ABSTRACT
Haemorrhoids are dilated veins which descend down to the anus present as pain during defaecation, bleeding and a protruding mass outside the anus. The aim of the study is to evaluate the effectiveness of open haemorrhoidectomy with minimal invasive procedure for haemorrhoids (MIPH). Methods: 60 cases were selected for this study .30 patients each were divided into two groups.Open surgery ( Milligan-morgan haemorrhoidectomy ) was done in one group and MIPH for the other group .The follow up period was one year .The duration of post. operative pain, complications, level of satisfaction was documented . The relative merits and demerits of the procedures were assessed and the results documented. Results: MIPH is a safe and effective procedure in patients presenting with haemorrhoids .Duration of hospital stay is less and hence return to work is earlier. Conclusion: MIPH can be considered as a procedure of choice in patients presenting with grade II, grade III and grade-IV haemorrhoids.
ABSTRACT
Colonic anastomosis is mostly due to to primary colonic diseases like volvulus, carcinoma, strangulation, injuries and stricture .As a result intestinal ischaemia and gangrene develops and finally the affected bowel is resected and end to end anastomosis is done .The aim of the study is to evaluate the effectiveness and outcome of colonic anastomosis by single layer or double layer. Methods: 134 cases were selected for this study.69 patients were taken up for single layer and 65 for double layer anastomosis. Single layer anastomosis has a better outcome in terms of healing, less time consuming and minimal complications. Results: Single layer takes less time, post. Operative complications are minimal, duration of hospital stay is less and mortality and morbidity is reduced. Conclusion: Single layer anastomosis should be a preferred technique and a procedure of choice for colonic anastomosis.
ABSTRACT
Gall stones,gall bladder polyps,porcelain gall bladder leads to carcinoma.Malignancy is detected with a history of gall stone disease and patient presents with non-specific symptoms such as abdominal discomfort,right upper quadrant pain,nausea,vomitting,weight loss,anorexia and jaundice at a later stage .The aim of the study is to find the incidence of gall bladder carcinoma in cases of routine cholecystectomy. Methods: 100 cases were selected for this study. Open cholecystectomy / laparoscopy were done as routine cases and sent for histo-pathological study .The patients were clinically examined.clinica; symptoms, USG findings were corroborated. The follow up period was one year .The age of presentation,clinical examination,USG findings,was documented. Results: Gall bladder carcinoma is arare disease and 7 times more common in patients with gall stones. Conclusion: Predisposing conditions like gall bladder polyps more than 2 cms,porcelain gall bladder may tend to develop malignancy.Morbidity and mortality is associated with this disease due to early spread to liver,lymph node spread and jaundice.