An Evaluation of serum IgE in Atopic patients -predictor for Post-Operative Mesh reaction
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 12
Abstract
Background: In the modern surgical practice, Hernioplasty remains the commonest surgical procedure in general surgery. Though most of the patient recovers completely without complications, certain number of patients experience a stormy and complicated post-operative period in terms of seroma, infection, pain and last but not the least mesh reaction which is a rare but serious complication. Current day practice involves hernioplasty with polypropylene mesh rather than herniorraphy in most surgical centres, hence every effort should be made to reduce mesh related complications. Mesh reactions are more common in patients with preexisting allergic diseases like atopic dermatitis, asthma, allergic rhinitis, seasonal urticarial and also in patients with elevated serum IgE levels. This retrospective observational study was conducted in patients who underwent open inguinal and ventral hernioplastyfrom March 2010 to Feb 2017 in the Department of General Surgery, Coimbatore medical college hospital, Coimbatore. This study focuses mainly on patients who developed mesh reaction in the post-operative period particularly in patients who have existing atopic manifestations. After analyzing the results of our study, we conclude that IgE antibodies estimation pre-operatively in patients with existing allergic diseases can be used as a predictor for assessing mesh related reactions in the post-operative period. In this continuation we are planning immuno-electrophoresis to pinpoint the gamma globulin associated with mesh reaction.
Authors and Affiliations
Vishnuvarthan Selvaraj
Keywords
Related Articles
- EP ID EP503464
- DOI -
- Views 74
- Downloads 0
Prescribing Pattern of Drugs among Pediatrics Population Affected with Diarrhea and Pneumonia Infections in a Tertiary Care Teaching Hospital
Diarrhea and pneumonia are one of the major causes for morbidity and mortality among children below 5 years in India. As per WHO, The causes of childhood deaths showed a striking shift. In 2000, the leading causes of the...
Closed Intramedullary Nailing in Treatment of Displaced Diaphyseal Fractures of Shaft Humerus in Adults in rural setup
Background: Humerus serves an important role in upper extremity functions facilitating manoeuvring of hand in space. Various modalities of treatment for fixation of shaft humerus have stood the test of time and have thei...
Reward Pathway in Brain and Alcohol Dependence: A Co-Relation Study in Wistar Rats to Show the Effect on Brain Dopamine, Dihydrophenylacetic Acid (DOPAC) and Homovanilic Acid (HVA)
Humans, as well as other organisms engage in behaviors that are rewarding. The pleasurable feelings provide positive reinforcement so that the behavior is repeated. Each of the naturally rewarded behaviors is required fo...
Clinico-Microbiological Study of Necrotizing Fasciitis
Introduction: Necrotizing fasciitis (NF) is a rapidly progressive inflammatory infection of the fascia and necrosis of subcutaneous tissues. It is a surgical emergency which requires high degree of suspicion for early di...
Risk Factors Associated with Aggressive Breast Cancer Forms Seen in Young Women of Western Kenya
Today in Africa, breast cancer cases are on the rise, seen in a much younger age, more aggressive and likely to kill compared to North America. It is not clear if risk factors associated with development of these forms o...