- Recent meta-analysis revealed that co-therapy with misoprostol reduced the incidence of duodenal ulcer by 53% and gastric ulcer by 74%. - another study has shown that half-dose misoprostol (200 µg twice daily) does not prevent recurrent ulcer complications in high-risk patients with arthritis and a history of ulcer bleeding. ii. Proton pump inhibitors - Two RCTs performed in osteoarthritis and rheumatoid arthritis patient with ulcers >3 mm in diameter or >10 mm erosions comparing omeprazole with placebo, misoprostol and ranitidine. Omeprazole co-therapy resulted in significant reduction total number of NSAID related ulcer.
However, regardless of classification, the translocation of pathogens into the peritoneal cavity initiates a cascade of inflammatory responses (Mabewa, Seni, Chalya, Mshana, & Gilyoma, 2015). This response is co-stimulated by mesothelial cells, and characterized by an accumulation of neutrophils and pro-inflammatory cytokines (McGuire et al., 2015). In primary peritonitis the infection occurs, but the source of intra-abdominal infection is unidentified, this is known as spontaneous bacterial peritonitis (SBP). Secondary peritonitis arises from abdominal trauma, organ damage, occurs secondary to medical procedures, and internal leaks affecting the peritoneum. Likewise, tertiary peritonitis is defined as a recurrent or persistent infection after 48 hours of adequate medical management of secondary peritonitis (Henderson, Nguyen, Said, & Nazzal, 2017).
Along with routinely applied stainings like Giemsa, hematoxylin, and eosin, there are some more specific staining procedures which facilitate the diagnosis of H. pylori infection. However, the accuracy of the histopathological diagnosis of H. pylori always depends on the number and the location of collected biopsy materials. While H. pylori can be detected in even a single biopsy taken from the correct site, to achieve a higher sensitivity, multiple biopsies are recommended.
Sepsis, discharge, fever, anemia are other features. P/R examination shows lax sphincter. Anteriorly, peritoneal sac comes down as pouch which may contain small bowel . Treatment Fixation Operations  Well’s operation (ivalon sponge warp operation) Rectopexy (Lockhartmummery) operation Rectal sling operation Perineal approach (Delorme’s operation) Lahaut’s operation. Resection Operations  Anterior resection of the rectum.
This was reinforced with pericranial onlay patch also.Intraoperative valsalva maneuver showed no csf leak.Wound was closed in layers with prophylactic continous lumbar drainage.Post operative CT scan showed complete resolution of pseudomeningocele(Fig9) Fig9: Post operative CT scan after repair of dural leak and excision of pseudomeningocele sac. Lumbar drain was removed on 3rd day.patient was discharged of day 10 with no evidence of
LAPAROSCOPIC CHOLECYSTECTOMY Background: Whereas it is true that no operation has been more profoundly affected by the advent of laparoscopy than cholecystectomy has, it is equally true that no procedure has been more instrumental in the laparoscopic age than LC has. LC has rapidly become the procedure of choice for routine GB removal and is currently the most commonly performed major abdominal procedure in western countries (Litwin and Cahan, 2008). A National Institutes of Health consensus statement in 1992 stated that LC provides a safe and effective treatment for most patients with symptomatic gallstones and has become the treatment of choice for many patients. This procedure has more or less ended attempts at non invasive management
Bacterial isolates cultured for 24h were inoculated into tubes, which containing 5 ml tryptone broth and incubated at 37°C for 7days. Kovac’s reagent (0.5ml) was added, and the formation of a red color in the alcohol layer was considered a positive result. 3.1.4 Phosphate
Inferior vena cava, extra-parenchymal portal vein and the gall bladder were excluded from the outline. Hepatic veins and intra-parenchymal portal venous system and the fissures that did not open into the abdominal cavity were included in the outlining . Volume was determined in milliliters using the automatic volumetry software of Intellispace Portal (Philips Healthcare, Best, The
In this type of treatment, the blood is cleaned inside the body not outside the body. The lining of the abdomen (also called the peritoneum) acts as a detergent (natural filter). A cleansing solution called dialysate flows into the abdomen through a soft tube called a PD catheter. The catheter is placed during minor surgery so wastes and extra fluid pass from the blood into the cleansing solution. After some hours, the doctor drains the used solution from the abdomen and refills with a fresh cleansing solution to begin the process again.