International Medical Journal

Journal ID : IMJ-02-01-2022-1131

Total View : 411

Title : A COMPARATIVE STUDY OF THE EFFICACY OF LIGATION OF INTERSPHINCTERIC FISTULOUS TRACT AND OPEN FISTULECTOMY IN THE MANAGEMENT OF FISTULA IN ANO

Abstract : Ligation of intersphincteric fistulous tract (LIFT) was introduced by the Thai surgeon [5]. The present study compared the efficacy of ligation of intersphincteric fistulous tract with that of open fistulectomy procedure in the management of fistula-in-ano in terms of postoperative pain and bleeding, wound healing, recurrence over a period of 6 months and fecal continence. Over a period of 18 months, fistula-in-ano patients attending a tertiary hospital were enrolled in the study. About 46 patients were assigned to Group A (LIFT) and Group B (Fistulectomy) each in a randomized manner. Patients underwent the procedure and were followed up in immediate post-operative period and for a period of six months. The average hospital stay of patients from Group A (2.5 days ± 1.09 SD) was lesser than that of patients in Group B (3.26 days ± 1.02 SD). The wound healing rates were better in those undergoing LIFT in Group A (1.09 ±0.35SD) than in Group B (1.30 ±0.63SD). [p value: 0.043]. Patients in Group A (LIFT group) reported no fecal incontinence, lesser post-operative bleeding and pain, and lesser recurrence. Overall, the present study demonstrated a better side effect profile with LIFT as compared to Fistulectomy; and better short term results. These results are promising and validate the global interest in LIFT. Further research is necessary to cement the role of LIFT in management of fistula-in-ano, particularly in terms of long-term outcomes..
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International Medical Journal

Journal ID : IMJ-31-12-2021-1123

Total View : 441

Title : Comparative study of use of Harmonic scalpel versus Electrocautery in dissection and removal of Gall bladder from Gall bladder bed in Laparoscopic Cholecystectomy

Abstract : This study is conducted to compare harmonic scalpel versus electrocautery in laproscopic cholecystectomy with respect to operative time/complications, post-operative pain and time to resume activity in patients operated in our institute. Prospective observational study was conducted in our institute from September 2019 to August 2021 following approval from Ethical committee of hospital. Prior to surgery, all patients were kept nil by mouth overnight and given a prophylactic antibiotic dose. All of the procedures were conducted by the same surgical team, under general anesthesia, and intra-operative and post-operative data were all documented. Mean age of 100 study sample was 49.50 years (SD – 5.651 years), with highest 63 years and lowest 38 years. Abdominal pain most common complaint present in 60 subjects followed by nausea (20) & vomiting (15). Intraoperative complications more in laproscopic cholecystectomy where gall bladder removed by electrocautery (32) than with harmonic scalpel (5). Bile leak, gall bladder perforation and stone spillage are common complications with electrocautery. Mean surgery duration, frequency of lens cleaning, post-operative pain score for laparoscopic cholecystectomy with harmonic scalpel was lower than with electrocautery and the difference was statistically significant (p=0.000). Mean duration to resume daily activity (days) for laparoscopic cholecystectomy with harmonic scalpel was lower than with electrocautery and the difference was statistically significant (p=0.000). As per our study, we inferred that harmonic scalpel use is associated with less intra-operative time/complication and post-operative pain, as compared with the use of electrocautery..
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International Medical Journal

Journal ID : IMJ-31-12-2021-1122

Total View : 467

Title : A COMPARATIVE STUDY BETWEEN MASS CLOSURE AND LAYERED CLOSURE IN MIDLINE ABDOMINAL INCISIONS

Abstract : For many years, opening and closing the wall of the abdomen has been a practice of surgical training. Study was a randomized non-blinded clinical trial done within 18 monthsat Department of General Surgery, Dr. DY Patil Medical College, Pimpri, Pune All patients were operated under general anesthesia. In all cases, incisions were extended below the level of the arcuate line. Skin closed with non absorbable material with interrupted mattress sutures. Abdominal drains were kept wherever found necessary using a separate stab incision. Suture material used in study was In mass closure-the abdomen closed using the single layer closure technique with all layers of the abdominal wall sutured in a single layer with POLYPROPYLENE No. 1 curved cutting needle. Continuous suturing and burial of the knots and interrupted mass closure was done in these patients. In layered closure-In this group, the abdomen was closed in layers using a continuous layer of POLYGLACTIN No. 2-0 for peritoneum and posterior rectus sheath and POLYPROPYLENE No. 1 loop suture for anterior rectus sheath. Mean incision closure time was 15.5 ± 2.8 minutes in the mass closure group as compared to 23.4 ± 2.7 minutes in the layered closure technique (p value < 0.001). With lower postoperative mean pain and incidence of burst abdomen in mass closure as compared to the layered closure group. Wound infection rate was similar in the two study groups..
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International Medical Journal

Journal ID : IMJ-30-12-2021-1121

Total View : 474

Title : COMPARISION BETWEEN EVENING PRIMROSE OIL AND CENTCHROMAN IN TREATMENT OF MASTALIGIA

Abstract : Mastalgia or Mastodynia is a common medical condition for which a patient seeks medical consultation both in primary care and surgical clinics. This study is an effort to study the role of Centchroman in the treatment of mastalgia catered in our institute as compared to Evening Primrose Oil (EPO) being used as first line treatment. This is an open label prospective randomized study carried out on 150 patients with mastalgia who were evaluated in our institute. Patients in Group A were given Tab Centchroman 30mg once daily after meals for 3 months and those in Group B were given Capsule EPO 1g once daily after meals for 3 months. two groups were assessed for pain score according to VAS, regression of pain at 3 months, recurrence of mastalgia after stopping the drugs decrease in nodularity at 3 months. Although both the drug groups showed a significant decrease in breast pain, Centchroman caused a steeper decrease of breast pain over 3 months. The effect of EPO, though significant at 3 months, was short lived on stopping the drug as the pain started resurfacing at 6 months. By way of the present study, we have shown the beneficial and lasting effects of Centchroman in the treatment of mastalgia and advocate its use as a primary drug in cases of mastalgia that do not respond to reassurance alone and require systemic therapy..
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International Medical Journal

Journal ID : IMJ-30-12-2021-1120

Total View : 421

Title : A Study of the Use of Light Weight and Heavy Weight Polypropylene Mesh In the Repair of Anterior Abdominal Wall Hernia

Abstract : For the correction of an anterior abdominal wall hernia, prosthetic mesh hernioplasty has become the gold standard. This research evaluates the post-operative consequences of composite light weight and heavy weight polypropylene mesh after open hernioplasty..
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International Medical Journal

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Submission Deadline ( Vol 30 , Issue 04 )
20 Apr 2023

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Publish On ( Vol 30 , Issue 03 )
31 Mar 2023