Background: Ventral hernias comprise the second most common hernial presentations in the surgical world. This study was undertaken to know the different clinical types, age incidence, predisposing factors for ventral hernia and also to study the post-operative results of different operative procedures. objective of present study was to investigate clinical profile of patients with ventral hernia.Methods: Forty cases of abdominal wall hernia were studied during the period of 2 years. Informed consent was obtained. Detailed history, thorough clinical examination was carried out. Patients were operated with standard surgical procedure. They were followed for 3-18 more months to observe occurrence of complications among them. Data was analyzed using proportions and presented.Results: Sixty percentage were Incisional hernia following an operation and remaining contributed to 40%. 22.5% patients had presented with complications like irreducibility, obstruction and strangulation. The presence of associated diseases, large hernia, poor condition of local tissue (muscle), all make the surgical management of ventral hernia a complex problem. Each patient was evaluated separately and thoroughly, and his surgery planned so as to obtain satisfactory results. Different methods of surgical procedures were undertaken in this study. The post-operative complication rate was minimal that is 12.5% and the recurrence rate observed was 0% but the sample size and follow up period (3-18 months) was short, in view of which I am not able to give a definite.Conclusions: Good pre-operative evaluation and preparation; sound anatomical knowledge and meticulous attention to surgical detail are the most important factors for prevention of post-operative complications and recurrence of hernia.
Background: Inner lining of lobules or ducts of milk of breast tissue is the origin of the breast cancer. Among females, it constitutes 10.4% of cancer cases incidence all over the world. It thus is the fifth leading cause of mortality all over the world. As known, it is more common in females than males. The objective of this study was to study the clinical and epidemiological profile of breast cancer patients.Methods: A hospital based cross sectional study was carried out for a period of two and half years at M. G. M. Hospital, Warangal. Both males and females of 30 years and above were included in the study. Total number of carcinoma cases admitted during 2005 to 2007 for a period of two and half years were 1,428. Total number of carcinoma breast cases admitted during 2005 to 2007 for a period of two and half years were 242.Results: Maximum cases i.e. 44.6% belonged to stage III of breast cancer. Maximum cases were seen among Hindus i.e. 76.4%. As expected, only one case was reported by males which constituted only 0.42%. Highest number of cases i.e. 99 (40.9%) were reported during the age group of 40-50 years. Multi para women constituted more number of cases in 78.8%. Maximum number of cases of breast cancer i.e. 41.6% occurred among menstruating women. Most commonly affected quadrant was upper outer in 55.1% of cases. The most common type was Schirrous carcinoma in 39.6% of cases.Conclusions: Upper outer quadrant was most commonly affected. This indicates that the women in the reproductive age group should be directed to examine their breast daily with specific attention to upper outer quadrant.
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