Online ISSN: 2515-8260

Keywords : abdominal


Evaluation of Role of Imaging Technique in Blunt Injury Abdomen: An Institutional Based Study

Nikita Garg, Amol Sasane

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 3436-3439

Background: The present study was conducted for evaluating the role of imaging techniques in blunt abdominal injury.
Materials &Methods: A total of 100 patients with presence of blunt abdominal trauma were enrolled. Complete demographic and clinical details of all the patients were obtained. All patients underwent both Ultrasound and CT and the time gap between the two were tried to be kept to a minimum. Emergent sonography for trauma was performed simultaneously with physical assessment, resuscitation, and stabilization within minutes of a patient’s arrival. All the results were recorded and analysed using SPSS Software.
Results: Mean age of the patients was 36.5 years. The sensitivity, specificity and accuracy of ultrasound in detection of abdominal visceral organ injuries was 82.3 percent, 100 percent and 88.10 percent respectively. The sensitivity, specificity and accuracy of CT in detection of abdominal visceral organ injuries was 98.3 percent, 100 percent and 97.1 percent respectively.
Conclusion: Though ultrasound is the best initial imaging modality of choice, many injuries were missed, when used alone.While USG abdomen was used in conjunction with CT abdomen, better diagnostic results were obtained.

Minimally invasive surgery versus open surgery for abdominal and groin hernias

Dr.Ashutosh Kumar Singh, Dr Manu Gupta, Dr.MirzaFaraz Beg

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1404-1407

Background:Inguinal hernias present with a lump in the groin that goes away with minimal pressure
or when the patient is lying down. The present study was conducted to compare minimally invasive
surgery versus open surgery for abdominal and groin hernias.
Materials & Methods:90 patients of abdominal and groin hernia of both genders were divided into 2
groups of 45 each. Group I underwent open surgery and group II laparoscopic surgery. Patients were
followed up at 1 week, 1 month, 3 months, 6 months intervals.
Results: Group I had 30 males and 15 females and group II had 26 males and 19 females. Type of
hernia was epigastric hernia seen in 5 in group I and 4 in group II, incisional hernia 7 in group I and 6
in group II, umbilical 20 in group I and 23 in group II and paraumbilical 13 in group I and 12 in group
II.
Conclusion: Laparoscopic group showed better treatment outcome as compared to open group.

To Assess to the Role of Preoperative Bilateral Intra-Abdominal Drain In The Management of Abdominal Comportment Syndrome in Cases of Perforation Peritonitis.

Dr.Dilip Kothari, Dr.Archana Kothari

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 2896-2899

Background &Method: The aim of this study is to assess to the role of preoperative bilateral intra-abdominal drain in the management of Abdominal Comportment Syndrome in cases of perforation peritonitis.Study of role of pre-operative bilateral intra-abdominal drain in the management of abdominal compartment syndrome in cases of perforation peritonitis. All the patients will be evaluated before and after the bilateral drain placement and after definitive surgery.
 
Result:In the present study, Mean pulse rate settled down to 124.09; Mean arterial pressure (MAP) raised from 68.69 mm of Hg. Mean respiratory rate settled down from 26.1 per min; Mean abdominal girth decreased from 102.86 cms; Mean IAP  decreased from 25.57 mm of Hg; Mean value of urine output increased from 22.79 ml in study group.
 
Conclusion:Abdominal compartment syndrome is a well-recognized disease entity related to acutely increase intra-abdominal pressure but its management is uncertain. Patients of ACS are usually critically ill, many land up with unrecordable pulse and blood pressure with deranged haematological and renal functions. Providing anaesthesia for such critically ill patients undergoing decompressive laparotomy is extremely challenging and usually further delays the definitive surgery. There has been significant improvement of vitals after percutaneous abdominal drains placement prior to definitive surgery in study group.
 

To study the effect of Intravenous Dexmedetomidine in prevention of intra-operative shivering in the patients undergoing lower abdominal surgeries under spinal anesthesia

Dr. Sangeeta Bansal Agarwal, Dr. Ankit Gupta, Dr. Vikas Rathore, Dr. Tanya Jain

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 3529-3534

Background & Method: The aim of this study is to study the effect of Intravenous Dexmedetomidine in prevention of intra-operative shivering in the patients undergoing lower abdominal surgeries under spinal anesthesia.
Result: The mean sedation score in control group was 1.32 ± 0.47, while in study group it was 4.44 ± 0.61.  The difference was found to be statistically significant (P<0.05), with a higher sedation score in study group in comparison to control group. Statistically significant proportional difference was seen between control and study group for Grade 2, 3 and 4 (P < 0.05), with a higher proportion of patients in control group in comparison to study group.
Conclusion: Patients were randomly allocated in to two groups of 50 each, dexmedetomidine group and control group. Just after intrathecal injection drug were infused intravenously. Dexmedetomidine group was given an iv loading dose of dexmedetomidine 1mcg /kg administered over a 10 minute period followed by an infusion of 0.5mcg /kg body weight. The infusion was stopped at the end of the surgery. Control group were given normal saline slowly. Drug dexmedetomidine is effective in preventing shivering following spinal anesthesia The incidence of shivering in patients under spinal anesthesia after dexmedetomidine is 2% and in control group is 62 %.