Refine your search
Collections
Journals
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Joshi, Dinesh
- A Prospective Study of Laparoscopic Appendicectomy for the Treatment of Acute Appendicitis
Abstract Views :328 |
PDF Views:88
Authors
Affiliations
1 Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik - 422003, IN
2 Assistant Professor, Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik - 422003, IN
1 Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik - 422003, IN
2 Assistant Professor, Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik - 422003, IN
Source
MVP Journal of Medical Sciences, Vol 5, No 1 (2018), Pagination: 21-25Abstract
Aims and Objective: To study the efficacy, safety and clinical outcome of patients undergoing laparoscopic appendicectomy in the treatment of acutely inflamed appendix. Materials and Methods: Laparoscopic Appendicectomy is used as day to day procedure for acute appendicitis. Case study of 42 patients undergoing laparoscopic appendicectomy is studied in prospective data analysing duration of intraoperative time, complications during surgery, after surgery complications, time until resumption of orals, joining back to work, postoperative debility and length of hospital admission. Results: Total 42 patients underwent laparoscopic appendectomy 21 were male and 21 were female with the mean age of patient undergoing laparoscopic appendicectomy was 26.66 years. Pain in abdomen was most common symptom followed by nausea. All patients were discharged at around second day. Conclusion: Laparoscopic appendicectomy patients were admitted for lesser duration and their post operative pain was of less intensity. Patients of laparoscopic appendicectomy were started oral diet earlier.Keywords
Acute Appendicitis, Laparoscopic Appendicectomy (LA).Full Text
References
- McBurney C. The incision made in the abdominal wall in case of appendicitis with a description of a new method of operating. Ann Surg. 1894; 20:38. https://doi.org/10.1097/00000658-189407000-00004 PMid:17860070 PMCid:PMC1493708
- Semm K. Endoscopic appendectomy. Endoscopy. 1983; 15:59– 64. https://doi.org/10.1055/s-2007-1021466 PMid:6221925
- Chiarugi M, Buccianti P, Celona G, Mastino MCD, Goletti O, Cavina E. Laparoscopic compared with open appendicectomy for acute appendicitis: A Prospective study. Eur J Surg. 1996; 162:385–90. PMid:8781920
- Hellberg A, Rudberg C , Kullman E, Enochsson L, Fenyo G, Graffner H et al. Prospective randomized multi centre study of laparoscopic versus open appendicectomy. Br J Surg. 1999; 86:48–53. https://doi.org/10.1046/j.13652168.1999.00971.x PMid:10027359
- Reiertsen O, Larsen S, Trandsen E, Edwin B, Faerden AE, Rosseland AR. Randomized controlled trial with sequential design of laparoscopic versus conventional appendicectomy. Br J Surg. 1997; 84:482–7. https://doi.org/10.1002/bjs.1800840632
- Martin JV, Memon AM. The Justification for Laparoscopic appendicectomy. Rev Esp Enferm Dig. 1999; 91:447–55.
- Jackson SA, Laurence AS, Hill JC. Does post-laparoscopy pain relate to residual carbon dioxide? Anaesthesia. 1996; 51:485–7. https://doi.org/10.1111/j.1365-2044.1996.tb07798.x PMid:8694166
- Kumar V, Robbins SL, Cotran RS. Robbins’ pathologic basis of disease (4th Ed). Philadelphia: Saunders; 1989. p. 902–3.
- Ronan O’ Connel P. The vermiform appendix. Chapter 70. Bailey and Love’s- Short Practice of Surgery. 24th ed. London: Arnold; 2004. p. 1210–11.
- Butler C. Surgical pathology of acute appendicitis. Hum Patho. 1981; 12:870. https://doi.org/10.1016/S00468177(81)80190-6
- Murphy JB. Appendicitis with original report histories and analysis of one hundred and fifty one laparotomies for that disease under personal observation. JAMA. 1894; (22):302– 4. https://doi.org/10.1001/jama.1894.02420880018001e
- Addiss DG, Shaffer N, Fowler BS. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990; 132:910. https://doi.org/10.1093/oxfordjournals.aje.a115734 PMid:2239906
- Korner H, Sondenaa K, Soreide JA. Incidence of acute non perforated and perforated appendicitis: Age- specific and sex- specific analysis. World J Surg. 1997; 21:313. https:// doi.org/10.1007/s002689900235 PMid:9015177
- Sauerland S, Lefering R, Holthausen U, Neugebauer EA. Laparoscopic vs conventional appendectomy: a metaanalysis of randomized controlled trials. Langenbecks Arch Surg. 1998; 383:289–95. https://doi.org/10.1007/s004230050135 PMid:9776459
- Dayna KB, Al-bareeq R. Laparoscopic versus open appendectomy; retrospective comparison of 1000 cases. Bahrain Medical Bulletin. 2007; 29(3):1–5.
- A Study of Incidence and Risk Factors in Post Operative Abdominal Wound Infection in Tertiary Care Centre
Abstract Views :336 |
PDF Views:115
Authors
Affiliations
1 Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Adgaon - 422003, Nashik, Maharashtra, IN
1 Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Adgaon - 422003, Nashik, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 6, No 1 (2019), Pagination: 8-14Abstract
Introduction: Surgical site infections are associated with substantial morbidity and mortality, increase in hospital stay and enhanced cost of health care. Objective of present study is to analyse the incidence of surgical site infections after major abdominal surgeries and risk factors for development of SSIs. Methods: It is observational study carried out at Department of General Surgery, Dr. Vasantrao Pawar Medical College, Nashik, Maharashtra, India. This study carried on 70 patients operated in general surgery department. The various parameters studied were age and sex of patients, presence of diabetes, hypertension malignancy, type of surgery (emergency and elective surgery), duration of surgery, and the class of wound etc. Results: Hypertension, malignancy of operated patients had surgical site infection. Significant risk factors are age, obesity, emergency surgery, dirty and contaminated wounds, prolonged hospital stay, Diabetes mellitus. Staphylococcus aureus and E. coli are most commonly identified organisms in culture. Conclusions: Post-operative abdominal wound infection represents a substantial burden of disease, both for the patients and the healthcare services in terms of the morbidity, mortality and economic costs.Keywords
Abdominal Surgery, Surgical Site Infection.Full Text
References
- Awad SS, Palacio CH, Subramanian A, Byers PA, Abraham P, Lewis D, et al. Implementation of a methicillin-resistant Staphylococcus aureus (MRSA) prevention bundle results in decreased MRSA surgical site infections, American Journal Surgery. 2009; 198:607−10. PMid: 19887186. https://doi.org/10.1016/j.amjsurg.2009.07.010.
- Owens CD, Stoessel K. Surgical site infections: Epidemiology, microbiology and prevention, Journal Hospital Infection. 2008; 70(Sul. 2):3 https://doi.org/10.1016/S0195-6701(08)60017-1.
- Amit Agrawal, Singh RP. Surgical site infection in abdominal surgeries: A clinical study, Journal of Evolution of Medical and Dental Sciences. 2014; 3(40):10188−93. https://doi.org/10.14260/jemds/2014/3324.
- Nandita Pal, Rajyasri Guhathakurta (Mukherjee). Surgical site infection in surgery ward at a tertiary care hospital: The infection rate and the bacteriological profile, IOSR Journal of Pharmacy. 2012 Sep-Oct; 2(5):01−05. https://pdfs.semanticscholar.org/c26f/fd82ea7388d-717a6445f56b49b18ed9fb873.pdf.
- Jonathan T Tan, Kristina Coleman, Sarah Norris, Jayashree Mapari, Satyanand Shastri, Laurent Metz. SSI in India: A systemic review of incidence and economic burden, Health Technology Analysts Pty Ltd, Sydney, Australia, Johnson and Johnson Medical Asia-Pacific; 2010:01.
- Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee, Infection Control and Hospital Epidemiology. 1999 Apr; 20(4):250−78. https://doi.org/10.1086/501620. PMid: 10219875.
- Anderson DJ, Sexton DJ, Kanafani ZA, Auten G, Kaye KS. Severe surgical site infection in community hospitals: Epidemiology, key procedures and the changing prevalence of methicillin resistant Staphylococcus aureus, Infection Control and Hospital Epidemiology. 2007; 28:1047−53. https://doi.org/10.1086/520731. PMid: 17932825.
- Barie PS. Surgical site infections: Epidemiology and prevention, Surg Infect (Larchmt). 2002; 3(Suppl 1): S9−21. https:// doi.org/10.1089/sur.2002.3.s1-9, https://doi.org/10.1089/10962960260496307.
- Suchitra JB, Lakshmi Devi N. Impact of education on knowledge, attitudes and practices among various categories of health care workers on nosocomial infections, Indian Journal Medical Microbiology. 2007; 25:181−87. https://doi.org/10.4103/0255-0857.34757. PMid: 17901633.
- Giri S, Kandel BP, Pant S, Lakhey PJ, Singh YP, Vaidya P. Risk factors for surgical site infections in abdominal surgery: A study in Nepal, Surgical Infections. 2013 Jun 1; 14(3):313−18. https://doi.org/10.1089/sur.2012.108. PMid: 23672239.
- Nwankwo EO, Ibeh I, Enabulele OI. Incidence and risk factors of surgical site infection in a tertiary health institution in Kano, North Western Nigeria, International Journal of Infection Control. 2012 Oct 7; 8(4). https://doi.org/10.3396/ijic.v8i4.035.12.
- Kakati B, Kumar A, Gupta P, Sachan PK, Thakuria B. Surgical site abdominal wound infections: Experience at a north Indian tertiary care hospital, Indian Academy of Clinical Medicine. 2013 Jan.
- Khairy GA, Kambal AM, Al-Dohayan AA, Al-Shehri MY, Zubaidi AM, Al-Naami MY, AlSaif FA, Al-Obaid OA, Al-Saif AA, El-Farouk OY, Al-Abdulkarim AA. Surgical site infection in a teaching hospital: A prospective study, Journal of Taibah University Medical Sciences. 2011 Dec 31; 6(2):114−20. https://doi.org/10.1016/S1658-3612(11)70172-X, https://doi.org/10.1016/S1658-3612(11)70181-0.
- Mahesh CB, Shivakumar S, Suresh BS, Chidanand SP, Vishwanath Y. A prospective study of surgical site infections in a teaching hospital, Journal of Clinical and Diagnostic Research. Oct 2010; 4:3114−19.
- Patel Sachin M, Patel Mitesh H, Patel Sangeeta D et al. Surgical Site Infections: Incidence and Risk Factors in a Tertiary Care Hospital, Western India, National Journal of Community Medicine. 2012 Apr-Jun; 3(2):193−96.
- Malik AZ, Ali Q. Surgical site infections after elective surgery in Pakistan: Surgipak Study, Journal of Rawalpindi Medical College (JRMC). 2015; 19(3):209−14.
- Khadilkar R, Khsirsagar V, Khadilkar S, Bendre M, Chavan S. A comprehensive study of 100 patients of SSI (Surgical Site Infections) in patients undergoing abdominal surgery, Elective/Emergency, in our Hospital. Journal Medical Science and Clinical Research. 2017; 5(4):20947−50. DOI: https://dx.doi.org/10.18535/jmscr/v5i4.192.
- Study of Different Methods of Midline Laparotomy Incision Closure and their Outcomes
Abstract Views :141 |
PDF Views:85
Authors
Affiliations
1 Associate Professor, Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Former PG Resident, Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
1 Associate Professor, Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Former PG Resident, Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 8, No 2 (2021), Pagination: 249–252Abstract
Background: The closure of such a laparotomy wound is important to minimize the postoperative complications like wound pain, infection, dehiscence and incisional hernia Aims: The objectives of this study was to study the various techniques of midline laparotomy incision closure and their outcomes like wound dehiscence, wound infection and incisional hernia up to six months. Materials and Methods: A total of 100 patients who were operated for midline laparotomy were included as subject material after they satisfied the inclusion and exclusion criteria. Results: Most common indication of laparotomy in the study was gastric ulcer perforation. Incidence rate of surgical site infection, wound dehiscence and incisional hernia was lower in cases of smaller bite length. Incidence rate of surgical site infection wound dehiscence and incisional hernia was lower with continuous suturing. Conclusion: The study results showed that best technique for midline laparotomy incision closure is small bite continuous suturing with mass closure. The small bites technique with continuous suturing showed better results than small bite technique with interrupted suturing. Present study thus recommends that small bite continuous suturing with mass closure should be considered as the standard closure technique for midline incisions.Keywords
Incisional Hernia, Small Bite Continuous Suturing with Mass Closure, Surgical Site Infection, Wound DehiscenceFull Text
References
- Ellis H. Midline abdominal incision. Br J Obstet Gynecol.
- ; 91:1-2. https://doi.org/10.1111/j.1471-0528.1984.
- tb05269.x. PMid:6229270.
- Sutton G, Morgan S. Abdominal wound closure using a running, looped Monofilament polybutester suture: Comparison to Smead-Jones Closure in Historic Controls.
- Obstet Gynecol. 1992; 80(4):650-654.
- Gandhi JA, Shinde PH, Digarse RD. Evaluation of abdominal wall closure technique in emergency laparotomies at a tertiary care hospital. Int Surg J. 2016; 3:1796-1801. https:// doi.org/10.18203/2349-2902.isj20162813.
- Mahey R, Ghetla S, Rajpurohit J, Desai D, Suryawanshi S. A prospective study of risk factors for abdominal wound dehiscence. Int Surg J. 2017; 4:24-28. https://doi.
- org/10.18203/2349-2902.isj20163983.
- Gislason H, Viste A. Closure of burst abdomen after major gastrointestinal operations-comparison of different surgical techniques and later development of incisional hernia. Eur J Surg. 1999; 165:958-961. https://doi.
- org/10.1080/110241599750008071. PMid:10574104.
- Varghese F, Gamalial J, Kurien JS. Skin stapler versus sutures in abdominal wound closure. Int Surg J. 2017; 4:3062-3066.
- https://doi.org/10.18203/2349-2902.isj20173888.
- Inamdar MF, Singh AR, Inamdar NM. Incisional hernia: risk factors, clinical presentations, and pre-peritoneal polypropylene mesh repair. Int Surg J. 2017; 4:1189-1194.
- https://doi.org/10.18203/2349-2902.isj20170896.
- Deshmukh SN, Maske AN. Mass closure versus layered closure of midline laparotomy incisions: A prospective comparative study. Int Surg J. 2018; 5:584-587. https://doi.
- org/10.18203/2349-2902.isj20180357.
- Diener MK, Voss S, Jensen K, Büchler MW, Seiler CM.
- Elective midline laparotomy closure: the INLINE systematic review and meta-analysis. Ann Surg. 2010; 251(5):843.
- https://doi.org/10.1097/SLA.0b013e3181d973e4.
- PMid:20395846