problem persists for those patients where pulmonary tuberculosis is not obvious. Most tubercular patients present with perforation peritonitis.Conclusions: This study support fact that abdominal lymphadenopathy is important indicator of underlying cause of pathogenesis from which we reach the diagnosis. In present study in 10% cases only lymph nodes are positive for tuberculosis without tissue diagnosis, which can be treated to prevent the further complications.
Background: Gallbladder carcinoma is not an uncommon clinical entity in the Indian scenario, unlike western countries. It is predominantly a disease of females. Therefore, a female especially in forties and fifties with a history of recent onset of constant pain in the right hypochondrium or change in the character of pain should be thoroughly evaluated. Though the association between gallstones and Gallbladder carcinoma is strong. Therefore, every gallbladder should be subjected to routine histopathological examination because with identification of an early gallbladder carcinoma a curative resection may be possible, and these patients have a good survival rate.Methods: This study is comprising of all patient consecutively admitted for Gall bladder pathology, at Hamidia Hospital, Bhopal, MP during June 2012 to May 2014 on the basis of clinical assessment, USG, FNAC, CT-scan, tumor marker, blood investigation etc.Results: Present study showed that gallbladder cancer is predominantly a disease of elderly females. Commonly, symptoms are related to associated gallstones. In present study, abdominal pain (91.66%) followed by abdominal mass (79.19%) and anorexia (60.16%). In present study, preoperative imaging of the abdomen (both US and CT) showed the presence of gallstones in 38 (79.16%) cases and a mass in the gallbladder was evident in 44 patients (91.66%).Conclusions: Though the association between gallstones and Gallbladder carcinoma is strong, the causal relationship between them is not clear. In spite of the advances made in the field of gallbladder imaging, the detection of carcinoma of the gallbladder in early stages remains low.
Background: sensorineural hearing loss (SNHL) is the common entity among uncontrolled diabetes patients, mainly in long term hyperglycemia. SNHL is mild to severe in nature. Aims and Objectives: The aims of this study were to evaluate sensory neural hearing loss in patients with diabetes mellitus (DM). Materials and Methods: We undertook that this prospective observational study which includes patients presented with DM to the department of ENT in Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, was planned for hearing evaluation during period of June 2020-November 2021, total 42 patients of age group 25-65 years were taken for the study. Results: On hearing assessment 29 (69.04%) cases were having SNHL and 13 (30.95%) cases were having normal hearing. Only 10 (23.80%) control were having SNHL and 32 (76.19%) control were having normal hearing. There was statistically significant association found between diabetes and SNHL. SNHL was found in less number of young cases and it was found in most of old age patients. Conclusion: The severity and prevalence of hearing loss are more if duration of hyperglycemia is more and if delay in starting treatment in diabetic child. SNHL is bilateral and mostly mild in the early stage.
Background: Hemorrhoids are vascular formations in the anal canal that is also known as piles. They serve as a cushioning of anterior venous channels and connective tissue in its natural condition, which aids in stool management. During defecating, internal hemorrhoids are frequently accompanied by painless, bright crimson rectal discharge. External hemorrhoids can cause discomfort and edema in the anus region. Aims and Objectives: The objectives of this study are to “compare between electrothermal bipolar vessel sealer hemorrhoidectomy versus conventional hemorrhoidectomy in patient of Grade IV hemorrhoids. Materials and Methods: The present study conducted in patients admitted in Gandhi medical college associated Hamidia Hospital, Bhopal carried out in the Department of General Surgery from April 2015 to September 2017. A total of 80 patients were included in the study with comparison between conventional hemorrhoidectomy (n=36) and electrothermal bipolar vessel sealer (ETBVS) (n=44) and comparison of recurrence of complications in them. Results: The mean surgical time was much shorter in ETBVS, as was post-operative pain, which was primarily reduced on the third and 4th post-operative days: discomfort also vanished quicker in ETBVS than in conventional procedure. ETBVS patients had less time off work, a shorter hospital stay, and a reduced risk of total problems. When compared to conventional procedures, the average length of operation in ETBVS was also much shorter (P<0.0001). Conclusion: When a considerable amount of tissue needs to be removed, ETBVS hemorrhoidectomy is a good option. This research confirms its usage as a first-line therapy for Grade IV hemorrhoids.
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