Idiopathic Segmental Infarction of Omentum; Surgeon’s Perspective in Comparison with Conservative Line of Management
Journal Title: New Indian Journal of Surgery - Year 2017, Vol 8, Issue 3
Abstract
Segmental infarction of omentum was first described by Bush in 1896.Incidence is <.1% of laparotomies done for the a/c abdominal cases [5] .Incidence is more in males (2:1). Exact aetiology is not known so we take it as idiopathic. There are different postulates for its occurrence. One is fragile blood vessels of right lower segment of omentum and another is embryological maldevelopment of right sided omental blood supply [5]. It has also been described that it occurs after exertion, after heavy meal and in obese patients. Clinicallyit may present as a/ c appendicitis, diverticulitis or cholecystitis. CT scan abdomen will help to diagnose thiscondition [3]. There are different schools of thought. One is conservative line of management and other is surgical line of management. There are pros and cons of both management. Here we discuss 6 patients who presented in our institute with abdominal pain and were managed by both surgically (Laparoscopic resection) and conservatively. After surgery patients were asymptomatic after 1 week except minimal tenderness over port sites, whereas patients managed conservatively had to take analgesics for 4-6 weeks.We found early resolution of symptoms in surgically managed patients in comparison to conservatively managed patients.
Authors and Affiliations
Dinesh Babu M. V.
Post Laparotomy Wound Dehiscence in a Rural Hospital Set Up
A partial or complete disruption of an abdominal wound closure is noted in wound dehiscence. It can be with or without protrusion and evisceration of abdominal contents. Cutaneous wound healing is hampered because of wou...
AGE a Factor in Determining the Prognosis in Survival in Hollow Viscus Perforation in South India
Age is one of the important prognostic factor in determining survival in hollow viscus perforation. We conducted the study to analyze the role of age in determining survival. Materials and Methods: A prospective survey o...
A Study of Surgical Management of Vesicle Calculus in Pediatric Patients
In Paediatric Surgery practice in our region Urinary bladder calculi is common health problem. Material and Methods: It’s a retrospective study of all cases of bladder stone admitted and operated in two tertiary care ce...
Hyperbaric oxygen therapy: Trends at Prana Hyperbaric Oxygen Therapy Centre Mumbai, India
Background: Hyperbaric Oxygen Therapy (HBO) is an established treatment modality, internationally practiced since a long time ago. International protocols for the practice of hyperbaric oxygen therapy have been establish...
Management of Acute Pancreatitis: a Prospective Study
Introduction: Acute pancreatitis is characterised by sudden onset of abdominal pain. Gallstones disease, alcoholism are the commonest causes of acute pancreatitis. Material Method: The study was carried to judge the outc...