Online ISSN: 2515-8260

Keywords : Surgical Management


A STUDY ON NEUROGENIC BLADDER ON SURGICAL MANAGEMENT AND FOLLOW UP

Sasidhar T, Anusiri Ingula, G.Rajeev Kumar, Srinivas S

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 2642-2655

management, compliance to clean intermittent catheterization, and follow up in children suffering with neurogenic bladder.
Materials and Methods: It was an observational study conducted at Department of paediatric surgery, Niloufer hospital for woman and child health, Hyderabad. Duration of the study 4 months extending from October 2016 to September 2018. Children between 3-12 years presenting to the department of pediatric surgery with complaints of dribbling of urine and other lower urinary tract symptoms with congenital neural tube defects like sacral agenesis or meningocele/ meningomyelocele/ lipomeningocele or tethered cord syndrome.
Results: NBSD is more commonly seen in male children. NBSD in patients with MMC presents earlier compared to other cases. Diagnosis of NBSD is obvious as most of these cases have a past history of surgical intervention. Renal functions were normal in most of the children with NBSD. VUR in patients with NSBD improved in significant number of cases with non-surgical management. Scarring on DMSA is commonly seen in patients of NBSD associated with VUR. The renal function as assessed by DMSA improved in 1/3rd of patients after non-surgical management.
Conclusion: Most of the patients with NBSD have abnormal UDS findings. Bladder compliance improved in 41.9% of the cases and end filling pressures improved in 50% of cases by non-surgical management.

The functional outcomes of surgical management of supracondylar fractures of humerus in children

Dr. Sunil Kumar TR, Dr. Srinath Sallur Anand, Dr. Harish YS, Dr. Nachiketan K Dore, Dr. JS Hegde

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1825-1832

Closed reduction with plaster of Paris slab immobilization has traditionally been used for supracondylar fractures, but loss of reduction and necessity of repeated manipulation likely results malunion producing varus or occasionally valgus deformity of elbow and elbow stiffness.
Because of lower percentage of good results and higher percentage of early and late complications compared with skeletal traction, percutaneous pinning and open reduction, casting is appropriate only for undisplaced fractures. The clinical material for the study consists of 30 cases of fresh supracondylar fractures of humerus in children of traumatic etiology meeting inclusion and exclusion criteria. Out of 19 patients which were treated by closed reduction, 16 patients (84.2%) showed excellent result and remaining 3 showed good results (15.8%) according to Mitchell and Adams criteria. Out of 11 patients treated by open reduction, 5 patients (45.5%) showed excellent results and 4 patients (36.4%) showed good results and 2 poor results (18.2%) were obtained with a statistically moderate significant value of p 0.045.

A RADOMIZED STUDY ON PROPHYLACTIC ANTIBIOTICS IN MAXILLOFACIAL SURGERY

Dr. Vijay ebenezer; Dr. Vigil dev asir

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 1610-1613

Antibiotic coverage plays a vital role in maxillofacial surgery. In this study of 100 patients during the academic year 2018 in the department of oral maxillofacial surgery in sree balaji dental college and hospital was taken. A sample size of group-A with 50 patient given prophylactic antibiotic coverage after the procedure and a sample size group- B without prophylactic antibiotic coverage after the procedure was done. In this clindamycin, amoxicillin was advised for the patient after the procedure was done.

STUDY OF SURGICAL MANAGEMENT OF DIABETIC FOOT AT A TERTIARY HOSPITAL

Dr Asadulla Beig

European Journal of Molecular & Clinical Medicine, 2018, Volume 5, Issue 1, Pages 568-575

Background: The annual incidence of diabetic foot ulcer (DFU) in population-based studies is 1.0 to 4.1% and prevalence of 4.5 to 10%, with an overall lifetime incidence of up to 25%. Surgical management (such as dressing, offloading, debridement, and the necessary surgeries) play an important role in controlling/healing DFU.Present study was aimed to study surgical management of diabetic foot at our tertiary hospital.