Laparoscopic management of adnexal masses: a hospital-based study

Background: Laparoscopy is a widely used procedure in gynecological cases both for diagnostic and operative purposes. Laparoscopic surgery has been associated with early recovery, shorter duration of hospital stay and significant patient satisfaction. The present study is conducted to evaluate the effectiveness and safety of laparoscopy in the management of adnexal masses. Primary aim of this study is to find out the indications, intraoperative findings and the different interventions contemplated to deal with the adnexal masses.Methods: The study period was of 7 months, from July 2017 to January 2018, in the Dept of Obstetrics and Gynecology, MGM Medical College and M.Y. Hospitals Indore, MP. During this period, 63 patients underwent laparoscopy for various adnexal masses. Cases were critically analyzed and results were presented.Results: Most of the patients were from the age-group 25-30 yrs. Most common indication was ovarian tumor of varied pathology. Most common surgical procedure performed was ovarian cystectomy. The most common histopathological finding was functional ovarian cyst. Only 3.1% of cases needed conversion to laparotomy for the completion of the procedure. Complication rate was minimal.Conclusions: Laparoscopy due to its lesser adverse effects, less postoperative pain, shorter stay in hospital, small erre-admission rates, better panoramic vision is considered more beneficial than laparotomy. Careful patient selection and availability of a experts should be taken into account. The current study is an over view of our experience in favor of laparoscopy in treatment of a large population of women with benign adnexal masses

A retrospective (2004-2013) and prospective (2014-2015) study of new born with special reference to anorectal malformations over a period of 10 years at a tertiary care centre

Background:A surgical audit of neonates with anorectal malformation in advanced tertiary neonatal care unit.Methods: A retrospective (2004-2013) and prospective (2014-2015) audit of medical records of newborn with GIT disorders admitted in a tertiary care center of central India. The trends analyzed for the duration based on gender, region and birth weight and data base was generated depicting the burden of disease in the region. The data base for the prospective study was also compared with a tertiary center from Nigeria.Results:Total 3309 admission included 73.56% (2438) patients of GIT diseases. Congenital anomalies were the most common cause in each category, major part being anorectal malformation (727) and trachea-esophageal fistula (730). Out of 727 admissions, 651 neonates were operated & total 1194 deaths recorded during this audit year 2004 to July 2015. Majority of new born admitted with were low birth weight male from rural skirts of this region. 509 have associated anomalies and 218 isolated ARM.  Conclusions:There is significant increase in admissions in last decade with triple fold increase in GIT disorder and twice rate in anorectal malformation substantially increasing onwards. The quality of management has to continue further to achieve parity with international standards, as there is lack of antenatal screening and details of any antenatal checkup are scarce, for congenital anomalies at primary level. Early recognition, risk stratification of the baby and timely referral to higher pediatric surgery units is the way forward

Rhabdomyosarcoma of the posterior chest wall in a newborn: a case report

Rhabdomyosarcoma is the most common soft tissue malignancy of childhood, but may occur extremely rarely in the neonatal period. There are only a few reports of rhabdomyosarcoma in neonates. Although, it may arise anywhere in the body, the head and neck, and genitourinary regions are the most frequent sites. Truncal and chest wall rhabdomyosarcoma is relatively rare occurrence. We report a neonate with embryonal rhabdomyosarcoma arising from the posterior chest wall muscles at birth. Computer Tomography scan raised the possibility of rhabdomyosarcoma or neurofibroma, fine-needle aspiration cytology was inconclusive. Total excision was done and chemotherapy given. At 6 months child is without recurrence

A comparative numerical analysis on the effect of welding consumables on the ballistic resistance of SMAW joints of armor steel

In the present investigation, a comparative study of ballistic impact behavior of Armox 500T (base metal) and its weldments prepared by low hydrogen ferrite (weldment-1) and austenitic stainless steel (weldment-2) consumables against 7.62 AP bullet has been performed with the help of finite element analysis code Abaqus 2017. Further, the result is validated with the experimental results. The experiment has been performed on the base metal, weldment-1, and weldment-2 against 7.62 AP bullet. Further, a two-dimensional explicit model has been developed for given purpose to simulate the bullet penetration at such high strain rate (103 s−1). Both bullet and plate are considered as deformable. Experimental results revealed that the depth of penetration in the base metal, weldment-1, and weldment-2 is 10.93, 13.65, and 15.20 mm respectively. Further computational results revealed that the depth of penetration of base metal, weldment-1, and weldment-2 is 10.11, 12.87, and 14.60 mm, respectively. Furthermore, weldment-1 shows more resistance against 7.62 AP bullet than weldment-2 in experimentation as well as FEA results. The percentage difference between experimental and FEA results are less than 10% which shows the prediction capability of FEA models. A feasibility analysis has been presented for using the welding consumables to weld the Armox 500T plate. Finally, in terms of ballistic resistance, the low hydrogen ferrite consumables are more appropriate than austenitic stainless-steel electrodes

A Comparative Study of Wound Infection Rates in Patients Receiving Pre OperativeIntraincisional Antibiotic Infiltration in Patients Undergoing Laparotomy for Perforation

Background and Method: This study was conducted in 100 patients (sample size) of intestinal perforation .in department of surgery at MYH Hospital and MGM Medical College, Indore (MP) after informed and written consent from the patient. A careful medical history suggest the source of the problem. Possible etiologies include the following. Penetrating injury or blunt trauma to the lower abdomen.NSAID intake or steroid intake.Treatment for ulcerative colitis or peptic ulcer.Abdominal pain, Vomiting, Hiccup History of travel in tropical area with symptom suggestive of typhoid fever.History of endoscopic procedure.History of chronic disease such as ulcerative colitis.Results: On post operative day 3, wound status of 80% controls was healthy, 12% controls had serous discharge and 8% controls had pus discharge present from the wound. The post operative wound status on day – 3 among both cases and controls was compared using chi-square test. The chi-square statistic is 4.6095. The p-value is 0.329758. The result is statistically not significant. On post operative day 5, wound status of 82% cases was healthy, 12% cases had serous discharge and only 6% cases had pus discharge present from the wound. On post operative day 5, wound status of 72% controls was healthy, 20% controls had serous discharge and 8% controls had pus discharge present from the wound. The post operative wound status on day – 5 among both cases and controls was compared using chi-square test. The chi-square statistic is 1.4675. The p-value is 0.832377. The result is statistically not significant. On post operative day 7, wound status of 86% cases was healthy, 8% cases had serous discharge and only 6% cases had pus discharge present from the wound.On post operative day 7, wound status of 56% controls was healthy, 6% controls had serous discharge and 38% controls had pus discharge present from the wound. The post operative wound status on day – 7 among both cases and controls was compared using chi-square test. The chi-square statistic is 36.4104. The p-value is < 0.00001. The result is statistically significant.Conclusion: Both intra-incisional and intravenous ceftriaxone preoperatively as compared to the patients that received just intravenous ceftriaxone. The result is not significant during the early post operative period at day 3 and day 5. But the signicantIn our study there was significant decrease in occurrence of SSI among the patients result at day 7 is suggestive that intra-incisional with intravenous ceftriaxone prophylaxis is more effective than intravenous ceftriaxone aalone for reducing SSI. Preoperative intra incisional antibiotics decreases the pace of SSI on account of the higher concentrations attained at the entry point site

Failure of bronchoscopy in airway obstruction: A case series

Bronchoscopy in this modern era has proved its utility and superiority far beyond imagination and has surpassed and replaced the majority of the surgical procedures. However, there have been certain limitations to the applicability of this vital technique especially in a country where we face lack of proper equipments and trained personnel at all health centers. This case series with review of literature examines the spectrum of limitations of bronchoscopy and the rare cases encountered, which leads to the surgical alternatives for managing intrabronchial pathology based on relevant current literature

A retrospective (2004-2013) and prospective (2014-2015) study of new born with special reference to anorectal malformations over a period of 10 years at a tertiary care centre

Background:A surgical audit of neonates with anorectal malformation in advanced tertiary neonatal care unit.Methods: A retrospective (2004-2013) and prospective (2014-2015) audit of medical records of newborn with GIT disorders admitted in a tertiary care center of central India. The trends analyzed for the duration based on gender, region and birth weight and data base was generated depicting the burden of disease in the region. The data base for the prospective study was also compared with a tertiary center from Nigeria.Results:Total 3309 admission included 73.56% (2438) patients of GIT diseases. Congenital anomalies were the most common cause in each category, major part being anorectal malformation (727) and trachea-esophageal fistula (730). Out of 727 admissions, 651 neonates were operated & total 1194 deaths recorded during this audit year 2004 to July 2015. Majority of new born admitted with were low birth weight male from rural skirts of this region. 509 have associated anomalies and 218 isolated ARM.  Conclusions:There is significant increase in admissions in last decade with triple fold increase in GIT disorder and twice rate in anorectal malformation substantially increasing onwards. The quality of management has to continue further to achieve parity with international standards, as there is lack of antenatal screening and details of any antenatal checkup are scarce, for congenital anomalies at primary level. Early recognition, risk stratification of the baby and timely referral to higher pediatric surgery units is the way forward

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Not AvailableAll India Coordinated Research Project on Potato initiated in 1970-71 is operating through 17 State Agricultural Universities based centers, 7 CPRI based centers and 1 voluntary center. In this 44th Annual Report of AICRP (Potato), experiments conducted during summer/kharif 2015 in hills/plateau and rabi 2015-16 in the plains have been reported. There were 17 experiments in Crop Improvement, 10 in Crop Production and 14 in Crop Protection at various locations. Efforts have been made to collect, consolidate, analyze and compile the data collected in these experiments in this report. The significant achievements during the year in Crop Improvement are the climatic zonation of potato growing regions, the quantification of different agronomic traits to yield improvement and stability analyses of varieties & advanced hybrids in different environments. Promising hybrids for release as varieties have also been identified. Under Crop Production, detailed studies on the applied-yield, uptake-yield as well as applied- update relations were continued which led to the development of the software PENMAS. Experiments on omission plot technique were also continued and nutrient requirements for targeted yield at different locations were worked out. Detailed micro nutrients analysis has been carried out in collaboration with ICAR-IIHR and the results indicated that the micronutrient formulation “Potato Special” has promise. Under Plant Protection the salient achievements include validation of the Indoblightcast DSS, developing fungicide schedules for late blight management for Hassan and schedules for controlling early blight as well as for mites at Pune. Material for this report was received from 7 CPRI based and 1 their colleagues assisted in compilation and interpretation of the results.Not Availabl

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Not AvailableIn India, Rhipicephalus (Boophilus) microplus populations have developed a certain level of resistance to most of the acaricides marketed against tick species. To manage the problem, the present study was undertaken to evaluate the acaricidal potential of Ageratum conyzoides plants against acaricides-resistant ticks infesting cattle and buffaloes. The regression analysis of dose-response data of ethanolic extract of A. conyzoides revealed LC90 value of 8.91% against reference susceptible IVRI-1 line of R.(B.) microplus. The ethanolic extract was found efficacious against 76.7–90% acaricides-resistant field ticks and adversely affected oviposition showing 7.04–31.3% reduction in egg laying capacity. The extract was also showed an in vitro efficacy of 52.5 and 76.7% against reference resistant IVRI-4 and 5 lines. The GC/MS/MS profiling of hexane extract, two bioactive sub-fractions and essential oils revealed the presence of 6,7-dimethoxy-2,2-dimethyl-2H-1-benzopyran (precocene II) as a major phyto-compound. The bioactive sub-fractions showed 96.2–97.5% efficacy against larvae of IVRI-1 and 77.1–94.9% against multi-acaricide resistant larvae of IVRI-5 line of R.(B.) microplus. The results of this study provided significant support for the development of a phyto-formulation based on A. conyzoides species.Not Availabl