Background: Intestinal stoma is an opening for fecal diversion. The purpose of the present study was to identify indications for commonly performed intestinal stomas and to study complications related to it. Methods: This is a prospective study was carried out in a surgical unit of Hamidia Hospital, Gandhi Medical College, Bhopal from January, 2012 to December,2012. Data was collected by meticulous history taking including age, gender, indication, type of stoma, type of surgery, careful clinical examination, appropriate operative findings and follow up of the cases. The results were collected, analyzed and compared with other studies. Results: A total of 100 patients were evaluated age ranged between 12- 85 years (50.5 ± 29.01 years) Male to female ratio was 7:3. Of the 100 patients 97 were admitted in emergency while 3 in out-patient department. The most common type of stoma made was loop ileostomy (64%) followed by sigmoid colostomy (11%) and transverse loop colostomy (9%). Main indication for a stoma formation was enteric perforation (38%) followed by Kochs abdomen (18%). Of the various complications encountered with intestinal stoma, peristomal skin irritation (36%) was the most consistent complication followed by laparotomy wound infection (13%). Conclusions: Inspite of vast exposure of general surgeons towards stoma formation the complications are inevitable. Early detection of complication and its timely management is the keystone. [Int J Res Med Sci 2013; 1(4.000): 536-540
Background: Sri Aurobindo Medical College and Post Graduate Institute is a tertiary care center in Indore. The surgical oncology department is performing various oncological surgeries. One subspeciality is thoracic surgery, where surgeries for benign as well as malignant cases are being done. Thoracotomy is done for various lung, pleural and mediastinal pathology. Open and VATS are two main modalities with each having their pros and cons.Methods: All thoracotomies done from 2016 to January 2018 were included in the study. Decortications, wide local excision, lobectomies, pneumonectomies, hilar lymph node dissections were done.Results: Total 30 cases were done in a span of 2 years. Of these 9 cases were done for a malignant origin, 4 for benign tumor, 3 for benign non-infective disease and rest 14 for infective origin. Posterolateral thoracotomies were done most often. Average duration of the procedure was 157 minutes. Average blood loss was approximately 340 ml. Mean duration of stay was 10.9 days.Conclusions: Thoracic oncologic procedures are less often done due to paucity of the cases. However, surgical oncologist being well versed with the anatomy, relations and oncologic concepts can perform both neoplastic as well as infected cases. With increasing number of cases, the standard of care is increasing, operating time is lessened, complications are brought down, and the results are better.
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