Browsing by Author "Malhotra, K."

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    A comparative analysis of vacuum assisted closure therapy and conventional dressings: outcomes in chronic diabetic foot ulcers among Indian patients
    (Medip Academy, 2024-11) Singh, J; Garg, V; Malhotra, K.
    Background: India faces a growing diabetes epidemic, with approximately 77 million individuals affected. Chronic non-healing diabetic foot ulcers (DFUs) are a common complication of diabetes and a major healthcare challenge in Conventional wound care methods often result in prolonged healing times, increasing the risk of infection, hospitalization, and amputations. Vacuum-assisted closure (VAC) therapy, a modern treatment modality, offers a potentially more effective approach to managing these ulcers. Methods: This prospective, observational study was conducted at a tertiary care hospital in India from March 2022 to March 2024. One hundred patients with chronic non-healing DFUs were randomized into VAC therapy or conventional dressing groups. The primary outcomes included wound size reduction and healing time, while secondary outcomes involved patient satisfaction and cost-effectiveness. Results: VAC therapy significantly reduced wound size (65.2% vs. 40.5%) and shortened healing time (6.2 vs. 10.9 weeks) compared to conventional dressings. Additionally, VAC therapy led to higher patient satisfaction and proved more cost-effective due to fewer dressing changes and shorter hospital stays. Conclusions: VAC therapy outperforms conventional dressings in managing DFUs, offering faster healing, better patient satisfaction, and cost-effectiveness. Expanding its use in India could greatly improve diabetic foot care outcomes.
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    Symptomatic left diaphragmatic eventration in a 64-year-old male: a case report and review of management
    (Medip Academy, 2024-12) Mittal, GS; Rahi, R; Kshirsagar, M; Singh, J; Malhotra, K.
    Eventration of diaphragm, particularly in adults, are rare and often underdiagnosed, especially when symptomatic. This report presents a case of a 64-year-old male with a symptomatic left sided significant Eventration of Diaphragm, characterized by two months of left upper abdominal pain and exertional dyspnea. The patient's history included an open cholecystectomy performed three to four years prior. Radiological investigations revealed significant eventration of abdominal contents into the left thorax with a contralateral mediastinal shift. The patient underwent surgical intervention through a left subcostal incision extending 2 cm to the right of midline, where the herniated contents were reduced, and the diaphragm was plicated. Post-operative management was successful, with the patient being discharged on the fifth postoperative day. This case emphasizes the importance of timely diagnosis and surgical management of diaphragmatic hernias in symptomatic adults.