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Gall stones constitute a significant health problem in developed societies. Risk factors for gall... more Gall stones constitute a significant health problem in developed societies. Risk factors for gall stone disease are family history and genetics, age (incidence increases with age), gender and female sex hormones, obesity, dyslipidaemia, diabetes mellitus and the metabolic syndrome, rapid weight loss, total parenteral nutrition, life style factors and socioeconomic status, reduced physical activity heightens the risk of gall stone disease whereas increased physical activity prevent cholelithiasis. laparoscopic cholecystectomy decreases the postoperative pain , decrease the need for postoperative analgesia, shortens the hospital stay to less than 24 hours and returns the patient to full activity within one week (compared with one month after open cholecystectomy). This study was done to recognise the rates of laparoscopic and open cholecystectomies in our institute and the factors influencing the choice of one over the other and conversion rates.
International Journal of Surgery and Medicine, 2019
Objectives: Evaluation of role of prophylactic antibiotic in preventing the post operative infect... more Objectives: Evaluation of role of prophylactic antibiotic in preventing the post operative infective complications in low risk patients patients undergoing elective laparoscopic cholecystectomy. Methods: This randomized clinical trial, conducted from June 2016 to April 2018 at tertiary care teaching hospital in northern India, included 100 patients ( 50 patients in Group A: prophylactic antibiotic group with cefuroxime 1.5 gm IV and 50 in Group B: no antibiotic group. Symptomatic low risk cholelithiasis patients of American Society of Anesthesiologist (ASA) 1 and 2 without comorbidities were included. Patients younger than 18 years, antibiotic consumption seven days before laparoscopic cholecystectomy , immune compromised patients, history of acute cholecystitis within 6 weeks prior to admission, obstructive jaundice, gallstone pancreatitis, previous biliary tract surgery, evidence of cholangitis / biliary stent in situ, post ERCP, diabetes mellitus, conversion to open, chronic obst...
Midgut volvulus is usually encountered in young individuals, but it’s presentation in 7 decade of... more Midgut volvulus is usually encountered in young individuals, but it’s presentation in 7 decade of life is very rare. We report a case of 64 yrs. old male who presented with pain abdomen and abdominal distension with investigations demonstrating mechanical intestinal obstruction due to midgut volvulus.Patient underwent exploratory laparotomy where upon small bowel and mesentery were found twisted anticlockwise. No bowel necrosis was present. This case report reviews the incidence of midgut volvulus in adults.
Gall stones constitute a significant health problem in developed societies. Risk factors for gall... more Gall stones constitute a significant health problem in developed societies. Risk factors for gall stone disease are family history and genetics, age (incidence increases with age), gender and female sex hormones, obesity, dyslipidaemia, diabetes mellitus and the metabolic syndrome, rapid weight loss, total parenteral nutrition, life style factors and socioeconomic status, reduced physical activity heightens the risk of gall stone disease whereas increased physical activity prevent cholelithiasis. laparoscopic cholecystectomy decreases the postoperative pain , decrease the need for postoperative analgesia, shortens the hospital stay to less than 24 hours and returns the patient to full activity within one week (compared with one month after open cholecystectomy). This study was done to recognise the rates of laparoscopic and open cholecystectomies in our institute and the factors influencing the choice of one over the other and conversion rates.
International Journal of Surgery and Medicine, 2019
Objectives: Evaluation of role of prophylactic antibiotic in preventing the post operative infect... more Objectives: Evaluation of role of prophylactic antibiotic in preventing the post operative infective complications in low risk patients patients undergoing elective laparoscopic cholecystectomy. Methods: This randomized clinical trial, conducted from June 2016 to April 2018 at tertiary care teaching hospital in northern India, included 100 patients ( 50 patients in Group A: prophylactic antibiotic group with cefuroxime 1.5 gm IV and 50 in Group B: no antibiotic group. Symptomatic low risk cholelithiasis patients of American Society of Anesthesiologist (ASA) 1 and 2 without comorbidities were included. Patients younger than 18 years, antibiotic consumption seven days before laparoscopic cholecystectomy , immune compromised patients, history of acute cholecystitis within 6 weeks prior to admission, obstructive jaundice, gallstone pancreatitis, previous biliary tract surgery, evidence of cholangitis / biliary stent in situ, post ERCP, diabetes mellitus, conversion to open, chronic obst...
Midgut volvulus is usually encountered in young individuals, but it’s presentation in 7 decade of... more Midgut volvulus is usually encountered in young individuals, but it’s presentation in 7 decade of life is very rare. We report a case of 64 yrs. old male who presented with pain abdomen and abdominal distension with investigations demonstrating mechanical intestinal obstruction due to midgut volvulus.Patient underwent exploratory laparotomy where upon small bowel and mesentery were found twisted anticlockwise. No bowel necrosis was present. This case report reviews the incidence of midgut volvulus in adults.