Introduction: Burn injuries have major health problem because of its high, morbidity, disability and mortality in young and middle-age people. Burn injuries also have social problems associated with it. It may be associated with accidental, suicidal or homicidal causes. Despite of such importance of burn injuries from clinical and social point of view, there is scarcity of research on burn injuries in India. Thus we tried to highlight our observations in this study which had been undertaken to find out the causes of burn and to clinical profile and treatment outcome of burn patients in the our Institute. Material methods: This observational study was conducted from March 2017 to July 2018 in patients of burn injury who were admitted in general surgical wards of Pandit B. D. Sharma PGIMS Rohtak Haryana. We have studied 226 burn patients who admitted in our general surgical units of our Institute. Burns patients who are above 18 years and both sexes were including in the study and patients less than18 years of age were excluded from the study. Results: A total of 226 patients had burns injuries. 162 were male and 64 female in the ratio of M: F-2.53: 1.Males were mostly affected (71.68%) in comparison to females. Most of the burn patients were in the age group of 21-30 years in this studied.i.e.42.02%. Least patients are seen in 50-75 percentage of burn. As regard to causes, The house hold activities has maximum number of patients as shown and electricity is causing second highest cases (26.99%), less number of patients are suicidal (3.53) and unknown etiology is seen seven cases. Conclusion: Burn injury prevention is very difficult task, but to avoid the significant morbidity and mortality following the burn injury. We have to take every measures to control its incidence. A coordinated and dedicated approach by social workers, medical and paramedical personnel, administrators can only minimize the incidence of burn injury in India.
Background: Chest trauma constitutes a major public health problem which includes the injuries to chest wall, pleura, tracheobronchial tree, lungs, diaphragm, oesophagus, heart and great vessels. It consist of more than ten percent of all traumas and twenty five percent of death due to trauma occurs because of chest injury. Chest trauma is increasing in frequency in urban hospitals. Penetrating and nonpenetrating thoracic injuries the most serious injuries leading to significant morbidity and mortality.Methods: This study was prospective observational study of 220 patients of thoracic trauma both penetrating and non-penetrating. These patients admitted in general surgical units from August 2017 to May 2018 of Pandit Bhagwat Dayal Sharma, PGIMS Rohtak Haryana India. The study was pertaining to both penetrating and non-penetrating chest trauma.Results: Out of 220 chest injury patients who were studied during the said period, Males were 203 and females 17 by a ratio of 12:1 and age ranged from lowest 18 years to 85 years of age. Majority of the patients (90.45%) sustained blunt injuries. RTA was the common mechanism of blunt injury affecting (50.45%) of patients. Multiple Rib fractures was the commonest type of chest injury (21.36%) followed by head injury (17.27%). Head injury was the commonest associated injury seen in our patients. Conclusions: Chest trauma resulting from road traffic accident remains a major mechanism of chest injury. The measures to decrease the trauma are, educating people about traffic rules and regulations and strictly implementing them is necessary to reduce incidence of chest injuries.
Background: Abdominal stoma is an opening of the intestine whether temporary or permanent on anterior abdominal surgically. These are used to divert the faecal contents for safe distal anastomosis and to relieve obstruction in emergency surgeries or even in elective surgeries also. Though it is a lifesaving procedure and may be temporary or permanent. Sometimes it may result in number of significant complications which may be starting from early postoperative periods to late compilations.Methods: This is a prospective observational study, which was carried on 85 patients of abdominal stomas in the department of general surgery, Pt. B D Sharma PGIMS Rohtak.Results: In the present study there were (71) males and (14) females in the ratio of nearly 5:1. The males are 83.52% as compared females 16.47%.The commonest age group for stoma formation was in 21–30 years in either sex which is 23.52%. Numbers of males are higher in the age group of 51-60 years. The end ileostomy was made in 46 patients and loop ileostomy was in 27 patients. Oedema was seen maximally 19 patients of loop ileostomy. The other complications which are less common are retraction and ischemia of stomas. Four patients were died during treatment in this period in the present study.Conclusions: Intestinal stomas are commonly performed surgical procedure for intestinal diseases, to minimise or decrease the potential complications due to intestinal stoma meticulous attention and extreme care should be employed in preoperative and postoperative periods. Here we have provided an overview of the complications seen in formation of intestinal stomas, keeping these probable complications in mind, decision making and surgical technique continue to be remain the keys to successful stoma formation.
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