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Borse, Hemant
- A Comparative Study of Open (Milligan-Morgan) Versus Closed (Ferguson) Hemorrhoidectomy
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PDF Views:90
Authors
Affiliations
1 Department of Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422203, Maharashtra, IN
2 Department of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi - 682041, Kerala, IN
1 Department of Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422203, Maharashtra, IN
2 Department of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi - 682041, Kerala, IN
Source
MVP Journal of Medical Sciences, Vol 3, No 1 (2016), Pagination: 7–10Abstract
Introduction: Hemorrhoidectomy is an operation for third and fourth degree haemorrhoids. There are two methods by which hemorrhoidectomy can be done -open (Milligan-Morgan) in which the wound is left open and allowed to heal by secondary intension and closed (Ferguson) methods in which the wound is closed with absorbale sutures. Aim: To compare post operative pain and recovery in open (Milligan-Morgan) and closed (Ferguson) methods and evaluate optimum choice of the procedure for third or fourth degree hemorrhoids. Study Design: Prospective randomized study. Settings: Department of Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Center. Duration: Two year (August 2010 to August 2012). Sample Size: 70 cases (35 cases in each group). Inclusion Criteria: Patients with third/four degree hemorrhoids. Exclusion Criteria: Patients with associated anal and perianal conditions like fissure in ano, inflammatory bowel diseases and rectal malignancy, portal hypertension were excluded from the study. Results: Mean hospital stay for open group was 5 days and closed group was 3 days. Post operative pain was seen in 77% in open group and 48 % in closed group. Pain was relieved earlier in closed group. 71% patients had completely healed wounds at 3 weeks in closed group in comparision to only 42% in open group. Anal stenosis was seen in 2 patients of open hemorrhoidectomy. Conclusion: Closed hemorrhoidectomy is the procedure of choice for three/four degree hemorrhoids.Keywords
Ferguson, Hemorrhoidectomy, Milligan-Morgan.Full Text
References
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- Study of Various Organisms Associated with Surgical Site Infection and their Sensitivity Pattern
Abstract Views :207 |
PDF Views:80
Authors
Source
MVP Journal of Medical Sciences, Vol 2, No 2 (2015), Pagination: 118-123Abstract
Aim: The objectives of this study was to study the various micro-organisms causing surgical site infection, to study their antibiotic sensitivity and resistance pattern. Setting: Department of Surgery of a tertiary health care centre with an attached medical college. Material and methods: A total of 89 patients with post operative surgical site infection occurring within 30 days of surgery or 1 year of implant were included as subject material after they satisfy inclusion and exclusion criteria. Results: E.coli is the commonest organism isolated in SSI wounds. Overall Imipenem and Amikacin are the most sensitive antibiotics. Over all gentamycin, cefotaxime and clindamycin are the most resistant antibiotics noted. Conclusion: The most common organisms associated with SSI are E. coli and Pseudomonas. Most of the organisms were sensitive to imipenem, amikacin. Sensitivity pattern of the of the organism is changing with time. The common organisms are now no longer sensitive to routinely used cheaper antibiotics. Newer antibiotics, which are more costly, are required to treat the infection which is a burden to the patient.Keywords
Antibiotic Resistance Pattern, Antibiotic Sensitivity Pattern, Co-Morbidity.Full Text
References
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- Clinical Profile and Management of Patients of Head Injury at a Tertiary Care Hospital – A Prospective Study
Abstract Views :219 |
PDF Views:85
Authors
Affiliations
1 Department of Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Consultant Neurosurgeon, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, IN
1 Department of Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Consultant Neurosurgeon, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 7, No 1 (2020), Pagination: 16-26Abstract
Head injury is one of the commonest emergencies in surgical practice. It is one of the most common cause of death and disability among the young population between the age of 15 to 25 years. This is a cross-sectional study among 100 patients with head injury at a medical college and tertiary care hospital. Aims and Objectives: To study the clinical profile and outcome of patients with head including the role of the Glasgow Coma Scale in their prognosis. To study the CT scan findings of the brain and the clinical outcome. Materials and Methods: This is a prospective observational study conducted at a Medical college and tertiary care hospital. 100 patients with head injury were enrolled in this study. Duration of the study was between December 2009 to November 2011. Conclusion: The commonest cause of head injury is road traffic accidents. Head injury is common in the young age of group of 21-30 years. Male: Female ratio of the head injury is 3:1 Almost one third of the patients had history of alcohol ingestion prior to the head injury. The commonest lesion in head injury is subdural hematoma. It is also the most lethal. Most of the head injuries were of mild type and only 5% patients required surgery. Only 10% of the patients had poor clinical outcome. Glasgow Coma Scale is very helpful in predicting the severity and clinical outcome of head injury patients.
Keywords
Alcohol Intake, Head Injury, Subdural Hematoma, RTA, Traumatic InjuryFull Text
References
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- Clinical Study of Acute Intestinal Obstruction
Abstract Views :216 |
PDF Views:94
Authors
Hemant Borse
1,
Gaurav Patil
2
Affiliations
1 Professor, Department of General Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Former PG Student, Department of General Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
1 Professor, Department of General Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Former PG Student, Department of General Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 7, No 1 (2020), Pagination: 27-34Abstract
Background: Acute intestinal obstruction is one of the most common surgical emergencies. There are many causes of acute intestinal obstruction like bands and adhesions, neoplasms, strictures etc. Aims and Objectives: In this study we have tried to find out common clinical presentation, aetiology and treatment of acute intestinal obstruction. Materials and Methods: This is a prospective study conducted at department of General Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik, Maharashtra in which we have studied 45 cases of acute intestinal obstruction to find out the clinical presentation, aetiology and treatment of acute intestinal obstruction. Conclusions: Acute intestinal obstruction is more common in females than in males. Small intestinal obstruction is more common than large intestinal obstruction. The commonest cause of intestinal obstruction is adhesions. The next most common cause is Tubercular stricture. Malignancy is most common cause of large intestinal obstruction. Most of the patients having large bowel obstruction required laparotomy.Keywords
Acute Intestinal Obstruction, Large Intestinal Obstruction, Small Intestinal Obstruction, Tubercular StricuresFull Text
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- Diagnostic Validity of FNAC and Trucut Biopsy with Post Operative Histopathological Report in Cases of Breast Lumps at a Tertiary Care Center
Abstract Views :296 |
PDF Views:100
Authors
Affiliations
1 Former PG Resident, Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Professor, Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
1 Former PG Resident, Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Professor, Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 7, No 2 (2020), Pagination: 192-200Abstract
Introduction: Lump in breast is a common complaint in surgical practice. The lesions of the breast have diverse aetiology and presentation may range from a benign tumour, cyst or a malignancy. The diagnostic methods for palpable breast lumps should be rapid, inexpensive, most accurate and least invasive to evaluate and distinguish between benign and malignant lumps in outpatient clinics. Thus, patients are more compliant and surgeons can be more certain about the definitive management. Aims and Objectives: In the present study, we aimed to evaluate the diagnostic accuracy of FNAC and TRUCUT biopsy in screening of palpable breast lumps by taking histopathological reports as gold standard. Materials and Methods: It is a Diagnostic validity test, undertaken in the department of surgery in a tertiary care centre. Data collection was done by extensive history taking, clinical examination, FNAC, TRUCUT biopsy and post-operative histopathology. Results: Study was conducted on 145 patients. Out of the total, 99 (68.3%) reports were benign pathologies; fibroadenoma (61.6%) was the most common, while 46 (31.7%) were malignant pathologies and intra-ductal carcinoma was the most common (40 out of 46 cases; 88.9%). Overall diagnostic accuracy of FNAC was 93.1%, whereas that of TRUCUT biopsy was 96.6%. Conclusion: We thus conclude that both FNAC and TRUCUT biopsy are accurate methods in breast diagnostic practice. The methods are complementary and depend on the skill and experience of the individuals performing the sampling and interpretation. The clinicians should also know the advantages and disadvantages of both the procedures to decide accordingly.Keywords
Breast Lumps, Diagnostic Validity, TRUCUT Biopsy, FNACFull Text
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