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Chatura R.K.,JJM Medical College | Nayak V.J.,PES Institute of Medical science and Research
Indian Journal of Pathology and Microbiology | Year: 2012

Abdominal cocoon or sclerosing encapsulated peritonitis is a rare cause of intestinal obstruction often seen in adolescent girls. We present a case of an abdominal cocoon in a 14-year-old female presenting as a surgical emergency. The patient underwent excision of the involved segment of small bowel along with a part of ascending colon. Gross morphology revealed intestinal coils wrapped within a thick fibrous membrane. Diagnosis of this condition is seldom possible on radiological imaging. Characteristic gross appearance is showcased in our case, to create more awareness of this finding.

Inakanti Y.,PES Institute of Medical science and Research
Journal of Pakistan Association of Dermatologists | Year: 2015

Infantile hemangiomas (IH) or strawberry hemangioma are benign vascular neoplasms that have a characteristic clinical course marked by early proliferation and followed by spontaneous involution. Hemangiomas are the most common tumours of infancy and usually are medically insignificant. Cutaneous hemangioma at particular sites is more common at head and neck followed by trunk and extremities. Extracutaneous hemangiomas were more common in liver, gastrointestinal tract, larynx, central nervous system, pancreas and lungs. We represent a 4-month-old boy presented with a small but growing, strawberry-colour tumour over the right side of neck since birth.

Yaji P.,Vijayanagar Institute of Medical science | Bhat B.,PES Institute of Medical science and Research | Harish E.,Vijayanagar Institute of Medical science
Journal of Clinical and Diagnostic Research | Year: 2014

Necrotizing fasciitis is a rapidly spreading progressive infection of the fascia with necrosis of the subcutaneous tissues. Primary necrotising fasciitis of the breast is extremely rare and hence we report the case of a 55-year-old woman presenting to our hospital with primary necrotising fasciitis of the breast in a state of systemic septic shock. She was admitted in surgical intensive care unit and treated with resuscitation, intravenous antibiotics and aggressive debridement. We discuss the details of the case, our treatment approach, the outcome and also briefly review the literature.

Malleshappa K.,Pesinstitute Of Medical Science And Research | Krishna S.,PES Institute of Medical science and Research | Nandini C.,Pesinstitute Of Medical Science And Research
Biomedical Research | Year: 2011

Adolescents in rural areas may face troubles due to lack of right kind of information regard-ing their own physical and or sexual developments. The need to address this problem through health education by health professionals needs to be ascertained. The objective is to determine the effectiveness of a reproductive health education intervention programme in improving the knowledge of adolescent girls aged between 14-19 years in Kuppam mandal, chittoor dt, Andhra Pradesh. The study was carried out over a period of 8 months. A total of 656 girls in the age group of 14-19 years were randomly selected from 3 high schools (class X) & 3 intermediate colleges(class XI &XII) in kuppam mandal, chittoor dt, Andhra Pradesh. The reproductive health education package developed in consultation with par-ents, teachers & adolescents was used to educate the girls. A 50 item structured question-naire was used to test the knowledge of all the participants about the reproductive health be-fore & after the education session. The data was tabulated & analyzed using SPSS version 11.0 for windows.Findings were described in terms of proportions & percentages, chi square test was used to test the effect of intervention. Reproductive health Knowledge score improved significantly after intervention. A significant increase in overall knowledge re-garding menstrual cycle, ovulation, fertilization & pregnancy by 44.5% was noted (95%CI=42.5,46.5;P<0.001); knowledge regarding contraception improved remarkably from 33.7% to 97.4%(P<0.0001);A significant improvement in the knowledge about trans-mission & prevention of STDs was noted after intervention (P<0.0001). A reproductive health education intervention programme improves the knowledge & attitude among rural adolescent girls regarding reproductive health.

Lo T.-S.,Chang Gung University | Ashok K.,Chang Gung University | Ashok K.,PES Institute of Medical science and Research
International Urogynecology Journal and Pelvic Floor Dysfunction | Year: 2011

Introduction and hypothesis: To study the efficacy and safety of performing anterior mesh (Perigee) with vaginal reconstructive surgeries (sacrospinous ligament fixation) for treatment of advanced prolapse. Methods: One hundred twenty-eight patients, POP-Q stage III (n = 85) or IV (n = 43), underwent surgery. The objective cure was defined as less than stage 2 prolapse. Introital ultrasonography was used for mesh morphological evaluation. Results: Post-operative data were available for 120 patients. At 30 months, the objective cure was 91.8%. The subjective cure was 93.3% on POPDI-6 feedback. No apical and anterior recurrence was observed. Surgical complications were minor. Five cases (4.1%) of mesh extrusion was observed. Mesh shortening, shrinkage, and thickening was also observed. Conclusion: The combination of anterior vaginal mesh and vaginal reconstructive surgery appears to be a safe and effective in restoring the anatomy and achieving favorable pelvic function. The anterior mesh deployed seems to cover a lesser area than anticipated. A longer period of follow-up is necessary to confirm its efficacy. © 2010 The International Urogynecological Association.

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