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Sorate, Yamini
- A Prospective Study to Observe the Results and Complications of Lateral Internal Sphincterotomy in Anal Fissure
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MVP Journal of Medical Sciences, Vol 2, No 2 (2015), Pagination: 81-84Abstract
Aim: To observe the results and complications of lateral internal sphincterotomy in anal fissure. Materials&Methods: The study was carried out as a prospective observational study of 40 patients at surgery department of a medical college&tertiary health care center, over a period of two years that included cases of anal fissure in the age group of 16 years and above for conservative&surgical management. Results: The recovery of the patient after this marvellous operation was fast and the pain relief was dramatic. On follow-up at 2 weeks post-operatively pain and other symptoms were present only in 11 patients (27.5%). On follow-up at 8 weeks post-operatively all 40 patients (100%) were symptom-free in this study. The complications that were observed within time frame of this study were Soiling in 4 patients (10%) and incontinence to flatus in 1 patient (2.5%). There was no recurrence of anal fissure observed in this study group within the time frame of this study. Conclusion: It is very evident from the above study that 'Lateral Internal Sphincterotomy' is by far the best operation for an indolent anal fissure.Keywords
Anal Fissure, Complications, Lateral Sphincterotomy.References
- Nothmann BJ, Schuster MM. Internal anal sphincter derangement with anal fissures. Gastroenterology. 1974; 67:216-20.
- Hancock BD. The internal sphincter and anal fissure. Br J Surg. 1977; 64:92-5.
- Schouten WR, Briel JW, Auwerda JJ, De Graaf EJ. Ischemic nature of anal fissure. Br J Surg. 1996; 83:63-5.
- Lund JN, Scholefield JH. Aetiology and treatment of anal fissure. Br J Surg. 1996; 83:1335-44.
- Goligher JC. Surgery of the Anus Rectum and Colon. 4th ed. chapters 1 and 5. 1980.
- Hughes ESR. Anal fissure. BMJ. 1970; 3:673.
- Miles WE. Observations upon internal piles. Surg Gyn Obstet. 1919; 29:497.
- James GP, Eric B Rimm, Renne JR. Clinical presentation of chronic anal fissure. Dept of surgery, Harward school of public health Boston. American Surgeon 1993; 59:666-7.
- Keck JO, Remond J, Coller, et al. Computer generated profiles of anal canal in fissure. Dept of colon and rectal surgery, Lahey clinic, Massachusetts. Dis colon rectum 1995; 38:72-9.
- Xynos E, Chrysos E, et al. Anal manometry in patients with fissure in ano before and after internal sphincterotomy. Colorectal disease. 1993; 8(3):125-8.
- Notaras MJ. The treatment of anal fissure by lateral subcutaneous internal sphincterotomy- a technique and results. Br J Surg. 1971; 58:96-100.
- Notaras MJ. Fissure in ano- Lateral subcutaneous Sphincterotomy. 3rd ed. Todd IP (Ed). Colon rectum and anus. 354-60.
- Garcea G, Sutton C, Mansoori S, Lioyed T, Thomas M. Results following conservative lateral sphincterotomy for the treatment of chronic anal fissures. Colorectal Dis. 2003; 5:311-4.
- Howley PR. Treatment of chronic anal fissure. A trial of Methods. Br J Surg. 1969; 56:915-8.
- Anorectal Surgery- Jerome J Decosse, Ian P Todd. Clinical surgery international. 15: 1-8, 20-43, 56-93.
- Collopy B, Ryan P. Comparison of lateral sphincterotomy with anal dilatation. Med J Australia. 1979; 2:461-2.
- Jensen SL, Lund F, Neilsen OV, Tange G. Lateral subcutaneous sphincterotomy versus anal dilatation in the treatment of fissure in ano in out patients: a prospective randomized study. BMJ (Clin Res Ed). 1984; 289:528-30.
- Goligher JC. An evaluation of internal sphincterotomy and simple sphincter stretching in the treatment of anal fissure. Surg Clin North Am. 42:1299,1965.
- Hoffman DC. Lateral subcutaneous Sphincterotomy in treatment of anal fissure. Br Med J. 1970; 3:673-75.
- Abcarian HMD. Lateral internal sphincterotomy. A new technique for treatment of chronic fissure in ano SCNA. 1975; 55-143.
- Watts JM, Bennett RC, Golingher JC. Stretching of anal sphincters in treatment of fissure in ano. BMJ. 1964; 342-3.
- A Prospective Study of Laparoscopic Appendicectomy for the Treatment of Acute Appendicitis
Abstract Views :331 |
PDF Views:89
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).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.
- Pilomatrixoma of the Thigh - A Case Report
Abstract Views :167 |
PDF Views:70
Authors
Affiliations
1 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
Source
MVP Journal of Medical Sciences, Vol 5, No 1 (2018), Pagination: 121-124Abstract
Pilomatrixoma is a benign skin tumor derived from hair follicle matrix cells. They typically present as a superficial, firm, solitary, slow-growing, painless mass in the dermis. Pilomatricomas are frequently misdiagnosed and are not usually considered in differential diagnoses, either in clinical set-up or during cytological reporting. These lesions are typically found in the head and neck region. Involvement of the lower extremities is relatively uncommon and can be mistaken for malignancy. We present the case of a 55-year-old male with a pilomatrixoma of thigh which is a rare site of occurrence of the lesion and we review the literature regarding pilomatrixomas.Keywords
Hemorrhagic Stroke, Ischemic Stroke, Risk Factors, Socioeconomic Status.References
- Rapini RP, Bolognia JL, Jorizzo JL. Dermatology. St. Louis: Mosby; 2007.
- James WD, Berger TG, et al. Andrews’ diseases of the skin: Clinical dermatology. Saunders Elsevier; 2006.
- Schweitzer WJ, Goldin HM, Bronson DM, Brody PE. Solitary hard nodule on the forearm. Pilomatricoma Arch Dermatol. 1989 Jun; 125(6):828–9. https://doi.org/10.1001/archderm.125.6.828 PMid:2730106
- Kumaran N, Azmy A, Carachi R, Raine PA, Macfarlane JH, Howatson AG. Pilomatrixoma- accuracy of clinical diagnosis. J Pediatr Surg. 2006 Oct; 41(10):1755–8. https://doi.org/10.1016/j.jpedsurg.2006.05.005 PMid:17011283
- Malherbe A, Chenantais J. Note sur l’pitheliomecalcifi des glandes sebacees. Prog Med (Paris). 1880; 8:826–8.
- Forbis R Jr, Helwig EB. Pilomatrixoma (calcifying epithelioma). Arch Dermatol. 1961; 83:606–18. https://doi.org/10.1001/archderm.1961.01580100070009
- Pirouzmanesh A, Reinisch JF, Gonzalez-Gomez I, Smith EM, Meara JGP Pilomatrixoma: A review of 346 cases. Plast Reconstr Surg. 2003 Dec; 112(7):1784–9 https://doi.org/10.1097/01.PRS.0000091160.54278.64 PMid:14663221
- Graham JL, Merwin CF. The tent sign of pilomatricoma. Cutis. 1978 Nov; 22(5):577–80. PMid:729402
- Agarwal RP, Handler SD, Matthews MR, Carpentieri D. Pilomatrixoma of the head and neck in children. Otolaryngol Head Neck Surg. 2001 Nov; 125(5):510–5. https://doi.org/10.1067/mhn.2001.117371
- Graells J, Servitje O, Badell A, Notario J, Peyri J. Multiple familial pilomatricomas associated with myotonic dystrophy. Int J Dermatol. 1996 Oct; 35(10):732–3. https://doi.org/10.1111/j.13654362.1996.tb00651.x PMid:8891827
- James WD, Berger TG, Elston D. Andrews’ diseases of the skin: Clinical dermatology. Saunders Elsevier; 2015. p. 666.
- Hassanein AM, Glanz SM, Kessler HP, Eskin TA, Liu C. Beta-catenin is expressed aberrantly in tumors expressing shadow cells. Pilomatricoma, craniopharyngioma, and calcifying odontogenic cyst. Am J Clin Pathol. 2003; 120(5):732–6. https://doi.org/10.1309/EALEG7LD6W7167PX PMid:14608900
- Farrier S, Morgan M. BCL-2 expression in pilomatricoma. Am J Dermatopathol. 1997 Jun; 19(3):254–7. https://doi.org/10.1097/00000372-199706000-00009 PMid:9185911
- Thomas RW, Perkins JA, Ruegemer JL, Munaretto JA. Surgical excision of pilomatrixoma of the head and neck: A retrospective review of 26 cases. Ear Nose Throat J. 1999 Aug; 78(8):541, 544–6, 548. PMid:10485145
- Agarwal RP, Handler SD, Matthews MR, Carpentieri D. Pilomatrixoma of the head and neck in children. Otolaryngol Head Neck Surg. 2001 Nov; 125(5):510–5. https://doi.org/10.1067/mhn.2001.117371
- Management of Pilonidal Sinus
Abstract Views :179 |
PDF Views:109
Authors
Affiliations
1 Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik − 422003, Maharashtra, IN
2 Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
1 Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik − 422003, Maharashtra, IN
2 Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 5, No 2 (2018), Pagination: 194-197Abstract
Background: Pilonidal sinus is a chronic benign disease that mostly affects young adults. It is an acquired condition and commonly arises in the sacro-coccygeal region in the hair follicles of the deep natal cleft due to certain etiologic factors like hirsutism, deep natal cleft, obesity, local trauma, local irritation and smoking. Materials and Methods: A prospective study was conducted on 40 patients of pilonidal sinus at Dr. Vasantrao Pawar Medical College, Nashik to study the clinical profile and post operative outcome of pilonidal sinus patients from January 2015 to December 2018. Results: In this study 40 patients of single pilonidal sinus over the sacro-coccygeal region were studied. The Mean age was 29 years and out of 40 patients 12 were females. The mean hospital stay in patients treated with excision was 29 days, for Z plasty was 24 days and for Limberg flap was 15 days. When followed up for 26 months 2 out of 10 patients treated with Z plasty, 1 out of 5 patients treated with open technique followed up for recurrence, and no recurrence were noted in patients with Limberg flap. Conclusion: In our study we conclude Limberg flap was associated with lesser post operative complications, shorter hospital stay, increased patient satisfaction and lower recurrence rate.Keywords
Limberg Flap, Pilonidal Sinus, Z Plasty.References
- Søndenaa K, Andersen E, Nesvik I, Søreide JA. Patient characteristics and symptoms in chronic pilonidal sinus disease, International Journal of Colorectal Disease. 1995; 10(1):39−42. https://doi.org/10.1007/BF00337585.
- Steele SR, Perry WB, Mills S, et al. Practice parameters for the management of pilonidal disease. Diseases of the Colon and Rectum. 2013; 56:1021−27. https://doi.org/10.1097/ DCR.0b013e31829d2616. PMid: 23929010.
- Cary B. Aarons, Stephen M. Sentovich, Gerad M. Doherty: Current Diagnosis and Treatment: Surgery, 14th Ed. Chapter 31: Anorectum https://accesssurgery.mhmedical.com/content.aspx?sectionid=71523118&bookid=1202.
- Girgin M, Kanat BH, Ayten R, Cetinkaya Z, Kanat Z, Bozdag A, et al. Minimally invasive treatment of pilonidal disease: Crystallized phenol and laser depilation, International Journal of Surgery. 2012; 97(4):288−92. https://doi.org/10.9738/CC130.1. PMid: 23294066, PMCid: PMC3727265.
- Daphan C, Tekelioglu Sondenaa K, Andersen E, Nesvik I, Soreide JA. Patient characteristics MH, Sayilgan C. Limberg flap repair for pilonidal sinus disease, Diseases of the Colon and Rectum. 2004; 47(2):233−7. https://doi.org/10.1007/s10350-003-0037-2. PMid: 15043295.
- Ertan T, Koc M, Gocmen E, Aslar AK, Keskek M, Killic M. Does technique alter quality of life after pilonidal sinus surgery? American Journal of Surgery. 2005; 190(3):388−92. https://doi.org/10.1016/j.amjsurg.2004.08.068. PMid: 16105524.
- Praveen S, Shah SS, Hyder Z. Excision with Z plasty in pilonidal sinus, Journal of Surgery Pakistan Int. 2011; 16:94−7.