No abstract

Background: Thoracic injuries account for a substantial proportion of all injury-related admissions, morbidity and mortality in all tertiary health care centres. The study was conducted to do comprehensive study of chest trauma at a tertiary health care centre.Methods: In this retrospective study we included all polytrauma patients with chest trauma admitted to Geetanjali medical college and hospital, Udaipur for a period of 2 years, from January 2017 until January 2019. Clinical details of the patients were recorded from their case sheets and were analyzed with reference to their age, sex, mode of injury, type of injury, severity of injury, treatment modalities, complications and final outcome.Results: Prevalence of chest trauma was 16.61% out of total cases of polytrauma. Males were predominantly involved (79.61%). Majority were in the age group of 21-30 years. Road traffic accidents (RTA) was the most common mode of injury (68.93%). A total of 53.40% patients required inter costal tube drainage (ICTD). About 17.47% of patients developed complications during treatment in the hospital.Conclusions: Chest trauma occurs in a significant number of polytrauma patients and majority of victims are males of 21-30 years of age. Majority of these patients were treatable with simple procedures like tube thoracostomy or ICU based treatment.

No abstract

Introduction: A Lichtenstein tension-free mesh hernioplasty is the most commonly performed surgery for an inguinal hernia. Chronic inguinodynia is the most prevalent surgical complication, with a 25% overall incidence. The second most common complication is hypoesthesia. Ilioinguinal neurectomy has been proven in several studies to alleviate chronic inguinodynia. Aim: To compare the postoperative inguinal pain and aesthesia in Ilioinguinal Nerve (IIN) preservation patients with neurectomy patients in Lichtenstein tension-free mesh hernioplasty. Materials and Methods: This randomised clinical trial was conducted at GMCH, Udaipur, Rajasthan, India during January 2020 to June 2021 on 70 individuals (35 in each group). The IIN was excised in group A, while it was preserved in group B. Pain and aesthesia was assessed at day seven, one month and three month follow-up. Chi-square test was used for data analysis. A p-value<0.05 was considered significant. Results: Mean age of the study sample was 55.95±15.61 years in group A and 55.4±17.22 years in group B. At Postoperative Day-7 (POD-7), 33 (94.28%) patients in group A and 18 (51.43%) patients in group B reported mild pain after vigorous activity, whereas 2 (5.71%) patients in group A and 15 (42.8%) patients in group B reported moderate pain after vigorous activity, and 2 (5.7%) patients in group B reported severe pain after vigorous activity. At POD-7, 2 (5.7%) patients in group A reported hypoaesthesia, out of them only 1 (2.85%) patient reported hypoaesthesia at one month and at three months of follow-up, whereas no patients in group B reported hypoaesthesia at POD-7, one month, or three months of follow-up. Conclusion: It was evident in this study that prophylactic ilioinguinal neurectomy resulted in considerable reduction in incidence of post operative neuralgia, compared to nerve preservation.