ABSTRACT
Background and Aim: Choledocholithiasis is a one of common diagnosed condition in India. Biliary passage should be clear to prevent obstructive jaundice and its complications. This study intends to study management of choledocholithiasis by Choledochoduodenostomy (CDD) and T-tube drainage in our institute. Methodology:12 patients of choledocholithiasis were included in study from January 2014 –December 2014. Ethics approval from institutional commitee was obtained. Patients were treated by Choledochoduodenostomy (CDD) and T-tube drainage. Routine follow up for 6 months was done for any complications.Conclusion:Combined Choledochoduodenostomy (CDD) and T-tube drainage prevents the chances of recurrent or residual stones that occur after Choledocholithotomy and Only T-tube drainage as well prevent chances of leakage and narrowing of stroma that occur after only CDD.
ABSTRACT
The term gossypiboma is used to describe as a mass due to retained surgical sponge after surgery. It is rare, but serious complication that is seldom reported because of the legal implications. The present study was carried out at the tertiary health center from January 2013 to April 2015. Five cases were studied prospectively. Gossypiboma usually has a varied and a vague presentation that makes it difficult to detect on radiological investigations. Sometimes, it can remain quiescent and could even present years after the operation. Though rare, gossypiboma should be kept in mind as a differential diagnosis in post-operative cases presenting as vague pain or recurrent chronic abdominal pain or long term foul smelling sinus discharge even years after the operation. Four out of five cases had colonic perforation, which was managed by primary closure. Fecal diversion was not required in any of the patient. Gossypiboma is avoidable, but serious rare post-operative complication. It is usually asymptomatic and has non-specific radiological findings. Hence, the diagnosis is often delayed. Gossypiboma can cause wide variety of complications like perforation and adhesion to the adjacent structures.
ABSTRACT
Background: Hydatid disease also known as Arterius (9-79 AD) and Galen (130-200 AD). It was known at that time as “water tumor of the chest” and “liver full of water.” Reddi (1664), Hartmann (1683) and Tyson (1691) first suspected cystic disease of the liver in animals. Materials and Methods: Hydatid disease is still a major health problem in the infested areas of the world. Surgery is the mainstay of treatment. A disease with a recurrence rate of 10-12% makes it mandatory to have a high diagnostic accuracy of investigations, a full proof treatment regimen and better preventive methods aiming at control and eradication of this age-old disease. Results: Hydatid disease commonly affects liver followed by lung other less common organs are the spleen, kidney, pancreas, and muscle. Surgery is the treatment of choice. Ultrasonography and computed tomography scan having tremendous value in the diagnosis of hydatid disease. Conclusion: Liver is the most common organ involved followed by lung, spleen and kidney. Females are more affected than male. Enucleation is the treatment of choice.