ABSTRACT
Background: Haemorrhoids are one of the most common benign anorectal problems worldwide. The treatment of thirdand fourth-degree haemorrhoids is surgical. Surgical haemorrhoidectomy and Stapled haemorrhoidopexy are the currently available surgical interventions in the management of haemorrhoids. The aim of the study is to evaluate the effectiveness of open haemorrhoidectomy with minimal invasive procedure for haemorrhoids (MIPH). Methods: 80 cases were selected for this study which were divided into two groups of 40 each. Open surgery (Milligan-morgan haemorrhoidectomy ) was done in one group and MIPH in 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
The risk of hypothyroidism after hemithyroidectomy is variable and not well studied. Our aim was to evaluate the incidence of post-hemithyroidectomy hypothyroidism and identify possible risk factors which indicate whether patients require thyroid function monitoring after surgery. Methods: This study was conducted amongst 60 patients who had undergone hemithyroidectomy in the Department of Surgery, F. M Medical College, Odisha from Jan 2018 to April 2019. Thyroid hormone test were done to determine the incidence of hypothyroidism. The incidence of hypothyroidism was analyzed. Results: We observed that 15% of cases developed overt and 5% developed sub-clinical hypothyroidism following hemi-thyroidectomy. Maximum number of cases was diagnosed within 18 weeks of surgery. Conclusion: Incidence of hypothyroidism following hemithyroidectomy in our study is high amounting to 20% which includes both subclinical as well as overt cases. Overt cases being treated with Levothyroxine and subclinical cases had been followed up carefully.
ABSTRACT
Gastric carcinoma often present with nonspecific symptoms like dyspepsia. Early diagnosis of gastric carcinoma is of utmost importance to reduce mortality. Our aim was to detect gastric carcinoma in patients presenting with dyspepsia symptoms for upper gastrointestinal endoscopy and to study the incidence of stomach carcinoma related to factors like age, alcohol and smoking. Methods: This prospective study was a study of 130 patients with dyspepsia attending OPD of general surgery, F. M Medical College, Balasore, during the period from Jan 2018 to Jan 2019. A detail history was taken and clinical exam was carried out. Patients were selected according to the inclusion criteria. All patients underwent routine investigations, endoscopic evaluation & biopsy. Results: Out of the 130 patients subjected to gastric endoscopy, 13 (10%) of them had gastric carcinoma. Mean age of the patient in the study was 54.7 yrs. Majority of the patients were males 60% (n - 78) and females were 40% (n - 52). Gastric carcinoma was predominantly seen in males - 69% and females - 31%. Gastric carcinoma had strong association with smoking 100%, which showed peak in incidence in the fifth and sixth decade. Conclusion: High index of suspicion by clinicians and availability of endoscopic facilities may help to detect early lesions, especially in elderly patients with dyspepsia.
ABSTRACT
Recently there has been an increase in the incidence of obstructive jaundice due to malignant causes. Our aim was to diagnose and compare the surgical procedures to palliative procedures. Methods: This study was conducted on 250 patients at S.C.B Medical College & hospital, Cuttack, Odisha. The diagnosis of mechanical obstruction to the biliary tree is often difficult as the clinical features and biochemical investigation results may vary. Results: Non operative management with endoscopic stenting and interventional radiological procedures (PTBD) was 1st choice in certain group of patients. Conclusion: Most common site of the tumors are in the head of the pancreas (56.8%). The maximum incidence of malignant obstructive jaundice is between age 51 years and 60 years (28.8%).