Comparative Study of Conventional Three Ports with Single Port Laparoscopic Inguinal Hernia Repair in a Tertiary Care Hospital

Introduction: Inguinal hernia repair is the most frequentlyperformed surgical procedure worldwide. Advances inlaparoscopic techniques have ushered an opportunity toimprove and improvise many surgical procedures. Singleincision laparoscopic surgery (SILS) was developed withthe aim of reducing the invasiveness of conventionallaparoscopy, and has been successfully performed by manysurgeons. Aim of the study was to asses the safety andfeasibility of single por laparoscopic approach for inguinalhernia repair.Material and methods: This study was conducted on 50patients presenting to Acharya sri chander college of MedicalSciences and Hospital, Sidhra, Jammu ASCOMS over aperiod of one year from November 2011 to October 2012 withuncomplicated inguinal hernia in whom 25 patients underwentsingle port laparoscopic TAPP(SPL-TAPP) hernia repairand 25 underwent conventional three port transabdominalpreperitoneal hernia repair.Results: No significant differences were noted among patientdemographics. The age group ranged from 20-60 years. Themean Age, weight and height in SPL-TAPP were 44.4, 59.46and 157.2 cm respectively. Mean operative time, hospital stayin single port TAPP was significantly lower as compared toconventional surgery. Moreover postoperative complicationswere also lesser in SPL-TAPP with almost no reoccurances.Conclusion: Single port TAPP offers to be safe andefficacious with minimum reoccurances and shorter hospitalstay

Surgical Management of Giant Skull Osteomas in Western UP Region

Benign osteoblastic anomalies are uncommon bone tumors and commonly divided into osteoid osteomas and benign osteoblastomas according to their biological behaviour. Among these primary benign bone tumor osteomas are the most commonly found at the site of skull and face. Osteomas are usually asymptomatic as they increase in size slowly. Therefore, present study was designed to evaluate the clinical, radiological, and surgical aspects of osteomas in patients with giant skull lesions. Methods: This study was conducted in CNS Hospital, Centre for Neurosciences and Narayan Superspeciality hospital, Meerut and SVBP Hospital associated with LLRM Medical College, Meerut between the period of 2015 and 2018. The 12 successive patients with giant osteomas were treated surgically in the hospital. The patient population consisted of adult female patient ranging from 12 to 70 years with median age of 40 years and having giant cranial osteomas involving the cranial vault and some with extension into the paranasal sinuses or orbital wall. Results: Most common site of lesions was frontal portion of skull. Further, most common complaint of the patients was headache (50%). Further, slowly growing mass (44.4%) was the second most common complaint followed by proptosis in one patient. The mean diameter was 5.75 cm with range of 3 to 10 cm in all patients. The mean time duration of the patients of the onset of the tumor was 3 years with range from 6 months to 5 years. Histopathology picture of the patients revealed that tumors were composed of oestoid lamina. Further, different quantity of osteoid with major cement lines were found in trabeculae of laminae. Conclusion: Osteomas are normally benign tumors without any symptoms; However, surgical removal could be required for the cosmetic reasons. On the other hand, for the osteomas with different symptoms surgical treatment is the only choice of treatment. A considerable precaution and care of blood supply and surrounding brain tissue should be taken during radical extraction of the giant tumors.

Efficacy and Safety of Azithromycin Combined with Mosapride in Patients with Diabetic Gastroparesis / 中国药师

Objective:To explore the efficacy and safety of azithromycin combined with mosapride in the patients with diabetic gastroparesis ( DGP) . Methods:Totally 70 cases of patients with DGP were randomly divided into the observation group and the control group. All the patients were given drugs to control the blood sugar ( injection of insulin or oral administration of hypoglycemic drugs) . The patients in the observation group were given azithromycin enteric-coated tablets 0. 25g per time, once a day, and mosapride tablets 5mg per time, three times a day, while the patients in the control group were only given mosapride tablets 5mg per time, three times a day. The treatment course was 4 weeks. The clinical curative effect and drug adverse reactions ( ADR) in the two groups after the med-ical treatment were observed, and the reoccurrence rate after one-year following-up was compared as well. Results: After the 4-week treatment, the total clinical efficiency in the observation group was much higher than that in the control group (94. 29% vs. 77. 14%, P0. 05). The reoccurrence rate in the observa-tion group was much lower than that in the control group (P<0. 05). Conclusion:Azithromycin combined with mosapride shows reli-able curative effect in the patients with DGP with high security, which can effectively reduce the reoccurrence rate of the patients.

The Effect of Psychotherapy on Recurrence of Depression / 中国心理卫生杂志

Objective: To explore the effect of psychotherapy on relapse and reoccurrence of depression. Methods: 85 depressive patients were divided into psychotherapy group and control group. One year later, SDS、HAMD、MMPL scales and P300 potentials test were used to evaluate the effect.Results: The scores of SDS、HAMD scales of the psychotherapy group were significant lower than those of the controls(P