ABSTRACT
Background: Specialized female surgical clinics are the basic requirement in surgical department which should be addressed routinely. The management of surgical problems in female patients requires multidisciplinary approach mainly general surgery, obstetrics and gynaecology, general medicine, paediatrics, dermatology and psychiatry. If proper care is provided then this will uplift the follow up of same patients in such clinics. The objective of the study was to assess the success rate of female surgical clinics and to determine the follow up visits done by female patients once visited the female surgical clinics.Methods: Prospective educational interventional study was conducted. A total of 952 patients visiting the clinic were studied. Statistical analysis was done.Results: Out of 952 cases 944 (99.2%) cases were willing to continue visit to the clinic, while 809 (84.9%) cases revisited for follow up treatment in female surgical clinics within one year duration.Conclusions: It can be concluded that there is a requirement and need of a fully functional specialized female surgical clinic in our hospital. As the success rate for follow up visit by patients in this clinic was high.
ABSTRACT
Introduction: The third most commonly reported nosocomial infection is surgical site infection (SSI). This infection has an adverse impact on the hospital as well as on the patient. A continuous surveillance is required and a check on the occurrence of SSI is essential. Objectives: 1. To study the incidence of SSIs in our institution. 2. To study the predisposing factors in causation of SSIs. 3. To study the effect of antibiotic prophylaxis in the prevention of SSIs. Methodology: A 1-year study of SSI was conducted in our hospital. 82 cases of surgery were included in the study. A few host factors, wound factors, and surgery-related factors that cause SSIs were studied. Post-operative examination was done after 48 h or even earlier if there was soakage or patient had high temperature or disproportionate pain at the site of wound, and thereafter, it was done every 2nd day or as and when needed. Patients were followed up till their stitches were removed. Patients were told about the signs of SSI and were asked to report to the observer as soon as they noticed first sign of SSI till 1 month. Results: Incidence of SSI was 24.3% in our study. The incidence was found to increase with advancing age, anemia, increase blood sugar levels, prolonged duration of surgical procedure, duration and timing of surgery, addiction, and post-operative use of drain in surgeries. Escherichia coli (12.1%) and Staphylococcus aureus (8.53%) were the most commonly isolated organism with SSI in our institution. Conclusions: The outcome of the SSI surveillance in hospital revealed that to decrease the incidence of SSI the duration of the surgeries performed should be decreased. Identification of poor risk patients should be done and their proper management should be ensured.
ABSTRACT
Th e report presents a case of a rarely occurring totally impacted two bilateral maxillary distomolar and single bilateral mandibular distomolar. Th e appearance of supernumerary teeth is a relatively uncommon dental anomaly and it is rare for patients to have six impacted distomolars. Th e aim of this case report is to describe the presence of bilateral distomolars in the maxilla and mandible in a young female patient aged 19 years. Orthopantomogram revealed impacted six bilateral distomolars. Following orthodontic treatment, the patient was referred for removal of distomolars along with all the four impacted third molars under local anesthesia.