Online ISSN: 2515-8260

Keywords : complication


A comparative study of on-lay mesh repair and retro-rectus mesh placement in incisional hernia repair

Dr. Dinesh Kumar Sharma, Dr. Shiv Kumar Bunkar, Dr. Naresh Kumar, Dr. Rahul Yadav, Dr. Poornima Sharma

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 480-487

Background: Incisional hernia continues to be one of the common post-operative complication of
abdominal surgery. Newer techniques have been added for hernia repair including prosthetic mesh repair
and the laparoscopic repair, which have been reported to produce better results. This study aimed to
compare on-lay mesh repair and retro-rectus mesh placement.
Material and Methodology: The current study was a prospective study conducted in the Department of
General Surgery, J.L.N. Medical College & Attached Group of Hospital, Ajmerwith an aim to evaluate
and compare the efficacy of on-lay mesh repair and retro-rectus mesh placement for repair of incisional
hernia in terms of VAS score for pain post-operatively, to compare the duration of the surgery, hospital
stay between the two repair techniques and to compare the early and late complications between the two
repair techniques on a total 50 patients (25 patients of onlay and 25 patients for retrorectus repair).
Results: There is significant lower complication i.e. blood loss, pain, seroma formation, surgical duct
infection, sinus formation and recurrence in sublay mesh repair and blood loss is also significantly lower,
while operative time and blood loss during surgery is higher in comparison to onlay mesh placement.
Conclusion: In our study there are significant lower complication in sublay repair than onlay repair.
Thus, proved the sublay repair a better approach for the ventral hernia repair than the onlay repair.

To study the efficacy and safety between use of BICLAMP (bipolar coagulation forceps) in vaginal hysterectomy and conventional vaginal hysterectomy: A prospective study at tertiary care center, Maharashtra

Dr. Neha Chandraprakash Agrawal, Dr. Priyanka Kunal Purohit, Dr. Gaurav Kumar J Desai and Dr. Chintan M Upadhyay

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 784-790

Background: Bipolar vessel sealing systems (BVSS) are accepted to be safe and efficacious
with possible advantages over conventional methods, namely fewer requirement of postoperative
analgesics, less blood loss, shorter operative time and minimum hospital stay.
Objectives: To compare the efficacy and safety between use of BiClamp (Bipolar
Coagulation Forceps) in Vaginal Hysterectomy and Conventional Vaginal Hysterectomy.
Materials and Methods: This prospective study was done among 80 cases indicating
hysterectomy for benign diseases admitted in OBGY unit were selected randomly out of
which 40 cases underwent Conventional Vaginal Hysterectomy and 40 cases underwent
BiClamp Vaginal Hysterectomy at department of obstetrics & Gynecology in Government
medical college and hospital, Latur during November 2012 to September 2014.
Results: Mean duration of hospital stay required for participants of cases and control group
was 2.6 days and 4.2 days respectively (p<0.05). Mean duration of operation of cases and
control group participants was 70.9 min and 75.5 min respectively (p<0.05). Mean blood loss
during operation noted among the cases and control group participants was 90.1 ml and 115.9
ml respectively (p<0.05). During operation, three suture material required in in 0.0%
participants of cases group and 82.5% of control group respectively (p<0.05). Post- op
complications like fever, bladder injury, bowel injury & hemorrhage noted only in
participants of control group.
Conclusion: BiClamp Vaginal Hysterectomy post-operative pain was less, intraoperative
blood loss was less, operative time was significantly shorter, duration of hospital stay was
less and BiClamp Vaginal Hysterectomy was more Cost effective than the Conventional
Vaginal Hysterectomy

Impact of Bruxism on Dental Implant: A Systematic Review & Meta-Analysis

Dr Aishwarya Kadu; Dr Vikram V Khare; Dr. Tazeen Dawood; Dr. Nikhil Abbad; Dr. Savitri Ranjeri; Mohamed Fadul A. Elagib

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 6498-6508

Background: Bruxism was generally deliberated as a contraindication for oral implanting. The fundamental relationship amid bruxism and dental implant failure has remained debatable in current literatures

FEATURES OF DIAGNOSTICS OF CARDIOVASCULAR AUTONOMOUS NEUROPATHY OF CHILDREN WITH DIABETES MELLITUS TYPE 1

Dilfuza Ashurova; Azizakhon Sadirkhodjaeva; Malika Khaldarbekova; Zukhra , Shermatova

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 2382-2392

Abstract. The presence of cardiovascular autonomic neuropathy (CAN) significantly
worsens the prognosis and course of the underlying disease. So in patients with diabetes
mellitus (DM) and CAN, the mortality rate for 5 years is five times higher compared to
patients without this complication. Due to the fact that CAN is closely associated with
cardiovascular pathology, many authors consider CAN as a significant factor in
cardiovascular risk. Purpose. To establish clinical, functional and metabolic changes in
diabetic autonomic cardiovascular neuropathy in children with type 1 diabetes. Materials and
methods research. The total number of patients studied by us was 114 children with type 1
diabetes mellitus aged 4 to 18 years. We conducted laboratory and instrumental research
methods. Laboratory methods: general clinical research (general analysis of blood and urine,
studies of blood sugar), biochemical methods (total blood protein, bilirubin, cholesterol,
triglycerides, creatinine, urea, electrolytes, glycated hemoglobin), 24-hour heart rate
monitoring with circadian index estimation was used and parameters of time and frequency
analysis of heart rate variability. Conclusion diabetic autonomic cardiovascular neuropathy in
children with type 1 diabetes is characterized by the development of tachyarrhythmic rhythm
disturbances, as well as the formation of rigidity of the heart rhythm and a decrease in the
sensitivity of the sinus node to parasympathetic influences according to a temporary analysis
of daily monitoring of heart rhythm.