International Surgery Journal 

About: International Surgery Journal is an academic journal published by Medip Academy. The journal publishes majorly in the area(s): Medicine & Surgery. It has an ISSN identifier of 2349-2902. It is also open access. Over the lifetime, 4899 publications have been published receiving 7522 citations.

Modified Alvarado scoring system as a diagnostic tool for acute appendicitis at a tertiary care teaching hospital, Central India: a cross sectional study

Abstract: Acute appendicitis is one of the most common causes of abdominal surgical emergencies with a lifetime prevalence of approximately 1 in 7 worldwide. It is associated with high morbidity and occasionally morbidity related to failure of making an early diagnosis. It has been estimated that approximately 6% of the population will suffer from acute appendicitis during their lifetime; therefore, much effort has been directed ABSTRACT

Urinary incontinence: prevalence, risk factors, impact on quality of life and treatment seeking behaviour among middle aged women

Abstract: Background: Urinary incontinence (UI) is one of the priority health issue recognized by WHO Urinary incontinence (UI) is defined by the international continence society as "a condition in which involuntary loss of urine is objectively demonstrable and is a social and hygiene problem It is a common and distressing medical condition severely affecting quality of life (QOL) Urinary incontinence is a common health problem among women, with the prevalence varying from 8-45% in different studies Methods: This study was based among the population around SRM-IMS, Bareilly Total 464 women were interviewed out of 2860 total inhabitants Results: Out of 464, 236 females were selected for this study 28 women had urinary incontinence The overall prevalence of urinary incontinence in our study was about 12% There was significant association of increasing age and presence of urinary incontinence Urinary incontinence does impact on quality of life of a woman having urinary incontinence Impact of personal factors do not have much impact on urinary incontinence 22% women had stress urinary incontinence, 38% had urgency incontinence and 38% had mixed type of urinary incontinence Conclusions: Various obstetrical factors do contribute to urinary incontinence Urinary incontinence is a significant health problem in the society leading to restriction in social and sexual activities Almost 1 in 12 women suffering from urinary incontinence Simple epidemiological tools such as a questionnaire can unveil the urinary incontinence subjectively Further efforts are to be done to improve the quality of life and minimizing the urinary incontinence by pursuing them for treatment

Factors predicting difficult laparoscopic cholecystectomy: a single institution experience

Abstract: Background: Laparoscopic cholecystectomy is one of the most common operations performed by general surgeon. This study was performed to evaluate pre-operative factors predicting difficult laparoscopic cholecystectomy. Methods: A prospective study was carried out at Jawaharlal Nehru Medical College Hospital, Ajmer, a tertiary care centre in Middle East Rajasthan, India. In present study we included 100 patients diagnosed with symptomatic gallstones disease on the basis of history, clinical examinations and USG findings and underwent laparoscopic cholecystectomy in our hospital by a single surgeon during the period of July 2014 to July 2016. These all patients were evaluated for a group of risk factors and preoperatively these risk factors were given a score between 0-5 labeled as easy, 5-10 as difficult and 11-15 as very difficult. Statistical analysis was done by Fischer’s test and chi square test. Results: BMI >30, previous medical disease like DM, palpable gall bladder, prior hospitalization pericholecystic collection and impacted stone are significant risk factors to predict difficult laparoscopic cholecystectomy. Conclusions: The studied scoring system had a positive prediction value for easy prediction of 94% and for difficult prediction of 100%.

Prevalence of surgical site infection in general surgery in a tertiary care centre in India

Abstract: Background: Surgical site infection (SSI) can be defined as an infection that is present up to 30 days after a surgical procedure if no implants are placed and up to one year if an implantable device was placed in the patient. SSI is a significant problem associated with major surgeries and is the 3 rd most frequently reported nosocomial infection. This study aims to study the prevalence of SSI in the Department of Surgery, Rajendra Institute of Medical Sciences (RIMS), Ranchi. Methods: A retrospective study was undertaken at the Department of General Surgery for a period of one year. Retrospective chart review was conducted from the hospital database. The rate of SSI was studied in relation to its type, the type of surgical procedure and elective vs emergency surgeries. Results: The present study revealed 12.5% prevalence of SSI in Department of General Surgery, RIMS. Among the 3 types, superficial incision SSI was most prevalent followed by deep incisional SSI and finally by organ/space SSI. The surgical procedure most commonly associated with SSI was exploratory laparotomy. An alarming 17.7% of SSI was associated with emergency surgeries as compared to 12.5% of elective surgeries. Conclusions: The consequences of SSIs greatly impact patients and the healthcare systems. Prevention of SSI requires a multifaceted approach targeting pre-, intra-, and postoperative factors. It is imperative that facilities have open-minded management teams, regulatory agencies and medical associations that want to provide the foundation required to generate a culture of patient safety in our health care systems.

A clinical study: prevalence and management of cholelithiasis

Abstract: Background: Cholelithiasis is a chronic recurrent disease of the hepatobiliary system. The impaired metabolism of cholesterol, bile acids and bilirubin are characterized by gallstone formation. The prevalence of cholelithasis varies and has been reported as 2-29% in India, and increased in the recent years. In the present study, apart from studying the epidemiology i.e., demographic factors, dietary habits, clinical presentation, diagnostic tools and management, it also looks at the stone analysis, bile culture and complications after surgery in rural population in central India. To study the modes of presentation of gallstones, various treatment modalities, their outcome and complications and chemical analysis of gallstones in relation to the type of diet. Methods: Department of Surgery at NPK Salve Institute of Medical Sciences, Nagpur, from September 2010 to October 2012 on 104 patients fulfilling the inclusion criteria selected for the study. Clinical symptoms were noted according to clinical history of the patients. The ultrasonography scanning of the abdomen performed, open/laparoscopic cholecystectomy was done. Results: The mean age of the patients was 43.56 years with a male-female ratio of 0.52:1. Mixed type of diet, and multiple gallbladder calculi of mixed type was observed. Wound infection was the commonest complication in open cholecystectomy group, and the mean hospital stay was significantly more in this group.