ABSTRACT
Introduction: Inguinal hernia repair is one of the most commonly performed surgeries in the world. The surgeon today has the liberty to select from a wide variety of prosthetic meshes. Whether the newer meshes can replace the time-tested Lichtenstein mesh repair is a subject of ongoing debate. Objectives: To determine the feasibility of using the Prolene Hernia System (PHS) and to compare it with Lichtenstein repair for open tension-free repair of inguinal hernias. Materials and Methods: Lichtenstein mesh repair and PHS repair were performed on 60 inguinal hernias in 55 patients in KIMS, Hubli. All these patients were followed up for a period of 2-year. Results: The mean age of the population in PHS group is 49.90 ± 15.93 years and in Lichtenstein group is 50.63 ± 1.19 years. The mean duration of surgery in PHS group is 46.67 ± 6.48 min and in Lichtenstein group is 46.33 ± 7.18 min (P > 0.05). Most of the surgeries were completed between 41 and 50 min. The mean duration of post-operative hospital stay in PHS group is 3.63 ± 1.22 days and in Lichtenstein group is 4.10 ± 2.25 days (P > 0.05). 1 (3.3%) patient in PHS group and 2(6.7%) patients in Lichtenstein group had seroma (P > 0.05). 1 (3.3%) patient each in PHS group and in Lichtenstein group had wound infection (P > 0.05). 2 (6.7%) patients in PHS group and 3 (10%) patients in Lichtenstein group had groin pain which lasted for >3 months (P > 0.05). None of the patients in both the groups had recurrence till the time of publication of results. Conclusion: Lichtenstein mesh repair continues to be an effective means for treating inguinal hernia with minimal complications. PHS mesh repair is a suitable alternative to the time-tested Lichtenstein mesh with comparable outcomes and can be suggested in affordable patients as it eliminates the possibility of all types of hernia.
ABSTRACT
Th e skin is the largest organ of the body and is mainly responsible for the cosmetic appearance of the body. Squamous cell carcinomas (SCCs) are a group of cancers arising from a squamous layer of epithelium. Th e squamous cells are the main part of the epidermis of the skin, and this cancer is one of the major forms of skin cancer. Squamous cells also occur in the lining of the digestive tract, lungs, and other areas of the body. SCC is commonly seen on the ear, lower lip, face, and rarely on the scalp. Here, we report a case of 63-year-old female with recurrent SCC of the scalp, the available treatment modalities and a review of the literature.
ABSTRACT
Mesh repairs for inguinal hernia are one of the commonest surgeries performed in a surgeons practice. Hernioplasty for inguinal hernia is considered to be the gold standard because of excellent results and minimal complications. The complications of hernioplasty include mesh infection, migration and rejection. Mesh rejection can be expected following mesh infection and usually manifests within few days to months following surgery. Few cases of mesh migration and erosion into peritoneal cavity have been described and these cases usually present months after surgery. Here we report a case of mesh erosion into the skin, 8 years following hernioplasty. This is the first case described in literature of mesh erosion into the skin. This is also a case wherein a complication of hernioplasty manifested as late as 8 years following surgery. This report suggests that mesh related complications are unexpected and can manifest any time after surgery.
ABSTRACT
Dermatoglyphics is known to be one of the best available diagnostic tools in genetic disorders. This paper aims to find out the diagnostic characteristic dermatoglyphic features in cytogenetically confirmed 46, XY female patients. The total number of patients studied (46, XY females) were 31 and the control consisted of 30 males and 30 females. Dermatoglyphic features, studied and tabulated, were: (a) Finger pattern frequency, (b) total finger ridge count (TFRC), absolute finger ridge count (AFRC), a-b ridge count, 'atd' angle and (c) palmar patterns eg, simian crease, Sydney line, hypothenar pattern, interdigital patterns. Results confirmed significant differences between the 46, XY females and the control groups: (i) 46, XY females had increased ulnar loops but decreased whorls as compared to control males (overall finger pattern frequency). (ii) The right thumb in 46, XY females had less whorls and more ulnar loops than both male and female control groups (individual finger pattern frequency). (iii) 46, XY females had lowered TFRC, AFRC, a-b ridge count than corresponding control groups (both control males and females). Significant differences were not observed for the 'atd' angle, interdigital patterns, hypothenar pattern, simian crease and Sydney line.