ABSTRACT
Background: Seitz bath in post-perineal surgery minimizes pain by reducing anal sphincter tone and also maintains hygiene. The aim and objective of this retrospective study is to compare the effect of warm versus regular room temperature seitz bath. The article clears the concept of seitz bath. The seitz bath gives psychological satisfaction of dressing to patient and helps in boosting the concept of hygiene in their mind.Method: Study design for this study was comparative study of warm and room temperature seitz bath on 60 patients by convenience sampling operated for perineal diseases from 01 November 2019 to 30 March 2020 with written informed consent of patient and fulfilling ethical requirements at Rajiv Gandhi Medical College, Thane, Mumbai. Patients with immunocompromised status and comorbidities like diabetes, tuberculosis, HIV were excluded from study this was the criteria for the study.Results: Out of 60 postoperative cases having perineal wounds, 35 (58.33%) patients opted for warm water seitz bath, while the rest 25 (41.66%) preferred regular room temperature seitz bath. In spite of a greater number of patients opting for warm seitz bath, wound recovery in terms of healing and wound discharge was almost similar in both the study groups. All the patients involved in the study were comfortable to resume their daily activities with significant reduction in pain by the end of first week irrespective of the choice of seitz bath they opted for.Conclusion: The study concludes that symptomatic relief and wound recovery in the operated cases of perineal surgeries completely independent of the choice of seitz bath practiced.
ABSTRACT
Background: The choice of dressing material and to give wound cover varies according to the type of ulcer and the surgeon’s experience. It is practically not possible to do comparative evaluation among different types of dressing material and method to dress. The ideal dressing material and method to dress must be cost effective, comfortable to patient and early wound healing with minimal sequel of scar tissue. The article discusses about a newer method cost effective and patient friendly dressing to achieve effective end result in wound healing.Methods: Retrospective analysis of 50 patients treated from 01 April 2019 to 31 August 2019 by open dressing with written informed consent of patient and fulfilling ethical requirements at Rajiv Gandhi Medical College, Thane, Mumbai. The selection criteria of patients were cases with pressure dressing are excluded. The diabetic (40%), venous (20%) and traumatic (20%) ulcers are selected.Results: Out of 50 cases, in 76% sample cases ulcer healed by secondary intention without skin grafting. It was noticed better early improved status of the ulcer by excellent granulation tissue and without deterioration in status of large ulcers (24%), operated for skin grafting. The concept of covering wound by washed cotton cloth after regular wound wash, antiseptic ointment, and adjuvant conservative therapy, helped to improve patient’s comfort during outpatient department visit and inpatient department stay.Conclusions: It concludes that the newer concept of wound cover by washed cotton cloth is patient friendly and cost effective without compromising the status of wound healing.
ABSTRACT
Intramuscular hemangiomas are rare benign neoplasms accounting for <1% of all hemangiomas. Intramuscular hemangiomas are relatively uncommon and frequently misdiagnosed, due to their vague presentations. In any patient with soft-tissue mass suspected of a hemangioma, MR imaging may provide very specific information regarding the characteristics, the origin, and the extent of the lesion than other imaging modalities. The definitive diagnosis is made by histopathological study of the surgical specimen. Here, we present a case report of intramuscular hemangioma occurring in the left infraspinatous muscle in an 18-year-old boy. Due to rare nature of such lesions, the patient's diagnosis was delayed and patient was treated for chronic pain in left shoulder joint. Magnetic resonance imaging finally clinched the diagnosis and patient was successfully operated upon and subsequently cured.