ABSTRACT
Background: Inguinal hernia results from the failure of embryonic closure of the deep inguinal ring and is the most common cause of swelling in the groin region. However, an inguinal hernia is not the only cause for swelling in that region. Objectives: The main aim and objective of this study were to evaluate female patients with swellings in the inguinal region in terms of incidence, clinical presentation, age distribution, and differential diagnosis. Methods: The present clinical study was carried out at the Department of General Surgery; Shimoga Institute of Medical Sciences, Shimoga from March 2014 to March 2015. All the patients were thoroughly investigated, and surgical procedures were done. Results: Among the 10 cases studied, 6 cases were the regular inguinal hernia and the rest 4 cases were a subcutaneous lipoma. The ultrasonography of the part had revealed it has hernias. Surgical procedures were done and specimens obtained were sent to histopathological examination. Conclusion: The present study reveals that all inguinal swellings need not be a hernia and it can be due to other causes also and ultrasonography of the part is not the conclusive diagnostic tool.
ABSTRACT
Background: Acute appendicitis is an infrequent, yet one of the commonest surgical emergency encountered in pregnancy. Recorded incidence is about 1:1500 pregnancies. The aim of this study was to determine the risk factors associated with prenatal outcome in acute appendicitis during second and third trimester pregnancies. Open access surgery was done due to non-availability of laparoscopy. Methods: A total of 10 pregnant women who were diagnosed with acute appendicitis between Jan 2011 to Jan 2013 were presented and 7 of them operated by open access surgery. Results: Seven pregnant women who were diagnosed with acute appendicitis were operated upon during late pregnancy. The interval between symptom onset and surgery was the only predictive variable. A longer interval between symptom onset and surgery was associated with appendix perforation than with no appendix perforation. There was a significant difference in the rate of preterm labor (5.1% vs. 1.3%) and the rate of fetal mortality (25% vs. 1.7%) between patients with and without a perforated appendix. Conclusion: Delaying surgery correlates to more advanced disease with an increased risk of perforation. This contributes to an increased risk of further complications, including premature labor or abortion, and to higher maternal complication rates. Prompt diagnosis may improve the prenatal outcome.
ABSTRACT
Background: There is higher incidence of gall stones in Karnataka and more commonly seen in women aged between 25 to 55 years. In this study men are also encountered with gall stone. As all the gall stones cannot be removed by laparoscopic procedure, the complicated and adherent gall bladder with stones and where laparoscopic procedure is not available are removed by conventional open method of cholecystectomy and in this study open cholecystectomy procedure is dealt in detail. Methods: Open cholecystectomy through Right Kocher’s incision. Results: In this study of 10 cases with complications of gall stones dealt surgically by doing open cholecystectomy gave satisfactory postoperative results without much postoperative complications. Conclusions: Among 10 cases of open cholecystectomy 6 cases were done through duct first method and 4 cases were done through fundus 1st method, which gave good results and less postoperative complications.