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Fernandes H.,Fr Muller Medical College | D'Souza P.F.,Fr Muller Medical College | D'Souza P.M.,Fr Muller Medical College Hospital
Indian Journal of Hematology and Blood Transfusion | Year: 2010

The aim of the study was to find out the prevalence of transfusion transmitted infections (TTI) in voluntary and replacement donors. A total of 9599 donors were analysed for the prevalence of TTI over a period of 2 years.Of these 61.2% were voluntary donors and 38.8% were replacement donors. Prevalence of TTI in total donors was 0.6%. Prevalence of hepatitis B was highest (0.34%) followed by syphilis (0.11%), HIV&HCV (0.06%) and malaria (0.01%). Prevalence was more in male replacement donors. Extensive donor selection and screening procedures will help in improving the blood safety. © 2010 Indian Society of Haematology & Transfusion Medicine. Source


Tauro L.F.,Fr Muller Medical College Hospital | Martis J.J.S.,Fr Muller Medical College Hospital | Satish Rao B.S.,Fr Muller Medical College Hospital | Raghunath Shetty S.,Fr Muller Medical College Hospital
Journal of the Indian Medical Association | Year: 2012

Evisceration through intraperitoneal drainage site is a rare complication and till date only five cases of appendicular evisceration have been reported. A similar case of appendicular evisceration in a young male patient who underwent laparotomy for strangulated diaphragmatic hernia has been reported. Source


Martis J.J.S.,Fr Muller Medical College Hospital | Rajeshwara K.V.,Fr Muller Medical College Hospital | Shridhar M.K.,Fr Muller Medical College Hospital | Janardhanan D.,Fr Muller Medical College Hospital | Sudarshan S.,Fr Muller Medical College Hospital
Indian Journal of Surgery | Year: 2011

Richter's hernia is an abdominal hernia in which part of the circumference of bowel entrapped in the hernial sac. The segment of the entrapped bowel is nearly always the distal ileum but any part of gastrointestinal tract from the stomach to the colon may become incarcerated. The most common sites for Richter's hernia are the femoral ring (71%), deep inguinal ring (23%) and ventral or umbilical hernias (6%). The growing popularity of laparoscopic surgery has led to a new possible site for development of Richter's hernia. In most cases as less than two thirds of the circumference of the bowel wall is involved, the lumen of the gut remains free and thus features of intestinal obstruction are often absent. Richter's hernia is a deceptive entity whose high death rate can be reduced by accurate diagnosis and early surgery. We report a case of strangulated Richter's umbilical hernia in a 36 years old male. © 2011 Association of Surgeons of India. Source


Tauro L.F.,Fr Muller Medical College Hospital | Shindhe V.V.,Fr Muller Medical College Hospital | Aithala P.S.,Fr Muller Medical College Hospital | Martis J.J.S.,Fr Muller Medical College Hospital | Shenoy H.D.,Fr Muller Medical College Hospital
Indian Journal of Surgery | Year: 2011

Chronic Anal Fissure (CAF) is common perineal condition and well-known painful entity. Standard surgical treatment even though available, may require long hospital stay and sometimes have worrying complications like anal incontinence. So non-surgical treatment, Glyceryl Trinitrate has been shown to be an effective for chronic anal fissure. It decreases anal tone and ultimately heals the anal fissure. The present study is the attempt to know the efficacy of 0.2% Glyceryl Trinitrate ointment in the treatment of chronic anal fissure and to compare the effectiveness of 0.2% Glyceryl Trinitrate ointment (GTN) versus fissurectomy with lateral internal sphincterotomy (LIS) and fissurectomy with posterior internal sphincterotomy (PIS) in the management of chronic anal fissure. This is a prospective comparative study of management of chronic anal fissure done in our hospital during the period of one and half year from October 2005 to March 2007. Thirty patients treated with 0.2% Glyceryl Trinitrate ointment and 30 patients treated with fissurectomy and lateral internal sphincterotomy and 30 patients treated with posterior internal sphincterotomy, for chronic anal fissure were selected for study. A single brand of 0. 2% Glyceryl Trinitrate ointment (Nitrogesic) used for trial arm. Dose of administration was 1.5 cm to 2 cm in the anal canal with device provided by manufacturers of the proprietary preparation and applied twice a daily for 12 weeks. Patients were followed up for 12 weeks and thereafter evaluated for relief of symptoms in all three groups. Observations were recorded at 2 weeks; 6 weeks and 12 weeks of follow up period, regarding symptoms like pain and bleeding during defecation, healing of CAF and also for side effects like headache in GTN group and flatus, fecal incontinence in surgical groups. Data collected in proforma and analyzed. Study revealed CAF was more in male 59 patients (66%) than the female 31 patients (34%), the ratio being 1: 0. 52. The maximum number of patients was encountered in the age group of 20 to 40 years with mean duration of age 34. 14 years. In all three groups symptoms like pain, bleeding, constipation and sphincter spasm were present. Sentinel pile was present in 56% of the patients. Common site of fissure was found to be posterior in 94% of patients. Observations with respect to relief of pain, no bleeding and healing were recorded at 2, 6 and 12 weeks of duration. Lateral sphincterotomy remains effective but should be reserved for the patients who fail to respond to initial chemical sphincterotomy or GTN therapy. GTN is good alternative mode of therapy for patients who refuse surgery and prefer medical line of treatment. © 2011 Association of Surgeons of India. Source


Martis J.J.S.,Fr Muller Medical College Hospital | Shridhar K.M.,Fr Muller Medical College Hospital | Rajeshwara K.V.,Fr Muller Medical College Hospital | Janardhanan D.,Fr Muller Medical College Hospital | Jairaj D.,Fr Muller Medical College Hospital
Indian Journal of Surgery | Year: 2011

Spontaneous rupture of an abdominal hernia is very rare and usually occurs in incisional or recurrent groin hernia. The rupture of abdominal hernia demands emergency surgery, to prevent further obstruction, strangulation of bowel and to cover its contents. The hernial contents can be covered primarily by mesh repair if the general condition of the patient and local condition of the operative site allows or can be covered by skin followed by delayed mesh repair. We report a case of spontaneous rupture of incisional hernia in a 60 years old lady who had developed incisional hernia following tubectomy and managed by mesh repair. © 2010 Association of Surgeons of India. Source

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