Evaluation of post operative pain in single and multi visit endodontic therapy with rotary instruments

The objective of this study is to evaluate post operative pain in single and multi visit endodontics therapy with rotary instrument. This study may help the clinicians to decide to complete the RCT in one visit. Experimental Study. This study was conducted in Department of Operative Dentistry LUH Hyderabad, from July 2010 to Jan 2011. This study was performed to compare post obturation pain following single and multiple visit root canal treatment [RCT] with rotary instruments. Sample size was sixty six permanent anterior teeth which were divided into Group A [Single visit] and Group B [Multiple visit] with 33 teeth in each group. After taking informed written consent routine RCT steps were carried out like access opening, canal path finding, and radiographic working length determination. Canal preparation was done by Pro Taper rotary files up to F2 size file with 2.5% sodium hypochlorite irrigation. In Group A obturation was done at same visit lateral condensation and in Group B, after canal preparation calcium hydroxide as intra canal medication was given for 7 days. Then the canal was obturated by lateral condensation technique and temporized with cavit. The patients were recalled at three specific post obturation periods, after 24 hours, 7 days and one month and were evaluated to determine pain severity on verbal rating scale. Chi Square test and Fridman test were used to interpret the results. The results of present study indicated almost same degree of post obturation pain in both groups

Outcomes of open mesh hernia repair: five years' experience at Chandka medical college hospital Larkana

Objective: to document the outcomes of open mesh repair in the management of various Hernias

Study design: a descriptive case-series study

Sampling technique: non-probability purposive

Place and duration of study: department of Surgery, Unit-I Chandka Medical College Hospital, Larkana, from July 2003 to June 2008

Patients and methods: two hundred and eighty patients of hernia operated by sublay mesh repair were analyzed for postoperative outcomes as pain, surgical site infection, hematoma/seroma, sinus formation and recurrence. Data were collected by filling specially designed proforma for each patient. Follow up visits were scheduled at three weeks, six weeks, three months and six months postoperatively

Results: polypropylene sublay mesh repair was performed in 280 patients of hernia comprising of 174 males and 106 females with male to female ratio of 1.6:1. Age ranged from 20 to 78 years, mean 51 years. Inguinoscrotal hernia was the commonest type [52.5%], followed by periumbilical hernia [26.25%] and incisional hernia [13%]. Postoperatively 254 [91%] patients had uneventful recovery, 15 [5.3%] had surgical site infection, while 11 [3.9%] patients developed seroma. Neither recurrence nor chronic discharging sinus was noted

Conclusion: open mesh repair for hernia is a safe and effective technique, associated with low morbidity. Technique has proved to be simple and easy to perform, with minimal postoperative pain and early mobilization