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OBJECTIVES & AIMS:• To evaluate the outcome of different Reconstructive surgery in oral cavity carcinoma• To determine the factors which increase the complication in post op reconstructive surgery(like – diabetes, hypertension, smoking etc.)• The effect of flap transfer on complication or on post op rehabilitation of patients in oralcavity carcinoma.MATERIALS AND METHODS: This is a prospective study conducted at GCS hospital,Ahmedabad between oct. 2021 to June 2022. Sample size is 40 patients with case of oral cavitycarcinoma, out of which some cases underwent for PMMC Flap, Radial forearm free flap, ALTfree flap, fibula flap, forehead rotational flap, deltopectoral flap and local flap.CONCLUSION:Risks have not increased complications in PMMC or Free flap group in our study. Various otherstudies have similar results however a larger patient pool may be needed to assess them. ThePMMC flap is more favorable for patients with possibly lethal pre-op morbidities, when a longoperation is not advisable and a small defect is expected as compared to the longer operationduration of ALT free flap & Radial free flap.Though the flap related complications & donor site related complications are more with foreheadrotational flap as compared to PMMC. ALT & Radial forearm free flap, statistically there is nosignificant difference. Also, in the functional post-op outcomes there is minimally statisticallysignificant difference with PMMC flap, ALT free flap or Radial free flap, local flaps and otherreconstructive surgery.
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INTRODUCTION: Cellulitis is a bacterial infection of the skin and subcutaneous tissuethat is more generalized than erysipelas and associated with broken skin and pre-existingulceration. Mild cases of cellulitis are generally treated with oral antibiotics, GlycerinMgSO4 dressing & affected part elevation and severe cases required admission & higherantibiotics, skin & blood culture & sensitivity & in case of systemic symptoms & abscessoperative management is required.AIMS AND OBJECTIVES:• To observe the outcome of conservative and operative patients in view ofcomorbidity and after treatment complications.• Following factors are accounting before conclusive outcome.• To understand the patients characteristics, comorbidity and mode of presentation.• To study spectrum of organism isolated from patient undergoing conservative oroperative management.• To compare treatment modality and outcome in management of cellulitis.MATERIAL & METHODS: Data consists of primary data collected by the principalinvestigator directly from the patients who were admitted from OPD in the GCS medicalcollege and hospital. It was observational study for a period of six months from April2022 to September 2022 under sample size was 50 cases.CONCLUSION: We recommended Operative management over Conservativemanagement in cellulitis because single operative incision can release toxic fluid fromaffected part and can promote faster healing and better recovery and less hospital stay.Patient has less mental trauma, less pain and more economical benefits in Operativemanagement therefore study concludes Operative management is superior Compared toConservative management. However, conservative management is preferable in earlystages of cellulitis.
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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.