RESUMEN
Background: Dermatofibrosarcoma protuberance is relatively uncommon low to intermediate grade malignant neoplasm with characteristic cytogenetic features. It constitutes less than 0.1% of all malignant neoplasms. Although metastasized rarely, it is locally aggressive tumour with high recurrence rate. It is a one of the rare type of law grade sarcomas that occur s anywhere in the body, usually arise from trunks and extremities. It rarely arises from abdominal wall. Objectives: The main objective of the present study was to study the outcome of surgical treatment of dermatofibrosarcoma protuberance. Methods: This study included 4 patients all retrospective and prospective from September 2008 to December 2013. They were subjected to detailed history taking and examination with relevant investigations and were subjected to surgery. They were followed up for at least 36-month period to assess for any recurrence. Results and Interpretation: Out of 4 patients, all were males. Mean age of presentation was 32 years. Site distribution was 25% trunk, 50% extremities and 25% neck. All patients underwent wide local excision. At the end of follow-up period of up to 3 years after surgery Overall recurrence rate was nil. Because of the potential of local recurrence, therapy for DFSP should be directed toward adequate local excision of the primary lesion. Minimal resection should include a surrounding margin, comprising 3-cm margin of normal skin and removal of underlying deep fascia. Compromising on margins invites higher chances of local recurrence. Conclusion: DFSP behaves like a locally infiltrating neoplasm. Despite their locally aggressive behaviour, distant metastasis occurs with extreme rarity. Because of this, it is reasonable that therapy should be directed towards adequate local excision of the primary lesion. Compromising on margins always invites higher chances of local recurrence.
RESUMEN
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.
RESUMEN
Background & objectives: Varicose veins and their associated symptoms and complications constitute the most common chronic vascular disorders leading to surgical treatment. The objectives of the study are analysis of the clinical features of varicose vein and to know the various treatment modalities adapted for the management of varicose veins. Methods: A prospective follow up was undertaken for 25 patients who were admitted for various symptoms of varicose veins. They were subjected to detailed history taking and examination with relevant investigations including Doppler venous study and were subjected to surgery. They were followed up for at least 6-month period to assess long-term morbidity, late complications. Results and Interpretation: In our study, maximum number of patients 8 (32%) were presented in the 31-40 years age group. In our study, in 13 (52%) cases, right lower limb was involved and in 10 (40%) cases left lower limb was involved and in 8 (8%) both limbs were involved. In the present study, the commonest symptom in 24 (96%) cases was that of dilated and tortuous veins. 13 (52%) cases had complaints of pain in the affected limb and 5(20%) cases had limb edema, venous ulcer was present in 18 (72%) of cases. Most patients were subjected to operative management.Conclusion: The outcome of cases of primary varicose veins depends on a thorough and complete clinical examination and duplex scan by experienced radiologists. Operative line of treatment is a primary procedure in the management of varicose veins of lower limbs.