BackgroundRight iliac fossa mass is one of the most common clinical scenarios a surgeon encounters during their surgical practice. It poses a critical diagnostic dilemma for surgeons and requires considerable diagnostic skills. Its clinical diagnosis becomes difficult in the presence of comorbidities, such as severe obesity and guarding, as in these cases, the mass becomes palpable only upon the administration of a relaxant. MethodsA total of 108 patients admitted to Bhima Bhoi Medical College & Hospital, exhibiting signs and symptoms of mass in the right iliac fossa upon cross-examination, were included in the study. We recorded their detailed clinical history and performed physical examinations, including erect abdomen, chest (postanterior view), and contrast x-rays, ultrasonogram; and CT scans. ResultsIn this study, patients with appendicular masses, appendicular abscesses, ileocecal tuberculosis, cecum carcinoma, ovarian tumors, and parietal lipoma accounted for 45.3%, 17.5%, 12.9%, 7.4%, 6.4%, and 4.6% of the total cases, respectively, whereas patients with retroperitoneal tumors, parietal abscesses, and ileocecal lymphadenopathy accounted for 1.8% each.
Background and Aims: Preemptive analgesia is defined as a treatment that is initiated before surgery in order to prevent the establishment of central sensitization evoked by the incisional and inflammatory injuries occurring during surgery and postoperative period. Pregabalinas considered in abolishing neuropathie component of acute nociceptive pain of surgery. Materials and methods: A study was done to know the effect of oral gabapentin and pregabalinath control group for post-operative analgesia. Materials and Methods: A total of 90 ASA grade I and II patients posted for elective Partial thyroidectomy were randomized into 3 groups (group A, B and C of 30 patients each). One hour before surgery the blinded drug selected for the study was given with a sip of water. Group C- received identical placebo tablet, Group B- received 800 mg of gabapentin tablet and Group A - received 150 mg of pregabalinablet . VAS score recorded for initial rescue analgesia, total duration of analgesia and total requirement of rescue analgesia were observed as primary outcome. Hemodynamics andside effects were recorded as secondary outcome in patients. Results: The analgesic requirement in both Pregabalinand Gabapentin groups are lower than the control group.
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