ABSTRACT
Background:Acute peritonitis is an acute inflammation of the peritoneum, either localized or generalized. If there is delay in diagnosis and appropriate treatment, it may worsen the condition and produce a fata outcome. Acute peritonitis is an abdominal emergency containing 20-25% of total emergency. Laparoscopy has a significant role in diagnosis as well as management of acute peritonitis. Methods:The patients were selected from indoor registration cases from V.S. General Hospital from 2010-2012. In total, 30 patients underwent diagnostic and therapeutic laparoscopy for acute peritonitis. Results and Interpretation:Acute peritonitis is distributed in both sexes at almost same frequency. Acute peritonitis is distributed in all age groups. It is more common in 16-45 years age group which contains approximately 65-70%. Appendicitis is the major cause of peritonitis. Other causes were pericholecystic collection and perforation was the cause in 10% of patients. Conclusion:Diagnosis and management of the patient with acute peritonitis is a challenging part of a surgeon’s practice. Laparoscopy has a small but substantial role to play in relatively stable patients of acute peritonitis.
ABSTRACT
Background: Preparation for surgery has traditionally included the routine removal of body hair from the intended surgical wound site. Hair is removed as its presence can interfere with the exposure of the incision and subsequent wound, the suturing of the incision and the application of adhesive drapes and wound dressings. Hair is also perceived to be associated with a lack of cleanliness and hair removal is thought to reduce the risk of surgical site infections (SSIs). SSIs are experienced by around 10% of patients in the UK each year and can result in delayed wound healing, increased hospital stays, unnecessary pain and in extreme cases the death of the patient. Three methods of hair removal are currently used: shaving, clipping and chemical depilation. When a surgical operation is to be conducted through a hair bearing part of the body, hair removal is often performed. Aims & Objective: This study aimed to evaluate the relationship of two methods (shaving and depilation cream) of preoperative hair removal to adequacy of hair removal, skin injury and reaction during hair removal, postoperative wound infection in a developing country where razor shaving is very popular. Material and Methods: Consecutive consenting patients scheduled to have such operations were randomized into two groups. One group had hair removal by shaving with a razor blade while the other had hair removed by depilatory cream. Adequacy of hair removal and presence of skin injuries and/or reactions were noted preoperatively. Details of the procedures were recorded and patients were then assessed for postoperative wound infection. Results: A total 215 patients were studied. Of the 103 patients who had hair removal by depilatory cream, hair was completely removed in 93 (91%) compared to 69 (62%) of the 112 patients who had razor hair shaving. Skin injuries were noted in 32 (29%) of the razor group and 4 (4%) of patients who had depilatory cream. 18 patients (8%) had postoperative wound infection including 3 (3%) in the depilatory cream group and 15 (13%) of the razor group. A significant association was found between preoperative skin injuries and postoperative wound infections. Conclusion: Preoperative hair removal with razor shaving predisposes to skin injuries which in turn significantly influence postoperative wound infection rates. Such injuries and resultant wound infection are fewer when depilatory cream is used for hair removal.
ABSTRACT
Acute appendicitis remains the most common abdominal surgical emergency. Appendicectomy is the standard treatment of acute appendicitis, which performed by open or laparoscopic approach. During open method, after removal of appendix, stump simple ligation or simple ligation and invagination. A prospective randomized study conducted at Smt SCL General Hospital, Smt NHL municipal Medical College, Ahmedabad between October 2009 to September 2011 to evaluate the necessity of appendicular stump invagination during appendicectomy. A total 110 patients were studied and randomized into two group, Group I stump simple ligation, transfixation and invagination and Group II stump simple ligation and transfixation only. There was no statically significant difference in the rate of postoperative complication and post operative hospital stay between the two groups. The mean operating time was significantly shorter in group without invagination. The rate of postoperative paralytic ileus was more in group I. We conclude that simple ligation of the appendicular stump during appendicectomy is safe, simple and shortens operating time.
ABSTRACT
Inguinal hernia repair is one of the most frequently performed surgical procedures in pediatric patients. An inguinal hernia does not resolve spontaneously and must be repaired because of high risk of complications. A retrospective analysis was performed on the hospital records including operative notes of admitted pediatric patients, aged up to 12 years, who underwent inguinal herniotomy. On observation, male affect more than female , right side inguinal hernia more common than left, due to let decent of testis on right side. Early detection and repair of inguinal hernia in pediatric is essential to decrease the potential morbidity and operative complications rate. This needs an increase in popular and pediatric awareness.