Atul Kumar Gupta

Innovative Economical Surgical Suture Board

The aim of this study is to develop an economical suture board for practising suturing skills and techniques. Suture boards were made by using local electric boards, small leather patch, four suction buttons, six screws and a hook. These suture boards are multipurpose boards which are economical and available all the time in department for practicing. This board can also be placed in endotrainer for laparoscopic suturing skills. This economical suture board is cheap, easily available and helps in practicing various suturing and knot tying techniques.

Prevalence & pattern of respiratory diseases including Tuberculosis in elderly in Ghaziabad – Delhi – NCR

Elderly population is continuously increasing all over the world including India. Old age is associated with significant prevalence of chronic illnesses. Population based study to find prevalence & pattern of respiratory diseases in elderly in India is difficult to find. Present study was done in an urban locality of Ghaziabad inhabited mainly by low socio - economic status population. Two part questionnaire was used as main tool. Through part one 1522 elderly were screened for respiratory disease. Respiratory disease was confirmed & diagnosed by part two of questionnaire, physical examination & necessary investigations. Prevalence of respiratory diseases was 18.8% in this study. Prevalence of respiratory diseases was almost double in elderly males as compared to females. COPD was most prevalent respiratory disease followed by Bronchial asthma.

Multiple Recurrences of Multiple Unilateral Giant Fibroadenoma

We present a case of a 36-year-old woman with recurrent unilateral multiple giant fibroadenomas that we investigated by FNAC, mammography and sonography. Though the lumps had an appearance of a phyllodes tumor our evaluation suggested a diagnosis of giant fibroadenoma which was confirmed by histopathology after enucleation. In an attempt to prevent recurrence we have put her on an off label therapy with Ormeloxifene.

Needle Ingestion – Silent Perforation & Delayed Presentation Intervened by two Pregnancies & Many Years

Ingestion of foreign bodies by healthy adults is rare. Most of these pass spontaneously through GI route. Management of ingested foreign body depends on various foreign body, time and patient related factors. Asymptomatic GI perforation with long term retention of ingested sharp foreign bodies which become symptomatic many years later is rare. Here we report similar case of a young female. Interestingly our patient also had two uneventful pregnancies with normal vaginal deliveries in between accidental ingestion of a needle and becoming symptomatic. Case report is followed by brief review of literature.

A Comparative Study of Laparoscopic Cholecystectomy with Drain VS No Drain

History of putting drain intraperitoneally after surgery is as older as history of surgery itself. Traditions dictate that the drain should be left in the abdomen (in sub hepatic space) following cholecystectomy. We aimed to investigate the appropriateness of inserting the intraperitoneal drainage tube after LC & conducted a randomized clinical trial comparing no drain versus drain in patient who had undergone LC.

Comparative Study of Surgical Site Infections in Elective Surgeries

Surgical site infection [SSI] continues to be a major source of mortality and morbidity in developing countries despite recent advances in aseptic technique. This study was conducted in Santosh Medical College & Hospital Ghaziabad to determine the exact incidence of surgical site infection in elective surgery and separately in each class of wound, the commonest bacterial pathogen, role of pre and post operative antibiotic and the various predisposing factors influencing the development of SSI. The diagnosis of infection was made on clinical, bacteriological and epidemiological basis. In our study the most common pathogen is Staphylococcus aureus and most sensitive antibiotic is Piperacillin plus Tazobactum. Older age group and females are more prone. Patient in whom diathermy was used and drain was not used are less prone. Prevalence of SSI increased with increasing duration of hospital stay and increased duration of surgery.

A Study of Role of Antibiotics in Cases of Acute Pancreatitis in Western Uttar Pradesh

Acute pancreatitis is a protean disease capable of wide clinical variation, ranging from mild discomfort to apocalyptic prostration. Infectious complications with incidence of 40–70% in severe acute pancreatitis are predominant cause of morbidity and mortality. The role of prophylactic antibiotic therapy in Acute Pancreatitis is still not clear. To assess the frequency of infection & role of antibiotic therapy in Acute Pancreatitis a study was conducted on 24 patients in Department of Surgery, Santosh Medical College & Hospital, Ghaziabad. All the patients underwent all specific investigations and managed with only supportive treatment unless infection was proven. In our study it was observed that frequency of infection in acute pancreatitis is 4.16% and appropriate supportive therapy is the mainstay of management of acute pancreatitis. Antibiotics are required in acute pancreatitis only when there is a definite evidence of infection in terms of positive culture sensitivity or any intervention is done. Appropriate surgical intervention is the treatment of choice in those with infected pancreatitis.