Prospective Clinical Study of Intestinal Obstruction it's Changing Etiology and Management Protocols

Introduction: Bowel obstruction remains one of the most common intra-abdominal problems Faced by general surgeons in their practice whether caused by hernia, neoplasm, adhesion correlated to biochemical disturbances intestinal obstruction of either the small or large bowel continues to be a major cause of morbidity and mortality.Materials and Methods: The materials for this clinical study on intestinal obstruction were collected from Cases admitted to various surgical wards in KR Hospital, Mysore attached to Mysore Medical College, during the period from January 2018 to June 2019, fifty cases of intestinal obstruction have been studied. Patients belonged to the age group ranging from 15 years to 85 years, Paediatric age group being excluded from this study. The criteria for selection of cases was based on the clinical history, physical examination findings, radiological and haematological investigations.Results: The incidence of acute bowel obstruction in adult age group was studied from the cases admitted in Department of General Surgery, KR Hospital, Mysore attached to the Mysore Medical College, Mysore during the period January 2018 to June 2019. During my study period of 20 months, the total number of admissions in surgery department were 16,533 patients. From this 240 cases with acute intestinal obstruction were treated during this period which comprise 1.5% of the total admissions. Among these cases which were surgically managed, 50 cases were selected randomly for the present study. In The present study, the most common symptoms were pain abdomen (88%) and vomiting (78%), and the most common signs were tachycardia (74%) and visible intestinal peristalsis (80%).Conclusion: Postoperative adhesions are the common cause to produce intestinal obstruction. Clinical radiological and operative findings put together can diagnose the intestinal obstruction. Mortality is still significantly high in undiagnosed case of malignancy which presented in emergency with intestinal obstruction. Earlier diagnosis and timely intervention are associated with excellent prognosis. Delayed diagnosis leading to strangulation and increased age are associated with poor outcomes

A prospective study of clinicopathology and management of carcinoma breast

Introduction: Breast cancer is the most common site-specific cancer in women and it is one of the leading cause of death from cancer for women between 20-59 years age group and it is accounting for 29% of all newly diagnosed cases and 14% of cancer related death among women. Breast cancer accounts for the mortality of 21.5% of all cancer cases, ranking number one killer in women. Materials and Methods The data used in the study was obtained from the K.V.G Medical Collage Hospital, Sullia who were presented to the surgery department with carcinoma breast from December 2017 to June 2019. A total of 100 cases were evaluated at this study period. Results: 100 cases of breast cancer were studied for emphasizing the risk factors and management of breast cancer. Most common age group of presentation is between 50-59 years and mean age was 52.7 years. Majority of our patients had early menarche, late menopause and longer reproductive period was associated with high risk of breast cancer. Most common presentation was lump in the breast with tumor size >5cm (64%).62% of patients were in the stage III when they presented to the hospital. Majority of patients were diagnosed as infiltrating ductal carcinoma on FNAC and histology. All patients underwent modified radical mastectomy (MRM) and postoperatively patients received Chemotherapy (CT) and Hormonal therapy (HT). Conclusion: Stage III due to lack of awareness about the disease. MRM, CT and HT are the various modalities of treatment given to the patient depending on the stage of disease