Krishna Gopal

Aim: The aim of the present study was to compare the outcomes of bilateral inguinal hernia repair between patients who underwent the Stoppa's repair and those who underwent Lichtenstein tension free mesh hernioplasty repair. Methods: A prospective, open, randomized, comparative study was undertaken in the Department of General Surgery for the perio...

Background: Out of all anorectal diseases, haemorrhoids are the most common benign disease. Haemorrhoids can be treated by various treatment modalities like medical, surgical, and instrumental. Instrumental treatment comprises rubber band ligation, sclerotherapy, and infrared and laser therapy. Out of these modalities, the rubber band ligation tech...

Spontaneous perforation of the extrahepatic biliary system is a rare presentation of chronic pancreatitis. Very few cases of bile duct perforation have been reported in adults. It is rarely correctly diagnosed preoperatively in an emergency. A 25-year-old male presented at the surgical emergency with a long history of abdominal pain and repeated ep...

Acute anal fissure is a common and painful condition of ano-rectal region characterized by tear in the anoderm causing pain during defecation. Mainstay of its treatment is pharmacotherapy with lifestyle modification. Current study was undertaken to evaluate the role of add-on local antimicrobial in recovery and relief of symptoms of acute anal fiss...

Background: Out of all anorectal diseases, haemorrhoids are the most common benign disease. Haemorrhoids can be treated by various treatment modalities like medical, surgical, and instrumental. Instrumental treatment comprises rubber band ligation, sclerotherapy, and infrared and laser therapy. Out of these modalities, the rubber band ligation tec...

Laprotomy remains one of the commonest emergency surgical procedure performed worldwide. But over the last few years, various perioperative quality improvement initiatives involving early interventions, intensive postoperative care, and indivisualised care approaches have ensured a decrease in the average mortality rate by 3.8%-8.3. An ideal scorin...

Stoma closure is associated with several complications, wound infection being the most common. This study is done to establish that purse string suture closure method for stoma closure is superior to the conventional linear mattress closure and is associated with better wound healing cosmesis. This Prospective randomized controlled study enrolled 8...

Aim: The aim of the present study was to analyse of post-operative pain management in elective laparotomies in a tertiary care centre in Bihar region. Methods: This study was conducted in the Department of General Surgery and Anesthesiology. The present study was conducted for period of 18 months. A sample size of 100 patients fulfilling eligibilit...

A 55-year-old male was admitted in the surgical emergency department with a 2-day history of central abdominal pain, abdominal distension and non-passage of flatus and stool with single episode of vomiting and clinical features of Intestinal Obstruction. Erect abdominal x-ray revealed 4 - 5 air-fluid levels without much bowel dilatation. Explorator...

PURPOSE : To determine the role of enteric fever in ileal perforations. METHODS : A prospective cohort of 44 patients of ileal perforation was subjected to clinical examination and investigations like blood , ulcer edge biopsy , stool from the site of perforation and polymerase chain reaction (PCR) were subjected to culture to determine the predomi...

Ascariasis is one of the commonest infections in Asia. Biliary ascariasis is a serious presentation of ascariasis which can result in life threatening complications including cholangitis, choledocholithiasis, Liver abscess, and Pancreatitis. We present a case of female from north Bihar who presented to us with biliary ascariasis and concomitant...

Liposarcoma is the most common soft tissue sarcoma in adults, which usually involves lower extremities, trunk, retroperitoneum, or abdominal cavity. Till date, only a few cases of enormously huge liposarcoma have been reported. We report a case of huge mass of size 60 × 45 × 35 cm in scapular region in a middle aged person; which developed from...