RESUMEN
Background: Pyogenic Liver abscesses are potentially life threatening if left untreated. They pose a major Diagnostic and therapeutic challenge to modern world. Interventional radiology is becoming standard of care for liver Abscesses.Methods: All patients of pyogenic liver abscess admitted to Government Medical College and hospital Jammu, J and K, India from October 2018 to November 2019 were prospectively studied. Demographics, presentation, lab reports and management strategies were evaluated.Results: Total of 60 patients of pyogenic liver abscesses were studied with 81.7% males. Alcohol was found to be most common risk factor with 55% of patients being alcoholic. Right lobe of liver was involved in 66.7% of patients. Segment VI and VII were involved in 50% of patients. The most common clinical symptom was right upper quadrant pain (98.3%), followed by fever (91.7%). The most common clinical sign was right upper quadrant tenderness (91.7%). Percutaneous drainage with catheter placement was the most common and successful modality of management associated with least hospital stay.Conclusions: Pyogenic liver abscess is a rare but serious problem. Early diagnosis and treatment are necessary to avoid mortality. Percutaneous drainage along with I.V antibiotics is the best form of management.
RESUMEN
The concept of sutureless mesh as well as light weight mesh came into play because of inguinodynia. Thisstudy was chosen most importantly to determine the post-operative persisting chronic pain after the use ofsutureless mesh. Data was collected from patients attending Govt. Medical College & Hospital, Jammu OPD,admitted in the department of surgery that underwent sutureless mesh hernioplasty for inguinal hernias. Thesepatients were followed up at 3 days, 3 weeks, 3 months and 6 months for postoperative pain, any recurrenceor development of complications. In this study, 40 patients having inguinal hernia were taken. 38 (95%) weremales and 2 (5%) were females. The age of the patients ranged between 30 to 80 years with mean age of54.53±14.88 years. Post-operative pain was studied according to VISUAL ANALOG SCALE scoring, out of10. Mean post-operative pain score after 3 days was 2.70±1.16, which decreased to 0.85± 1.10 at 3 weeks(68.52% decrease) and after 3 months it was 0.30±0.72 (with an 88.89% decrease). There were no othercomplications. The study concluded that the use of self-fixating mesh in open inguinal hernia repair is asimple, safe, rapid and effective option and is associated with low post-operative pain.