RESUMEN
Background: The purpose of this study was to test the effectiveness and safety of Hyperbaric Oxygen HBOT group (HBOT) in improving brain function in Traumatic brain injury patients suffering acute neurocognitive impairments. Aims: To study efficacy & safety of hyperbaric oxygen HBOT group on mortality and morbidity in acute traumatic brain injury with respect to degree of recovery, speed of recovery, length of stay in the hospital. Methods: In this prospective study we present 100 cases of head injuries. Patients were included in the study according to inclusion criteria. Fifty of them assigned to the control group and 50 to the HBO treatment group. Allocation is done by chit method in control and HBOT group. Glasgow coma score was obtained pre HBOT and post HBOT. The outcome was assessed by two blinded independent examiners. Results: All patients were assessed for improvement in GCS score. The average improvement in GCS score was 5.29% and 3.87% in HBOT and control group respectively. Similarly the average hospital stay was 12.26% days in the HBOT and 27% in the control group. Conclusion: Hence we would like to conclude that, HBOT is safe and effective for acute brain injury.
RESUMEN
Background: Large liver abscess requires drainage by pigtail catheter. These catheters tend to get blocked frequently and thus takes long period of time to completely drain. So we wanted to study whether inserting a large bore catheter would drain the abscess faster thus decreasing the stay and requirement of antibiotics. Aim: To study the effectiveness of wide bore PVC catheter (20 Fr) in drainage of large peripheral liver abscess as compared to the use of pigtail catheter (10 Fr). Methods: The study was prospective comparative study done at a tertiary care hospital. Over a period of 22 months, 60 patients of amoebic liver abscess were assigned to undergo pigtail catheter drainage by 10 Fr. Versus wide bore 20 Fr PVC catheter drain and the outcomes were compared. Results: Use of wide bore (20 Fr) PVC catheter significantly decreased the duration of treatment, led to faster drainage of abscess and decreased incidence of recurrence in large amoebic liver abscess, as compared to pigtail catheter drainage by the standard 10 Fr pigtail catheter. Conclusion: 20 Fr PVC catheter is safe and efficacious for evacuating large solitary peripheral liver abscesses and should be preferred to narrow bore pigtail catheter.
RESUMEN
Background: Modified Hassab’s surgery is one of the Devascularisation procedure for controlling hemetemesis due to oesophageal varices. It has less chances of encephalopathy and mortality. We have studied 20 patients of oesophageal varices with portal hypertension and operated for Modified Hassabs Procedure. Aim: To determine the efficacy of Modified Hassab’s procedure for portal hypertension, due to causes other than Schistosomiasis, to determine the short term outcome and long term follow up of patients treated with this procedure regarding oesophageal varices, rebleeding, liver function, ascitis, encephalopathy and mortality following Modified Hassab’s procedure. Methods: This study was conducted at a single teaching hospital in Mumbai over a period of six years. 20 patients were studied for immediate and long term complications. Results: Oesophageal varices resolved in 11 patients (55%), regressed in 7 patients (35%), Fundic varices completely resolved in all the 4 patients. There was rebleed in two patients and was treated by sclerotherapy. There was no encephalopathy or mortality. Conclusion: We conclude that Hassabs Procedure is effective, and good control of varices can be achieved in portal hypertension patients due to Portal Vein Thrombosis and Portal Cavernoma, Cirrhosis of liver, Non Cirrhotic Portal Fibrosis.