This is to certify that the dissertation entitled “A STUDY ON CALCULOUSCHOLECYSTITIS IN GRH MADURAI” submitted by Dr. P. SUDHA to the Tamil Nadu Dr. M.G.R. Medical University, Chennai in partial fulfillment of the requirement for the award of M.S Degree Branch– I (General Surgery) is a bonafide research work were carried out by her under direct supervision & guidance.
This is to certify that this dissertation entitled " A STUDY ON THE CORRELATION OF SERUM CHOLECALCIFEROL LEVEL AND VITILIGO IN PATIENTS ATTENDING GOVERNMENTRAJAJIHOSPITAL, MADURAI" submitted by Dr. Deepthi Vijayakumar to The Tamil Nadu Dr. M.G.R. Medical University, Chennai is in partial fulfillment of the requirement for the award of M.D.[DERMATOLOGY, VENEREOLOGY AND LEPROSY] and is a bonafide research work carried out by her under direct supervision and guidance. This work has not previously formed the basis for the award of any degree or diploma.
This is to certify that the dissertation entitled “ A COMPARATIVE STUDY OF TAILORED LATERAL SPHINCTEROTOMY VERSUS LATERAL SPHINCTEROTOMY FOR CHRONIC FISSURE IN ANO IN GOVERNMENTRAJAJIHOSPITAL, MADURAI” submitted by Dr.MAHENDRAN.R to the Tamil Nadu Dr. M.G.R. Medical University, Chennai in partial fulfillment of the requirement for the award of M.S. Degree Branch I (General Surgery) is a bonafide research work was carried out by him under my direct supervision & guidance.
This is to certify that the dissertation entitled “A STUDY OF INCIDENCE AND PATHOLOGICAL PATTERN OF CARCINOMA OESOPHAGUS AT GOVERNMENTRAJAJIHOSPITAL, MADURAI” submitted by Dr.K.SELVAKUMAR to the Faculty of General Surgery, The Tamil Nadu Dr.M.G.R. Medical university, Chennai in partial fulfillment of the requirement for the award of M.S. Degree in General Surgery is a bonafide work carried out by him during the period of Nov 2007 – Nov 2009 under my direct supervision and guidance.
This is to certify that this dissertation titled “A COMPARITIVE STUDY ON DIATHERMY Vs SCALPEL SKIN INCISIONS IN ABDOMINAL SURGERIES IN GOVERNMENTRAJAJIHOSPITALMADURAI” submitted by Dr. ARUN GURU K to the faculty of General Surgery, The Tamil Nadu Dr. M.G.R. Medical University, Chennai in partial fulfilment of the requirement for the award of MS Degree Branch I General Surgery, is a bonafide research work carried out by him under our direct supervision and guidance from September 2017 to September 2018.
According to Shukla 1988 the incidence of abdominal tuberculosis is high in India. But recent literature indicates that the disease is also prevalent all over the world (Chen ws Taiwan 1992). Shafer RW New York reports those 47 cases in 1983 and 113 cases in 1988. In GovernmentRajajiHospital, Madurai, Tamilnadu over 24 months of study, 60 cases are reported in various surgical units and treated as inpatients. In United Kingdom the frequency has recently increased due to arrival of Asian immigrants (VK Kapoor and L.K. Sharma 1988).
A STUDY ON NEURODEVELOPMENTAL OUTCOME OF INFANTS WITH HYPOXIC ISCHEMIC ENCEPHALOPATHYAT GOVERNMENT RAJAJI HOSPITAL MADURAI DISSERTATION SUBMITTED FOR THE DEGREE OF M D BRANCH VII (PAEDIATRIC MEDICINE)[.]
I hereby declare that this dissertation entitled "ANALYTICAL STUDY OF ABDOMINAL WOUND DEHISCENCE AND ITS MANAGEMENT AT GRH MADURAI.", is a bonafide and genuine research work carried out by me after studying the cases admitted to GovernmentRajajiHospital, Madurai attached to Madurai medical College, Madurai, during the period August 2013 to August 2014, under the direct guidance and supervision of Dr. A Sankaramahalingam M.S., Professor of Surgery and Head of the Department of General Surgery, Madurai medical College, Madurai. It is submitted to The Tamil Nadu Dr.M.G.R Medical University, Chennai, in partial fulfilment of its regulation for the award of M.S. (General Surgery) Degree to be held in April 2015.
It gives me immense pleasure to express my deep sense of gratitude to my Unit chief Prof.Dr.M.Sekaran M.S Department of General Surgery, GovernmentRajajiHospital and Madurai Medical College for this excellence guidance and valuable suggestion during the course of study and in preparation of this dissertation.
Simple febrile seizure has an age range classically described as 6 to 60 months. The peak incidence is usually in the second year of life. Febrile seizures are prevalent in up to 5% of children, with the overall incidence estimated to be 460/100,000 in the age group of 0–4 years. Most febrile seizures are simple; however, up to 30% might have some complex features. The risk of recurrence of febrile seizure is related to various factors, including younger age group, prolonged seizures duration, degree of fever, and positive personal and family history of Febrile Seizure. In fact, a positive family history of febrile seizures in first-degree relatives is observed in up to 40% of patients. Gender distribution has been studied in the literature. One previous study found a mild male predominance, but this has not been supported by other literature reviews. Seasonal variation with regard to seizure incidence has not yet been fully understood. Studies have shown that febrile seizures tend to occur more in the winter months and are more common in the evening. The underlying pathophysiological explanations for these observations remain obscure.
As the study was conducted in a GovernmentHospital majority of the cases belonged to the low socioeconomic status accounting for 75% of the cases. The scenario is similar across India where majority of the population belong to the low socioeconomic group further contributing evidence of dietary role of carcinogens. Studies at Chennai and other parts of the country have shown consistent correlation between the lower socioeconomic group and higher prevalence of gastric cancer.
This is to certify that the dissertation entitled “A COMPARATIVE STUDY OF TRAUMATIC AND NON TRAUMATIC GASTROINTESTINAL PERFORATION ” is a bona fide research work done by Dr.E.KALIAMMAL, Post graduate student, Dept. Of General Surgery, Madurai Medical College And Govt. RajajiHospital, Madurai, under the guidance and supervision of PROF.Dr.K.G.SUBANGI M.S., DGO, FIAGES Department of General Surgery, Madurai Medical College and Govt. RajajiHospital, Madurai.
dosage for adults is 400mg twice daily for a period of 28 days followed by 14 drug-free day’s upto three cycles. Chemotherapy has been used with some success as adjuvant treatment for pre-operative sterilization of the cyst and post-operatively to protect against dissemination for recurrent and inoperable diseases. Albendazole toxicity includes abnormalities in liver function, which are reversible. In a WHO study two cases of anaphylactic shock related to rupture of cyst following mebendazole therapy has been recorded. It was concluded that medical therapy should be reserved for inoperable cases. Praziquantel, is an effective scolicidal agent but it is effective more on protoscolices than on germinal membrane. Albendazole can cure Hydatid disease. The role of chemotherapy should be restricted to the elderly or unfit patient, disseminated disease and technically inaccessible cysts. Albendazole and praziquantel may also be used in case of spillage during surgery.
all, kreas-flesh almost) was used because the organ contain neither cartilage or bone. Its main duct was described by Wirsung in 1642, where the enlargement of the duct at its junction with the CBD and its projection in to the duodenum as a papilla were first described by Vater in 1720. Santorini in 1734 described the accessory duct that bears his name. It was only after demonstration of digestive enzymes by Claude Bernard in 1850 that the pancreas became a complete organ with an important function and thus a worthy object of study.
In this study 2 patient died out of 11 – this patient had splenic injury with retroperitoneal hematoma with class – I injury to left kidney. Splenectomy was done and the kidney injury was managed conservatively. Patient died in the post operative period due to multiorgan dysfunction secondary to hypovolemic shock. The mortality rate was 12.5% which is very much acceptable. This is due to the early diagnois and early surgical management and quick and effective of hypovolemic in patients with penetrating injuries.
Orringer et al 57 reported on 800 patients with cancer of the intrathoracic esophagus and cardia treated with transhiatal esophagectomy, adenocarcinoma was present in 69% of cases, where as 28% had epidermoid cancer. Hospital mortality was 4.5%, and morbidity was 27%. Major complication including anastomotic leak (13%), recurrent laryngeal nerve injury, (7%) wound infection (3%), pulmonary complications (2%), bleeding (1%) and chylothorax (1%). More than 90% of the patients were discharged within 21 days of hospitalization. There was an overall statistically significant survival with adenocarcinoma (24%, v/s 17%).
I Dr.C.RAJKUMAR declare that, I carried out this work on, “STUDY ON NEAR TOTAL THYROIDECTOMY IN THYROID SWELLINGS AT GOVT. RAJAJIHOSPITAL, MADURAI” at the Department of Surgery, Govt. RajajiHospital during the period of May 2006 to October 2008. I also declare that this bonafide work or a part of this work was not submitted by me or any others for any award, degree, diploma to any other University, Board either in India or abroad.
More than 70% of surgical procedures are now performed on an outpatient basis, which poses major problems for surveillance of SSI. Although many surgical site infections will develop in the 5-10 days after surgery, a SSI will develop as long as 30 days after surgery and be attributable directly to the operation, long after even most inpatients have been discharged from the hospital. Estimates of the incidence of surgical site infections are thus dependent upon voluntary self reporting by surgeons, which may not occur for any of several reasons. Therefore, estimates of the incidence of surgical site infection in National Nasocomal infection surveillance are almost assuredly underestimates, although the data are the best that are available.