ABSTRACT
Hemorrhoidal disease is a common reason for consultation in proctology and a public health problem responsible for discomfort and urgent request relief. Patients mostly complain of pain, discomfort, bleeding, and itching. Currently, combining an anoscope and a Doppler transducer makes it possible to detect and bind the arteries responsible for congestion selectively thereby reducing the blood flow and thus collapsing haemorrhoids.(1) Doppler-guided ligation of haemorrhoidal vessels is being proposed as a treatment of grade 2 and 3 haemorrhoids.(2)METHODSAll patients attending the outpatient department of general surgery at Sri Siddhartha Medical College and Research Institute with characteristics of grade 2 and grade 3 haemorrhoids were included in the study. In this prospective study, we compared the results of open haemorrhoidectomy and DGHAL techniques by means of duration of surgery, postoperative pain, post-operative need for analgesics, post hospital stay, and complications. Ninety-six patients were enrolled in this study and were subsequently divided into two groups of 48 members in each. Group A patients received an open haemorrhoidectomy and Group B received a DGHAL.RESULTSDuration of surgery was for DG-HAL group is significantly lesser than open haemorrhoidectomy. Post-operative pain score using VAS was significantly lesser in DG-HAL than open haemorrhoidectomy. Post-operative need for analgesics was significantly lesser in DG-HAL than open haemorrhoidectomy. Post-operative hospital stay, and complications were significantly lesser in DG-HAL group than Open haemorrhoidectomy.CONCLUSIONSDG HAL repair seems to be a safe method of treatment of 2nd and 3rd grade haemorrhoidal disease with no major complications and a high rate of good short-term results. DGHAL is more useful when compared to Milligan–Morgan technique in terms of duration of surgery, post-operative pain, post-operative need for analgesics, post-operative hospital stay, as DGHAL reduces the complications in surgery.
ABSTRACT
Non communicable diseases [NCD] will account for 73% of deaths and 60% of the global disease burden by 2020. Physical activity plays a major role in the prevention of these non communicable diseases. The stress involved in meeting responsibilities of becoming a physician may adversely affect the exercise habits of students. So, the current study aimed to study the practice of physical activity among undergraduate medical students. A cross sectional study was conducted among 240 undergraduate medical students. Quota sampling method was used to identify 60 students from each of the four even semesters. A pre tested, semi structured questionnaire was used to collect the data. Statistical Package for Social Sciences [SPSS] version 16 was used for data entry and analysis and results are expressed as percentages and proportions. In our study, 55% were 20 to 22 years old. Over half of the students were utilizing the sports facilities provided by the university in the campus. Majority of students 165 [69%] had normal body mass index [BMI], [51] 21% were overweight, while 7 [3%] were obese. Of the 62% who were currently exercising, the practice of physical activity was more among boys as compared to girls [62% v/s 38%]. Lack of time 46 [60.5%], laziness [61.8%], and exhaustion from academic activities [42%] were identified as important hindering factors among medical students who did not exercise. A longitudinal study to follow up student behavior throughout their academic life is needed to identify the factors promoting the practice of physical activity among students