Indian Journal of Public Health Research & Development

Ravi Dasyam ¹

Affiliations
1 Department of General Surgery, Nimra Institute of Medical Sciences, Nimra Nagar Jupudi(v), Ibrabimpatnam, Krishna (Dist) Andhrapradesh, IN

Abstract

63 adult patients (40 males and 23 females) aged between 30 to 70 years of umbilical hernia were studied. 13(20.6%) were alcoholic, 10(15.8%) were HTN, 7(11.1%) were smokers, 9(14.2%) had coronary artery diseases, 11(17.4%) were DM, 8(12.6%) were DM, 8(12.6%) were obese, 5(7.9%) were tobacco chewers, the clinical manifestation was 17(26.9%) had severe pain, 16(25.3%) had abdominal distention, 20(31.7%) had swelling, 8(12.6%) had irreducible hernia, 2(3.1%) had vomiting. Blood investigation study included sodium in 45mm/dl (66.6%) patients had 134-136, mg/dl, 21(33.3%) had 137-138. mm.In serum albumin study-39 (61.9%) mg/dl patients had 3.2 to 5.1 mmand 24(38%) had 6.1 to 7 mg In serum creatinine study 44(69.8%) patients had 1.2 to 1.3 mg/α and 19(30.1%) had 104 to 1.5 mg/dlin serum Bilirubin study 48(76.1%) patients had 1.8 to 1.9 mg/dl and 15 (23.8%) had 2.2 to 2.4 mg/dl In WBC count study 43(68.2%) patients had 6.2 to 6.9 20(31.7%) had 7.1 to 9.2 In platelet count study 44(69.8%) patients had 145.7 to 149, and 19(30%) had 150 to 160 the percentage of post operative infection were 11(17.4%) had wound infections in anatomical group, 8(12.6%) patients had wound infections in mesh group, 9(14.2%) had seroma in anatomical repair, 7(11.1%) had seroma in mesh repair. The percentage of recurrence of umbilical hernia were 9(14.2%) had anatomical repair, 8(12.6%) had mesh repair.

Keywords

Necrotic Mass, Strangulated Hernia, Mesh Repair, HTN= Hyper Tension.

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Ravi Dasyam ¹

Affiliations
1 Department of General Surgery, Nimra Institute of Medical Sciences, Nimra Nagar, Jupudi(v) Ibrahimpatnum (M) Krishna (District) Andrapradesh, IN

Abstract

90 adult patients (48 males and 42 females) aged between 25 to 50 years were studied pre-operative clinical manifestation were 35(38.8%) had protruded hemorrhoids, 18(20%) had bleeding, 17(18.8%), had painful hemorrhoids, 11(12.2%) had hemorrhoids with discharge 9(10%) had hemorrhoids with pruritis. In the comparison of grade-II with grade-III MXSP mean value of grade-II was 102 and grade-III was 120 (p<0.01) and t test was–109, MSP of grade-II mean value was 73 and grade-III was 96.5 (p<0.01) and t test was–147. In RBL study before and after treatment all parameters like MXRP MXSP MRP MSP, VFS MXTV were highly significant (p<0.01). In monometric study of electro therapy before and after electro therapy all the parameters viz MXRP, MRP, MSP, VFS, MXTV. Were found to be highly significant p value (p<0.01). In the study of haemrroidectomy before and after haemorroidectomy all the parameters viz, MXRP, MRP, MSP, VFS, MXTV were found to be highly significant (p<0.01).Post operative conditions of haemorroidectomy, RPL and electrotherapy were compared. Post operative pain was severe (6%) at haemorroidectomy moderate (4%) at RBL and mild (2%) at electrotherapy. Thrombosized external haemorroids was 1% at haemorroidectory, 2% at RBL and nil at electro therapy. Urinary retention was highest (5%) at haemorroidectomy, 1% at RBL and nil at electro therapy. Post–operative discharge was 3% at haemorroidectomy, 2% at RBL and nil at electrotherapy. This comparative study has pragmatically proved that, electro therapy approach for grade–II and grade–III haemorroid treatment is safer than other method

Keywords

RBL= Rubber Band Ligation, Electro Therapy, Haemorroidectomy Manometer.

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