7 research outputs found
Role of Negative Pressure Wound Therapy in Healing of Diabetic Foot Ulcers
Introduction: Foot disorders such as ulceration, infection
and gangrene are the most common, complex and costly
sequelae of diabetes mellitus.[1-3] Even for the most superficial
wounds, treatment is often difficult with poor healing responses and high rates of complications. The purpose of this study is to compare the rate of ulcer healing with the negative pressure dressing technique to conventional moist dressings in the treatment of diabetic foot ulcers.
Materials and Methods: The study was conducted on 30 patients, which were divided into two groups. One group received negative pressure dressing while other group received
conventional saline moistened gauze dressing. Results were
compared for rate of wound healing.
Results: There was a statistically significant difference in the rate of appearance of granulation tissue between the two groups; with granulation tissue appearing earlier in the study group. The study group promised a better outcome (80% complete responders) as compared to the control group (60% complete responders).
Conclusions: Negative pressure wound therapy has a definitive role in healing of diabetic foot ulcers
Case Report - Long-standing extrusion of calculus: A rare complication of urolithiasis
There have been reports of extrusion of ureteric or vesical calculi
causing various complications. Extrusion of a urinary calculus is an
uncommon complication of urolithiasis. It may occur in cases of
ureteral obstruction with spontaneous rupture of proximal dilated
ureter and subsequent extrusion of the calculus leading to urinoma
formation and sepsis. Here, we are presenting a case with long-standing
spontaneous extrusion of a urinary calculus which was lying in the left
pararectal region in the hollow of the sacrum
Simplified criteria for predicting the severity of gallstone pancreatitis
BACKGROUND: There was a need for a simple method of predicting the
severity of gallstone pancreatitis soon after admission, to guide the
clinician for intensive monitoring, or for transfer to a specialist
center. AIM: To validate the role of simplified criteria [white blood
cell count (WBC) 65 14.5 x 103/dl; blood urea nitrogen (BUN)
65 12 mg/dl; random blood sugar (RBS) 65 150 mg/dl; pulse
65 100/min] in predicting the severity of gallstone pancreatitis
at admission. SETTING AND DESIGN: This prospective study was
performed on 54 patients with gallstone pancreatitis admitted in the
Department of Surgery of a tertiary hospital. MATERIAL AND METHODS:
Fifty-four patients with gallstone pancreatitis were followed for
development of complications. Sensitivity analysis of Biliary Ranson
65 3, modified Imrie 65 3, acute physiology and chronic
health evaluation II (APACHE-II) score of 65 5, WBC 65 14.5 x
103/dl, BUN 65 12 mg/dl, RBS 65 150 mg/dl, pulse 65
100/min and combinations of the four simplified criteria were compared
using the Z -test. P < 0.05 was considered statistically
significant. RESULTS: Both Biliary Ranson 65 3 and modified Imrie
65 3 had sensitivity of 96.15% and specificity of 96.43%. Both
APACHE-II 65 5 and RBS 65 150 mg/dl had sensitivity of
88.46%, which is comparable to Biliary Ranson 65 3 and modified
Imrie 65 3. CONCLUSION: RBS > 150 mg/dl can be used as a
simplified prognostic indicator at admission in patients with gall
stone pancreatitis and is comparable to Biliary Ranson 65 3,
modified Imrie 65 3, and APACHE-II of 65 5