Online ISSN: 2515-8260

Keywords : outcome


OUTCOME ANALYSIS OF PELVIC FRACTURES IN TERTIARY CARE HEALTH CENTRE

Dr. Khizar Khan; Dr. Naresh Dhaniwala; Dr. Y.U. Chitriv

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 1856-1860

Background: Pelvic ring fractures represent 3-8% of all selected injury and have a high mortality rate of around 20%. In Polytrauma patients the occurrence of Pelvis ring fractures is higher which is observed in 20-25%.In young individuals it occurs as a consequence of high energy trauma. The main aim of this study is to assess the functional outcome of pelvic fractures managed operatively and conservatively and providing a basic local data regarding pelvic fracture management and results obtained. Objectives: The main objectives are to note the functional outcome using Majeed pelvic score and to assess the radiological outcome by using suitable parameters. Methodology: This is an observational study in which a minimum of 25 patients presented as pelvic fracture in Casualty of AVBRH are admitted in orthopaedic ward. This study will include both prospective and retrospective domains. Retrospective cases from January 2015 will be enrolled and the data will be collected from MRD department as well as telephonic calls. Period of study is From July 2019 to September 2021 and collection of data is from July 2015 to June 2021.Fracture pattern will be classified as per the Tile’s classification and the functional outcome of patients managed operatively and conservatively will be assessed as per Majeed pelvic score. Expected outcome: By this study we expect that the patients having high intensity injury if managed operatively will have better outcome as compared to the conservative ones.

Review Article On Treatments & Preventions Of Hemorrhoids

R. RAMANI

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 6096-6099

This review discusses the pathophysiology, epidemiology, risk factors, classification, clinical evaluation, and current non-operative and operative treatment of hemorrhoids. Hemorrhoids are defined as the symptomatic enlargement and distal displacement of the normal anal cushions. The most common symptom of hemorrhoids is rectal bleeding associated with bowel movement. The abnormal dilatation and distortion of the vascular channel, together with destructive changes in the supporting connective tissue within the anal cushion, is a paramount finding of hemorrhoids. It appears that the dysregulation of the vascular tone and vascular hyperplasia might play an important role in hemorrhoidal development, and could be a potential target for medical treatment. In most instances, hemorrhoids are treated conservatively, using many methods such as lifestyle modification, fiber supplement, suppository-delivered anti-inflammatory drugs, and administration of venotonic drugs. Non-operative approaches include sclerotherapy and, preferably, rubber band ligation. An operation is indicated when non-operative approaches have failed or complications have occurred. Several surgical approaches for treating hemorrhoids have been introduced including hemorrhoidectomy and stapled hemorrhoidopexy, but postoperative pain is invariable. Some of the surgical treatments potentially cause appreciable morbidity such as anal stricture and incontinence. The applications and outcomes of each treatment are thoroughly discussed.