Most Downloaded Articles

   
 
CASE REPORT
Sachin Agrawal, Amelia Santosa

Focal Cortical Thickening along the Lateral Aspect of the Proximal Femoral Shaft: A Warning Radiographic Sign for Subsequent Complete Atypical Femoral Fracture in Patients on Bisphosphonates

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:58-60][No of Hits : 1620]


ABSTRACT

Atypical femoral fracture is a known complication of patients receiving long-term bisphosphonates for osteoporosis. Recognizing early radiographic features is important to provide timely care and management before the development of a more debilitating complete fracture with its associated morbidity and mortality. We report a case of a 72-year-old lady on long-term treatment with alendronate, who presented initially with groin pain and subsequently with a femoral fracture, without any major trauma. The initial radiographic finding of focal thickening along the lateral cortex of the proximal femur was missed.

Keywords: Atypical femoral fracture, Bisphosphonates, Focal cortical thickening.

How to cite this article: Agrawal S, Santosa A. Focal Cortical Thickening along the Lateral Aspect of the Proximal Femoral Shaft: A Warning Radiographic Sign for Subsequent Complete Atypical Femoral Fracture in Patients on Bisphosphonates. Int J Recent Surg Med Sci 2017;3(1):58-60.

Source of support: Nil

Conflict of interest: None


 
REVIEW ARTICLE
Meenakshi E Yeola (Pate), Dilip Gode, Akshay K Bora

Evolution of Laparoscopy through Ages

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:40-47][No of Hits : 1248]


ABSTRACT

The field of laparoscopic surgery has experienced tremendous growth in the last three decades. The important events among them have been the invention of incandescent bulbs by Thomas Edison, the development of lens scopes (1870-1980s), the invention of rod lens system by Hopkins (1950s), the fiberoptic cold light transmission (1960s), and the computer chip video camera (1980s).
Technological advancements have produced progressively smaller laparoscopic instruments and higher quality imaging that allow laparoscopic surgeons to perform precise dissection with minimal bleeding through most dissection planes, and the major limitations of standard laparoscopy procedures are overcome with these advances.
The introduction and evolution of minimally invasive surgery has drastically changed the entire scenario of the ways in which surgeons are treating the patients. With the introduction of various innovative technologies like high-definition television, video systems, integrated digital reporting, head-mounted displays, surgical robotics, virtual reality training, and the integration of various modalities, such as ultrasound, computed tomography, and magnetic resonance imaging, the surgeon has better knowledge of the disease, thereby, treating the patient more effectively.
In this review article, we explore the evolution of laparoscopy through the ages, thereby, making way for further development in the field of minimal access surgery.

Keywords: Advancement, History, Laparoscopy, Natural orifice transluminal endoscopic surgery, Robotic surgery, Singleincision laparoscopic surgery.

How to cite this article: Yeola (Pate) ME, Gode D, Bora AK. Evolution of Laparoscopy through the Ages. Int J Recent Surg Med Sci 2017;3(1):40-47.

Source of support: Nil

Conflict of interest: None


 
LETTER-TO-EDITOR
Anupama Bhute

Informed Consent in Obstetrics and Gynecology: Indian Scenario

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:67-71][No of Hits : 1222]


ABSTRACT

Informed consent is the process by which the treating health care provider discloses appropriate information to a competent patient so that the patient may make a voluntary choice to accept or refuse treatment. Or, in simple words, consent is agreement or permission to do or allow something. The element of consent is one of the critical issues in the area of medical treatment today. It is well known that the patient must give valid consent to medical treatment; and it is his or her prerogative to refuse treatment even if the said treatment will save their life. No doubt this raises many ethical debates and falls at the heart of medical law today. This study reviews the various provisions by the Royal College of Obstetricians and Gynaecologists for consent in obstetrics and gynecology as well as the Indian legal provisions in consent.

Keywords: Consent in obstetrics and gynecology, Informed consent, Informed risk consent, Written consent.

How to cite this article: Bhute A. Informed Consent in Obstetrics and Gynecology: Indian Scenario. Int J Recent Surg Med Sci 2017;3(1):67-71.

Source of support: Nil

Conflict of interest: None


 
REVIEW ARTICLE
Meenakshi E Yeola (Pate), Dilip Gode , Akshay K Bora

Ergonomics in Laparoscopy

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:102-108][No of Hits : 971]


ABSTRACT

Ergonomics is the science of best suiting the worker to his job, or to make the setting and surroundings favorable for the laparoscopic surgeon. The term was formally defined in 1949 and has brought benefit and safety to many areas of human endeavor.1 The importance of ergonomics in the setting of laparoscopy cannot be overemphasized. Studies have shown that correct ergonomics can reduce suturing time.2 Pressurerelated chronic pain has been shown to be relieved by the use of ergonomically designed products.3 This article on ergonomics reviews the basic concepts and techniques, for example, triangulation, optimal coaxial alignment, drawbacks for the surgeon and the patient, and how to overcome these difficulties by recent advances in technology.

Keywords: Ergonomics, Hawthorne effect, Ideal position, Posture, Sectorization, Table height, Tactile sensation, Triangulation.

How to cite this article: Yeola (Pate) ME , Gode D, Bora AK. Ergonomics in Laparoscopy. Int J Recent Surg Med Sci 2017;3(2):102-108.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
KN Sushma, Jayaprasad N Shetty, Vijayendra Pandey, Somnath Mukherjee, Santosh Kumar

Dental Extractions in Patients on Antiplatelet Therapy: A Clinical Study

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:34-39][No of Hits : 944]


ABSTRACT

Cardiovascular diseases cause highest mortality and morbidity worldwide. The introduction of preventive and maintenance antiplatelet therapy has, to a certain extent, contributed to this decline. With millions of health-conscious people using antiplatelet drugs, dental practitioners are frequently confronted with clinical situations wherein a decision has to be made about patient management, in view of the medical history. The aim of this study is to assess the need to stop aspirin before minor oral surgical procedures, including simple and surgical extractions and to discuss the various measures implemented for controlling the bleeding postoperatively. This study analyzes the association of increased bleeding during and after tooth extraction or any other minor oral surgical procedures with patients on antiplatelet therapy. The aim of this study is to assess the need to stop aspirin before minor oral surgical procedures, including simple and surgical extractions, and to discuss the various measures implemented for controlling the bleeding postoperatively. The objectives of the study are to analyze association of increased bleeding during and after tooth extraction or any other minor oral surgical procedures with patients on antiplatelet therapy.

Keywords: Acitrom, Antiplatelets, Aspirin, Bleeding, Clopidogrel, Dental extractions, Heparin, Sorbitrate.

How to cite this article: Sushma KN, Shetty JN, Pandey V, Mukherjee S, Kumar S. Dental Extractions in Patients on Antiplatelet Therapy: A Clinical Study. Int J Recent Surg Med Sci 2017;3(1):34-39.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
C Hariharan, Shubhada S Jajoo, Anuradha S Khemka

A Rare Case of Choriocarcinoma following A Normal Pregnancy And Delivery

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:64-66][No of Hits : 884]


ABSTRACT

Introduction: Choriocarcinoma is one of the rarest entities encountered in routine obstetric practice. It is usually diagnosed when patient is symptomatic, presenting with either abnormal bleeding per vaginum or symptoms of distant metastases. The presentation of choriocarcinoma as secondary postpartum hemorrhage is a least common scenario. Choriocarcinoma is mostly seen following an abnormal pregnancy, either a partial or complete mole.

Case report: A 25-year-old para 3 live 3 patient presented with secondary postpartum hemorrhage on 4th week postpartum. She had two normal full-term vaginal deliveries that were uncomplicated with normal antenatal period. As she presented with secondary postpartum hemorrhage with the thought of retained products of conception, an emergency diagnostic dilatation and curettage was done. Histopathology was suggestive of gestational choriocarcinoma. Patient was given single regimen of methotrexate and subsequently decision of total abdominal hysterectomy was taken and patient was kept in close follow-up. Presently, beta-human chorionic gonadotropin (hCG) is below 2 mIU/mL.

Conclusion: The concern is the time interval or delay between the onset of symptoms and diagnosis with subsequent treatment. Although there are a number of reasons of postpartum hemorrhage, simple curettage for histological study and titer serum beta-hCG may lead to early diagnosis and initiation of treatment. Obstetricians and pathologists should have increased awareness regarding the consequences of choriocarcinoma.

Keywords: Beta-hCG, Choriocarcinoma, Secondary postpartum hemorrhage.

How to cite this article: Hariharan C, Jajoo SS, Khemka AS. A Rare Case of Choriocarcinoma following a Normal Pregnancy and Delivery. Int J Recent Surg Med Sci 2017;3(1):64-66.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Namita S Chandak, Rajasbala Dhande

Evaluation of Breast Masses by Sonomammography and X-ray Mammography in Correlation with Histopathological Findings

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:3-6][No of Hits : 699]


ABSTRACT

Introduction: Breast lumps are common presenting complaints in the female surgical outpatient department, which are due to varied breast pathologies. Breast infection most commonly affects women aged 18 to 50 years; in this age group, it can be divided into lactational and nonlactational infections. The process can affect the skin overlying the breast, where it can be a primary event, or it may be secondary to a lesion, such as sebaceous cyst or hidradenitis suppurativa.

Aim: The aim of this article was to find out sonographic features of benign and malignant masses and correlate X-ray mammography and sonographic findings with histopathology with classification of all breast lesions according to the breast imaging reporting and data system final assessment categories (BI-RADS) (mammography).

Materials and methods: This was a prospective diagnostic study conducted on 50 female patients from September 2015 to August 2016 in the Department of Radiodiagnosis in a tertiary care hospital.

Results: In benign lesion, 24 (48%) of the patients had fibroadenoma, 2% intraductal papilloma, and 1 (2%) each had galactocele and tubercular abscess; in malignant lesion, 23 (46%) had ductal malignancy.

Conclusion: The ultrasound features are helpful in differentiating benign from malignant masses. Classification of the lesions according to BI-RADS helps to improve the management of lesions.

Keywords: Breast masses, Correlation, Mammography, Ultrasonography.

How to cite this article: Chandak NS, Dhande R. Evaluation of Breast Masses by Sonomammography and X-ray Mammography in Correlation with Histopathological Findings. Int J Recent Surg Med Sci 2017;3(1):3-6.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Vishal A Shah, Prakash Behere, KK Mishra, Animesh Sharma, Kanika Kumar

Psychiatric Morbidity among Spouses of Men with Alcohol Dependence

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:10-14][No of Hits : 687]


ABSTRACT

Objective: To assess the common mental disorders among spouses of men with alcohol dependence and to compare common mental disorders among spouses of alcoholics and nonalcoholics.

Study design: This was a cross-sectional controlled study. We evaluated 50 cases (including the indoor and outdoor patients) whose husbands were diagnosed as having alcohol dependence and 50 controls whose husbands had no alcohol dependence but some other illness, admitted to our rural medical college using the global mental health assessment tool-primary care (GMHAT-PC) version including the sociodemographic profile sheet and history of patient’s illness.

Results: Anxiety (16%) and depression (36%) were higher in wives of alcohol-dependent men. Stress was higher (6%) in cases as compared with controls (4%). When comparing diagnosis and age-wise distribution, depression was higher in cases (28%) as compared with controls (14%) in age group of 31 to 40. There were 23 (46%) out of 50 spouses of men with alcohol dependence syndrome, whose diagnosis by GMHAT-PC came out as no mental illness; still they had some score in the anxiety rating, but this score was not enough for them to be diagnosed under anxiety disorder. Even in controls, anxiety score to a certain extent was present in 26% spouses. The GMHAT-PC self-harm scoring system was used to assess the risk of self-harm. It was found that three (6%) spouses had mild suicidal risk and one (2%) had severe suicidal risk, whereas in controls, it was absent.

Conclusion: Alcohol abuse is associated with an increased risk of committing criminal offences. An alcoholic can disrupt the routine family life. The women are primary caregivers in most of these cases. Therefore, understanding mental health status of spouses of alcoholics is of utmost importance. It can help in early detection of psychiatric morbidities and help in early intervention.

Keywords: Alcohol dependence, Global mental health assessment tool-primary care, Psychiatric morbidity, Spouses of men with alcohol dependence.

How to cite this article: Shah VA, Behere P, Mishra KK, Sharma A, Kumar K. Psychiatric Morbidity among Spouses of Men with Alcohol Dependence. Int J Recent Surg Med Sci 2017;3(1):10-14.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Praveena Kher, Pavitra K Patel

Prevalence of Myopia and its Risk Factors in Rural Schoolchildren

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:29-33][No of Hits : 678]


ABSTRACT

Introduction: Myopia, also known as short sightedness, is a type of refractive error in which parallel rays coming from infinity are focused in front of the retina when accommodation is at rest. It is a condition in which close objects are seen clearly, but objects farther away appear blurred. It is an ophthalmic condition affecting 30% population. It is commonly seen in schoolchildren aged 8 to 12 years. This study was undertaken to find the prevalence of myopia among students aged 5 to 16 years of a school in a rural area of Wardha, Maharashtra, India.

Materials and methods: Study sample included children between 5 and 16 years of age from a nearby rural school. We recorded degree of myopia by autorefractometer, and students with refractive error of <-0.5 D for at least one eye were considered as myopic. Strict inclusion and exclusion criteria were followed.

Results: It was found that the prevalence of myopia is 39.6%. Mild to moderate degree of myopia was more common than severe one. Among the 198 myopic students, 112 were females and 86 were males. We found that there was no significant correlation between family history and presence of myopia. But, unhealthy reading habits and playing games on computer for 1 to 2 hours have an influence in the development of myopia.

Conclusion: Due to high magnitude of uncorrected myopia, it appears to be a public health problem both in urban and rural areas, which suggest that an increase in outdoor activity may help to reduce the magnitude of the problem. Schoolteachers should be involved for positive reinforcement of schoolchildren for screening.

Keywords: Cross-sectional, Myopia, Prevalence, Risk factors, Rural school.

How to cite this article: Kher P, Patel PK. Prevalence of Myopia and its Risk Factors in Rural Schoolchildren. Int J Recent Surg Med Sci 2017;3(1):29-33.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Shoaib Z Junejo, Sandeep Tuli

Autoimmune Hepatitis and Sarcoidosis

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:124-126][No of Hits : 519]


ABSTRACT

Background: Sarcoidosis is a systemic disorder of unknown etiology. It affects the organ systems in the body, and is characterized by the presence of noncaseating granulomas in the involved organs. The most common manifestation is bilateral hilar adenopathy along with skin, joint, and eye lesions. Here, we discuss an unusual manifestation of sarcoidosis along with autoimmune hepatitis (AIH).

Case report: We report the case of a 33-year-old African American female presented with two-day history of progressive jaundice and deranged Liver function test (LFTs) the autoimmune work up was positive for anti-nuclear antibody (ANA) 1:640 and anti-smooth muscle antibody (SMA) 1:160, The serum Angiotensin converting enzyme (ACE) level was elevated 299 U/L; a right upper quadrant ultrasound revealed a mildly enlarged liver, subsequent CT chest and CT abdomen enlarged paratracheal and subcarinal adenopathy periportal edema in the liver and numerous small hypodense nodules in the spleen. Subsequent liver biopsy showed chronic, non-granulomatous, portal and parenchymal infl ammation that was compatible with Autoimmune Hepatitis. Bronchoscopy with transbroncial biopsy revealed chronic, non-caseating granulomatous infl ammation that was consistence with sarcoidosis. Thus the patient was diagnosed with sarcoidosis and AIH. The patient was started on Prednisone 60 mg daily, with subsequent reduction to 15 mg. The serum transaminase levels returned to normal level within three months.

Conclusion: This case underscores the significance of association of Sarcoidosis that presented with Autoimmune Hepatitis. Physicians should be aware of this possibility so they may efficiently pick up the diagnosis after relevant investigations and start appropriate management. Timely intervention is key to treat the acute presentation and to prevent the further complications.

Keywords: Angiotensin-converting enzyme, Antismooth muscle antibody, Autoimmune hepatitis, Liver function test.

How to cite this article: Junejo SZ, Tuli S. Autoimmune Hepatitis and Sarcoidosis. Int J Recent Surg Med Sci 2017;3(2):124-126.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Ankush Chaudhary, Ketaki Utpat, Unnati Desai, Jyotsna M Joshi

Utility of GeneXpert in Diagnosis of Multidrug-resistant Extrapulmonary Tuberculosis

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:85-87][No of Hits : 519]


ABSTRACT

Background: The Xpert Mycobacterium tuberculosis (MTB)/ rifampicin (RIF) assay (GeneXpert) is a rapid semi-quantitative nucleic acid amplification test with established role in the diagnosis of pulmonary tuberculosis (PTB) and multidrug-resistant (MDR) PTB. We determined the performance of the GeneXpert assay for the diagnosis of extrapulmonary tuberculosis (EPTB) MDR cases.

Aims and objectives: To study the role of GeneXpert in the diagnosis of EPTB MDR.

Materials and methods: A retrospective study was conducted over a period of 2 years at a tertiary care hospital after Ethics Committee permission. Data of 44 consecutive patients of diagnosed EPTB MDR were retrieved for GeneXpert and culture drug susceptibility test (DST). Sensitivity of GeneXpert in the diagnosis of EPTB MDR was calculated comparing culture DST results.

Results: Various EPTB MDR cases studied were lymph node TB (n = 23) 51%, pleural effusion (n = 14) 32%, central nervous system TB/spinal TB/psoas abscess/gluteal abscess (n = 7) 17%. Sensitivity for GeneXpert was found to be 91.30, 57, 100% respectively. True positive and false negative were 36 and 8 cases respectively. The overall sensitivity of GeneXpert in diagnosing EPTB MDR was 81.80%. The sensitivity among lymph node, pleural effusions, and spinal/psoas abscess/gluteal abscess was 91.30, 57.14, and 100% respectively.

Conclusion: GeneXpert sensitivity for the diagnosis of EPTB MDR varied with site of extrapulmonary involvement, with lower sensitivity in pleural fluid as compared with higher sensitivity among lymph node and spine TB. Nevertheless, given the rapid turnaround time and simplicity, it is a useful tool in the diagnosis of EPTB MDR when used in correct clinical context. Subsequent confirmation with culture DST, however, is recommended to diagnose false negatives.

Keywords: Drug susceptibility testing, Extrapulmonary tuberculosis, GeneXpert.

How to cite this article: Chaudhary A, Utpat K, Desai U, Joshi JM. Utility of GeneXpert in Diagnosis of Multidrugresistant Extrapulmonary Tuberculosis. Int J Recent Surg Med Sci 2017;3(2):85-87.

Source of support: Nil

Conflict of interest: None


 
Editorial
Harvinder Singh Chhabra, Sahil Batra

Spinal Cord Injury and its Impact on the Patient, Family, and the Society

[Year:2016] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:1-4][No of Hits : 1982]


ABSTRACT

How to cite this article: Chhabra HS, Batra S. Spinal Cord Injury and its Impact on the Patient, Family, and the Society. Int J Recent Surg Med Sci 2016;2(1):1-4.

Source of support: Nil

Conflict of interest: None


 
Review Article
Vikram Khanna, Ranjana Khanna, Parul Gupta

Low Back Pain in Pregnancy

[Year:2016] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:23-27][No of Hits : 1249]


ABSTRACT

Low back pain in pregnancy is a common complaint. Psychologically, it has a negative effect on the patient, adversely affecting the quality of life.
Presenting either as pelvic girdle or as lumbar pain, accurate and early diagnosis is essential for adequate management of patients with low back pain in pregnancy. The mainstay of management is conservative. There is no established protocol and the treatment has to be tailored for each patient.

Keywords: Low back pain, Lumbar pain, Pelvic girdle pain, Pregnancy.

How to cite this article: Khanna V, Khanna R, Gupta P. Low Back Pain in Pregnancy. Int J Recent Surg Med Sci 2016;2(1):23-27.

Source of support: Nil

Conflict of interest: None


 
Original Research
BNV Satish, Prashant Kumar, SM Avanti, Shruti Singh

Salivary Amylase as Potential Biochemical Marker in Diabetes Mellitus

[Year:2016] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:19-22][No of Hits : 889]


ABSTRACT

Introduction: Diabetes mellitus has emerged as a major global health problem. Diagnosing and monitoring diabetes is the best way for its prevention, thus reducing the burden of disease. As saliva is easily available and accessible when compared with serum, salivary biomarkers have gained importance in recent years and, therefore, can be helpful in diagnosing the disease.

Aims: The purpose of this study was to estimate the salivary amylase level in patients with types I and II diabetes mellitus and to correlate these findings with those of nondiabetic individuals in order to ascertain its value as a biochemical indicator for diagnosing and monitoring the patients.

Materials and methods: Three groups of patients were selected for the present study. Group A: 20 nondiabetic, healthy individuals; group B: 20 type I diabetes mellitus patients; group C: 20 type II diabetes mellitus patients. Fasting and postprandial unstimulated saliva samples were collected and subjected for analysis of salivary amylase. Estimation of salivary amylase was determined by direct substrate method.

Results: The mean fasting salivary amylase level for types I and II diabetic and nondiabetic individuals was 245.60, 239.10, and 149 U/dL respectively, whereas the mean postprandial salivary amylase was 257.35, 246.15, and 154.2 U/dL respectively. The mean value of variables was compared using Student’s t test and one-way analysis of variance test.

Conclusion: The mean salivary amylase level was significantly increased in both types I and II diabetic individuals as compared with healthy nondiabetic subjects (p < 0.05). However, there was no significant difference in the mean of types I and II diabetic patients.

Keywords: Saliva, Salivary amylase, Type I diabetes mellitus, Type II diabetes mellitus.

How to cite this article: Satish BNVS, Kumar P, Avanti SM, Singh S. Salivary Amylase as Potential Biochemical Marker in Diabetes Mellitus. Int J Recent Surg Med Sci 2016;2(1):19-22.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Rounak Kalwani, KS Kher, Sonam S Daftari

Comparison of Ultrasonography and Fine Needle Aspiration Cytology in the Diagnosis of Malignant Breast Lesions in a Rural Setup

[Year:2016] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:60] [Pages No:58-65][No of Hits : 723]


ABSTRACT

Introduction: Breast cancer is the most common cancer diagnosed in women worldwide. These rising trends have emphasized the need of prompt detection, effective clinical evaluation, and exact diagnosis of the breast disease. Aim: To analyze and compare the sensitivity, specificity, and predictive values and accuracy of ultrasonography (USG) and fine needle aspiration cytology (FNAC) in diagnosing malignant breast lump.

Materials and methods: A cross-sectional, prospective study was done. One hundred sixteen female patients attending surgery department with breast lump were included. After complete clinical evaluation of the lump, all patients underwent USG and FNAC examination for diagnosis of the lump, and further subjected to excisional biopsy/definitive surgery, the results of which were further compared with the histopathological results to determine the accuracy, sensitivity, specificity, and predictive values of FNAC and USG.

Results: Out of 116, 61 (52.58%) benign lesions were found while the remaining 55 (47.41%) resulted to be malignant lesions on histopathological examination (HPE). Ultrasonography reported 46 true positive, 60 true negative, and 4 false negative cases with 6 inconclusive reports; whereas, FNAC reported 47 true positive, 61 true negative, and 6 false negative cases with 2 inconclusive reports. There were no false positive cases detected by USG and FNAC. Thus, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic accuracy for USG was found to be 92, 100, 100, 93.75, and 96.36% (χ2-value = 94.88, p-value = 0.0001,S) and values of 88.68, 100, 100, 91.04, and 94.73% were obtained for FNAC respectively (χ2-value = 92.04, p = 0.0001,S).

Conclusion: In diagnosing malignant breast lesion, USG and FNAC are 100% specific. Although USG appears more sensitive than FNAC, the percentage of indeterminate report is higher with USG.

Keywords: Breast cancer, Breast lump, Diagnostic accuracy, Fine needle aspiration cytology, Ultrasonography.

How to cite this article: Kalwani R, Kher KS, Daftari SS. Comparison of Ultrasonography and Fine Needle Aspiration Cytology in the Diagnosis of Malignant Breast Lesions in a Rural Setup. Int J Recent Surg Med Sci 2016;2(2):58-65.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Mohammadali S Jiwani, Pankaj J Banode, Ashutosh D Kharche, Atieya A Jiwani, SV Vaidhya

Role of Magnetic Resonance Cholangiopancreatography in Cases of Obstructive Jaundice in Correlation with Ultrasonography

[Year:2016] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:60] [Pages No:70-84][No of Hits : 596]


ABSTRACT

Jaundice is a common problem in society, it is important to discriminate between obstructive and non obstructive cause due to high morbidity in cases of obstructive jaundice, also non obstructive jaundice requires medical management while obstructive jaundice requires surgical intervention. Our study was done with aims to determine role of MRCP in cases of obstructive jaundice in correlation with ultrasonography keeping post surgical follow ups/ ERCP/ histopathology as gold standard for final diagnosis. All patients in our study undergone USG followed by MRCP. We had included total 100 patients out of which 58 females and 42 males. Out of all patients we have observed 56 malignant causes and 44 benign causes. We have observed benign conditions are seen more frequently in adults while increase in frequency of malignancy with increase in age thus there found to have direct relationship of malignant etiology with increase in age. Most common benign cause observed in our study was choledocholithiasis while most common malignancy was carcinoma head of pancreas.In our study we have concluded that MRCP is better modality with high sensitivity, specificity and diagnostic accuracy as compared to USG also with use of MRCP invasive procedures like ERCP can be avoided just for diagnostic purpose. We have also noticed few limitations of both USG and MRCP in process of diagnosis.

Keywords: Jaundice, Magnetic resonance cholangiopancreatography, Obstructive jaundice, Ultrasonography.

How to cite this article: Jiwani MS, Banode PJ, Kharche AD, Jiwani A A, Vaidhya SV. Role of Magnetic Resonance Cholangiopancreatography in Cases of Obstructive Jaundice in Correlation with Ultrasonography. Int J Recent Surg Med Sci 2016;2(2):70-84.

Source of support: Nil

Conflict of interest: None


 
Original Research
Priyanka D Bhagat, Mariya P Jiandani, Amita A Mehta

Cardiovascular Response to Defecating Postures with and without Valsalva Maneuver in Healthy Individuals

[Year:2016] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:10-14][No of Hits : 526]


ABSTRACT

Aims: To assess the cardiovascular response to defecating postures of bridging and sitting lean forward with and without Valsalva maneuver in healthy individuals.

Study design: Prospective interventional cross-over study in healthy population.

Study material: Stop watch, Rubber tube, Nostril clip, Pillow, Mercury Sphygmomanometer, Cardioscope (Model no.: Iris 50, Maestros company).

Materials and methods: A total of 100 healthy individuals participated in the study. They maintained sitting lean forward and in bridging position for 5 minutes with and without Valsalva maneuver. Valsalva maneuver was performed at 40 mm Hg pressure for 15 seconds. Blood pressure and heart rate were recorded. Mean arterial pressure and rate pressure product were derived.

Data analysis: The data was analyzed using Statistical Package for the Social Sciences v 16. Shapiro-Wilk test was used to test normality, and nonparametric Mann-Whitney test was used with p < 0.05 as statistically significant.

Results: Sitting in lean forward position showed statistical significant increase in heart rate (p < 0.05) compared to bridging position with Valsalva maneuver. There was a significant rise in blood pressure with bridging as compared to sitting lean forward with Valsalva. There was no statistically significant difference in heart rate and blood pressure between sitting lean forward position and bridging position without Valsalva maneuver.

Conclusion: Sitting lean forward position and bridging position increase hemodynamic load compared to relaxed sitting posture. With Valsalva maneuver sitting lean forward posture causes greater rise in heart rate compared to bridging position.

Keywords: Bridging position, Cardiovascular response, Sitting lean forward, Valsalva maneuver.

How to cite this article: Bhagat PD, Jiandani MP, Mehta AA. Cardiovascular Response to Defecating Postures with and without Valsalva Maneuver in Healthy Individuals. Int J Recent Surg Med Sci 2016;2(1):10-14.

Source of support: Nil

Conflict of interest: None


 
INVITED EDITORIAL
Alessandro Landi, Giovanni Grasso, Davide Colistra, Angela Ambrosone, Roberto Delfini

Clinical Assessment of Low Back Pain: A Neurosurgical Point of View

[Year:2016] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:60] [Pages No:55-57][No of Hits : 523]


ABSTRACT

The diagnosis of low back pain (LBP) is complex and multifactorial, and a clear etiology responsible for the symptoms is often not detectable. Clinical history and neurological examination are essential for differential diagnosis, because they allow the identification of the specific pathology. The radiological investigation allows to confirm diagnosis, but the indication must always be correlated with clinical findings to not perform unnecessary diagnostic procedures. Management of LBP can involve many specialists - neurosurgeon, orthopedist, physiatrist, physiotherapist - everyone with different knowledge and experience because very often the cause is multifactorial. However, it is mandatory to clarify diagnosis of LBP; in this way, the clinical pathway is fundamental to understand pathogenesis and to determine appropriate treatment.

Keywords: Clinical diagnosis, Low back pain, Lumbar spine pathology, Neurological tests, Physical exam.

How to cite this article: Landi A, Grasso G, Colistra D, Ambrosone A, Delfini R. Clinical Assessment of Low Back Pain: A Neurosurgical Point of View. Int J Recent Surg Med Sci 2016;2(2):55-57.

Source of support: Nil

Conflict of interest: None


 
REVIEW ARTICLE
Sweta K Pisulkar, Ruchi Agrawal, Surekha R Godbole, Vivek Jadhav

Addressing the Gag Reflex: A Literature Review

[Year:2018] [Month:January-June] [Volumn:4 ] [Number:1] [Pages:39] [Pages No:2-4][No of Hits : 36]


ABSTRACT

Gagging is an involuntary protective reflex. Some patients have an extremely low threshold for the gag reflex. A severe gag reflex can be a big obstacle in certain dental procedures especially during the making of a maxillary impression. Many dental patients avoid going to the dentist because of an abnormally severe gag reflex. Treating such group of patients can be stressful and a time-consuming experience, both for the dentist and for the patient. The main aim of this article is to understand the etiology and effective management of such patients for a stress-free and fruitful clinical practice.

Keywords: Gagging, Management, Neurophysiology of gagging, Severity index.

How to cite this article: Pisulkar SK, Agrawal R, Godbole SR, Jadhav V. Addressing the Gag Reflex: A Literature Review. Int J Recent Surg Med Sci 2018;4(1):2-4.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Aditya Khandekar, Sourya Acharya, Samarth Shukla

Mean Platelet Volume as a Prognostic Indicator in Sickle Cell Anemia

[Year:2018] [Month:January-June] [Volumn:4 ] [Number:1] [Pages:39] [Pages No:5-9][No of Hits : 33]


ABSTRACT

Aim: To assess the use of mean platelet volume (MPV) as a prognostic indicator of sickle cell disease (SCD).

Materials and methods: Fifty sickle cell patients aged 18 to 60 years, attending the Medicine outpatient department (OPD) and sickle cell clinic, or admitted with an ongoing crisis, were chosen as the study group, and 50 healthy participants were chosen as controls. A pro forma detailing relevant clinical history was obtained, with emphasis on admissions. Then, a blood sample was collected and analyzed for various parameters. Patients were classified into two categories:
• Category 1: Patients with <3 reported vaso-occlusive crises in the previous year, and
• Category 2: Patients with >3 reported vaso-occlusive crises in the previous year, or admitted to the medicine ward/ intensive care unit (ICU), currently with an ongoing crises.

Results: Mean hemoglobin (Hb) values were found to be statistically lower in sickle cell patients compared with controls, while mean total leukocyte count (TLC) and mean neutrophil % values were higher in sickle cell patients. Mean platelet volume in category 2 patients was higher compared with category 1 patients (p < 0.001), and values correlated with the mean neutrophil percentages. Also, MPV, TLC, and neutrophil % values showed a statistically significant drop (p < 0.001) 2 weeks after treatment for sickle cell crises.

Conclusion: Thus, MPV can be used as a potential marker to identify patients at a greater risk of developing vaso-occlusive crises in the future, which, in a developing country like India, can be a key step toward affordable, primary prevention of future emergencies.

Keywords: Hydroxyurea, Sickle cell anemia, Vaso-occlusive crises.

How to cite this article: Khandekar A, Acharya S, Shukla S. Mean Platelet Volume as a Prognostic Indicator in Sickle Cell Anemia. Int J Recent Surg Med Sci 2018;4(1):5-9.

Source of support: ICMR Short Term Studentship 2017 Grant

Conflict of interest: None


 
CASE REPORT
Richa S Nathani, Zeba Nisar

A Rare Case Report of Molar Pregnancy with Coexisting Fetus

[Year:2018] [Month:January-June] [Volumn:4 ] [Number:1] [Pages:39] [Pages No:37-39][No of Hits : 33]


ABSTRACT

Aim: Here we report a molar pregnancy with a coexisting fetus progressing to a viable, healthy infant which is an extreme rarity, with the incidence of 0.005-0.01% of all the pregnancies.

Background: Partial mole is defined as excessive trophoblastic proliferation with normal and hydropic villi and presence of a fetus or a fetal circulation with nucleated cells. Partial molar pregnancy with a singleton live fetes is a rare condition. it is commonly seen with twin gestation and it is rare with singleton pregnancy

Case report: A 30 years old primigravida, referred from a private hospital at 38 weeks of gestation delivered a phe-notypically normal and healthy infant 2200 gm in weight by caesarean section. The placenta weighed 500 gms and on sectioning revealed widespread, grape-like vesicles. Light microscopy revealed normal villi coexisting with villi showing hydropic change and cistern formation and diffuse circumferential trophoblastic hyperplasia consistent with molar change. A diagnosis of partial molar pregnancy with normal fetus was made.

Conclusion: Very few twin pregnancies with a hydatidiform mole and a foetus continue to term as they often have spontaneous or induced terminations for maternal complications Management of molar changes associated with normal appearing fetus still remains challenging as not many studies have been done due to rarity of this disorder.

Clinical significance: Though the general trend is to terminate pregnancy in foetus with coexistent mole in anticipation of complications, under close surveillance, optimal outcomes can be achieved. Monitoring of serum (3-hCG, serial ultrasound for fetal growth, size of molar component, and theca lutein cysts can help to predict good patient outcomes.

Keywords: Beta-hCG, Molar pregnancy.

How to cite this article: Nathani RS, Nisar Z. A Rare Case Report of Molar Pregnancy with Coexisting Fetus. Int J Recent Surg Med Sci 2018;4(1):37-39.

Source of support: Nil

Conflict of interest: None


 
EDITORIAL
Vandana M Gudhe

Evidence-based Medicine: An Introspection!

[Year:2018] [Month:January-June] [Volumn:4 ] [Number:1] [Pages:39] [Pages No:1][No of Hits : 29]


ABSTRACT

Research forms a strong basis in our education system, which has shown a significant improvement all these years. The dissemination of research findings and use of clinical evidence benefit the populations and health care systems and influence public health issues globally, offering public and patient education, thus contributing to a quality health care on a global scale.

How to cite this article: Gudhe VM. Evidence-based Medicine: An Introspection! Int J Recent Surg Med Sci 2018;4(1):1.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Venus Kumar, HR Chandrashekhar, Suresh Hanagavadi

Burkitt Lymphoma with Multiorgan Involvement

[Year:2018] [Month:January-June] [Volumn:4 ] [Number:1] [Pages:39] [Pages No:24-28][No of Hits : 28]


ABSTRACT

Burkitt lymphoma (BL) is classified as a poorly differentiated lymphocytic lymphoma of B lymphocytes. It mainly affects children. It is one of the rapidly growing tumors in humans, with profuse proliferation. It is a rare malignancy comprised of only 0.76% of solid malignant tumors among Indian children.
Symptoms occur because of rapid turnover of the mature B lymphocytes with involvement of the extranodal sites and involve -ment of adjacent organs. Initially, this tumor was identified in Africans. The cause of this tumor is uncertain, but shows strong evidence with Epstein-Barr virus (EBV) in its development. A case of BL with multiorgan involvement in a 7-year-old girl was reported, which was confirmed by immunohistochemistry (IHC).

Keywords: B cell, Burkitt lymphoma, Immunohistochemistry, Lymphoma.

How to cite this article: Kumar V, Chandrashekhar HR, Hanagavadi S. Burkitt Lymphoma with Multiorgan Involvement. Int J Recent Surg Med Sci 2018;4(1):24-28.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Abhinav Gubba, Samir C Dwidmuthe, Anil Golhar, Nilesh Joshi

Effects of Local Infiltration of Autologous Platelet Supernatant in Supraspinatus Tendinopathies

[Year:2018] [Month:January-June] [Volumn:4 ] [Number:1] [Pages:39] [Pages No:15-18][No of Hits : 28]


ABSTRACT

Aim: The study was conducted to evaluate the therapeutic effects of platelet-rich plasma (PRP) injections in promoting healing of rotator cuff tendinopathies over short term by evaluating pain, range of motion (ROM) using Constant-Murley score (CMS).

Design: This prospective, cohort study was conducted in the Department of Orthopedics at a tertiary care teaching hospital between December 2013 and April 2015. Patients with supraspinatus tendinopathies (partial tear) based on either ultrasonography (USG) or magnetic resonance imaging (MRI) were included in the study. Patients with complete rotator cuff tear were excluded.

Materials and methods: Thirty consecutive patients with supraspinatus tendinopathies were administered subacromial injections of PRP. Platelet-rich plasma was made from 20 mL of patient’s blood after subjecting it to two centrifugal spins and injected into the supraspinatus tendon. All patients were evaluated at the end of 3 months.

Results: Shoulder function was assessed by CMS in present study. Mean score at baseline was 33.87 ± 5.91. After 1 and 3 months, significant reduction in CMS was found with mean score of 27.80 ± 5.17 at 1 month (p < 0.0001) and 21.93 ± 6.17 at 3 months (p < 0.0001). There was a significant difference in score at 1 and 3 months (p < 0.0001). At 6, 12, and 17 months, the CMS was still significantly low but there was no difference in scores when compared with scores at 3 months.

Conclusion: Platelet-rich plasma injection for supraspinatus tendinopathies gives good results at the end of 3 months.

Keywords: Constant-Murley score, Infiltration, Platelet-rich plasma, Tendinitis.

How to cite this article: Gubba A, Dwidmuthe SC, Golhar A, Joshi N. Effects of Local Infiltration of Autologous Platelet Supernatant in Supraspinatus Tendinopathies. Int J Recent Surg Med Sci 2018;4(1):15-18.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Nikhil Mehta, Pratapsingh Parihar, Saherish Khan, Garima Rajimwale

Role of Chest X-ray in Respiratory Distress of Neonates

[Year:2018] [Month:January-June] [Volumn:4 ] [Number:1] [Pages:39] [Pages No:19-23][No of Hits : 27]


ABSTRACT

Introduction: The initial diagnosis of an infant with respiratory distress is crucial as life-saving measures can be started immediately. Despite all the improved diagnostic modalities out there, a roentgenogram of the chest is still considered the most reliable diagnostic tool to establish respiratory distress. The aim of this study was to assess and evaluate the role of chest X-ray (CXR) in neonatal respiratory distress.

Materials and methods: This study was a prospective correlational hospital-based study done in 300 neonates in Acharya Vinobha Bhave Rural Hospital, Sawangi (Meghe), Wardha. The neonates who were clinically diagnosed having respiratory distress were evaluated using chest radiograph. In all these patients, the chest radiography findings were noted and correlated with clinical findings.

Results: Transient tachypnea of the newborn (TTNB) was the most common cause of respiratory distress (35.7%). Chest radiography had the highest sensitivity and specificity in pneumothorax (PTX), tracheoesophageal fistula, lobar emphysema, and diaphragmatic hernia (100%). Followed by pneumonia, radiography had 81.2% sensitivity and 86.5% specificity; for hyaline membrane disease (HMD), sensitivity and specificity were 80 and 89% respectively; for meconium aspiration syndrome (MAS), sensitivity was 60.5 and specificity was 81.7%; and for TTNB, sensitivity was 36.4% and specificity was 96%. Overall diagnostic accuracy was 59.7%, i.e., the final clinical diagnosis confirmed by CXR.

Conclusion: A chest radiograph has high sensitivity for congenital diaphragmatic hernia (CDH), PTX, congenital lobar emphysema, tracheoesophageal fistula, pneumonia, and HMD and low sensitivity for TTNB. To sum up, a plain chest radiograph is an indispensable tool in neonates with respiratory distress, but as with any diagnostic modality, it has its own limitations.

Keywords: Chest X-ray, Diagnostic role, Respiratory distress of newborn.

How to cite this article: Mehta N, Parihar P, Khan S, Rajimwale G. Role of Chest X-ray in Respiratory Distress of Neonates. Int J Recent Surg Med Sci 2018;4(1):19-23.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Himanshu Dodeja, Vinaya Udaybhaskar, Amol Singam

Effects of Dexmedetomidine Infusions on Hemodynamic Stability in Patients undergoing Laparoscopic Cholecystectomy

[Year:2018] [Month:January-June] [Volumn:4 ] [Number:1] [Pages:39] [Pages No:10-14][No of Hits : 26]


ABSTRACT

Objectives: In laparoscopic cholecystectomy, there has been emphasis on maintaining hemodynamic stability by avoiding hypertension, hypotension, or tachycardia. The hemodynamic instability is persistent during the duration of pneumoperitoneum (PNP), namely, CO2 insufflations. This study helps us to find out the efficacy of dexmedetomidine on cardiovascular system stability in patients undergoing laparoscopic cholecystectomy.

Materials and methods: Thirty patients were randomized into two groups of 15 members each: group P (placebo group) and group D (dexmedetomidine group). In the former, patients received 0.9% 20 mL normal saline, while in the latter, patients received 0.4 ug/kg/hr of injection dexmedetomidine in 0.9% normal saline. In all patients, age, weight, height, systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) were recorded.

Results: Dexmedetomidine being a highly selective and potent and specific alpha 2 agonist attenuates the hemodynamic response to tracheal intubation, decreases plasma catechol-amine concentration during anesthesia, and decreases peri-operative requirements of inhaled anesthetics. We found that dexmedetomidine helped in blunting the pressor response during the intubation, kept the HR and mean arterial pressure stable intraoperatively, and there was faster recovery as the requirement of inhalation agent was decreased intraoperatively.

Conclusion: The drug dexmedetomidine maintained cardiovascular stability during laparoscopic cholecystectomy. The inhalational agent (isoflurane) requirement was found to be considerably lower. Also, the mean recovery time as indicated by the ability to vocalize following extubation was found to be significantly less. Hence, it can be recommended in laparoscopic cholecystectomy for maintaining cardiovascular system stability.

Keywords: Cardiovascular stability, Dexmedetomidine, Laparoscopic cholecystectomy, Post-op recovery.

How to cite this article: Dodeja H, Udaybhaskar V, Singam A. Effects of Dexmedetomidine Infusions on Hemodynamic Stability in Patients undergoing Laparoscopic Cholecystectomy. Int J Recent Surg Med Sci 2018;4(1):10-14.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Chinnu Sasikumar, Ketaki Utpat, Unnati Desai, Jyotsna M Joshi

Acromesomelic Dysplasia with Interstitial Lung Disease: A Unique Association

[Year:2018] [Month:January-June] [Volumn:4 ] [Number:1] [Pages:39] [Pages No:29-31][No of Hits : 26]


ABSTRACT

Acromesomelic dysplasia is an extremely uncommon skeletal dysplasia with an autosomal recessive inheritance. It is characterized by a constellation of skeletal anomalies. Respiratory impediments have been sporadically reported earlier in various skeletal dysplasias. However, respiratory affection in acrome-somelic dysplasia has not been elucidated earlier. We herein report a case of acromesomelic dysplasia associated with interstitial lung disease (ILD). Diagnosis of acromesomelic dysplasia was based on radiographs of whole skeleton.

Keywords: Acromesomelic dysplasia, Interstitial lung disease, Skeletal dysplasia.

How to cite this article: Sasikumar C, Utpat K, Desai U, Joshi JM. Acromesomelic Dysplasia with Interstitial Lung Disease: A Unique Association. Int J Recent Surg Med Sci 2018;4(1):29-31.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Rohit Juneja, L Manjunath, HS Veerendra, Ananth S Mathad

Once in a Blue Moon, Congenital Anterior Urethral Diverticulum

[Year:2018] [Month:January-June] [Volumn:4 ] [Number:1] [Pages:39] [Pages No:32-36][No of Hits : 25]


ABSTRACT

Anterior urethral valves (AUVs) are rare congenital anomalies causing lower urinary tract obstruction in children. Although they are referred to as valves, these obstructive structures often occur in the form of a diverticulum. Congenital anterior urethral diverticulum (CAUD) is an uncommon/rare entity in children which can lead to obstructive lower urinary tract symptoms and urosepsis. Over the past 20 years, more than 260 cases have been reported. However, most cases are diagnosed on prenatal ultrasonography (USG) in early life if patients present with bilateral hydronephrosis and/or azotemia. Diagnosis is by ureteroscopy and radiological imaging. Surgical treatment can be open or endoscopic. Here, we report a new case of CAUD and discuss its clinical presentation, diagnosis, and management. A brief review of the literature is also presented.

Keywords: Anterior urethral diverticulum, Anterior urethral valves, Congenital anterior urethral diverticulum, Micturating cystourethrogram, Transurethral resection, Ultrasonography.

How to cite this article: Juneja R, Manjunath L, Veerendra HS, Mathad AS. Once in a Blue Moon, Congenital Anterior Urethral Diverticulum. Int J Recent Surg Med Sci 2018;4(1):32-36.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Mannu Vikram

Comparison of Apically Extruded Debris during Retreatment Procedure by Two Types of Endodontic Instruments

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:7-9][No of Hits : 461]


ABSTRACT

Introduction: During root canal treatment, canal debris is inadvertently extruded through the apex during shaping and cleaning. This happens not only during the routine endodontic cases, but also during the retreatment cases.

Objective: This study analyzed in vitro the amount of debris extruded through the foramen using two instrumentation techniques during endodontic retreatment.

Materials and methods: Sixty roots of mandibular first premolars were selected, instrumented with anatomical diameter up to size number 40 International Organization for Standardization (ISO) file, and then obturated with gutta-percha and zinc-oxide eugenol sealer by lateral condensation. They were then divided into two groups of 30 each. The first group was instrumented with ISO K-files for gutta-percha removal and the second group was instrumented with Protaper retreatment files and guttapercha was removed. All teeth were irrigated with distilled water. The debris extruded through the foramen were collected and weighed by an analytical balance.

Results: Group II had the lowest average for material extrusion through the foramen followed by group I. When Tukey test for statistical analysis was applied, significant differences among groups were found (p = 0.02).

Conclusion: It can be concluded that Protaper retreatment files produce significantly less debris as compared with K-files.

Keywords: Apical extrusion, Protaper, Retreatment.

How to cite this article: Vikram M. Comparison of Apically Extruded Debris during Retreatment Procedure by Two Types of Endodontic Instruments. Int J Recent Surg Med Sci 2017;3(1):7-9.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Harmandeep S Jabbal, Dhirendra D Wagh

Dandy–Walker Syndrome: Management at Acharya Vinoba Bhave Rural Hospital, Wardha, India

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:20-24][No of Hits : 423]


ABSTRACT

We discuss 10 cases of Dandy-Walker syndrome that presented between May 2014 and June 2015 at the Department of Neurosurgery and General Surgery in Acharya Vinoba Bhave Rural Hospital, Sawangi (M), Wardha, India. As the definitive surgical treatment protocol is not standardized, we discuss the different techniques used. Combined cystoperitoneal (CP) and ventriculoperitoneal (VP) shunt was done in three cases, two were treated with CP shunt alone, and the remaining five cases were managed with VP shunt.
Follow-up showed marked reduction in the head circumference and better motor development, along with alleviation of other neurological symptoms.
Seizures, hearing or visual problems, various central nervous system abnormalities, and systemic abnormalities were associated with poor intellectual development and could be used to predict intellectual outcome.
Prognosis varies due to several factors, but an early diagnosis and appropriate treatment have a good prognostic value.

Keywords: Dandy-Walker syndrome, Malformation, Management, Presentation, Prognosis, Rural Hospital.

How to cite this article: Jabbal HS, Wagh DD. Dandy-Walker Syndrome: Management at a Tertiary Care Hospital. Int J Recent Surg Med Sci 2017;3(1):20-24.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Garima A Arya, Sunita S Shrivastav, Krishna G Sharma, Ranjit H Kamble

Parry–Romberg Syndrome: An Orthodontic Perspective

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:48-52][No of Hits : 411]


ABSTRACT

Parry-Romberg syndrome is a rare disorder of unknown etiology, which causes asymmetry of the face. The syndrome presents with characteristic skeletal, dental, and soft tissue changes in the affected half of the face, with or without neurological signs and symptoms. The nature of the disease results in psychological disturbances and also dental anomalies. This article reports a case of a 23-year-old male who presented with classical features of the syndrome.

Keywords: Hemifacial atrophy, Parry-Romberg syndrome, Progressive facial hemiatrophy.

How to cite this article: Arya GA, Shrivastav SS, Sharma KG, Kamble RH. Parry-Romberg Syndrome: An Orthodontic Perspective. Int J Recent Surg Med Sci 2017;3(1):48-52.

Source of support: Nil

Conflict of interest: None


 
RESERACH ARTICLE
Himanshu S Jaiswal, Sonam L Jain, Shreyansh S Jaiswal

Patterns of Substance Use in First Year and Final Year Medical Students: A Cross-sectional Study

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:98-101][No of Hits : 381]


ABSTRACT

Aim: The aim of this article is to compare substance use and abuse in medical students of a tertiary care hospital involved in various undergraduate and postgraduate teaching programs.

Materials and methods: Using a structured epidemiological survey questionnaire for psychoactive substance use based on Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV criteria, 50 medical students in the first year and 50 medical students in the final year were compared.

Results: One-fourth of all students reported nonmedical substance use. The substances used were alcohol, tobacco smoking, caffeine, etc. Most frequent substance use was alcohol and tobacco smoking due to easy availability. Their use mostly began after entry into medical college. Also, it was for a longer duration in final year students.

Conclusion: Substance use disorders among medical students should be taken more seriously because they may infl uence their professional behavior. A well-planned program should be designed and implemented to train the medical students helping them develop coping skills and educating them about social, legal, and ethical impacts of substance use.

Keywords: Diagnostic and statistical manual of mental disorders IV, Medical, Students, Substance abuse, Substance dependence, Substance-related disorders.

How to cite this article: Jaiswal HS, Jain SL, Jaiswal SS. Patterns of Substance Use in First Year and Final Year Medical Students: A Cross-sectional Study. Int J Recent Surg Med Sci 2017;3(2):98-101.

Source of support: Nil

Conflict of interest: None


 
PICTORIAL ESSAY
Suresh V Phatak, Raju K Shinde, Nipun A Gupta, Gaurangi Pawar, Pallavi S Phatak

Ultrasound and Elastographic Features predicting Axillary Nodal Metastasis in Breast Cancer

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:127-129][No of Hits : 374]


ABSTRACT

Lymph node metastasis is an important prognostic factor in cases of carcinoma breast. In this pictorial essay, various sonographic and elastographic signs of lymph node metastasis are described with classical images.

Keywords: Axilla, Breast, Elastography, Metastasis, Ultrasound.

How to cite this article: Phatak SV, Shinde RK, Gupta NA, Pawar G, Phatak PS. Ultrasound and Elastographic Features predicting Axillary Nodal Metastasis in Breast Cancer. Int J Recent Surg Med Sci 2017;3(2):127-129.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Stuti Khare, Adarshlata Singh

Study of Specific Dermatoses of Pregnancy and Skin Diseases affected by Pregnancy in a Tertiary Care Rural Hospital

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:75-78][No of Hits : 373]


ABSTRACT

Aims and objectives: To study the various specific dermatoses of pregnancy and changes due to pregnancy.

Study design: A cross-sectional study was conducted in a tertiary care center, Department of Dermatology and Department of Obstetrics and Gynecology.

Materials and methods: A total of 400 pregnant females were enrolled and studied for various cutaneous changes of pregnancy. In pregnant females with specific dermatoses of pregnancy, detailed clinical examination was done regarding the morphology, pattern, and distribution of lesions. Routine blood investigations were done in all pregnant females. Biopsy was done wherever required.

Results: Among 400 pregnant females, we found 38 (9.5%) to be having specific dermatosis of pregnancy. The most common specific dermatosis of pregnancy was prurigo of pregnancy (4.75%), followed by pruritic urticarial papules and plaques (PUPP) of pregnancy (4%), intrahepatic cholestasis (ICP) of pregnancy (0.25%), and pruritic folliculitis of pregnancy (0.125%). In 9.5% females, skin diseases were caused due to pregnancy.

Keywords: Pregnancy, Skin changes, Specific dermatoses.

How to cite this article: Khare S, Singh A. Study of Specific Dermatoses of Pregnancy and Skin Diseases affected by Pregnancy in a Tertiary Care Rural Hospital. Int J Recent Surg Med Sci 2017;3(2):75-78.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Virendrakumar R Belekar, Vaibhav Jain

A Comparative Study to Evaluate the Efficacy of Butorphanol as an Adjuvant to Epidural Analgesia for Rib Fractures

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:93-97][No of Hits : 363]


ABSTRACT

Introduction: Pain management via epidural catheters have emerged as an optimal method of pain control in patients with rib fractures (RF). This study was done to evaluate the efficacy of butorphanol in this subset of patients.

Materials and methods: Sixty patients were randomly allocated in two groups R (ropivacaine only) and B (ropivacaine with butorphanol). Group R patients received 0.2% ropivacaine epidurally (10 mL) while group B patients received 0.2% ropivacaine and 1 mg butorphanol epidurally (10 mL). Baseline respiratory rate, oxygen saturation, partial pressure of oxygen (PaO2), visual analog score (VAS), peak inspiratory flow rate (PIFR) were noted in both the groups.

Results: There was significant increase in duration of analgesia and nonsignificant reduction in VAS score in group B, and nonsignificant decrease in invasive ventilation cases and significant reduction in length of intensive care unit (ICU) stay in group B. There were no significant adverse effects in both the groups except for nausea in group B.

Conclusion: Butorphanol as an adjuvant to epidural analgesia leads to better oxygenation, decrease in length of ICU stay and duration of mechanical ventilation without increase in significant side effects.

Keywords: Butorphanol, Epidural analgesia, Rib fracture, Ropivacaine.

How to cite this article: Belekar VR, Jain V. A Comparative Study to Evaluate the Efficacy of Butorphanol as an Adjuvant to Epidural Analgesia for Rib Fractures. Int J Recent Surg Med Sci 2017;3(2):93-97.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Sanidhya Surana, Deepak Thakur, Sheetal Kapse, Mukesh K Kashyap

Ectopic Tooth in the Anterior Wall of Maxillary Sinus

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:111-113][No of Hits : 358]


ABSTRACT

A 16-year-old male patient reported to our department with a chief complaint of pain and swelling in the upper left cheek region. On examination, a maxillary canine was found ectopically in the anterior wall of maxillary sinus. Ectopic eruption of teeth into regions other than the oral cavity is rare. We present one such case of ectopic eruption of maxillary canine.

Keywords: Ectopic tooth, Impacted canine, Maxillary sinus.

How to cite this article: Surana S, Thakur D, Kapse S, Kashyap MK. Ectopic Tooth in the Anterior Wall of Maxillary Sinus. Int J Recent Surg Med Sci 2017;3(2):111-113.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Shoaib Z Junejo, Sandeep Singh, Sandeep Tuli

Double Retroaortic Left Renal Vein

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:117-118][No of Hits : 354]


ABSTRACT

Double left renal vein is a rare venous anomaly. Usually, it remains clinically silent until discovered accidently during an operation or imaging. We present a case of a double retroaortic left renal vein (RLRV). This variation is rare and has been very rarely reported.

Keywords: Embryonic renal venous collar, Inferior vena cava, Left subsupracardinal anastomosis, Retroaortic left renal vein, Retroaortic renal veins.

How to cite this article: Junejo SZ, Singh S, Tuli S. Double Retroaortic Left Renal Vein. Int J Recent Surg Med Sci 2017;3(2):117-118.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Manisha Shrivastava, Priya Nirankari, Sangita Singh, Seema Navaid

A Study to Compare Antigen-based Enzyme-linked Immunosorbent Assay, Rapid Method, and Microscopy for Detection of Malaria in Blood Donors to prevent Transfusion-transmitted Malaria

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:88-92][No of Hits : 345]


ABSTRACT

Introduction: In malaria-endemic countries, blood donors with low parasitemia may be missed at the time of screening of blood units leading to the consequences like hemolysis, morbidity, and even mortality in nonimmune transfusion recipient. This study aimed to compare peripheral blood smear (microscopy), rapid diagnostic test (RDT), and antigen detection enzyme-linked immune sorbent assay (ELISA) for the detection of Plasmodium spp. in blood donors to prevent transfusiontransmitted malaria (TTM).

Materials and methods: Samples from 100 eligible blood donors coming to donate blood at the Bhopal Memorial Hospital & Research Center blood bank were collected in ethylenediaminetetraacetic acid vial. Light microscopic examination on both thin and thick smears, RDT, and PAN-specific lactate dehydrogenase antigen detection ELISA were performed on the blood samples and the results were compared.

Results: None of the blood smears or samples from the 100 blood donors screened showed malarial parasitemia or positive result.

Conclusion: In India, the current strategy of testing blood donors is mainly restricted to microscopy and some blood banks have adapted rapid methods for antigen detection. A larger study on large sample size should be conducted to determine the most appropriate and effective malarial screening test in blood donors and, most importantly, to suggest a workable national screening policy for prevention of TTM in transfusion recipients.

Clinical significance: For screening blood units for malaria, currently available testing methodologies need to be studied in comparison with the assays with better sensitivity for increasing blood safety and reducing the complications of transmission of malaria to patients through blood transfusions.

Keywords: Antigen-based assays, Donor screening, Rapid diagnostic test, Transfusion-transmitted infections.

How to cite this article: Shrivastava M, Nirankari P, Singh S, Navaid S. A Study to Compare Antigen-based Enzyme-linked Immunosorbent Assay, Rapid Method, and Microscopy for Detection of Malaria in Blood Donors to prevent Transfusiontransmitted Malaria. Int J Recent Surg Med Sci 2017;3(2):88-92.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Sharayu Nimonkar, Vikram Belkhode, Pranali Nimonkar, Seema Sathe, Surekha Godbole

Liquid-supported Dentures: A Boon for Atrophic Ridges

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:119-123][No of Hits : 335]


ABSTRACT

Prosthetic rehabilitation of atrophic ridges is always a challenging task, since treatment modalities, such as ridge augmentation and implant-retained complete dentures are not always feasible due to health reasons, cost factor, etc. This article describes a case report of constructing a liquid-supported denture using a simple, innovative laboratory procedure, which provides a soft tissue surface as compared with conventional complete dentures and added comfort to underlying tissues. It helps in preservation of residual ridge resorption by optimal distribution of masticatory forces and gives adequate retention stability and support.

Keywords: Cyanoacrylate, Glycerine, Liquid-supported dentures, Polyethylene sheet.

How to cite this article: Nimonkar S, Belkhode V, Nimonkar P, Sathe S, Godbole S. Liquid-supported Dentures: A Boon for Atrophic Ridges. Int J Recent Surg Med Sci 2017;3(2):119-123.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Rohit Juneja, HS Veerendra

Inflammatory Myofibroblastic Tumor of Bladder

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:109-110][No of Hits : 334]


ABSTRACT

Inflammatory myofibroblastic tumor (IMT) is a rare benign lesion found in many locations throughout the body and genitourinary tract. In bladder, being very uncommon, it arises from submucosal stroma as a polypoidal growth, and is easily mistaken for a malignant neoplasm—both clinically and radiologically. Essential criteria for the diagnosis of IMT are spindle myoepithelial cell proliferation and lymphoplasmacytic infiltrate. Here, we report a case of a 29-year-old male who presented with painless gross hematuria for 3 days. The patient underwent transurethral resection of the tumor and the final pathological diagnosis was IMT of the bladder.

Keywords: Immunohistochemical staining, Inflammatory myofibroblastic tumor, Spindle myoepithelial cell proliferation.

How to cite this article: Juneja R, Veerendra HS. Inflammatory Myofibroblastic Tumor of Bladder. Int J Recent Surg Med Sci 2017;3(2):109-110.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Hemant Thakur, Shirish Vaidya

Congenital High Airway Obstruction Syndrome: Antenatal Ultrasound Findings.

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:114-116][No of Hits : 333]


ABSTRACT

Objective: The objective of this study was to describe the antenatal ultrasound appearances of congenital high airway obstruction syndrome (CHAOS), which typically manifests as large echogenic lungs acquiring whole of the thorax and dilatation of the trachea distal to the obstruction and causing intrinsic laryngeal/tracheal obstruction.

Case report: A 30-year-old pregnant female with 24 weeks gestation come for routine absolute neutrophil count (ANC) scan. Ultrasonography (USG) was performed, and large echogenic lungs occupying whole of the thoracic cavity compressing the heart in between and causing inversion of the bilateral domes of the diaphragm were found. There was dilatation of the tracheal distal to the lesion and polyhydramnios.

Conclusion: The described USG finding of CHAOS may be useful in deciding when to include this entity in the differential diagnosis of enlarged echogenic lungs.

Keywords: Congenital high airway obstruction syndrome, Laryngeal atresia, Polyhydramnios.

How to cite this article: Thakur H, Vaidya S. Congenital High Airway Obstruction Syndrome: Antenatal Ultrasound Findings. Int J Recent Surg Med Sci 2017;3(2):114-116.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Praveen S Jodalli, Ganesh Shenoy Panchmal, Vinej Somaraj, Shafees Koya

Dentofacial Characteristics among Monozygotic and Dizygotic Twin Pairs from a Unique Village of Twins in South India: A Descriptive Cross-sectional Study

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:25-28][No of Hits : 329]


ABSTRACT

Aim: To assess the dentofacial characteristics of a mystery village of twins in South India.

Materials and methods: A descriptive cross-sectional study was carried out among of 22 twin pairs (10 monozygotic twins and 12 dizygotic twins). The evaluation was done in terms of height, weight, dentofacial profile, and occlusion status based on anthropometric, photographic, and dental cast analysis.

Results: Data obtained upon analysis of anthropometric measurements, photographic data, and dental cast evaluation revealed a set of characteristics peculiar to the twins of this unique village.

Conclusion: Twin studies are a fascinating method of research because of their ability to correctly isolate a characteristic and determine its impact, especially in terms of dentofacial characteristics.

Clinical significance: Twin research design involving the comparison of variables among monozygotic (identical) and dizygotic (fraternal) twins is a method by which researchers quantify and classify the contribution of genes and other extraneous factors influencing heredity on the dentofacial complex and dentition.

Keywords: Dizygotic twins, Genetics, Kodinhi, Monozygotic twins, Twin study.

How to cite this article: Jodalli PS, Panchmal GS, Somaraj V, Koya S. Dentofacial Characteristics among Monozygotic and Dizygotic Twin Pairs from a Unique Village of Twins in South India: A Descriptive Cross-sectional Study. Int J Recent Surg Med Sci 2017;3(1):25-28.

Source of support: Grants from Yenepoya University, Mangaluru, Karnataka, India

Conflict of interest: None


 
ORIGINAL ARTICLE
Sangita D Jogdand, Raju K Shinde, Naman Chandrakar

Outcome of Evidence-based Allocation of Single-dose Antibiotic extended to Three-dose Antibiotic Prophylaxis in Surgical Site Infection

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:79-84][No of Hits : 327]


ABSTRACT

Aim: To study the outcome of evidence-based allocation of single-dose antibiotic extended to three-dose antibiotics prophylaxis in surgical site infection (SSI).

Materials and methods: A total of 183 clean surgical procedures in all age groups and of both genders with encountered comorbidities were included in the study. Surgical procedures like inguinal hernia, primary vaginal hydrocele, congenital hernia and hydrocele, fibroadenoma, and other surface swellings were targeted procedures. These procedures were of <1 hour duration and American Society of Anesthesiologists (ASA) grades I and II in study population. Ceftriaxone with sulbactam 1.5 gm was prophylactic antibiotic given 1 hour prior to incision. Excess local signs for inflammation were observed strictly for extension of antibiotics to three doses or multiple doses.

Results: Success of evidence-based policy of randomization to single or three doses was 76.5% in all patients, and converting to three doses was 85.7%. Favorable outcome was seen in the patients with comorbidities—76.19% in hypertension, 57.14% in diabetes, and 28.57% in obesity. Only 14.3% of overall patients required extended multiple dose antibiotic therapy, which clearly projects that evidence-based policy implementation was effective in reducing number of doses.

Conclusion: Evidence-based flexible antibiotic dose is effective in commonly performed procedures even with comorbidities. Flexibility depending on local signs to modify dose policy gives piece of mind with excellent outcome.

Clinical significance: Adopting flexible antibiotic dosing reduces cost of antibiotics therapy with positive mindset for accepting reduced numbers of doses without affecting the outcome of surgical procedure.

Keywords: Dose policy, Evidence-based randomization, Surgical site infection.

How to cite this article: Jogdand SD, Shinde RK, Chandrakar N. Outcome of Evidence-based Allocation of Single-dose Antibiotic extended to Three-dose Antibiotic Prophylaxis in Surgical Site Infection. Int J Recent Surg Med Sci 2017;3(2):79-84.

Source of support: Nil

Conflict of interest: None


 
Conference Proceedings

11th June 2017 – CME on Musculoskeletal MR & Ultrasonography imaging - A Case Based Approach

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:iv][No of Hits : 317]


ABSTRACT

Medical and Surgical Update Society (MSUS) organized its 1st CME in field of Radiology. The CME was organized on 11th July 2017 in collaboration with Department of Radiology, AVBRH, Wardha. Dr. Pankaj Banode (Head Intervention Radiology) was the Chairman and Dr. Shivali Kashikar (Professor Department of Radiology) & Dr. Shraddha Singhania (Consultant Department of Radiology) were the Organizing secretary of the CME.


 
EDITORIAL
HK Mahajan

Anesthesia and Anesthetist: People’s Perception and Reality

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:73-74][No of Hits : 315]


ABSTRACT

The success of anesthesia in common perception is based on the anesthetist’s ability to induce a smooth sleep, provide constant anesthesia during surgery, and a guarantee of smooth wake-up after the procedure. It is also expected that pain will not be perceived while the patient is under the influence of anesthesia. But, people have concerns about awakening from anesthesia and have deep-rooted fear that they either may never get up from the surgical table or anesthesia may wean off during the surgical procedure itself and they may get up in between.

How to cite this article: Mahajan HK. Anesthesia and Anesthetist: People’s Perception and Reality. Int J Recent Surg Med Sci 2017;3(2):73-74.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Talat H Al-Gunaid, Rayan Abdulhai, Baha Flemban

Prevalence of Musculoskeleal Disorders among Dentists in Al-Madinah, Kingdom of Saudi Arabia

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:15-19][No of Hits : 312]


ABSTRACT

Introduction: Musculoskeletal disorders (MSDs) are one of the most common occupational hazards associated with a wide range of occupations. Dental professionals have an increased risk of developing such disorders caused by repetitive, hard, or stressful gestures. Taking this issue into consideration, we felt the necessity to investigate the prevalence and distribution of musculoskeletal symptoms among dentists in Al-Madinah.

Materials and methods: A self-reported questionnaire was distributed to a random sample of 180 dentists from different parts of Al-Madinah, Kingdom of Saudi Arabia. The questionnaire was about musculoskeletal symptoms in different parts of the body.

Results: A total of 70 questionnaires were completed and returned. Of the respondents, 47 (67.1%) were males and 23 (32.9%) were females. The mean age of respondents was 36.1 ± 8.7. Majority were general dental practitioners [45 (64.2%)], with the remainder being specialists [25 (35.8%)]. Prevalence of MSD during the past 12 months was reported to be lower back pain (65.7%), neck pain (48.6%), and shoulder pain (45.7%), with the lowest prevalence pain being found in the hips and thighs (17.1%).

Conclusion: The results suggested that the prevalence of musculoskeletal symptoms among dentists in Al-Madinah, Kingdom of Saudi Arabia, is high. Continuing education for dentists and dental students about the proper and correct dental positions as well as practicing ergonomic skills and incorporating them into the curriculum would be beneficial.

Keywords: Dentists in Al-Madinah, Musculoskeletal disorders, Prevalence.

How to cite this article: Al-Gunaid TH, Abdulhai R, Flemban B. Prevalence of Musculoskeletal Disorders among Dentists in Al-Madinah, Kingdom of Saudi Arabia. Int J Recent Surg Med Sci 2017;3(1):15-19.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Suresh V Phatak, Neeraj A Patange

Blue Eye Sign of Ectopic Pregnancy on Transvaginal Sonography Elastography

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:61-63][No of Hits : 303]


ABSTRACT

Sonoelastography is a recent advance in the field of sonography, which has got large number of indications. It is principally used in breast, thyroid, liver, and prostate for diagnosis of malignancy. New indications are also tried in the field of obstetrics and gynecology. We are here reporting a case of ectopic pregnancy, where classical “blue eye sign” is seen on sonoelastography.

Keywords: Blue eye sign, Ectopic pregnancy, Elastography, Transvaginal sonography.

How to cite this article: Phatak SV, Patange NA. Blue Eye Sign of Ectopic Pregnancy on Transvaginal Sonography Elastography. Int J Recent Surg Med Sci 2017;3(1):61-63.

Source of support: Nil

Conflict of interest: None


 
MINI REVIEW
Khalifa Elmajri

Do We have an Aimer to put the Tibial and Femoral Tunnels in the Same Line to reduce Mechanical Strain in Reconstructed Anterior Cruciate Ligament?

[Year:2017] [Month:July-December] [Volumn:3 ] [Number:2] [Pages:59] [Pages No:130-132][No of Hits : 296]


ABSTRACT

The strain between the ACL graft tissue and the osteochondral tissue at the tunnel entrances would lead to postoperative deviation of the femoral and/or tibial insertion of the ACL graft. Postoperative changes of the 3D orientation of the ACL graft affect its physiometry leading to failure of graft tension. A conception of an aimer is suggested to insure straightening of the intraosseous (tibial and femoral) and intra-articular parts of the graft at the tunnel entry point to overcome the postoperative angulation of intraosseous and intra-articular graft parts

Keywords: Anterior cruciate ligament, Knee, Tunnel.

How to cite this article: Elmajri K. Do We have an Aimer to put the Tibial and Femoral Tunnels in the Same Line to reduce Mechanical Strain in Reconstructed Anterior Cruciate Ligament? Int J Recent Surg Med Sci 2017;3(2):130-132.

Source of support: Nil

Conflict of interest: None


 
EDITORIAL
Shraddha K Singhania

Radiology at the Intersection: We have met the Enemy and He is Us!

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:1-2][No of Hits : 288]


ABSTRACT

I was thinking of events in the development of radiology from the time when my older generation used to be radiologists and was reminded of a humorous phrase by Walt Kelly: “We have met the enemy and he is us!” There is a speedy development of newer imaging techniques and introduction of newer applications at an equal velocity.

How to cite this article: Singhania SK. Radiology at the Intersection: We have met the Enemy and He is Us! Int J Recent Surg Med Sci 2017;3(1):1-2.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Saurabh Verma, Kedar Phadke, Mukul Mohindra, Paritosh Gogna, Jitesh K Jain

Wide Spectrum of Metacarpal Sign: Three Cases of Metacarpal Sign and Its Variants

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:53-55][No of Hits : 277]


ABSTRACT

Metacarpal sign is a diagnostic radiological finding for cases of gonadal dysgenesis, also reported to be associated in a number of other endocrine abnormalities. Technically, it refers to relative difference in the lengths of medial three metacarpals, with the fourth and fifth metacarpals being shorter than the third metacarpal. We incidentally came across three cases that have been mentioned in this report. The first case primarily came to notice because of short fourth and fifth metatarsals. Further evaluation revealed that he also had short fourth and fifth metacarpals. The second case had isolated short fifth metacarpal a nd w as i diopathic. T he t hird p atient, a k nown case of idiopathic hypoparathyroid hormone deficiency, had a short third, fourth, and fifth metacarpal, which is an unreported skeletal phenotype. The latter two cases had slight variation from the classical description of metacarpal sign, and may be a part of still hidden spectrum of metacarpal phenotypes.

Keywords: Archibald sign, Metacarpal sign, Short metacarpals.

How to cite this article: Verma S, Phadke K, Mohindra M, Gogna P, Jain JK. Wide Spectrum of Metacarpal Sign: Three Cases of Metacarpal Sign and Its Variants. Int J Recent Surg Med Sci 2017;3(1):53-55.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Nabeel A Hashmi, Sourya Acharya, Shashiraj Lahoti, Saish Alegaonkar, Samarth Shukla

An Unusual Case of Chest Pain in a Young Adult

[Year:2017] [Month:January-June] [Volumn:3 ] [Number:1] [Pages:71] [Pages No:56-57][No of Hits : 251]


ABSTRACT

Echinococcosis is an infection caused in humans by Echinococcus granulosus which produce cystic hydatid disease. It is prevalent in most areas with livestock is raised in association with dogs. Liver is the most common site of this infection. We are presenting a case of 19-year-old adult who had chronic cough and pleuritic pain due to hydatid cyst in left lung.

Keywords: Echinococcosis, Hydatid cyst, Liver, Lung.

How to cite this article: Hashmi NA, Acharya S, Lahoti S, Alegaonkar S, Shukla S. An Unusual Case of Chest Pain in a Young Adult. Int J Recent Surg Med Sci 2017;3(1):56-57.

Source of support: Nil

Conflict of interest: None


 
Case Report
Tushar L Patil, Devarati K Khurjekar, Vikash Y Ojha

Radiological Manifestations of Obstructed Hemivagina and Ipsilateral Renal Anomaly Syndrome: A Rare Complex Müllerian and Wolffian Duct Anomaly

[Year:2016] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:33-39][No of Hits : 482]


ABSTRACT

Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is a rare complex Müllerian and Wolffian duct anomaly. It is also known as Herlyn-Werner-Wunderlich syndrome (HWWS). It includes unilateral renal anomalies and uterine didelphys. It generally occurs at puberty and exhibits non-specific and variable symptoms with acute or pelvic pain shortly following menarche, causing a delay in the diagnosis. We report here a 16-year-old female presenting with progressive cyclical pelvic pain, where magnetic resonance imaging (MRI) suggested the diagnosis of the OHVIRA syndrome. She was managed by surgical resection of the septum and draining of the obstructed vagina.

Keywords: Herlyn-Werner-Wunderlich syndrome, Müllerian duct anomaly, OHVIRA syndrome, Renal agenesis, Uterus didelphys.

How to cite this article: Patil TL, Khurjekar DK, Ojha VY. Radiological Manifestations of Obstructed Hemivagina and Ipsilateral Renal Anomaly Syndrome: A Rare Complex Müllerian and Wolffian Duct Anomaly. Int J Recent Surg Med Sci 2016;2(1):33-39.

Source of support: Nil

Conflict of interest: None


 
REVIEW ARTICLE
Sweta Pisulkar, Gajanan Pisulkar, Ashok Pakhan, Surekha Godbole, Trupti Dahane

Mandibular Bone Mineral Density to predict Skeletal Osteoporosis: A Literature Review

[Year:2016] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:60] [Pages No:96-101][No of Hits : 478]


ABSTRACT

Until and unless the disease is recognized as a disease entity, a little progress has been made in understanding its etiology and in developing a predictable treatment planning, restoration, and prevention of the tissues. In a process carried out to study a disease entity, whether it be cardiac disease, dental caries, or periodontal disease, it is helpful to study its pathology (the gross and microscopic structural changes of the disease), its pathophysiology (the mechanisms or disordered functions of the disease), its pathogenesis (the life history), and its epidemiology (the worldwide prevalence of the disease and various interrelated factors). The ultimate aim of such researches is the better understanding of the etiology and pathogenesis of the disease, and thereby with such understanding leading to a predictable treatment planning and ultimately the prevention or control of these factors. Osteoporosis is a major health entity affecting the elderly population and thereby resulting in approximately 1.3 million spontaneous fractures in the USA every year. The above clinical condition is a deficiency of bone mass, or skeletal osteopenia, to that level where bone cannot provide adequate mechanical support. Many of the reported studies used inadequate measures of both skeletal and mandibular bone in evaluating their possible relationships. This literature review attempts to determine relationships between the total skeletal bone mass and bone mass of the mandible in the population suffering with osteoporosis.

Keywords: Bone mineral density, Osteoporosis, Residual ridge resorption, Skeletal.

How to cite this article: Pisulkar S, Pisulkar G, Pakhan A, Godbole S, Dahane T. Mandibular Bone Mineral Density to predict Skeletal Osteoporosis: A Literature Review. Int J Recent Surg Med Sci 2016;2(2):96-101.

Source of support: Nil

Conflict of interest: None


 
Case Report
Shakil Shaikh, Rajesh Joshi

Pituitary Hyperplasia in a Boy with Van Wyk–Grumbach Syndrome due to Long-standing Hypothyroidism

[Year:2016] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:44-46][No of Hits : 440]


ABSTRACT

Van Wyk-Grumbach syndrome (VWGS) is characterized by juvenile hypothyroidism, delayed bone age, and pseudoprecocious puberty. Primary hypothyroidism in the juvenile population generally leads to retardation of linear growth and delayed puberty. However, in rare conditions, children with long-standing hypothyroidism present with signs of VWGS. It can occur in both sexes. In girls, the usual presenting features are early-onset menarche and enlarged bilateral multicystic ovaries, whereas in boys it is rarely associated with testicular enlargement. We present an unusual case of an 8-year-old boy who was referred to us with a pituitary tumor (macroadenoma) and later on diagnosed as having long-standing untreated congenital hypothyroidism with testicular enlargement and pituitary hyperplasia. Eight months after thyroxine replacement therapy, repeat magnetic resonance imaging shows complete resolution of pituitary hyperplasia.

Keywords: Congenital hypothyroidism, Kocher-Debre- Semelaigne syndrome, Pituitary hyperplasia, Precocious puberty, Van Wyk-Grumbach syndrome.

How to cite this article: Shaikh S, Joshi R. Pituitary Hyperplasia in a Boy with Van Wyk-Grumbach Syndrome due to Long-standing Hypothyroidism. Int J Recent Surg Med Sci 2016;2(1):44-46.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Abhilasha Dass, Ajay Saxena, Manoj Chandak, Pradnya Nikhade, Chandani Bhatia, Madhur Kalra

Comparative Analysis of Efficacy of Hand and Rotary NiTi Instruments in Gutta-percha Removal in Root Canal Retreatment: An in vitro study

[Year:2016] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:60] [Pages No:85-89][No of Hits : 425]


ABSTRACT

To evaluate the efficacy and cleaning ability of two different rotary nickel-titanium (NiTi) instruments and hand instruments with and without solvent (Endosolv R) in the removal of guttapercha (GP) root fillings. Sixty extracted single-rooted anterior teeth were enlarged to size F3 and obturated with warm vertical compaction using AH Plus as the sealer. Removal of GP was performed with the following devices and techniques: Hedstrom files, ProTaper, and R-Endo files. The technique that removed GP most effectively was found using R-Endo instruments and Endosolv R, followed by R-Endo without solvent, followed by ProTaper with solvent, ProTaper without solvent, followed by Hedstrom files with solvent, and Hedstrom files without solvent. There was no visible filling material extruded apically. They concluded that under the experimental conditions, R-Endo and ProTaper NiTi instruments proved to be efficient and timesaving devices for the removal of GP. The use of Endosolv R as a solvent shortened the time to reach the working length (WL) and to remove the GP, but this was not significant.

Keywords: Endosolve R, Retreatment, Rotary, Solvent.

How to cite this article: D ass A , S axena A , C handak M , Nikhade P, Bhatia C, Kalra M. Comparative Analysis of Efficacy of Hand and Rotary NiTi Instruments in Gutta-percha Removal in Root Canal Retreatment: An in vitro study. Int J Recent Surg Med Sci 2016;2(2):85-89.

Source of support: Nil

Conflict of interest: None


 
Case Report
VR Anil Kumar, Anupama K Pujar, Ashwini Kumar Kudari, Kush K Luthra

Small Intestine Obstruction in Patients due to Phytobezoar: Case Report of Four Patients

[Year:2016] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:40-43][No of Hits : 423]


ABSTRACT

Introduction: Bezoars are rare cause of small-bowel obstruction and lead to intraluminal obstruction. The other causes are foreign bodies, gall stones, and enteroliths. Phytobezoars are collection of non-digestible materials, usually of vegetable origin, and are most commonly found in patients with impaired gastric emptying, on high-fiber diet and with abnormal food habits.
We present a case report of four patients who presented with acute intestinal obstruction, and the etiology in all these four cases was found to be a phytobezoar. The complaints of diffuse pain abdomen, vomiting, and constipation were common in all four cases. One patient had undergone a gastric pull-up surgery for carcinoma esophagus and one female had undergone bilroth1 for peptic ulcer disease. One patient was a known case of diabetes mellitus and had undergone surgery for perforated peptic ulcer few years back.

Conclusion: Diagnosis of bezoars is usually confirmed by barium examination or endoscopy, and definitive treatment is surgery in case of obstruction with the removal of bezoar.

Keywords: Intestinal obstruction, Intraluminal mass, Phytobezoar.

How to cite this article: Kumar VRA, Pujar AK, Kudari AK, Luthra KK. Small Intestine Obstruction in Patients due to Phytobezoar: Case Report of Four Patients. Int J Recent Surg Med Sci 2016;2(1):40-43.

Source of support: Nil

Conflict of interest: None


 
Original Research
Sampada A Thakare, Adarshlata Singh

Early-onset Male Androgenetic Alopecia and Metabolic Syndrome: Are They Associated?

[Year:2016] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:5-9][No of Hits : 417]


ABSTRACT

Aims and objectives: To study the pattern of early-onset male androgenetic alopecia (AGA) and its association with metabolic syndrome (MetS).

Study design: A case-control study was conducted in the tertiary care center, Department of Dermatology, from year 2012 to 2014.

Materials and methods: A total number of 100 patients, 50 male patients with early-onset AGA cases and 50 age-matched controls, were enrolled. The Norwood-Hamilton classification was used to assess the grade of AGA. Metabolic syndrome was defined according to the National Cholesterol Education Program Adult Treatment Panel III criteria. Blood pressure, blood glucose, and lipid parameters along with waist circumference were assessed in all the study participants. Statistical analysis was done by using descriptive and inferential statistics using chi-square test and Z test for difference between two means. The statistical software used in the analysis was Statistical Package for the Social Sciences 17.0 and Graph Pad Prism 5.0, and the results with (p < 0.05) were considered significant.

Results: Most common grades of early-onset male AGA were 38% with grade IV, 26% with grade IIIv (vertex), and 16% with grade III. 50% of the case group with early-onset male AGA and 10% of control group patients had MetS (p < 0.05). As compared with controls, patients with early-onset AGA had a statistically significant mean value for fasting blood sugar level (p-value 0.001), triglyceride level (p-value 0.013), waist circumference (p-value 0.004), systolic blood pressure (p-value 0.006), and diastolic blood pressure (p-value 0.010) respectively. There was no significant association between early-onset male AGA and serum levels of HDL, LDL, VLDL, and cholesterol (p > 0.05).

Conclusion: It is inferred from this study that the most common grade of early-onset male AGA was grades IV and III vertex. There also was association of early-onset male AGA with MetS. More prospective studies are required with a large sample size to justify the association between early-onset male AGA and MetS.

Keywords: Androgenetic alopecia, Male, Metabolic syndrome.

How to cite this article: Thakare SA, Singh A. Early-onset Male Androgenetic Alopecia and Metabolic Syndrome: Are They Associated?. Int J Recent Surg Med Sci 2016;2(1):5-9.

Source of support: Nil

Conflict of interest: None


 
Case Report
Suresh V Phatak, Neeraj A Patange, Shishir Rawekar

Sonographic Diagnosis of Intra-abdominal Pregnancy

[Year:2016] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:52-54][No of Hits : 384]


ABSTRACT

Abdominal pregnancy can be defined as the establishment and development of the fertilized egg partially or entirely in the abdominal cavity, in a primary or more commonly secondary way. This is rarely seen in the evolution of pregnancy, and it accounts for 1% of the ectopic pregnancy locations. Sonography is important in diagnosis. We are presenting a case report of abdominal pregnancy of 16 weeks gestation.

Keywords: Abdominal pregnancy, Extrauterine pregnancy, Sonography.

How to cite this article: Phatak SV, Patange NA, Rawekar S. Sonographic Diagnosis of Intra-abdominal Pregnancy. Int J Recent Surg Med Sci 2016;2(1):52-54.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Stuti Khare, Bhushan Madke, Adarshlata Singh

Accentuated Skin Markings: A Clinical Clue for Idiopathic Eruptive Macular Pigmentation

[Year:2016] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:60] [Pages No:108-110][No of Hits : 381]


ABSTRACT

Idiopathic eruptive macular pigmentation (IEMP) is a distinct clinicopathologic entity of which less cases have been reported in the literature. We report here a case of a 16-year-old boy who had completely asymptomatic brownish-colored lesions distributed over the trunk, back, and upper limbs since 4 months, and histopathologic findings showed features consistent with diagnosis of IEMP with one additional finding having papillomatosis with moderate acanthosis. We are reporting this case with additional clinical finding that is accentuated skin markings similar to acanthosis on dermoscopy, which aid in clinical diagnosis of this less reported entity. This helps avoidance of unnecessary treatment for this self-resolving state.

Keywords: Dermoscopy, Differentials, Idiopathic eruptive macular pigmentation, Pigmented papillomatosis.

How to cite this article: Khare S, Madke B, Singh A. Accentuated Skin Markings: A Clinical Clue for Idiopathic Eruptive Macular Pigmentation. Int J Recent Surg Med Sci 2016;2(2):108-110.

Sources of support: Nil

Conflict of interest: None


 
Case Report
Mohammad J Khan, Pallavi Shriram Todase

Sirenomelia: A Case Report of a Rare Congenital Anomaly and Review of Literature

[Year:2016] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:30-32][No of Hits : 358]


ABSTRACT

Sirenomelia, or the Mermaid Syndrome, is a very rare congenital anomaly. It is associated with varying degrees of fusion of lower limb bones, giving them the appearance of a “mermaid.” It is almost always associated with other birth defects, such as, renal abnormalities, genital anomalies, and cardiac anomalies. We report a case of sirenomelia associated with bilateral multicystic dysplastic kidneys along with bilateral hydronephrosis, severe oligohydramnios, single umbilical artery, absent anal opening, and absent genitals. To the best of our knowledge, this is the first case to be reported from our region.

Keywords: Congenital anomalies, Mermaid Syndrome, Sirenomelia.

How to cite this article: Khan MJ, Todase PS. Sirenomelia: A Case Report of a Rare Congenital Anomaly and Review of Literature. Int J Recent Surg Med Sci 2016;2(1):30-32.

Source of support: Nil

Conflict of interest: None


 
Original Research
Vasudha Sipayya, Shivali V Kashikar

Role of Computed Tomography Scan in Evaluating Children with Seizures

[Year:2016] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:15-18][No of Hits : 356]


ABSTRACT

Introduction: Seizures are a common cause of morbidity and mortality in childhood. It is important to establish the cause of seizures to appropriately manage such patients. The etiology of seizures is different in developing countries as compared to the developed world. Computed tomography (CT) scan is easily available, is less sensitive to patient motion, and does not generally require sedation. Also the cost is less as compared to MRI, and this makes it an important screening tool in developing countries like India.

Aims: To determine the diagnostic ability of CT to determine the cause of seizures in children.

Settings and design: A prospective analytical study.

Materials and methods: Computed tomography scans of 84 children presenting with seizures during the period of September 2014 to August 2015 were analyzed. The study was done using 16-slice CT scan. Intravenous contrast was administered as needed. Uncooperative patients were sedated for the scan.

Results: Out of 84 scans, 40 scans (47.65%) were found to be abnormal. Maximum number of patients were found to have congenital anomalies (10), followed by hydrocephalus which was found in nine children. Five children had posttraumatic seizures. Four presented with tumors. Four children showed features of hypoxic ischemic encephalopathy. Three each had granuloma and calcification. Two children with seizures had infectious causes, which were clinically diagnosed to be meningitis.

Conclusion: Our study indicates that CT is an extremely useful tool for screening the patients of seizures. It is also useful in identifying the treatable causes and monitoring the progression. It is recommended that all children with seizures should be evaluated with CT scan.

Keywords: Children, Computed tomography scan, Congenital anomalies, Hydrocephalus, Seizures.

How to cite this article: Sipayya V, Kashikar SV. Role of Computed Tomography Scan in Evaluating Children with Seizures. Int J Recent Surg Med Sci 2016;2(1):15-18.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Tanweerul Huda, Ashok Mhaske

Exomphalos Major in Adults: A Treatment Modality

[Year:2016] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:60] [Pages No:66-69][No of Hits : 355]


ABSTRACT

Omphalocele (OC) is a congenital abdominal wall defect (CAWD) at the site of the umbilical ring with evisceration of the bowel covered by a three-layered membrane of peritoneum, Wharton’s jelly, and amnion. It is associated with an underdeveloped abdominal cavity and a high degree of viscera abdominal disproportion. An adult female giant OC patient was treated at our hospital using the component separation technique (CST) after reviewing different standard techniques. No evidence of any compartment syndrome or ventral hernia was detected postoperatively. Giant OC in an adult healed in the same way using CST as in an infant with favorable outcomes.

Keywords: Exomphalos, Exomphalos major, Giant omphalocele. Omphalocele,

How to cite this article: Huda T, Mhaske A. Exomphalos Major in Adults: A Treatment Modality. Int J Recent Surg Med Sci 2016;2(2):66-69.

Source of support: Nil

Conflict of interest: None


 
Case Report
Ashok Jagtap, Ankit Gupta, Prakhar Mohniya, Priyanka Karande

Transient Ischemic Stroke due to Hyperhomocysteinemia: A Rare Case Report

[Year:2016] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:28-29][No of Hits : 335]


ABSTRACT

Introduction: Cerebrovascular disease in childhood is relatively rare. Recently, there has been much interest in homocysteine, a sulfur-containing amino acid, as an important risk factor for vascular diseases including stroke. We report the case of a 13-year-old girl presented with ischemic stroke due to hyperhomocysteinemia.

Case report: This case report describes a 13-year-old girl with repeated episodes of hemiplegia due to hyperhomocysteinemia.

Conclusion: There are strong clues in favor of a causal relationship between hyperhomocysteinemia and athero-trombotic diseases. Homocysteine levels can be lowered effectively by a combination therapy of folic acid, vitamin B12, and vitamin B6.

Keywords: Hemiplegia, Hyperhomocysteinemia, Ischemic stroke.

How to cite this article: Jagtap A, Gupta A, Mohniya P, Karande P. Transient Ischemic Stroke due to Hyperhomocysteinemia: A Rare Case Report. Int J Recent Surg Med Sci 2016;2(1):28-29.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Manisha Kharbanda, Parag Bagad, Sunanda Dey

Contact Lens-associated Keratitis by Elizabethkingia meningoseptica

[Year:2016] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:60] [Pages No:102-105][No of Hits : 312]


ABSTRACT

Elizabethkingia meningoseptica is a Gram-negative bacillus. It is known for causing neonatal meningitis and pneumonia, sepsis in case of immunocompromised patients. It can be found in hospital and natural environments. It may exist in freshwater, salt water, and soil. It was previously known as Flavobacterium and Chryseobacterium meningosepticum.
Contact lens-induced keratitis with E. meningoseptica which we are reporting is the second case report till date. It has striking resemblance with the case that was published earlier, with minimal difference in presentation, but significant difference in the antimicrobial sensitivity. Most importantly, we also found this infection in healthy individual with no underlying disease.
Thus, we strongly support the case report that was published earlier, and though rare, this microbe should be considered as potential pathogen for contact lens-related keratitis, and increasing resistance to the antimicrobial agents should also be kept in mind.

Keywords: Contact lens, Elizabethkingia meningoseptica, Keratitis.

How to cite this article: Kharbanda M, Bagad P, Dey S. Contact Lens-associated Keratitis by Elizabethkingia meningoseptica. Int J Recent Surg Med Sci 2016;2(2):102-105.

Source of support: Nil

Conflict of interest: None


 
RESEARCH ARTICLE
Anuj R Varma, Swapnil Chillawar, TK Kamble, Sourya Acharya

Clinical Markers of Reperfusion in Patients with Acute Myocardial Infarction and Its Prognostic Significance

[Year:2016] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:60] [Pages No:90-95][No of Hits : 306]


ABSTRACT

Introduction: Coronary artery disease (CAD) is a major cause of mortality worldwide. Thrombolysis in the treatment of acute myocardial infarction (AMI) is a landmark event in the management as it has changed the outcomes. Clinical signs after thrombolysis in AMI may have a better correlation with functional reperfusion than the isolated image of angiographic patency.

Aims and objectives: To study successful clinical reperfusion (SCR) noninvasively using clinical markers of reperfusion. To evaluate the prognostic value of clinical markers of reperfusion in predicting early (30 days) prognosis after thrombolysis in AMI. To observe the effect of age, location of MI, presence of previous infarction, Killip’s class at admission, and presence of clinical reperfusion assessed noninvasively on early (30 days) prognosis after AMI.

Materials and methods: All the patients were thrombolyzed (using streptokinase). Successful clinical reperfusion was defined by the presence of at least two of the following criteria at 2 hours of starting treatment: (1) Significant relief of pain (50% or more), (2) 50% or more reduction in sum of ST segment elevation, (3) abrupt initial rise of creatine kinase MB (CK-MB) level, more than two-fold over upper normal or baseline values.

Results: Duration of symptoms (min) mean ± SD was nearly the same in two groups (94.80 ± 13.68 vs 96.19 ± 17) but early thrombolysis resulted in better outcome (0.01 S, p < 0.05). killips class at admission (KAD) > OR = 2, n (%) led to worsened fate of thrombolysis. Death n (%) occurred in 7 (8.75%) patients with 1 (1.25%) from SCR (+) group and 6 (7.5%) from SCR (-) group (0.01 S, p < 0.05).

Conclusion: It is concluded that Killip’s class at admission of more than or equal to two and absence of SCR are the predictors of mortality after thrombolysis. Absence of SCR defines a group of patients with poorer prognosis after thrombolysis and in such patients alternative strategies of reperfusion should be considered.

Keywords: Coronary artery disease, Reperfusion, Streptokinase, Thrombolysis.

How to cite this article: Varma AR, Chillawar S, Kamble TK, Acharya S. Clinical Markers of Reperfusion in Patients with Acute Myocardial Infarction and Its Prognostic Significance. Int J Recent Surg Med Sci 2016;2(2):90-95.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Namita S Chandak, Shivali Kashikar, Shiba Khan, Saherish Khan

Askin Tumor: A Case Report of Primitive Neuroectodermal Tumors of the Chest Wall – Computed Tomography Findings

[Year:2016] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:60] [Pages No:111-113][No of Hits : 285]


ABSTRACT

Askin tumor is a rare malignant neoplasm in the thoracopulmonary region. Its diagnostic approach is complex and requires a multidisciplinary team. Given the rarity of this entity, we report a case of Askin’s tumor.

Keywords: Askin’s tumor, Chest wall tumor, Ewing sarcoma.

How to cite this article: Chandak NS, Kashikar S, Khan S, Khan S. Askin Tumor: A Case Report of Primitive Neuroectodermal Tumors of the Chest Wall - Computed Tomography Findings. Int J Recent Surg Med Sci 2016;2(2):111-113.

Source of support: Nil

Conflict of interest: None


 
LETTER-TO-EDITOR
Elizabeta Leonid Popova Ramova, Leonid Zhivko Ramov

Morphological and Functional Changes in Schoolchildren with Bad Posture

[Year:2016] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:60] [Pages No:114-115][No of Hits : 282]


ABSTRACT

Introduction: In the new millennium, the medical community still deals with the treatment of idiopathic scoliosis as a threedimensional (3D) curvature known in India before Hippocrates. However, we doctors that deal with deformities of the spine, stick to Reichalt’s rule for treatment according to the size of the curvature and its progression. The aim of our study is to explain our own opinion for progression of bad posture in school children according to physical inactivity and use of video terminals (VT).

Materials and methods: We have made some researches about standards of school screening for bad posture and its impact on morphological and functional changes in them.

Results: Most of school children spend more than 2 hours in front of video terminals, they have increased body weight, and postural changes in sagittal plane.

Discussion: Some postural bad positions in age of intensive growth can became structural. In the era of fast technology development the future generation shall have functional changes on body like result of long standing in bad position.

Conclusion: The future studies for bad posture in school children should be aimed to find how much long sitting in front of VT can affect their health in the adult age.

Keywords: Bad posture, Functional changes, School screening.

How to cite this article: Ramova ELP, Ramov LZ. Morphological and Functional Changes in Schoolchildren with Bad Posture. Int J Recent Surg Med Sci 2016;2(2):114-115.

Sources of support: Nil

Conflict of interest: None


 
CASE REPORT
Jayakrishnan K Narayana Kurup, Ashwath M Acharya, Anil K Bhat

Glomus Tumor: An Anomalous Cause of Pain in the Finger

[Year:2016] [Month:July-December] [Volumn:2 ] [Number:2] [Pages:60] [Pages No:106-107][No of Hits : 282]


ABSTRACT

Glomus tumor constitutes 1 to 5% of all hand tumors. They present with the classical triad of severe pain, point tenderness, and cold sensitivity. The diagnosis is mainly clinical, but very often it is missed because of lack of knowledge or inadequate clinical examination. We present the case of a 43-year-old woman with glomus tumor of the middle finger with a short discussion on the diagnosis with clinical images of the tumor. Glomus tumor should be in the differential diagnosis in patients presenting with pain in the finger.

Keywords: Benign, Cold insensitivity, Glomus tumor.

How to cite this article: Narayana Kurup JK, Acharya AM, Bhat AK. Glomus Tumor: An Anomalous Cause of Pain in the Finger. Int J Recent Surg Med Sci 2016;2(2):106-107.

Source of support: Nil

Conflict of interest: None


 
Case Report
G Shoor, SK Rulaniya, KA Mukherjee, H Sengupta, AK Saraf

A differently managed Spleen Injury

[Year:2016] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:49-51][No of Hits : 210]


ABSTRACT

Introduction: Treatment of symptomatic splenic injury after more than 1 month of the trauma is not very specific. Moreover, here, we are reporting such a case where the patient was treated laparoscopically salvaging the spleen.

Case report: A 26-year-old young male presented with persistent pain in the left upper abdomen and back, following a splenic injury while playing football 1 month ago. Abdominal ultrasound showed subcapsular hematoma with intact hilum. Contrastenhanced computed tomography of whole abdomen showed large subcapsular hematoma grade III with intact hilar vessels. In view of persistent pain and discomfort, which debilitated and restrained him from daily as well as professional activity, even after 1 month of trauma, the patient was planned for diagnostic laparoscopy and proceed, which revealed hemoperitoneum and was aspirated. Omentum was separated from splenic capsule, breech in the capsule was extended, and hematoma was sucked out. The drain was removed on 4th postoperative day after ultrasound to exclude any fresh hemorrhage. The patient soon started daily activity and resumed his job after 15 days.

Conclusion: Surgical intervention in a hemodynamically stable splenic-injury patient may sometimes be required depending upon the condition and symptoms of the patient.

Keywords: Diagnostic laproscopy, Spleen injury, Trauma.

How to cite this article: Shoor G, Rulaniya SK, Mukherjee KA, Sengupta H, Saraf AK. A differently managed Spleen Injury. Int J Recent Surg Med Sci 2016;2(1):49-51.

Source of support: Nil

Conflict of interest: None


 
Case Report
Anupama Bhute, Sindhu Bhute

Embedded Intrauterine Contraceptive Device with Cervical Fibroid

[Year:2016] [Month:January-June] [Volumn:2 ] [Number:1] [Pages:54] [Pages No:47-48][No of Hits : 195]


ABSTRACT

Intrauterine contraceptive devices (IUCDs) are among the most frequently used methods of contraception since 1965. An embedded IUCD is a situation where there is an abnormally positioned IUCD within the endometrium or myometrium, however, without an extension through the serosa. We are reporting an interesting case that presented with a missing thread, pain in lower abdomen, and menorrhagia with incidental diagnosis of cervical fibroid.

Keywords: Displaced IUCD, Embedded IUCD, Missing IUCD thread.

How to cite this article: Bhute A, Bhute S. Embedded Intrauterine Contraceptive Device with Cervical Fibroid. Int J Recent Surg Med Sci 2016;2(1):47-48.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Sachin Agrawal, Shraddha Singhania, Pooja Singhania, Kumar Vaibhav

Intra Abdominal Umblical Vein Varix – A Case Report

[Year:2015] [Month:July-December] [Volumn:1 ] [Number:1] [Pages:43] [Pages No:12-14][No of Hits : 318]


ABSTRACT

The incidence of the fetal intra-abdominal umbilical vein varix condition is very rare and has been associated with fetal hydrops, IUGR and still birth A 26-year-old primigravida was referred for routine antenatal scan. The scan at 30 weeks showed an intra-abdominal ovoid structure superior to the fetal bladder. Color flow Doppler revealed venous flow in continuity with the umbilical vein. A diagnosis of umbilical varix was made. The venous flow was present throughout the lesion, suggesting the absence of thrombi. There was no evidence of fetal hydrops. Subsequent scans at regular intervals showed no increase in size of the umbilical varix. The patient had an uneventful elective cesarean section at 39 weeks. Postnatal assessment and a follow-up neonatal cardiac echo scan were normal. Our case supports the new emerging evidence that pregnancy outcome in cases of isolated fetal umbilical vein varix is generally good. Caution must be exercised against unnecessary early induction and costly preterm births

KEYWORDS - Fetal umbilical vein varix, Ultrasonography, Pregnancy outcome

How to cite this article - Agrawal S, Singhania S, Singhania P et. al. Intra-Abdominal Umblical Vein Varix - A Case Report, IJRSMS, 2015;01(1): 12 - 14


 
ORIGINAL ARTICLE
Sruthi Swaminathan G, Lalith Sundaram, Ranjakumar TC, Rahana Ashraf, Nimesha Alex

Central Corneal Thickness (CCT) measurement in each trimester of pregnancy: A screening parameter for a healthy eye during pregnancy: A prospective study!

[Year:2015] [Month:July-December] [Volumn:1 ] [Number:1] [Pages:43] [Pages No:19-25][No of Hits : 275]


ABSTRACT

AIM: - To detect central corneal thickness (CCT) in each trimester of pregnancy.

Purpose: To evaluate difference in measurement of central corneal thickness due to corneal changes in each trimester of pregnancy.

METHOD: - 100 healthy pregnant women within age group ranging from 21 to 35 years were included in the study. Central corneal thickness (Ultrasound Pachymetry), Intra ocular pressure (Goldmann- Applanation Tonometer) was done. Changes in central corneal thickness (CCT) were calculated at 3 time periods: First trimester, Second trimester, Third trimester. Informed consent was taken from all patients. Patients had no systemic or ocular co-morbidities.
All of the patients underwent comprehensive ophthalmologic examinations, including Refraction, Intraocular pressure (IOP), Anterior segment and Fundus examination.

RESULTS: - The mean age was 25 years in the study group. The mean CCT in the second trimester of pregnancy was measured to be higher than first trimester by 1.67% &3.13% by third trimester in right eye & increase of 1.91% in second trimester & 3.03% in third trimester left eye.
The results are statistically significant confirmed by ANOVA.

CONCLUSION: - Changes during pregnancy causes corneal edema, which is observed in pregnant women resulting from increased water retention during pregnancy. Changes in corneal curvature, central, corneal thickness and steeping may also occur during pregnancy particularly during the second and third trimester. Most of the changes are reversible and resolved in the postpartum period or after cessation of breastfeeding. Awareness of the changes during pregnancy and routine screening during antenatal period should be improvised.

KEYWORDS: - - CCT, IOP, Pachymetry, Pregnancy

How to cite this article - Swaminathan G.S, Sundaram L et al, Ranjakumar TC, Central Corneal Thickness (CCT) Measurement In Each Trimester Of Pregnancy: A Screening Parameter For A Healthy Eye During Pregnancy: A Prospective Study, IJRSMS, 2015;01(1): 19 - 25


 
CASE REPORT
Karan Hantodkar, Mahesh Mohite, Pankaj Deshpande

Cystinosis: A Rare Case Presentation

[Year:2015] [Month:July-December] [Volumn:1 ] [Number:1] [Pages:43] [Pages No:2-4][No of Hits : 148]


ABSTRACT

Cystinosis is a systemic disease caused by defect in metabolism of Cystine. It typically presents as Fanconi syndrome with metabolic acidosis, polyuria, failure to thrive, glucosuria, phophaturia and aminoaciduria. Our patient did not display metabolic acidosis at presentation and had features suggesting Bartter’s syndrome.

KEYWORDS - Cystinosis, Metabolic Acidosis, Bartter’s Syndrome

How to cite this article - Hantodkar K, Mohite M, Deshpande P, A rare presentation of Cystinosis, IJRSMS, 2015;01(1): 2-4


 
CASE REPORT
Mukta Mital, Tanuj Garg, Prashant K Gupta, Vinit Nanda

Acardiac – Acephalus Twin – A Rare Case Report And Review Of Literature

[Year:2015] [Month:July-December] [Volumn:1 ] [Number:1] [Pages:43] [Pages No:8-11][No of Hits : 137]


ABSTRACT

Acardiac twin pregnancy is a rare complication of monochorionic twinning caused by aterioarterial and venovenous placental anastomosis, leading to circulatory predominance of one twin (1). The donor “pump’ twin provides circulation for itself as well as and for the recipient acardiac twin .The acardiac twin is usually grossly abnormal with severe reduction anamolies of the upper part of the body. We present a case of acephalus acardiac anomaly diagnosed by ultrasound, with subsequent post delivery followup.

KEYWORDS - Acardiac twin, Ultrasound, Acephalus

How to cite this article - Mital M, Garg T, Gupta P et. al. Acardiac - Acephalus twin - A rare case report and review of literature, IJRSMS, 2015;01(1): 8 - 11


 
ORIGINAL ARTICLE
Sruthi S Guptha, Ranjakumar TC, Lalith Sundaram, Rahana M Ashraf, Syed Adil, Mohammad Hisham

“Beware of foreign body sensation” this live worm can swim through your eye! - A case series on increasing prevalence of ocular dirofilariasis in tropical India: a disease of travel to foreign lands.

[Year:2015] [Month:July-December] [Volumn:1 ] [Number:1] [Pages:43] [Pages No:26-30][No of Hits : 104]


ABSTRACT

The purpose is to report a case series of increasing prevalence of ocular Dirofilariasis in tropical areas of South India and the importance of the disease with travel to tropical areas Human Dirofilariasis, caused by Dirofilaria repens, have been reported to occur widely throughout Asia, Europe, and Africa. The Dirofilaria are natural parasites of mammals and are transmitted to man by zooanthrophilic mosquitoes. It is emphasized that both clinicians and microbiologists should have an increased awareness of this entity and include dirofilariasis in the differential diagnosis of patients presenting with subcutaneous nodules. Excision of the lesion is both diagnostic and therapeutic.

KEYWORDS: - Dirofilaria, Ocular Dirofilariasis, D.Repens, D.Tenius

How to cite this article - Guptha S, Ranjakumar TC ,Sundaram L et al, Beware of foreign body sensation” this live worm can swim through your eye! - A Case Series on increasing prevalance of ocular dirofilariasis in tropical india: a disease of travel to foreign lands, IJRSMS, 2015;01(1): 26 - 30


 
Editorial
Editor in Chief & Board of Directors

Introductory Address

[Year:2015] [Month:July-December] [Volumn:1 ] [Number:1] [Pages:43] [Pages No:1][No of Hits : 90]


ABSTRACT

It is evident that the volume of medical literature and the recent advances has been vastly increased over the past years, far exceeding the publishing capacity of many print and electronic journals. With the development of newer techniques, better understanding of pathophysiology of diseases and advent of technology, the profound advancement in the field medicine has been witnessed.

How to cite this article - Editorial Team & Board of Directors. Introductory Address IJRSMS. 2015; 1(1): 1


 
CASE REPORT
Priyank Khandelwal, Rachna Malani, Soor Kothari, Tannvi Prakash, Amer Malik

Methemoglobinemia after Isolated Lidocaine Spray: A Rare phenomenon

[Year:2015] [Month:July-December] [Volumn:1 ] [Number:1] [Pages:43] [Pages No:5-7][No of Hits : 76]


ABSTRACT

Methemoglobinemia is a state recognized by the increased production of met-hemoglobin, which is a form of oxidized hemoglobin, which is unable to bind oxygen. As a result the patient has a functional anemia, in which the remaining oxyhemoglobin has increased oxygen affinity, shifting the oxygen curve to left and perpetuating the impairment of oxygen delivery to tissues. Methemoglobinemia is a rare, but serious cause of hypoxemia, which can be difficult to recognize. It has been traditionally associated with the use of benzocaine class of anesthetic agents and FDA has issued warning for the use of benzocaine class of anesthetic agents for the same reason. It has been very seldom reported with the use of lidocaine class of agents alone. Through this case report we want to emphasize development of methemoglobinemia through the isolated use of lidocaine.

KEYWORDS - Congenital Methemoglobinemia, Lidocaine toxicity, Acquired Methemoglobinemia.

How to cite this article -Khandelwal P, Malani R, Kothari S et. al. Methemoglobinemia after Isolated Lidocaine Spray: A Rare phenomenon, IJRSMS, 2015;01(1): 5 - 7


 
CASE REPORT
Bhushita Lakhar, Nilesh Guru

Malignant Gastrointestinal Stromal Tumour With Metastasis

[Year:2015] [Month:July-December] [Volumn:1 ] [Number:1] [Pages:43] [Pages No:31-33][No of Hits : 72]


ABSTRACT

Gastrointestinal stromal tumors (GISTs) are the most usual mesenchymal neoplasms of the gastrointestinal tract. Ever since the classification of GIST as an entity distinct from leiomyoma’s, leiomyosarcomas, etc., there has been an increased concern in defining their imaging characteristics. It is estimated that approximately 5000-10,000 people are affected per year by this tumor all over the world. Most GISTs are benign (70-80%). However, these tumors have a spectrum ranging from benign to malignant lesions, depending on its anatomic site, tumor size, and mitotic frequency. We report a case of multiple malignant GIST with metastasis into Liver.

KEYWORDS: - Hepatic metastasis, gastrointestinal stromal tumour, Liver

How to cite this article -Lakhar B, Guru N, Malignant Gastrointestinal Stromal Tumour with Metastasis, IJRSMS, 2015;01(1): 31 - 33


 
CASE REPORT
Noopur Priya, Luv Luthra, Sweta Agrawal

Crossed Testicular Ectopia – A Rare Anamoly

[Year:2015] [Month:July-December] [Volumn:1 ] [Number:1] [Pages:43] [Pages No:15-18][No of Hits : 58]


ABSTRACT

Crossed Testicular Ectopia (CTE)/Transverse Testicular Ectopia (TTE) is a rare but well-known congenital anomaly, in which both gonads migrate toward the same hemiscrotum. It is usually associated with other abnormalities such as persistent Mullerian duct syndrome, True Hermaphroditism, Inguinal Hernia, Hypospadias, Pseudohermaphroditism, and scrotal anomalies. We report a case of 6 years old male child with right undescended testis and empty left scrotum. Diagnosis was confirmed preoperatively by ultrasound followed by open inguinal exploration for orchidopexy.

KEYWORDS - Right undescended testis, Empty left scrotum, Orchidopexy

How to cite this article - Priya N, Luthra L, Agrawal S, Crossed Testicular Ectopia – A Rare Anamoly, IJRSMS, 2015;01(1): 15 - 18



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