ABSTRACT
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.
ABSTRACT
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.
ABSTRACT
Gallbladder-related disease is now one of the commonest indications for elective and emergency surgery. Management of cholecystitis and its complications has evolved dramatically.1There have been significant paradigm shifts in the management of patients since the introduction of laparoscopic cholecystectomy in the mid1990s.2Laparoscopic cholecystectomy is the current gold standard for the treatment of symptomatic cholelithiasis.3But the severity of cholecystitis may be different in every patient and performing laparoscopic cholecystectomy may be difficult accordingly. Conversion from laparoscopic to open cholecystectomy is the essential part of the safe surgical practice if the anatomy is unclear, if complications arise, or if there is failure to make reasonable progress in a timely manner.4 Recently the importance of index admission laparoscopic cholecystectomy has been highlighted.5 In many large series and meta analyses detailed patient demographics and imaging findings have been recorded. A number of international guidelines recommend pathways of care.Attempts have been made to standardize definitions particularly relating to cholecystitis6,7.Despite these advances, significant variability in approaches to care and outcomes in gall-bladder disease management are reported.8While a number of preoperative scoring systems are reported there is no operative classification of findings at laparoscopic surgery.9,10.This limits the ability to compare outcomes or provide a common benchmark for future research. This prospective study was aimed to assess and grade the degree of difficulty in laparoscopic cholecystectomy and their postoperative outcome using intraoperative scoring system devised by Sugrue M et al.