IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS <p style="text-align: justify;"><strong>IJSS Journal of Surgery</strong>&nbsp;is a peer-reviewed journal publishing articles of surgeons those who perform abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. IJSS Journal of surgery has the goal of providing its readership the highest quality rapid retrieval of information relevant to surgeons. It provides an in-depth, international forum for the most recent, authoritative information on major clinical problems in the fields of clinical and experimental surgery, surgical education, and socioeconomic aspects of surgical care. Journal content includes Leading Articles, Reviews, Original Research Articles, Randomized Clinical Trials, Your Views and Book Reviews. All papers published in the IJSS are subject to rigorous peer review.</p> en-US surgijss@gmail.com (Dr Swapnil Bumb) surgijss@gmail.com (IJSS Journal of Surgery) Thu, 23 Sep 2021 09:08:40 +0000 OJS 3.1.2.1 http://blogs.law.harvard.edu/tech/rss 60 Comparative Study between Plating and Titanium Elastic Nailing System in Mid-clavicular Fractures in Andhra Population https://surgeryijss.com/index.php/IJSS/article/view/431 <p>Background: Although non-operative management of mid-shaft clavicle fractures is standard method, to avoid non-union or<br>mal-union of displaced fractures of clavicle plating or titanium elastic nailing system (TENS) techniques are widely used. Hence,<br>their post-surgical complications were studied.<br>Materials and Methods: Out 26, 13 were treated with TENS and 13 with plating routines blood examination electrocardiogram<br>radiological study was carried out and operated under general anesthesia.<br>Results: Mean blood loss, operative timing, and size of the wound mean open reduction were highly significant in nail technique<br>method. (P &lt; 0.00) Post-surgical complications were least in nailing technique. The rate of union was 100% in both techniques.<br>Mean Dash score rate in 1st, 3rd, and 6th months was highly significant in nail technique (P &lt; 0.001).<br>Conclusion: Although both techniques were equally effective at treating displaced mid-clavicular fractures, due to least postsurgical<br>complications TENS is preferred than plating technique.</p> Medisetty Vinod Kumar Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/431 Thu, 23 Sep 2021 09:33:19 +0000 Correlation of Prolactin Level and Hypothyroidism in Both Primary and Secondary Infertility in Andhra Pradesh Females https://surgeryijss.com/index.php/IJSS/article/view/432 <p>Background: Infertility in females is complex global problem. It has multiple social consequences, which are usually associated<br>with thyroid and prolactin hormone impairments.<br>Methods: Forty-five primary and 45 secondary infertile women were studied complete hemogram, transvaginal of perineum and<br>abdomen, and chest-X-ray. Thyroid function test, prolactin hormone was studied using Beckman Coulter Access-II method in<br>every patient.<br>Results: Prolactin hormone levels 0–20 mg/ml were highest in secondary group 29 (64.4%), 21–10 mg/ml was highest primary<br>group 26 (57.7%) &gt;100 observed only 1 (2.2%) secondary Menses 14 (31.1%), oligomenorrhea 21 (46.6%), and 6 (13.3%) were<br>highest in primary group while amenorrhea was highest 10 (22.2%) in secondary group. Duration of marriage period was highest<br>in secondary group.<br>Conclusion: Hyper prolectinemia with thyroid dysfunction may be a major contributor hormonal factor in primary and secondary<br>infertility women.</p> Amrin, Vasavi Korupolu Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/432 Thu, 23 Sep 2021 09:38:21 +0000 Comparison of Fistulotomy and Fistuloctomy in Low Anal Fissure in Maharashtra Population: A Retrospective Study https://surgeryijss.com/index.php/IJSS/article/view/433 <p>Background: Anal fistula has been known as a common surgical ailment for over two and a half millennia. Current management<br>remains dependent on surgeon preference between options such as fistulotomy and fistulectomy. Hence, a functional and clinical<br>outcome of fistulotomy versus fistulectomy was studied.<br>Method: Out of sixty, 30 patients Group-A was operated fistulotomy and Group-B 30 patients operated fistulectomy.<br>Results: The surgical parameters in both groups were highly significant (P &lt; 0.001) post-surgical complications were higher<br>fistulectomy, that is, urinary retention, bleeding, and infection. In the comparison of measurement of incontinence of gas was<br>higher rate in fistulectomy but recurrence higher rate in fistulectomy but recurrence was 1 (3.3%) observed in fistulotomy.<br>Conclusion: Fistulotomy is a simple and effective method for the treatment of simple perianal fistula. It has shorter operating<br>time with less post-operative pain and less time needed for wound healing compared with fistutectomy. Moreover, incidences of<br>post-operative complications, incontinence, were also observed in fistulectomy.</p> Jahangir Gulab Sayyed Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/433 Thu, 23 Sep 2021 09:42:09 +0000 Study of Complications Following Thyroidectomy for Benign Thyroid Diseases https://surgeryijss.com/index.php/IJSS/article/view/434 <p>Background: Surgery of thyroid takes place in the area of complicated anatomy in which a number of vital physiological functions and special senses are controlled.<br>Method: Fifty patients having cytological evidence of benign thyroid disease were selected for study. Every patient underwent thyroid-stimulating hormone, T3, T4, analysis, ultrasonography of neck, and aspiration of cytology from suspected area. Computed tomography scan in tracheal compression patients and indirect laryngoscopy was done preoperatively to assess the position of vocal cords. Thyroidectomy was done under general anesthesia and administered by endothracheal intubation. Flexible laryngoscopy was done when indirect laryngoscopy was inconclusive.<br>Results: Six (12%) were hyperthyroidism, 14 (28%) were retro-sternal extension, 17 (34%) were firm feel, 3 (6%) were tracheal compression, and 10 (20%) were adhesion. Patients with palsy were 1 (2%) anterior relation to inferior thyroid artery, 2 (4%) branching variation of recurrent laryngeal nerve (RLN), 3 (6%) RLN close to anterior entry, vocal cord palsy 2 (4%) in retro-sternal, 2 (4%) in firm gland, and 3 (6%) in adhesion of gland cases.<br>Conclusion: It is confirmed that meticulous surgical dissection and thorough knowledge of anatomy can minimize the post-surgical complications.</p> CH B L Prasad, Rajesh Jasti Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/434 Thu, 23 Sep 2021 09:46:41 +0000 Acute Peritonitis Secondary to Viscus Perforation in Bihar Population: A Retrospective Study https://surgeryijss.com/index.php/IJSS/article/view/435 <p>Background: Peritonitis due to hollow viscus perforation is commonly encountered in surgical practice. It is defined as inflammation of the serosal membrane that lines abdominal cavity and the organs contained therein. It leads to various clinical complications. These complications have to manage by surgical approach.<br>Methods: Sixty patients of different age groups having peritonitis due to hollow viscus perforation as surgical emergency patient treated with laparotomy, anatomical locations, signs and symptoms abdominal X-ray, and ultrasound were studied.<br>Results: Clinical manifestations such as vomiting, fever, distension of abdomen, dehydration, guarding and rigidity, obliterated liver dullness, free fluid, and bowel sounds were noted. (A) Site of perforations 32 (53.3%) were gastric and duodenum, 2 (3.3%)were in jejunum, 15 (25%) in ileum, 9 (15%) in appendix, 2 (3.3%) in colon, (B) site of pain were 37 (61.6%)was diffuse pain, 6 (10%) had in rt. iliac fossa, 2 (3.3%) in rt. lumbar, 13 (21.6%) in epigastrium, 2 (3.3%) in rt. hypochondrium. (C) Pneumoperitoneum was in 43 (71.6%) patients. (D) Types of surgery were 34 (56.6%) omental patch closure, 9 (15%) were appendectomy, 7 (11.6%)were simple closure, 4 (6.6%)were resection and anastomosis, 6 (10%) were loop ileostomy. (E) Mortality was 9 (15%).<br>Conclusion: Early treatment of laparotomy for closure of perforation and omental patch closure is an ideal surgical management in acute peritonitis due to hollow viscus perforation.</p> Srikant Gupta, Sudip Sarkar, Sanjay Namadar Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/435 Thu, 23 Sep 2021 09:53:51 +0000 Prevalence of Pelvic Organ Prolapse and Its Relationship to Associated Risk Factors like Age, Parity and Mode of Delivery in a Rural Setting in Uttar Pradesh, India https://surgeryijss.com/index.php/IJSS/article/view/436 <p>Background: Pelvic organ prolapse (POP) is one of the most common gynaecological problems in India among parous, aged women. Although POP is not life-threatening if left untreated it may lead to many social issues and also reduces the quality of life of women.<br>Materials and Methods: Fifty parous women aged between 20 and 70 years with POP were studied and compared with 50 asymptomatic (controlled) groups. Various parameters of clinical manifestations, types of POP, age distribution, parity, visual analog scale (VAS) score, pelvic floor impact questionnaire 7 (PFIQ-7) were compared in both groups.<br>Results: Mode of delivery - 37 (74%) vaginal delivery, 09 (18%) lower segment Caesarean section, 4 (8%) forceps delivery observed in POP women. Utero –vaginal prolapse 17 (34%) followed by cystocoele 11 (22%), cystocoele and rectocele 9 (18%). Age distribution – more incidences were in 51–60 age group followed by 41–50 age groups. VAS score, 29 mild, 14 moderate, 7 severe in POP group. PFIQ-7 was more in POP group. Poor Socio-economic status, advancing age, vaginal home delivery and medical problems like cough and constipation were associated with higher incidence of POP.<br>Conclusion: POP is strongly associated with age, parity and place of delivery. POP reduces the social status and quality of life if untreated.</p> Puja Jain Dewan, Ambri Agarwal Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/436 Thu, 23 Sep 2021 09:58:59 +0000 Perspective Study on Vaginal, Vulvar Disorders in South Karnataka Women https://surgeryijss.com/index.php/IJSS/article/view/437 <p>Background: Due to unhygienic and illiteracy in the women, there are many genital infections, that is, bacterial, fungal herpes, and viral infections which are usually ignored by females. Due to their busy schedule of their domestic commitments moreover they belong to, middle and low socio-economic status.<br>Materials and Methods: A total of 125 women aged between 16 and 66 years were studied and classified into three groups: (a) 16–24, (b) 25–45, and (c) 46–66 years age group; vaginal pH was measured by pH indicator strip bimanual examination. Swab was collected from posterior vaginal fornix sent for amine test and Gram staining and culture to rule out bacterial vaginitis. Fungal swab was incubated on Sabouraud Dextrose Agar. Incubated at 37°C temperature and observed for 4 weeks. Valvular biopsy was done in valvular dystrophy or if malignancy was suspected.<br>Results: In 16–24 years age group, 11 (34.3%) had bacterial infection, 9 (28.1%) had fungal infection, 7 (21.8%) had allergic conditions, 3 (9.37%) had herpes, and 2 (6.25%) had malignancy. In age group of 25–45 years, 15 (35.7%) had bacterial infection, 13 (30.9%) had fungal infection, 6 (14.2%) had allergic condition, 5 (11.9%) herpes, and 3 (7.1%) had malignancy. In the age group of 46–66 years, 20 (39.2%) had bacterial infections, 14 (27.4%) had fungal infections, 6 (11.7%) had allergic condition, 4 (7.84%) had herpes, and 7 (13.7%) had malignancy.<br>Conclusion: Prevalence of vaginal, valvular disorders is due to unhygienic, undernutrition, malnutrition, and late approach to medical help. The disorders of different age group will be useful to obstetrician and gynecologist, endocrinologist to treat such patients efficiently.</p> B S Girijamma Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/437 Thu, 23 Sep 2021 10:03:15 +0000 Variations in the Length of Facial Nerve in Temporal Bone of Male Cadavers of North Karnataka https://surgeryijss.com/index.php/IJSS/article/view/438 <p>Background: The variation in the length of facial nerve (FN) has surgical importance, during parotidectomy, maxillofacial, and otology surgeries.<br>Method: Fifty male cadaveric temporal bones were taken out by removing soft parts attached to it. The FN was exposed. The length of FN in different segments of temporal bone was measured by tailors tape (mm)<br>Results: Length of facial nerve 7.92 (SD ± 1.22) in petrous part, 3.5 (SD ± 0.42) in labyrinthine part, 12.14 (SD ± 0.38) tympanic part, 12.26 (SD ± 1.88) mastoid part, 15.78 (SD ± 0.52) nerve to stapedius, 19.08 (SD ± 0.68) chorda tympani branch.<br>Conclusion: This cadaveric study will be tool for maxillofacial, ENT, and neurosurgeon to access require surgical parts without injury to FN.</p> Gazala Shaireen, Sarita Sylvia Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/438 Thu, 23 Sep 2021 10:08:10 +0000 Study of Ultrasonographic Evaluation of Vaginal Bleeding in Pregnancy of Bihar Women https://surgeryijss.com/index.php/IJSS/article/view/439 <p>Background: Vaginal bleeding in pregnancy at different weeks of gestation is common disorder but if quantity, duration, and<br>frequency exceed, it becomes life threatening and demands emergency treatment with admittance. Hence, it is mandatory to know<br>the cause of bleeding by clinical examination if clinical examination is inconclusive, ultrasonography (USG) is ideal to diagnose.<br>Materials and Methods: One hundred pregnant women aged between 18 and 45 years old. Presented vaginal bleeding was<br>studied with clinical examination and compared with USG/transvaginal sonography (TVS) studied.<br>Results: The highest age group of vaginal bleeding was 21–30 years followed by 31–40 years. USG findings ruled out that<br>majority of obstetrics and gynecology problems observed in &lt;20 weeks of gestation as compared with more than 20 weeks of<br>gestation. Abruption placenta, abortion disorders, and location of placenta were misdiagnosed by clinical examination and properly<br>diagnosed by USG study.<br>Conclusion: The USG/TVS study is an ideal and perfect technique to rule out the exact causes of vaginal bleeding. It will be<br>helpful to obstetrician and gynecologist to treat such patients efficiently and avoid the life-threatening emergency, morbidity, and<br>mortality among pregnant women.</p> Smita Mallick Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/439 Thu, 23 Sep 2021 10:13:38 +0000 Study of Complications Following Thyroidectomy for Benign Thyroid Lesions in Rajasthan Population https://surgeryijss.com/index.php/IJSS/article/view/440 <p>Background: Surgery of the thyroid gland takes place in the area of complicated anatomy in which a number of vital physiological<br>functions and special senses are controlled. Moreover, variations of blood supply to the thyroid are one of major complications<br>during and after surgery.<br>Materials and Methods: Fifty patients having cytological and radiological evidences of benign thyroid disease were studied. Every<br>patient underwent thyroid-stimulating hormone, T3, T4, and ultrasound of the neck, aspiration of fluid for cytological study from<br>the suspected area. Computed tomography scan in tracheal compression patients, indirect laryngoscopy was done under preoperatively<br>to assess the position of vocal cords. Thyroidectomy was done general anaesthesia and administrated by endotracheal<br>intubation. Flexible strobolaryngoscopy was done when indirect laryngoscope was inconclusive.<br>Results: Seven (14%) hyperthyroidism, 13 (26%) retro-sternal extension, 3 (6%) tracheal compression, 16 (32%) firm feel, and<br>11 (22%) adhesion. Anatomical variations were - 8 (16%) anterior relation to inferior thyroid artery, and 1 (2%) had palsy, 13 (26%)<br>had branching of recurrent laryngeal nerve (RLN), 2 (4%) had palsy, 29 (58%) had RLN close to anterior entry, and 3 (6%) had<br>palsy. Vocal cord palsy 2 (4%) had retro-sternal extension, 2 (4%) had firm gland, and 3 (6%) adhesion.<br>Conclusion: The present pragmatic surgical study has proved that meticulous surgical dissection and thorough knowledge of<br>the anatomy of the thyroid can minimize the post-surgical complications.</p> Gaurav Kataria, Aditi Saxena, Hariom Gautam, Narpat Singh Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/440 Thu, 23 Sep 2021 10:20:39 +0000 A Qualitative Study to Analyze the Effect of Plaster of Paris Slab on Wound Healing of Diabetic Foot Ulcers among Diabetics Attending Tertiary Hospital https://surgeryijss.com/index.php/IJSS/article/view/441 <p>Background: As diabetic foot is a very common in Indian population and the burden it exerts upon the health system is enormous<br>this study was undertaken. The study was carried out to evaluate the promotion in the rate of wound healing in patients with<br>diabetic foot ulcer undergoing saline dressing with posterior below knee plaster of paris slab (experimental arm) as against the<br>rate of wound healing with only saline.<br>Materials and Methods: The study was carried out in the Department of General Surgery in Saveetha Medical College and<br>Hospital for a period of 6 months with fifty patients included in the study. The patients were randomly divided into two groups,<br>one arm receiving saline dressing and plaster of Paris slab and other arm receiving only saline dressing. Patients were followed<br>every 2 weeks for a period of 6 weeks. The results were considered significant if P &lt; 0.05.<br>Results: At the end of the study, patients receiving saline dressing with plaster of Paris slab demonstrated an accelerated wound<br>healing, with nearly 40% of patient in experimental group demonstrating wound size &lt;30 cm2 as against control group with only<br>12% demonstrating wound size of &lt;30 cm2. Each serial follow up demonstrated significant p value, favoring plaster of Paris slab<br>dressing over saline dressing alone.<br>Conclusion: Applying plaster of Paris slab to diabetic foot ulcers, apart from the fact of accelerated wound healing also offers<br>to be cost effective with reduced economical burden. Hence it has become a norm in my surgical unit to adopt this approach.</p> Godwin Devadhas Packiaraj, Vignaradj Kirouchenaradj, V Shruthi Kamal, B S Sundaravadanan, S Porchelvan Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/441 Thu, 23 Sep 2021 10:30:23 +0000 A Comparative Study of Extended View – Totally Extraperitoneal Repair versus Totally Extraperitoneal Repair for Laparoscopic Inguinal Hernia Surgery https://surgeryijss.com/index.php/IJSS/article/view/442 <p>Background: Inguinal hernia forms a major volume of surgical work in any department of general surgery. The rapid pace of developments in technology and better understanding of anatomy of anterior abdominal wall was a compelling factor to undertake this study.<br>Materials and Methods: The study was carried out in a tertiary hospital, Saveetha Medical College and Hospital, in the Department of General Surgery for a period of 18 months. It is a prospective cohort study with 50 subjects included in the study. P &lt; 0.05 was considered significant. The test of significance was calculated using Chi-square test.<br>Results: Comparing totally extraperitoneal repair (TEP) versus Extended TEP (e-TEP), P = 0.004 for managing accidental pneumoperitoneum was observed, which was significant, favoring e-TEP over TEP. While analyzing the pain score, P &lt; 0.045 was seen, which was considered to be significant for e-TEP .<br>Conclusions: It was concluded that e-TEP had an advantage over TEP with very less chance or virtually no chance of being converted to open or TAPP. The rate of recovery was better in e-TEP, with significant p value favoring e-TEP over TEP. Hence it has become a norm in our unit, to prefer e-TEP over TEP for all types of inguinal hernias that can be managed laparoscopically.</p> P B Sudarshan, Godwin Devadhas Packiaraj, Tasmia Papa, S Porchelvan, K Kumaran, Akil Selvam, B S Sundaravadhanan Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/442 Thu, 23 Sep 2021 10:45:32 +0000 Prospective Study on the Factors Influencing the Clinical Outcome of Various Laparoscopic Surgeries in Elderly Patients https://surgeryijss.com/index.php/IJSS/article/view/443 <p>Background: Laparoscopic techniques with its advantages of decreased wound complications, post-operative ileus, intraoperative blood loss, and reduced need for post-operative rehabilitation are gradually replacing many common surgical procedures that are performed in an increasingly aging population. The proportion of elderly people (age 60 years and above) is on the rise in India over the past few decades. However, elderly population has decreased cardiopulmonary reserve, carries a long list of medical comorbidities and prior surgical history. The safety and efficacy of laparoscopic surgeries in elderly population have been from studies conducted in Western population where the average life expectancy at present exceeds India.<br>Materials and Methods: Elderly patients at the Department of General Surgery at Saveetha Medical College and Hospital, Chennai, and Southern Railway Headquarters Hospital, Chennai, who are undergoing various laparoscopic surgeries are recruited and prospectively operated by the hospital protocol and perioperative pulmonary rehabilitation given and followed up till 1 month period postoperatively. The data are collected and the relevant statistical analysis done.<br>Results: There are 25 patients with Grade 2 and above complications. There are 18% surgical complications (Grade 2 and above); 19% medical complications (Grade 2 and above); and 10% combined (Grade 2 and above); in the total study population (n = 100). The overall mortality rate was 2% in this study population. In patients with Grade 2 and above, post-operative complications, using multivariate logistic regression (r2 = 0.65, significance F = 0.011) Charlson comorbidity score &gt;2 (P = 0.02); the type of surgery (P = 0.02); and polypharmacy (P = 0.03), are found to have a statistically significant linear relationship. Whereas the chronological age (P = 0.09); sex (P = 0.10); the duration of surgery (P = 0.18); and the operating surgeon (P = 0.23) are statistically insignificant. The length of hospital stay was linearly associated with the type of surgery performed and high Charlson comorbidity score. Modified Barthel Index deterioration was associated with the type of surgery. The average pain score was 2. There was a reduction in the occurrence of post-operative pulmonary complications by about 84.37% in the population “at high risk” (PPC prediction score &gt;3) with the routine use of perioperative pulmonary rehabilitation using incentive spirometry.<br>Conclusion: Laparoscopic surgery is safe in carefully selected subset of elderly population. Pre-operative stabilization of the comorbid condition should be done when feasible. Psychological counseling for the patient and the caretaker with emphasis on perioperative pulmonary rehabilitation and post-operative lifestyle modification should be done at the time of first consult. Further large-scale studies are needed to support these findings.</p> Vignaradj Kirouchenaradj, N Premanand, V Srinivasan Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/443 Thu, 23 Sep 2021 10:51:03 +0000 Assessment of the Relationship between the Presence of Helicobacter pylori Infection and Cholelithiasis https://surgeryijss.com/index.php/IJSS/article/view/444 <p>Introduction: Helicobacter pylori is a gram-negative, micro-aerophilic bacteria commonly persisting in the stomach lining. This<br>study aims to detect a possible relationship between H. pylori colonization of the stomach and the occurrence of cholelithiasis.<br>Materials and Methods: This is a cross-sectional study carried out in the Department of General Surgery, Saveetha Medical<br>College and Hospital, Chennai from January 2021 to April 2021. Patients who presented to the Surgery OPD with complaints<br>of abdominal pain were asked to undergo diagnostic endoscopy and ultrasound (USG). A sample size of 53 patients tested<br>positive for H. pylori infection in the rapid urease test following diagnostic endoscopy. A thorough history was elicited from the<br>patients who fit the above criteria. Subsequently, a positive finding of H. pylori in the biopsy was correlated with the presence of<br>cholelithiasis in the USG.<br>Results: The study population included 21 female and 32 male patients. A large percentage of the study population (39%) belonged<br>to the age group 51–60 years. Among the study population, only four out of the 53 patients were found to have cholelithiasis<br>based on abdominal USG findings. This indicates that cholelithiasis was present in only 7.55% of the study population. Among<br>the four patients with cholelithiasis, only one was a female patient and the remaining three were male patients. There was no<br>significant sex difference in the occurrence of cholelithiasis in H. pylori-positive patients.<br>Conclusion: From this study, we conclude that there was no significant relationship between H. pylori colonization of the stomach<br>and the occurrence of cholelithiasis as only four out of 53 patients had both H. pylori Infection and Cholelithiasis.</p> Touzeen Hussain, Kavya S Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/444 Thu, 23 Sep 2021 10:55:50 +0000 Twice Daily Saline Dressing versus Single Dressing before Split Skin Grafting Among Diabetic Foot Ulcer Patients and its Role in the Percentage of Graft Uptake: A Cross-Sectional Study https://surgeryijss.com/index.php/IJSS/article/view/445 <p>Objective: The objective of the study is to assess the percentage of graft uptake among diabetic foot ulcer patients undergoing<br>twice daily saline dressing versus single saline dressing for a week before split skin grafting.<br>Methodology: This is a cross-sectional study involving 50 diabetic foot ulcer patients, above 18 years of age who have undergone<br>split skin grafting at Saveetha Medical College. Out of the 50 patients, 25 of them underwent twice daily normal saline dressing,<br>and the other 25 underwent normal saline dressing once daily before split skin grafting. The percentage of graft uptake after split<br>skin grafting was assessed at 1st week, 2nd week, and 3rd week and compared between the two groups during regular follow up.<br>Results: In the study group, out of the 50 patients 33 were male (66%) and 17 were female (34%). Among the study population,<br>most of them had Type II diabetes mellitus for a period of 1–10 years, 44 patients(88%), and the average duration of ulcer was<br>&lt;1 month, 32 patients (64%). Average graft uptake among diabetic foot ulcer patients undergoing split skin grafting with single<br>daily saline dressing for a week before the procedure is, at 1st look 78%, at 2nd look 72%, at 3rd look 69%. The average graft uptake<br>among diabetic foot ulcer patients undergoing split skin grafting with twice daily saline dressing for a week before the procedure<br>is, at 1st look 93%, at 2nd look 89%, at 3rd look 87%.<br>Conclusion: The percentage of graft uptake is higher and better among patients undergoing twice daily normal saline dressing<br>than among patients undergoing single daily normal saline dressing for a week before split skin grafting. Hence twice daily normal<br>saline dressing before split skin grafting helps in better graft uptake and wound healing, among diabetic foot ulcer patients which<br>will greatly help in reducing the morbidity of the disease.</p> Touzeen Hussain Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/445 Thu, 23 Sep 2021 10:59:41 +0000