ABSTRACT
The concept of sutureless mesh as well as light weight mesh came into play because of inguinodynia. Thisstudy was chosen most importantly to determine the post-operative persisting chronic pain after the use ofsutureless mesh. Data was collected from patients attending Govt. Medical College & Hospital, Jammu OPD,admitted in the department of surgery that underwent sutureless mesh hernioplasty for inguinal hernias. Thesepatients were followed up at 3 days, 3 weeks, 3 months and 6 months for postoperative pain, any recurrenceor development of complications. In this study, 40 patients having inguinal hernia were taken. 38 (95%) weremales and 2 (5%) were females. The age of the patients ranged between 30 to 80 years with mean age of54.53±14.88 years. Post-operative pain was studied according to VISUAL ANALOG SCALE scoring, out of10. Mean post-operative pain score after 3 days was 2.70±1.16, which decreased to 0.85± 1.10 at 3 weeks(68.52% decrease) and after 3 months it was 0.30±0.72 (with an 88.89% decrease). There were no othercomplications. The study concluded that the use of self-fixating mesh in open inguinal hernia repair is asimple, safe, rapid and effective option and is associated with low post-operative pain.
ABSTRACT
Background: Pyogenic Liver abscesses are potentially life threatening if left untreated. They pose a major Diagnostic and therapeutic challenge to modern world. Interventional radiology is becoming standard of care for liver Abscesses.Methods: All patients of pyogenic liver abscess admitted to Government Medical College and hospital Jammu, J and K, India from October 2018 to November 2019 were prospectively studied. Demographics, presentation, lab reports and management strategies were evaluated.Results: Total of 60 patients of pyogenic liver abscesses were studied with 81.7% males. Alcohol was found to be most common risk factor with 55% of patients being alcoholic. Right lobe of liver was involved in 66.7% of patients. Segment VI and VII were involved in 50% of patients. The most common clinical symptom was right upper quadrant pain (98.3%), followed by fever (91.7%). The most common clinical sign was right upper quadrant tenderness (91.7%). Percutaneous drainage with catheter placement was the most common and successful modality of management associated with least hospital stay.Conclusions: Pyogenic liver abscess is a rare but serious problem. Early diagnosis and treatment are necessary to avoid mortality. Percutaneous drainage along with I.V antibiotics is the best form of management.
ABSTRACT
Background:Dysphagia is a commonly encountered clinical problem & limited data exist regarding the spectrum of dysphagia etiologies in this region. Our aim was to access the spectrum of dysphagia etiologies in North India. Methods: This was a prospective analysis of data collected over a period of four years for patients presented with complaint of dysphagia. All consenting patients presented with dysphagia irrespective of age, sex, duration and etiology of dysphagia were enrolled. After detail history, clinical examination and base line investigations, all patients underwent upper GI endoscopy, findings were noted and biopsy taken in case of pathological lesion found during endoscopy.Results:A total of 58 patients presented with symptoms of dysphagia were enrolled in this study. Among these patients 37 were male and 21 were female and age ranges from 17- 100 years. Thirty one patients were diagnosed to have benign pathology, four had moderate to severe dysplasia and 23 were diagnosed to have malignant pathology. Most common benign etiology was GERD and most common malignant etiology was squamous cell carcinoma. Conclusion: Squamous cell carcinoma and GERD are two most common etiologies for dysphagia in our study group. Dysphagia was more common in males and malignant dysphagia was more in elderly smokers and naswar users.