ABSTRACT
Anal fissure is common cause of anal pain. Exact aetiology of anal fissure is not known, but it is commonly seen due to constipation and hypertonic anal sphincter conditions. Studies on the method of treatment of anal fissure ranges from medical application to surgery. We have study of 200 cases of fissure in Ano for comparing in between treatment options of anal dilatation (AD) and lateral anal sphincterotomy (LAS). Patients were divided in two groups by randomly. In our study it has been shown that all the patients after anal dilatation significantly reduces the anal pain and provide symptomatic relief that is slightly better than lateral anal sphincterotomy
ABSTRACT
Abstracts: Background & Objective: Incisional hernia of anterior abdominal wall is very common pathology come across in general surgical practice. Numerous surgical procedures have been described to repair them, with varying degree of success. This study aims to find the place of shoelace darn in the repair of anterior abdominal wall incisional hernias. Methodology: Fifty patients with anterior abdominal wall incisional hernias were managed by shoelace darn method in this prospective study. The details of operative technique have been described. Results: Shoelace darn repair of anterior abdominal wall incisional hernia was relatively easy procedure associated with fewer complications. There were no true recurrences noted. Conclusion: Shoelace darn repair still remains an excellent technique in the management of anterior abdominal wall incisional hernias, despite advent of mesh and laparoscopic repair.
ABSTRACT
Abstracts: Backround: Recurrent and complex bilateral inguinal hernias are associated with high recurrence rate. Giant prosthetic repair of visceral sac (GPRVS) is popular in America and Europe. In India it is less frequently performed procedure .we wanted to prospectively analyse the procedure. Methodology: In this prospective study 50 patients were operated, at our institute, over 2.5 years, for bilateral inguinal hernias, which included direct, indirect, recurrent and re-recurrent hernias. Patients were treated by GPRVS method of stoppa. Patients were observed for complications and followed up in O.P.D. for at least 1 year. Results: Developing pre-peritoneal plane was quite easy and there were minimal complications. Operative time varies from 30 minutes to 90 minutes and recurrence rate was nil at 1 year follow up. Conclusion: GPRVS is a very good operation for recurrent and re-recurrent inguinal hernias with minimal morbidity and mortality.