ABSTRACT
OBJECTIVE: The present study is designed to compare early and interval laparoscopic/open cholecystectomy in patients of acute cholecystitis. The comparison was done on the basis of parameters such as intraoperative difficulty, perioperative bile duct injury and bile leak, time taken for operation, postoperative atelectasis, postoperative wound infection, duration of hospital stay and postoperative pain. METHODOLOGY: This is a prospective study conducted in Department of General surgery, GCS MEDICAL COLLEGE, HOSPITAL AND RESEARCH CENTRE from AUGUST 2018 to DECEMBER 2019. 56 patients were enrolled in the study from which 26 patients were randomly assigned to early lap/open cholecystectomy and 30 were assigned to interval lap/open cholecystectomy group. RESULT: There was no significant difference observed between the two groups. However, the duration of hospital stay was less in early laparoscopic/open cholecystectomy. CONCLUSION: Both the methods, early and interval have no significant benefit over each other but through review of all literature, early lap/open cholecystectomy is found to be beneficial overall with less hospital stay.
ABSTRACT
Introduction : Varicose Veins are Defined as “ Permanently Elongated, Dilated vein/veins withtortuous path causing pathological circulation”.Varicose veins can develop anywhere in the bodybut are most commonly seen in the lower limbs. A detailed knowledge of the mechanism ofhemodynamic failure and the underlying anatomy is important in deciding treatment of the patientwith chronic venous disease.Methodology : The aim of this study was to determine the correlation between differentcomplications of varicose veins and Recurrence rate of Complications with the treatmentundergone by the patient. Total 30 patients were randomly assigned to Conservative management(i.e. Limb End Elevation, Elastic Stockings Application & Intermittent Bed rest to avoid prolongedStanding) or Surgical management (i.e. Trendelenburg Operation with Great Saphenous VeinStripping).Special focus was given to the follow-up visit of the patients who were asked to be present forreview every week, till two months so as to be vigilant regarding the occurrence of complications.Results : Out of 30 patients, 15 were treated surgically while 15 were treated conservatively. Eleven(11) patients in total developed some complications in post treatment part. The commonestcomplication observed in post surgical patients was haematoma. Recurrence of Varicosity wasseen in 4 patients who were previously managed conservatively. A single case of wound infectionand ulcer formation were observed in each respectively. Out of the 11 patients who had developedsome complications, 5 patients had undergone surgical management, while 6 patients hadundergone conservative management.Conclusion : Surgical Intervention is better than conservative management in Varicose veins. Therate of complications / recurrence over a 2 months period was less in the surgical group than in thegroup managed by conservative therapy.