Study of renal functions in preterm and full term new born in relation to parity of the mother

Background:During the intrauterine life, placenta performs the function of maintaining fluid and electrolyte balance and removing harmful waste products. The renal function is related more closely to gestational age, postnatal age and parity of mother. Objective of the study was to study renal functions in preterm and full term new born in relation to the parity of mother (primiparous versus multiparous mother).Methods: The study was conducted from January 2015 to December 2015 on 500 healthy new-borns among them 250 were full term healthy new-borns and 250 were preterm healthy new-borns. They were divided into 3 groups on the basis of gestational age and parity of mother. Relevant investigations were done in all cases enrolled in study:Results:  Out of total 500 new-born 255 (51%) male 245 (49%) female. In both FT and PT new-borns, primigravida child was more dehydrated then multigravida (P- Value<0.001). Mean change in the levels of S. Na, S. urea. S. Cr, BUN Ratio at 72 hours in dehydrated PT (BF) new born was significantly higher than FT (BF) non-dehydrated new born (P-value<0.001).Conclusions: Hypernatremic dehydration is a potentially fatal complication of the failure of establishment of breastfeeding mainly in primigravida so mothers should be highly motivated to breastfeed having either decreased milk production or nipple-related abnormalities that create feeding difficulty and result in inadequate fluid and caloric intake in their infants. Therefore, mothers should be helped and supported to breast feed their infants as soon as possible after delivery.

Original Article - Comparative study of skin staples and polypropylene sutures for securing the mesh in lichtenstein’s tension free inguinal hernia repair: A Prospective randomized controlled clinical trial

BACKGROUND: The tension-free hernioplasty as introduced by Lichtenstein has gained increasing acceptance during the last decade. This study compared two methods of mesh fixation. MATERIAL AND METHODS: Fifty-four patients undergoing sixty repairs were randomized into two groups. In control group polypropylene mesh was secured with 2/0 polypropylene sutures and skin closed with 2/0 polyamide black. In study group polypropylene mesh was secured with skin staples and skin was closed with staples from the same stapler. Duration of the surgery was recorded. RESULTS: The operation was significantly shorter when staples were used (median 42 min 30 s versus 54 min 30 s, P < 0.001). There was no significant difference in the incidence of postoperative complications or pain. There were no recurrences in either group in the follow up period (median 12 months). CONCLUSION: This technique of mesh fixation is as effective as conventional fixation with polypropylene sutures with an important added advantage; significant reduction in the operative time

Original Article - Comparative study of skin staples and polypropylene sutures for securing the mesh in lichtenstein’s tension free inguinal hernia repair: A Prospective randomized controlled clinical trial

BACKGROUND: The tension-free hernioplasty as introduced by Lichtenstein has gained increasing acceptance during the last decade. This study compared two methods of mesh fixation. MATERIAL AND METHODS: Fifty-four patients undergoing sixty repairs were randomized into two groups. In control group polypropylene mesh was secured with 2/0 polypropylene sutures and skin closed with 2/0 polyamide black. In study group polypropylene mesh was secured with skin staples and skin was closed with staples from the same stapler. Duration of the surgery was recorded. RESULTS: The operation was significantly shorter when staples were used (median 42 min 30 s versus 54 min 30 s, P < 0.001). There was no significant difference in the incidence of postoperative complications or pain. There were no recurrences in either group in the follow up period (median 12 months). CONCLUSION: This technique of mesh fixation is as effective as conventional fixation with polypropylene sutures with an important added advantage; significant reduction in the operative time