ABSTRACT
Pancreaticogastrostomy is a less known operation for drainage. In this series pancreaticogastrostomy was done in 37 patients with dilated ducts during the period from 2002-2008. Anastomosis of the pancreas to the posterior wall of stomach was performed using pancreatic duct to gastric mucosa technique. The cases were followed up and it was seen that pancreaticogastrostomy is an effective operation for chronic pancreatitis. Most patients (89%) got relieved of pain for first several years. It is also a less time taking procedure to perform as no Roux-en-y construction is needed.
Subject(s)
Adult , Aged , Anastomosis, Surgical/adverse effects , Drainage/adverse effects , Female , Humans , Male , Middle Aged , Pain Measurement , Pancreatic Ducts/surgery , Pancreatitis, Chronic/diagnosis , Postoperative Complications , Quality of Life , Stomach/surgery , Treatment Outcome , Young AdultABSTRACT
The pelvic cavity is a basin-like space in the lowermost part of the abdomen where various neoplastic and non neoplastic lesions can occur involving its contents. When the nature of lesions are not clearly gynecological, patients are managed by surgeons. Our study aims to asses the clinicopathologic analysis of neoplastic lesions of the pelvic cavity managed by surgeons particularly over a period of 2 years. Out of 162 total lesions, 102 cases were non neoplastic, such as appendicular lump, Tubo-ovarian (TO) mass, hematoma and 60 cases were neoplastic. Among the 60 cases of neoplastic lesions, 40 cases were benign comprised of twisted ovarian cyst, broad-ligament fibroid, and neurofibroma and 20 cases were malignant comprised of colorectal carcinoma, ovarian carcinoma, liposarcoma, Primitive nurectodermal tumor (PNET), seminoma, and lymphnode metastasis. The lesions in such closed, difficult to approach areas throws clinicians into a diagnostic dilemma during both the preoperative and intraoperative period. Even pathologists cannot ascertain some diagnosis without the help of immunohistochemistry. So, to adopt early and concise management protocol, there should be more such studies in different institutions that are currently lacking in world literature.
Subject(s)
Academic Medical Centers , Adult , Age Distribution , Aged , Colorectal Neoplasms/epidemiology , Female , General Surgery , Humans , India/epidemiology , Leiomyoma/epidemiology , Liposarcoma/epidemiology , Lymph Nodes/pathology , Male , Middle Aged , Neurofibroma/epidemiology , Ovarian Cysts/epidemiology , Pelvic Neoplasms/epidemiology , Pelvis/pathology , Seminoma/epidemiology , Sex DistributionABSTRACT
In the present study 105 patients underwent appendicectomy by lateralised transverse cosmetic incision over a period from January, 2005 to September, 2007. Six patients developed complications like wound infection and fever. Wound infection was managed with antibiotics, postoperative pain with simple analgesics like tramadol hydrochloride and paracetamol. This cosmetic incision possesses maximum economic benefit. Even laparoscopic method takes more time, cost and skilled personnel.