Wound infection is the most common complication in patients who underwent infective laparotomies, leading to postoperative complications, pus discharge, prolonged hospitalization, increased cost of treatment, etc. Even after sensitive-based antibiotic use and judicious irrigation of wound with saline, it remained a major concern. Aims and objectives: To evaluate the role of closed suction drainage in reduction of postoperative wound infection in cases of infective laparotomies when compared to laparotomy wounds without closed suction drainage. To evaluate whether negative-pressure closed suction drainage is effective in reducing the hospital stays. To evaluate whether negative-pressure closed suction drainage is effective in reducing the cost of treatment. Materials and methods: This study is conducted on patients who underwent infective laparotomies and we divided it into two groups: one with subcutaneous negative-pressure drain in and other without it. Conclusion: Closed suction drain prevented postoperative wound infection significantly, reduces hospital stay, reduces cost of treatment, and helped in early healing of wound and removal of sutures.
Introduction: Anemia is a major public health challenge worldwide and remains a very severe and common health problem in many developing countries including India. The decrease in hemoglobin levels in adolescent age may lead to decreased attentiveness and low neuronal metabolic activity. Reaction time is found to be altered in anemia and has a negative effect on cognitive performance in adolescent girls. Aims and objectives: To study the relation between anemia in adolescent girls and the audiovisual reaction time. To assess the severity of anemia with the audiovisual reaction time. Observation and results: A highly statistically significant difference (p value < 0.001*) was observed between control and anemic groups in both the audiovisual reaction time, and a highly statistically significant difference (p value < 0.001*) was observed in the audiovisual reaction time as the severity of anemia progressed. Conclusion: There is a significant increase in both auditory reaction time (ART) and visual reaction time (VRT) in anemic adolescent girls when compared to the control group. A linear relationship was also established between the severity of anemia and an increase in the ART and VRT values in the adolescent girls.
Hydrops fetalis is a condition of accumulation of extracellular fluid in the body cavities. Depending on its severity, there could be involvement of fetal serous spaces, skin, placenta, and other organs. Hydrops fetalis can be of two types: immune or nonimmune. Immune hydrops fetalis is most commonly caused by erythroblastosis fetalis due to Rh isoimmunization. Nonimmune hydrops fetalis is caused by cystic hygroma, parvo virus infection, TORCH infections, congenital heart block, and structural and congenital anomalies. In earlier days, hydrops was most commonly due to Rh isoimmunization, but nowdays, with the use of Rh Immunoglobulin (Anti-D), most cases of hydrops are due to nonimmune causes. This is a case of a female with 18 weeks pregnancy with hydrops fetalis and its association with cystic hygroma and other chromosomal abnormalities.
Hemant Kumar Mishra
Persistence of fetal vessel in adulthood, joining the carotid and vertebrobasilar systems in fetal period apart from the posterior communicating artery, is rare.1 This communication is called carotid-vertebrobasilar anastomosis, which includes trigeminal, otic, hypoglossal, and proatlantal arteries. A case of a persistent trigeminal artery (PTA) with carotid–vertebrobasilar junction anomaly is found in a young male is reported. Here, PTA arises from cavernous portion of the right inferior cerebellar artery and traveled posteriorly to join basilar artery and terminates and corresponds to TA type II of Saltzman\'s classification. It is also associated with basilar invagination and cervical cord myelomalacia.
A high degree of suspicion and an ectopic conscious clinician is required for diagnosis of ectopic pregnancy. Only when you suspect it, a detailed history of the patient and a meticulous examination will reveal the presence of an ectopic pregnancy, which can then be confirmed by the appropriate bedside investigations. The cases of ectopic pregnancy where the diagnosis is delayed or, which are misdiagnosed, carry a high morbidity and mortality, as the morbidity and mortality associated with ectopic pregnancy is directly related to the length of time required for diagnosis. We report three such cases of ectopic pregnancy where the diagnosis was delayed due to variable and unpredictable presentations, in whom the initial history and examination was missed as the presence of ectopic pregnancy was not suspected by the presentation.
How to cite this article:
Ojha T, Yogi V, Kansara A, Sharma K. Endoscopic Tympanoplasty: Is it Better than Microscopic Tympanoplasty? Our Experience. J Mahatma Gandhi Univ Med Sci Tech 2019; 4 (2):53-56.
Objective: To evaluate the efficacy and compare the results of conventional tympanoplasty with endoscopic tympanoplasty. Materials and methods: In this study, patients with clinically diagnosed chronic suppurative otitis media with dry central perforation were included. A total of 200 cases were selected of which 100 cases underwent conventional microscopic tympanoplasty and 100 cases underwent endoscopic tympanoplasty. Follow-up of all patients were done on postoperative day 7, 30, and third month of surgery. Comparison of postoperative complications, graft uptake, and average gain in hearing was done. Results: Success rate of graft uptake was 96% (96/100) in conventional microscopic group of tympanoplasty, 92% (92/100) in endoscopic group of tympanoplasty with average hearing gain of 13.96 dB in conventional group and 15.03 dB in endoscopic group. Conclusion: The surgical outcome of endoscope-assisted tympanoplasty was comparable to the conventional microscope-assisted tympanoplasty in terms of graft uptake and hearing improvement. In endoscopic tympanoplasty group, patients had better results in terms of cosmesis and postoperative recovery. Endoscopic tympanoplasty approach can be used as a good alternative.
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Dhaliwal H, Sharma V, Jamdade A, Yadav S, Rana D. Oral Cavity “A Window to Systemic Illness”: A Case Report of Gingival Enlargement Secondary to Acute Leukemia. J Mahatma Gandhi Univ Med Sci Tech 2019; 4 (2):57-59.
Oral signs and symptoms most of the times indicate a local disease and can be treated with dental treatment; however, sometimes it can be an indication of any underlying severe disease. Acute myeloid leukemia is one such grave hematological malignancy with a very short lifespan if undiagnosed and left untreated, which shows oral signs as the first clinical manifestations of the disease. This is a case report where oral findings lead to diagnosis of acute myeloid leukemia in a 55-year-old female.