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Background: Laparoscopic cholecystectomy (LC) has now become the gold standard in treatment of benign gall bladder disease. The intraoperative and immediate postoperative complication cannot be disregarded and remain of concern. The study aims to evaluate the perioperative complications of LC in patients undergoing the surgery.Methods: A total of 100 patients were included in this prospective analytical study from a June 2017 to September 2019. They were adequately evaluated and underwent LC in General surgery department of Geetanjali Medical College and Hospital, Udaipur. The relevant clinical details of all the patients were recorded and analysed.Results: Among the patients who underwent LC, majority were females. In case of 86 patients, LC was done due to chronic calculous cholecystitis. The conversion rate from laparoscopic to open was 6%. The most frequent intraoperative complication was trocar site bleeding and liver bed injury, 7%, followed by bile leakage from gallbladder 6%, bleeding from calots triangle in 4% and spilled gallstones in 2% cases. There was no case of injury to common bile duct, bowel injury or major vascular injury. Amongst the post-operative complications, wound infection was in 1% case. No perioperative mortality was present. The overall rate of complication was 18%.Conclusions: LC is a safe and effective procedure in almost all patients presenting with symptomatic gallbladder disease and remains one of the most frequently performed laparoscopic operations. It has a low rate of mortality and morbidity making this operation a safe procedure with favourable results.
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A cutaneous (cornu cutaneum) horn is a rare lesion which usually appears in sun-exposed areas and is very uncommon. It is a conical projection of hyperkeratotic epidermis and can be from a few millimeters to several centimeters in length. Here, we present the case of a large “horn” of long duration, arising in the right postauricular region in a 32-years-old male. The lesion was carefully examined, evaluated, complete excision was done with adequate margins and the defect was closed with primary closure after mobilizing the skin flaps adequately. Histopathologic examination showed the skin with underlying epidermis and extensive hyperkeratosis with no malignant cells seen at the base of the horn. It is important to mention that horn itself, is not the most important issue, but rather the underlying condition, which may be malignant also, needs to be ruled out and addressed.
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Background: In patients of knee pain diagnosis has utmost important for treatment and to avoid unnecessary surgery. MRI is a non-invasive procedure in evaluation of knee joint. So this study was planned find out the prevalence of abnormalities detected by MRI in patients of knee pain. Methods: Fifty patient of knee pain were examined after taking permission from institutional ethics committee by using Siemens Avanto MR machine with a superconducting magnet and field strength of 1.5 tesla using dedicated knee coil (Flex), which were referred from department of Orthopedics & Rheumatology. Results: In this present study 72% patients were males and 28% patients females and their ages ranging from (11-80) years. Knee pain was found common in age group 31-40 years. Menisci lesions (44%) were more common as compared to ligament lesions (14%) in patients of knee pain. Osteoarthritis was found in 40 % of patients of knee pain. Joint effusion and marrow edema was found with incidence of 74% and 62% respectively. 4% patients were suffering from intraarticular tumors. Conclusions: Knee pain can occur at any stage of life due to various causative factors. MRI can demonstrate the exact nature and extent of bony as well as soft tissue abnormality. This has increase the use of MRI in evaluation of patients of knee pain.
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Evidences of spinal tuberculosis have been found in Egyptian mummies and the disease is one of the oldest diseases afflicting humans. The demography, diagnosis, medical and surgical treatment, as advocated currently, have been reviewed with a brief discussion of the literature. Early diagnosis and comprehensive treatment are needed to control this public health problem.