Microstomia following orofacial and neck burns with subsequent contractures poses a significant challenge to the anesthesiologist as well plastic surgeon. Fibrosed external nares, microstomia, contracture bands make difficult airway. Deformed facial structure raw area of ventilation difficult. One causes morbidity mortality under anesthesia is "cannot intubate, cannot ventilate" scenario. Further reconstruction oral commissures in such cases always challenging because it provides good...

The aim of this study was to determine specific pattern port site microbial colonisation, sensitivity and resistance different antibiotics bacteria isolated from infection (PSI) in low risk patients after elective laparoscopic cholecystectomy surgical wards at tertiary care hospital Kashmir. This is a prospective study. included 675 consecutive postoperative PSI for symptomatic cholelithiasis over period 12 months. Culture swabs were taken sites with signs transported the microbiology...

Abstract This is a prospective study with the aim to determine specific patterns of burn wound bacterial colonisation and antimicrobial resistance profiles. There high incidence infections septicaemia in post‐burn patients, which, turn, are associated morbidity mortality, fact that compelled us undertake this study. The was conducted over period 11 months, from 1 August 2014 30 June 2015, 50 patients admitted our unit. Wound cultures were taken after 72 hours admission all then, empirical...

Background Scrotal defects in developing countries are common challenges for the reconstructive surgeon and hence this work has been done with aim to compare outcome, advantages disadvantages of different modalities scrotal reconstruction. Methods The prospective observational hospital-based study reconstruction following trauma Fournier's gangrene was over a period three years. defect 35 patients by advancement flap, split thickness skin grafting, medial thigh anterolateral flap groin...

A woman in her mid-20s presented to an Indian tertiary care hospital with pain left forearm. Extensive initial investigations led a suspected diagnosis of peripheral nerve sheath tumour; however, the pathological investigation excised tumour mass revealed it be case isolated intramuscular cysticercosis Treatment for was commenced and patient made full recovery. Isolated without involvement other organs is rare presentation has only been reported handful reports. We suggest that considered...

In this study, we investigated sensory and motor outcomes for different bridging techniques short nerve gaps.This study was conducted in the Postdoctoral Department of Burns, Plastic, Reconstructive Surgery our institution from August 2014 to May 2017. All patients with posttraumatic gaps 3 cm or less median, ulnar, and/or both forearm wrists were included study. Patients known causes neuropathies excluded. Groups 1, 2, 3, 4 9 each, gap managed reverse sural autograft, inside-out vein...

This prospective study has been conducted with the aim to assess severity of acute pancreatitis.The included 350 consecutive patients pancreatitis admitted over a period five years. All these were subjected detailed history and clinical examination investigations ascertain diagnosis. The was assessed by contrast - enhanced computed tomography (CT). Data collected tabulated appropriate statistical analysis.On basis CT Severity Index (CTSI), pancreatic classified into Group A (mild), B...

Bulldog scalp syndrome or cutis verticis gyrata (CVG) is a rare cutaneous disorder with an incidence of just 0.026 to 1 per 100,000 population and cosmetic problems should not be ignored as they can affect the quality life patients in social psychological aspects. In CVG thickens form folds resembling sulci gyri skin fold bulldog. It clinical diagnosis various etiologies. classified primary essential nonessential secondary CVG. manifest symptoms ranging from mild severe intensity. Cosmetic...

Background This study has been conducted with the aim of evaluating modified T-plate interpositional arthroplasty. Methods A prospective comparative in patients admitted temporomandibular joint ankylosis. Ankylotic arthroplasty included condylectomy gap 7, temporalis muscle flap 8, and 13 cases. The were followed for three years. Collected data tabulated subjected to Fisher's exact test, chi-square test probability estimation. Results significant increase interincisal distance 32 mm was seen...

Gall bladder perforation in acalculus cholecystitis is a rare condition and has high mortality rate. A diagnosis before surgery often difficult. We present two cases of gall encountered at an initial presentation without any clear radiological evidence. 45 year old male patient, presented with chief complaints diffuse abdominal pain since 1 day. No other complaints/symptoms were found on detailed history. Exploratory Laparotomy this revealed ruptured necrotic patches approximately 3 litres...

Background: The pathology of most cutaneous horns are benign although malignancy potential has been reported in around 20 to 30 percent and not only the appearance these lesions a source distress but also fact that they can be associated with malignant transformations. purpose this article is keep clinician constant vigil uncommon potentially lesions. Objective: To evaluate association Cutaneous horn change Methods: six patients cutaeous presented our outpatient department Plastic...

Background The lower extremity trauma in patients often gets operated on late for the wound coverage and is associated with more health costs other resources. Therefore, this study has been conducted to compare outcome terms of flap survival, complication rates, hospital stay between immediate traumatic wounds. Methods comparative analysis done after 25 (n = 25) wounds each group. were observed, data obtained tabulated a Microsoft Excel spreadsheet. statistical was using IBM SPSS (V26.0,...

Pneumoperitoneum typically results from intraabdominal gas due to gastrointestinal perforation, with exploratory laparotomy serving as the standard management. While non-surgical causes are well established, instances where pneumoperitoneum lacks an identifiable cause even after sparsely documented. Here, we present a case involving 22-year-old male who, following high-velocity road traffic injury resulting in panfacial fracture, exhibited gross subcutaneous emphysema neck,...

Background: Ultrasound has become the standard of care for insertion central venous catheters (CVCs) in intensive unit. With introduction ultrasonography CVC insertion, there been an improvement success rate and a dramatic decrease complications. Aims Objectives: The aim this study was to compare safety ease ultrasonically guided cannulation internal jugular vein (IJV) with that supraclavicular subclavian (SCV) adult patients undergoing various surgical procedures. Materials Methods: All...

Background: The occurrence of delirium in patients who undergo elective surgeries is a common occurrence. Multiple studies have assessed the effect different drugs various procedures to decrease prevalence postoperative delirium. melatonin and duration neurosurgical intensive care unit (NSICU) stay undergoing neurosurgery has not been studied previously. current study aimed assess same. Aims Objectives: To preoperative administration on ventilation NSICU NSICU. Methods Methods: In this...