Papers by Veerabhadra Gowd
International Surgery Journal, 2018
Necrotizing fasciitis is an infectious disease with mortality rate ranging from 17% to 34%. It is... more Necrotizing fasciitis is an infectious disease with mortality rate ranging from 17% to 34%. It is a spectrum of diseases where necrosis of deeper soft tissue is caused by an infective microorganism. Necrotizing fasciitis involves the superficial fascia with extensive deterioration of the surrounding tissue. It has been classified based on different criteria viz. anatomical level of involvement or the requirement of surgical management. However, it is most convenient to categorize necrotizing fasciitis based on the microbiological characteristics of the pathogen involved. It is suggested that the rapid, soft tissue necrosis seen in ABSTRACT
International Surgery Journal, Feb 26, 2018
Background: Incisional hernia (IH) remains a very frequent postoperative complication and common ... more Background: Incisional hernia (IH) remains a very frequent postoperative complication and common hernias in middle aged population more commonly in females. The two techniques most frequently used are the onlay repair and sublay repair. Various studies have been conducted to compare the advantages and disadvantages of sublay and onlay mesh repair in incisional hernia and the superiority of sublay mesh repair. These studies whether they hold good for the population is a pertinent question. In view of this, author need to study the appropriate surgical techniques sublay versus onlay repair in the set up. Methods: Author conducted randomized comparative study of 100 patients having incisional hernia admitted to various surgical units of SNMC and HSK Hospital, Bagalkot during the period December 2014 to June 2016. Results: In present study of 100 cases, females have more incidence of incisional hernias than males. In onlay technique seroma formation was found in 72% of patients postoperatively and 4% in sublay technique. Surgical site infection (SSIN) was noticed in 8% of sublay technique whereas 12% in onlay technique. There is no recurrence in sublay group whereas onlay had 12% recurrence. Conclusions: Sublay technique is superior to onlay concerning the hospital stay, complications and recurrence.
International Surgery Journal
Background: Fissure in Ano is one of the common and most painful anorectal conditions encountered... more Background: Fissure in Ano is one of the common and most painful anorectal conditions encountered in surgical practice. Inspite of several conservative treatment options, surgical treatment in the form of Lateral Anal Spincterotomy (LAS) remains the gold standard of treatment for Chronic Anal Fissures (CAF).Methods: Prospective comparative study conducted on 90 patients randomly divided into two groups Group A under Local anaesthesia (LA) and Group B under Spinal anaesthesia (SA) respectively. The primary outcome variables studied were postoperative pain, hospital stay, and cost effectiveness.Results: A total of 90 patients randomly divided into 45 patients in each group. There was no statistically difference in the pain at surgery, but post-operative pain was significantly less in LA group at 5th hour, 24 hours after surgery. Hospital stay in LA group is significantly less when compared to SA group (1.92, 3.75 respectively).Conclusions: LAS can be comfortably performed under LA wit...
This study is aimed to compare postoperative outcome in local anesthesia with spinal anesthesia. ... more This study is aimed to compare postoperative outcome in local anesthesia with spinal anesthesia. METHODS Randamozied prospective comparative study conducted in SNMC and HSK hospital Bagalkot, from January 2016 to June 2017. This Study included a total of 90 patients, randomly divided into two groups each consisting of 45 patients. Group A patients underwent under LA and Group B under SA. Informed written consent was taken for ABSTRACT Background: Fissure in Ano is one of the common and most painful anorectal conditions encountered in surgical practice. Inspite of several conservative treatment options, surgical treatment in the form of Lateral Anal Spincterotomy (LAS) remains the gold standard of treatment for Chronic Anal Fissures (CAF). Methods: Prospective comparative study conducted on 90 patients randomly divided into two groups Group A under Local anaesthesia (LA) and Group B under Spinal anaesthesia (SA) respectively. The primary outcome variables studied were postoperative pain, hospital stay, and cost effectiveness. Results: A total of 90 patients randomly divided into 45 patients in each group. There was no statistically difference in the pain at surgery, but post-operative pain was significantly less in LA group at 5th hour, 24 hours after surgery. Hospital stay in LA group is significantly less when compared to SA group (1.92, 3.75 respectively). Conclusions: LAS can be comfortably performed under LA with added advantages.
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Papers by Veerabhadra Gowd