• Users Online: 79
  • Print this page
  • Email this page
Export selected to
Endnote
Reference Manager
Procite
Medlars Format
RefWorks Format
BibTex Format
   Table of Contents - Current issue
Coverpage
May-August 2021
Volume 4 | Issue 2
Page Nos. 37-57

Online since Tuesday, November 9, 2021

Accessed 1,897 times.

PDF access policy
Journal allows immediate open access to content in HTML + PDF
View as eBookView issue as eBook
Access StatisticsIssue statistics
RSS FeedRSS
Hide all abstracts  Show selected abstracts  Export selected to  Add to my list
EDITORIAL  

Abdomino perineal resection: Is this still a management option? p. 37
Fazl Q Parray
DOI:10.4103/ijcs.ijcs_20_21  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
ORIGINAL ARTICLE Top

Harmonic scalpel hemorrhoidectomy versus bipolar diathermy hemorrhoidectomy – A prospective evaluation p. 39
Shams Ul Bari, Ajaz Ahmad Malik, Abid Aziz Kangoo
DOI:10.4103/ijcs.ijcs_33_20  
Background: Hemorrhoidal disease is a very common anorectal disorder occurring more frequently in individuals who are older than 40 years. Although early-stage diseases can be managed conservatively, late-stage diseases usually need surgical treatment. Aims and Objectives: The aim of the study was to compare harmonic scalpel hemorrhoidectomy with bipolar diathermy hemorrhoidectomy in terms of operative time, intraoperative bleeding, hospital stay, pain expectation score, time to start normal activity, and complications if any. Materials and Methods: The study entitled, "Harmonic scalpel hemorrhoidectomy versus bipolar diathermy hemorrhoidectomy-A prospective evaluation" was conducted in the Department of General and Minimal invasive Surgery SKIMS and SKIMS Medical College Srinagar from July 2017 to June 2019. The study was performed on all patients with Grade 3 and Grade 4 hemorrhoids. The total number of patients studied was 64, who were randomly subjected either to the harmonic scalpel hemorrhoidectomy or to bipolar diathermy hemorrhoidectomy. Results: Thirty-one patients were subjected to harmonic scalpel hemorrhoidectomy and 33 patients were subjected to bipolar diathermy hemorrhoidectomy. Mean operative time and intraoperative bleeding were significantly less in harmonic scalpel hemorrhoidectomy as compared to that of bipolar hemorrhoidectomy. The patients who underwent harmonic scalpel hemorrhoidectomy experienced significantly less pain and had significantly shorter hospital stay and early return to routine work in contrast to bipolar diathermy hemorrhoidectomy. Conclusion: Harmonic scalpel hemorrhoidectomy is recommended in patients with symptomatic Grade 3 internal hemorrhoids in association with large external components and those with Grade 4 hemorrhoids.
[ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
CASE REPORTS Top

Giant sigmoid diverticulum as a lump in left iliac fossa: A rare presentation p. 44
Sushrut Pramod Tendulkar, Kayomars B Kapadia
DOI:10.4103/ijcs.ijcs_7_21  
Diverticulosis of the colon is a common clinical entity affecting 35% of individuals over the age of 65 years. It is usually limited to the sigmoid colon. When a colonic diverticulum enlarges to over 4 cm in diameter, it is defined as a giant colonic diverticulum (GCD) and it is a rare manifestation of colonic diverticulosis. There have been fewer than 200 cases reported worldwide since GCD was first described in 1946. GCD can be complicated by volvulus, bowel obstruction, perforation, abscess formation, sepsis, and rectal bleeding. Here, we report a case of a 76-year-old female presenting to the emergency department with features of acute colonic obstruction and having a large palpable mass in the left iliac fossa which was diagnosed to be a GCD. She underwent prompt surgical resection of sigmoid colon with en bloc excision of GCD and had uneventful postoperative recovery.
[ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

A rare case of duplicated appendix presenting as acute appendicitis p. 47
Vineeth Venkata Damera, Shiva Kumar Rathlawath
DOI:10.4103/ijcs.ijcs_5_21  
Appendiceal duplications are one among the rare congenital anomalies of the gastrointestinal tract. This is an interesting case report of a 24-year-old male who was diagnosed to have acute appendicitis. On exploration, the patient had duplicated appendix; both were inflamed and adherent to each other with separate base. Appendectomy was performed on both, and histopathology confirmed appendicitis in both appendices. Duplicated appendix represents a challenging clinical scenario in case of right iliac fossa pain. Surgeons should be aware of this rare congenital anomaly to avoid missing the duplication that may result in serious life-threatening consequences.
[ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

Intersigmoid internal hernia – A rare etiology of small-bowel obstruction p. 50
Sunilkumar B Alur, Sangeetha Siva
DOI:10.4103/ijcs.ijcs_15_21  
Internal hernias account for only a small percentage of all instances of intestinal obstruction. Hernias which result from defects or abnormalities of the sigmoid mesocolon are among the rarer types of internal hernia. When untreated, they have been reported to have a high overall mortality. Due to a lack of specific clinical manifestations, they are usually diagnosed late. In addition, evaluation and imaging studies can also be nonspecific. The possibility of sigmoid mesocolon hernia should be considered in patients presenting with symptoms of progressive or persistent small-bowel obstruction without a previous history of surgery or abdominal inflammation as it is associated with a high incidence of strangulation. Without a heightened awareness and understanding of this hernia, it can always be misdiagnosed, with subsequent significant morbidity and mortality. Here, we report a case of acute intestinal obstruction secondary to sigmoid mesocolon hernia.
[ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
FIRST PRIZE VIDEO COMPETITION AT VIRTUAL HEMORRHOIDCON 2021 Top

Bloodless open excisional hemorrhoidectomy for grade 4th degree hemorrhoids: How i do it? p. 52
Preetej Macwan
DOI:10.4103/2666-0784.330169  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
TECHNIQUES IN SURGERY Top

Making hemorrhoidectomy simpler and safer p. 54
Kushal Mital
DOI:10.4103/2666-0784.330170  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
ARTICLE OF 3RD PRIZE WINNER IN VIDEO COMPETITION ON JANUARY 24 IN VIRTUAL HEMORRHOIDCON 2021 Top

Hemorrhoidal artery ligation, laser hemorrhoidoplasty, and lis in a case of grade 3 hemorrhoids and chronic anal fissure p. 56
Sanjay Singla
DOI:10.4103/2666-0784.330171  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta