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On-Lay Versus Sub-Lay Mesh Repair for Ventral Hernia: A Retrospective Cohort Study
Get PDFObjective: This study was conducted to test the hypothesis whether the outcomes of sub-lay mesh are better than on-lay mesh repair for ventral hernias.
Methods: This retrospective cohort study was conducted on patients who underwent open ventral hernia repair from 1st June 2016-31st April 2021 with minimum follow-up of six months from surgery. Files were reviewed by surgical residents and patients were followed either via physical examination in clinics or by telephonic interview. Primary outcome was recurrence and secondary outcomes were operative time, Surgical Site Infection (SSI) within 30 days and seroma.
Results: A total of 187 files underwent ventral hernia repair and 69 were included in the study i.e. 35 in sub-lay and 34 in on-lay group. Both the groups were comparable for the baseline variables i.e. age, gender distribution, BMI, type of hernia and content, with mean ± standard deviation age of 48.89 years ± 15.32 in sub-lay and 52.7 ±12.3 in on-lay group; however, on-lay mesh was observed to be a preferred approach in patients with obesity or small defect <5 cms.
No statistically significant difference was observed between sub-lay and on-lay groups for recurrence (2.9% vs 5.7%, p-value 0.51), SSI (8.6% vs 2.9%, p-value: 0.31), Mesh infection (2.9% vs 2.9% p-value: 0.74), duration of surgery (median: 120 vs 121 minutes, p-value 0.36) and seroma formation (2.9% vs 2.9%, p-value 0.74), respectively.
Conclusion: This study demonstrates no significant differences between sub-lay vs on-lay mesh placement in terms of recurrence, seroma formation and operative time; however, with slightly higher (statistically insignificant) frequency of SSI in sub-lay group
Evaluation of Self-Esteem, Emotional Intelligence, and their Association with Demographic Factors among Healthcare Professionals in Karachi
Get PDFBackground: Healthcare professionals are exposed to difficult situations that lead to increased stress. Higher emotional intelligence can lead to better psychological adaptation and greater self-esteem while lower emotional intelligence may result in hopelessness and stressful behavior
An Observation Study to Evaluate the Drug Utilization Pattern for Oral Cancer Patients Receiving Chemotherapy Treatment at a Private and Government Tertiary Care Hospital in Jaipur City
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Evaluation of the Role of Data Increment of Cancer Cases with Computer-Aided Algorithms for Detection of Breast Cancer
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Ultrasonic Surgical Aspirator Based Histopathological Assessment in Neuro-Oncology: A Prospective Study at a Tertiary Care Hospital - Elevating Diagnostic Precision in Brain Tumor Specimens
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Ischemic Stroke and Acute Coronary Syndrome (ACS) in COVID-19 patients: Mechanisms and Role of Coagulopathy
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Incidental Detection of Adrenal Myelolipoma in a middle age female patient: a case report
Get PDFAdrenal myelolipoma is a rare benign neoplastic lesion, mostly asymptomatic and unilateral. It originates from the adrenal gland and is made up of mature adipose tissues with the hematopoietic series. Adrenal lipomas are extremely rare and always benign and non-secreting. We describe a case of a hypertensive female patient who presented with abdominal pain. Physical examination and investigations were unremarkable. Ultrasound abdomen showed a hyperechoic mass on the left side of the abdomen. Contrast-enhanced abdomen illustrated a large heterogeneous mix density lesion in the left suprarenal gland showing enhancing soft tissue and macroscopic fat components suggesting adrenal myelolipoma. Although the patient did not have any related complications but owing to the large size of the tumor, surgical resection was planned which was later done successfully
Ewings Sarcoma Mimicking a Schwannoma: MRI Findings of a Rare Case
Get PDFEwing’s sarcoma is among the most frequent yet highly aggressive neoplasms of the bones presenting in adolescents and children under the age of ten with a slight male predilection. It is now broadly categorized into a set of tumors recognized as Ewing’s sarcoma family based on the same histology and genotype of these tumors. This group of tumors includes Ewing’s sarcoma of bones, the 2nd most frequent bone malignancy, Askin tumors, PNET, and those rarely occurring extraosseous Ewing sarcoma (peripheral neuroepithelioma). Extra-osseous Ewing’s is a rare presentation occurring in only 5% of patients. Here we present such a case of an extra-osseous Ewing’s sarcoma in a 13-year-old female presenting to our hospital with a large mass in the sacral region. The interesting imaging findings and his histopathology are discussed