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DOI: 10.21276/aimdr.2018.4.2.SG4 Original Article ISSN (O):2395-2822; ISSN (P):2395-2814Annals of International Medical and Dental Research, Vol (4), Issue (2) Page 11Section: Surgery A Study On The Dietary Habits And Their AssociationWith The Symptoms In Patients With Hemorrhoids And Fissure-in-Ano: A Case Control Study From A South Indian Tertiary Care Hospital. Shaffaf M P1, Kunhi Mohammed K P2, Siddharth Matad3 1Junior Resident, Department Of Surgery, Government Medical College, Manjeri, Kerala, India. 2Assistant Professor, Department Of Surgery, Government Medical College, Manjeri, Kerala, India. 3Senior Resident Department Of Surgery, Government Medical College, Kozhikode, Kerala, India. Received: January 2018 Accepted: January 2018 Copyright:© the author(s), publisher. Annals of International Medical and Dental Research (AIMDR) is an Official Publication of “Society for Health Care & Research Development”. It is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.ABSTRACT Background: Both hemorrhoids and fissure-in-ano contribute to the spectrum of anorectal disorders which generate significant patient discomfort and disability. Etiological factors associated with development of symptomatic hemorrhoids include intake of low fiber diet, inadequate fluid intake, altered bowel habits leading to constipation etc. Aim: 1.To study the dietary habits of patients presenting with haemorrhoids and fissure in ano. 2. To determine the effect of altered dietary habits on the symptomatology. Methods: Case Control study conducted over one year between august 2016 to august 2017 at Department of surgery, Government Medical College, MANJERI. Results: The mean age of patients having hemorrhoids is 42.9years in case group and 44.0years in control group. Where as, the mean age of patients with fissure-in-ano is 37.1years in case group and 39.6years in control group. Majority of patients in the study population of hemorrhoids are male (84%) while female patients (56%) have more anal fissures. The p value of all analysis is <0.05. Conclusion: From this study, it has been concluded that in patients with hemorrhoids, bleeding per rectum gets aggravated with consumption of non vegetarian food items, fasting in the morning and intake of ≤ 1L of oral liquids and reduced consumption of diet containing fibre.
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Background: Trauma is the most common cause of death in people younger than 45 years of age and accounts for more years of life loss than cancer, heart disease, and stroke combined. Aim: 1. To establish the pattern and outcome of solid visceral injuries in blunt abdominal trauma, 2. Most reliable investigation for diagnosing a case of solid visceral injury in blunt trauma abdomen, 3. To analyse the various modalities of treatment and interventions done for solid visceral injury in a blunt abdominal trauma patient. Methods: Prospective Observational study conducted over one year between august 2016 to august 2017 at Department of surgery, Government Medical College, Kozhikode. Results: Among 180 patients, 82 cases [45.6%] were in age group 21-40 yrs . There were 151 males out of 180 cases [83.9 %]. . Male to female ratio was 5.2:1 . Most common mode of injury was road traffic accident [RTA] 47.8%. Conclusion: Blunt trauma was the commonest type of abdominal injury seen in our Department of Surgery and the spleen was found to be the most common organ injured in blunt trauma. The most common cause was road traffic accidents.
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Background: Varicose veins are commonly encountered vascular disease with wide variety of surgical and minimally invasive /interventional modes of treatment .we put forth a novel economical and efficient technique of performing high ligation, long saphenous vein stripping and Muller's hook phlebectomy in tumescent local anaesthesia compared with spinal anaesthesia. AIM &OBJECTIVE: The purpose of the study was to compare a novel technique of performing phlebectomy and invagination stripping of the GSV using tumescent anesthesia and spinal anesthesia in terms of post operative pain, complications. Methods: A total of 200 patients (100 patients in each arm of spinal anaesthesia group, and tumescent anaesthesia group) diagnosed cases of varicose vein lower limb being operated with phlebectomy and invagination stripping of the GSV at Surgery Department of Government Medical College and Hospital, Kozhikode, Kerala were considered in this study. Consecutive sampling was done. Results: Of these patients, 120 (60%) were female and 40 were male (40%) with a mean age of 35.4 ± 8 and 47.4 ± 14 years, respectively No statistically significant difference with respect to the wound infection, local discomfort, postoperative recurrence rates of varicosity and patients satisfaction score was observed (P > 0.05. Conclusion: Tumescent local anesthesia is a novel, economical and efficient technique of performing high ligation, long saphenous vein stripping and Muller's hook phlebectomy when compared to doing under spinal anaesthesia with similar results.