Sudhir D. Bhamre ¹, Ajit M. Dikle ²

Affiliations
1 Professor and Head, Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 PG Resident, Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN

Abstract

Introduction: Cholelithiasis is the most common disease state involving the gallbladder and biliary tree. Gallstones become symptomatic only when they obstruct a visceral structure. In developing countries, there exists a trend toward an increasing prevalence of the risk factors for gallstone disease. Materials and Methods: Cases were selected after applying inclusion and exclusion criteria. Thereafter data collection was done by meticulous history taking, clinical examination, appropriate laboratory and radiological investigations, operative findings, and post operative evaluation of cases. Results: This study comprised of 52 cases. Female to male ratio was 15:11. The most common presenting complaint was pain in abdomen in 49 (94.23%) patients. On clinical examination most common sign was tenderness in 48 (92.31%) patients. Abdominal ultrasonography showed gallstones in all cases. Either laparoscopic or open cholecystectomy was performed. Complications included wound infection, haemorrhage, and bile duct injury. On histo-pathological examination the most common finding was chronic Cholecystitis seen in 39 (75.00%) cases. Conclusion: The incidence of disease was more in females. The most common complaint was pain and the most common sign was tenderness. Abdominal ultrasonography should be imaging study of choice for suspected cases of cholelithiasis. Laparoscopic cholecystectomy is the procedure of choice.

Keywords

Cholecystectomy, Cholelithiasis.

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Sudhir D. Bhamre ¹, Ajit M. Dikle ¹

Affiliations
1 Department of General Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN

Abstract

Introduction: Diabetic Foot Ulcer (DFU) is a serious and common complication of Diabetes Mellitus (DM). India has been called “the diabetes capital of the world.” The most common cause of morbidity and mortality in DFU is infections. Diabetic foot wounds are commonly infected, and infection leads to the formation of microthrombi causing further ischemia, necrosis, and progressive gangrene. These types of situations necessitate limb amputation. Thus, accurate diagnosis of the causative organism is essential for the management of these cases. Aims and Objectives: To Study microbial profile as well as drug resistance pattern in the patients having diabetic foot at a tertiary care center. Methodology: Approval from institutional ethical committee was obtained. 62 patients of diabetic foot were selected for the present study over 1 year. Wound discharge culture and antibiotic sensitivity testing were carried out using standard microbiological procedures. Result: In the study carried out it was observed that the majority of the patients fell under the age group consisting of those >60. The most common organism was Staphylococcus followed by Streptococci, Enterococcus. Gram positive organisms were most commonly sensitive to Vancomycin. Gram negative organisms were susceptible to Piperacillin-Tazobactum. Maximum resistance was found to be for Gentamycin. Conclusion: From the study it can be conclusively noticed that majority patients belonged to the age group consisting of >60 Yrs. Gram positive organisms showed highest sensitivity to Vancomycin. In case of Gram negative organism’s antibiotic with highest sensitivity was Piperacillin-Tazobactam. Gentamicin was the drug with highest resistance. This resistance pattern to various pathogens in our study will be helpful in treatment of Diabetic foot in future.

Keywords

Diabetic Foot, Diabetic Foot Ulcer (DFU), Drug Resistance Pattern

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