Study Of Post Operative Scrotal Oedema Following Open Inguinal Hernia Surgery

Aims & Objectives: Our objective is to study the association between open Inguinal Hernioplasty and Post-operative Scrotal Edema and whether Specific Manipulation can be done to prevent this complication. 1.to determine the utility of scrotal sonography in the evaluation of patients with scrotal swelling following inguinal hernia repair. 2.to see if the scrotal edema occurrence is significant and warrants immediate intervention 3.to rule out scrotal hematoma or testicular atrophy in patients with scrotal edema and pain. Methodology a prospective observational study involving 50 patients according to the following criteria from the department of surgery in lg hospital maninagar ahmedabad Inclusion Criteria : all planned open hernioplasty patients Exclusion Criteria : emergency operated for any obstructed/strangulated hernia/recurrent inguinal hernia CONCLUSION scrotal edema following open hernioplasty may not be burden but has a huge impact on the aesthetic as well as overall satisfaction of the patient after the elective surgery. the data analysed and the care taken during dissection of the sac and precautions taken to produce minimal injury to the surrounding venules and cord structures can not suffice the purpose. our conclusion is: not all the scrotal edema require further intervention or investigation and methods on reduction in incidence of edema should be encouraged by intraoperative caution.

Comparative Study Of Medical Therapy Versus Medical Therapy With Aspiration Of Pus In Treatment Of Liver Ab

Liver abscesses, both amoebic and pyogenic, continue to be an important cause of morbidity and mortality in tropical countries. The advances in radiology like ultrasonography and CT scan since last 30 years including imaging and interventional techniques resulted in introduction of radiological guided aspiration and drainage of intra-abdominal abscesses [1]. The most common mode of treatment of liver abscess is Medication. Many cases are refractory to medical therapy and secondary bacterial infection may complicate 20% of amoebic liver abscess. In such patients, aspiration and/or drainage have been the traditional mode of treatment.Operative drainage is associated with significant (10 to 47%) mortality and morbidity.