International Journal of Current Research and Review
ISSN: 2231-2196 (Print)ISSN: 0975-5241 (Online)
logo
slider
slider
slider
slider
Bootstrap Slider

Indexed and Abstracted in: Crossref, CAS Abstracts, Publons, Google Scholar, Open J-Gate, ROAD, Indian Citation Index (ICI), ResearchGATE, Ulrich's Periodicals Directory, WorldCat (World's largest network of library content and services)

Search Articles

Track manuscript

Full Html

IJCRR - 13(1), January, 2021

Pages: 169-173

Date of Publication: 05-Jan-2021


Print Article   Download XML  Download PDF

Evaluation of Laparotomy Fascial Wound Closure with Continuous Suture and Intermittent Aberdeen Knot

Author: Honeypalsinh H Maharaul, Harsh Patel, Darshan Gajera, Ketul Shah

Category: Healthcare

Abstract:Background: The closure is a crucial factor in, laparotomy wound. Fascial layers provide a major tensile strength in wound closure. Poor wound, healing, and development of wound infection and, the incisional wound are the common complications of open abdominal surgery.
Objective: To evaluate abdominal wound closure in terms of the outcome of wound, infection, and wound pain.
Methods: Detailed, clinical history, clinical examination including per abdominal and per-rectal examination, routine blood investigations & chest x-ray screening was done. In all the patients undergoing laparotomy wound closure done with continuous suture and Aberdeen knot. All the patients were observed for complications after operation & followed up at 1 week, 15 days,3,6 months postoperatively.
Results: Most of the patients presented with intestinal obstruction (11) and peptic perforation (9) followed by ileal perforation (8) and appendicular perforation (6). There were 3 patients with liver abscess and Koch's abdomen, 2 patients with incisional hernia. 1 patient each of pseudocyst, CA descending colon, Ca stomach SMA thrombosis, rectal prolapse, abdominal Trauma, obstructed inguinal hernia, GOO. The most common complication was wound infection (5) followed by chronic wound pain (3), wound dehiscence (2). 1 patient developed an incisional hernia. None of the patients had stich granuloma or suture sinus formation.
Conclusion: In laparotomy, wound closure with continuous suture and Aberdeen knot reduces the incidence of infection, wound dehiscence, incisional hernia, suture sinus formation, and stitch granuloma & chronic wound pain. Thus, this method holds the promise for a safe technique of closure with minimal complication.

Keywords: Aberdeen knot, Continuous suture, Midline laparotomy, Abdominal Wall, Incisional Hernia, Seroma

Full Text:

INTRODUCTION

The closure is crucial,factor in a laparotomy wound. Fascial layers provide a major tensile strength in wound, closure. Poor wound healing and development of wound infection and incisional wound are common, complications of open abdominal surgery. Secure abdominal wound closure relies upon the repair of the musculofascial layer of the abdominal wall. The musculofascial layer of the abdominal wall comprises of external abdominal, internal abdominal, and transverse abdominal muscles and their aponeurosis. In the midline incision linea alba, right paramedian and right subcostal incision-anterior and a posterior layer of rectus, sheath of the musculofascial layers was included.

Continuous fascial closure with intermittent, Aberdeen knot normally practised and the, interrupted, closure is also practised by some surgeons with an assumption that it causes less, pain, and less wound infection. The wound is any discontinuity of tissue and for normal healing, it must be opposed with sufficient strength to allow the normal process of healing otherwise wound disruption may occur leading to complications.1 Wound complications may vary from seroma formation to hernia incidence of which is about 9-19%.2 There are various techniques of wound closure but there is no ideal technique or ideal suture material for particular closure and it all depends on surgeon’s preference. Closure technique varies for each surgeon either continuous or interrupted method, different fascial bites, variation in stitch interval.3,4 Here, we have tried to evaluate techniques of abdominal, fascial closure-continuous with intermittent Aberdeen, knot5 by using nonabsorbable polypropylene suture material in the midline, laparotomies.

The Aberdeen knot is a self-locking, knot consisting of a combination of unique throws and, turns that is used to secure, the end of a continuous suture line (Stott 2009).6 To form an Aberdeen knot, a loop is formed in the future and passed through the tissue on each side of the incision, line. A second loop is then passed through the first loop. This is termed one throw. This step can be repeated any number of times to achieve the desired, number of throws. To lock the knot, an additional, throw called the turn is performed by passing the end of the suture, through the final loop. Depending on surgeon preference, the turn can be repeated (Figure 1).

This study is designed as an evaluation of abdominal wound closure in terms of the outcome of wound, infection, and wound pain. To minimize the influence of suture materials we used the same suture, materials at similar levels of fascial closure in all the patients.

MATERIALS AND METHODS

                        This is a Prospective, observational, cohort, study in 50 patients aimed to evaluate the outcome of laparotomy fascial wound closure with continuous suture and intermittent Aberdeen knot. Study was conducted at Dhiraj, Hospital with approval from Ethics committee (No: SVIEC/ON/ME01/BNPG18/D19094) from the date of period of Semptember 2017 to Semptember 2019.

Inclusion criteria

  1. Both male and female, patients

  2. Patients older than 18 years

  3. The study includes both elective and emergency laparotomies

  4. All vertical abdominal, incision closures will be included

  5. Patients who voluntarily decide to take part in this study, and give written consent.

Exclusion criteria

  1. All Medically and Anesthetically, unfit patients

  2. Non-compliance

  3. Patient not willing to, study.

Procedure

            All patients admitted at Dhiraj general Hospital posted for laparotomy were explained about the risk factor. If the patient agrees, then the only Patient was being operated

A detailed history will be taken and all patients will be subjected to thorough clinical examination including per abdominal and per-rectal examination. Routine lab investigations like, blood and screening of chest will be done. All patients were undergoing laparotomy wound closure with continuous suture and Aberdeen knot.

                        All the patients will be analysed postoperatively according to proforma prepared and other post-operative complications such as

  1. Incisional Hernia

  2. Wound dehiscence

  3. Suture sinus formation

  4. Stitch granuloma       

  5. Chronic Wound pain

  6. Wound infection

All patients where be followed up at 1 week, 15 days,3,6 months postoperatively.

RESULTS AND DISCUSSION

Any contribution to the study and, knowledge of wound closure is important to surgical speciality and, this is a valuable contribution. Closure of abdominal incision has been greatly simplified by the realization that all incisions heal by forming a block of fibrous tissue.8

The strength of the abdominal wall depends on linea alba and anterior, rectus sheath. The technique of laparotomy wound closure is an important factor in preventing postoperative wound complications like wound infection, wound dehiscence, suture sinus formation, incisional hernia, and scar complications. However, there are many, systemic, and local factors responsible for delay in wound healing.

Systemic factors include diabetes, hypertension, anaemia. Local factors includes infection, hematoma formation. Mechanical factors such as postoperative vomiting, hiccough, explosive coughing and chest infection, gross gaseous distension.

The current study has shown that the mass closure technique for abdominal wounds, results in a lower incidence of wound infection, wound dehiscence and incisional hernia, chronic wound pain, suture sinus formation, and stitch granuloma than in layered technique.

Age Distribution

                        Most of the patients in the present study, as well as Rehman et al.2013 9 study, belonged to the 21-30 years age group which is the most productive age group (Table 1). India is a developing country most are labourer class population belonging to this age group who are malnourished and presents often late for their symptoms.

Sex Distribution

                        There was male predominance in both studies which may be attributed to the adverse sex ratio in India and the disease profile of a male patient who is working population with smoking habits and neglects their health (Table 2).

Diagnosis

            Our institute is a tertiary institute hence the variety of patients presents to our surgical department which is comparable to Rehman et al., 2013 9 study (Table 3). Also, India being developing tuberculosis and malnutrition are endemic hence more patients with tuberculosis and perforation.

Comorbid conditions

            India is a third-world country with most people belonging to either lower or extremely higher socioeconomic status thus anaemia and chest infection are common in the lower class and Diabetes Mellitus and Hypertension common in the Upper class (Table 4).

 

 

 

 

 

 

 

 

 

Complications

Wound infection

            In the present study wound infection was 10% as compared to other studies. McNeill had a 3.92% wound infection with continuous closure. Khan et al., 20091 reported a 4.75% wound infection while Gurjar et al., 201413 reported a 4% wound infection. The part played by the wound, sepsis is important, as this is the major avoidable cause of wound failure. Inadequate treatment or, the immuno-compromised state may lead to serious, systemic complications like septicaemia, shock, and multi-organ failure.

            The higher rate of wound infection in the present study may be attributed to the poor nutritional status of the study population, and late presentation to our centre with comorbidities like DM, Hypertension, anaemia

Wound dehiscence

            In the present study wound dehiscence was 4% which is similar to Gurjar et al., 201413 (4%) while Khan et al., 20091 reported 0.94%. Wound dehiscence is a grave, complication with poor prognosis. Faulty suture
the technique is entirely responsible for early dehiscence but only partly responsible for a late, incisional hernia, the other culprit being deep wound sepsis often associated with intraperitoneal drainage. Wound dehiscence rates are higher with conventional layered closure than single-layered closure. The suture, holding capacity of the anterior rectus sheath, alone was 2.25 kg compared with 3.93   kgs after, full-thickness, musculoaponeurotic. The structures found to have the greatest suture holding capacity was the linea alba 7.93kgs as compared with,4.12kg for full-thickness without linea alba.14

            In our study, the incidence of wound dehiscence is higher than Khan et al., 20091. This is because, in our study, we had a large number of patients who were elderly, had intraabdominal sepsis, and presented late. Most of these patients were anaemic, DM, Hypertension, and most of them were operated on an emergency basis and also had a higher incidence of post-operative wound infections. These predisposing factors were responsible for delayed wound healing and subsequent dehiscence as compared to the western countries where the incidence is less.

Chronic wound Pain

            Chronic wound pain was present in 6% of patients in the present study as compared to 3% in Gurjar et al., 201413. This may be attributed to intermittent knotting and nerve entrapment in a knot.

Incisional hernia

            The incisional hernia was 2% in the present study compared to 9.8% in McNeill and 3% in Gurjar et al., 201413 while it was similar to Khan et al., 20091 (2.35%)

Incisional develops from, the scar of a surgical incision, when a patient is examined by making him lie flat on the bed and is asked to lift his legs or to cough, any bulges in the scar is considered as, Incisional hernia. Incisional hernias are mainly due to faulty incision and faulty technique of closure, other, important determinants are sex (males more predisposed) and, age (elderly more predisposed) of the patients, chest infection, and wound infection. As age advances, breakdown of collagen fibres takes place weakening the old-healed scars, predisposing for hernia, thus indicating the need to use non-absorbable, suture material to support it, using chromic catgut in conventional, layered closure proved to be a drawback in causing incisional hernia and thus proving the advantages of using polypropylene in preventing incisional hernia by holding more tissue with, little tension for a long period after the wound heals. As in the present study closure technique involve intermittent Aberdeen knot tension gets distributed and thus chances of incisional hernia get reduced.

Stitch Granuloma and Suture Sinus Formation

            It is defined as a chronic, granulating infection or micro abscess that results in a
persistent fistulous tract. The incidence of suture sinus formation is predisposed by the use of, multifilament suture material. Due to lodgement of, infective foci in the crevices of suture material. We did not have any patient with stitch granuloma or suture sinus formation as we had used monofilament suture material as compared to 3% (stitch granuloma) and 2% (Suture sinus) in Gurjar et al., 2014.13

CONCLUSION

                        In laparotomy, wound closure with continuous suture and Aberdeen knot reduces the incidence of infection, wound dehiscence, incisional hernia, suture sinus formation, and stitch granuloma & chronic wound pain. Thus, this method holds the promise for a safe technique of closure with minimal complication.

Conflict of interest: nil

Source of funding: nil

Acknowledgement: Immeasurable appreciation and deepest gratitude for the help and support are extended to my mentor Dr. Vipul Gurjar who in a way or other has contributed to making this study possible.

References:

  1. Khan NA, Almas D, Shehzad K, Chaudhry AK, Mian MA. Comparison between delayed-absorbable polydioxanone and non-absorbable (Prolene) suture material in abdominal wound closure. Pak Armed Forces Med 2009; 23(6):123-6.

  2. Hodgson NCF, Malthaner RA, Ostbye T. The search for an ideal method of abdominal fascial closure. Ann Surg 2000;231:436–442.

  3. O’Dwyer PJ, Courtney CA.Educational Review: factors involved in abdominal wall closure and subsequent incisional hernia. Surg J R Coll Surg EdinbIrel 2003; 4:17–22.

  4. Kreszinger M, Delimar D, Kos J, Jovanov N, Vnuk D, Maticic D, et al. Wound strength after midline laparotomy: a comparison of four closure techniques in rats. Vet Arhiv 2007;77:397–408.

  5. Farquharson M, Moran B. Farquharson’s textbook of operative general surgery. Surgery of the skin and subcutaneous tissue, 9th edn. London, 2005; 12:5–7.

  6. Mimi, Leong, Linda G. Philips. Wound Healing. Chapter 8 in Sabiston's Textbook of surgery, 17th ed, 183-207.

  7. Kiran K Singisetti, George P Ashcroft. The Aberdeen ‘continuous interrupted’ surgical suturing technique. Ann R Coll Surg Engl 2009; 91:344–350.

  8. Bentley PG, Owen WJ, Girolami PL, Dawson JL. Wound closure with Dexon (PGA), Ann R Col Surg Engl 1978; 60:123-127.

  9. Zabd-Ur-Rehman AR, Naveed M, Javeed MU, Akbar A. Comparison of Wound Dehiscence in Interrupted with Continuous Closure of Laparotomy. PJMHS 2013;7(3): 828.

  10. Rajesh KB, Tarun M, Rajeev S, Sanjay G, Simrandeep S, Kumar A, Ashok KA, Comparative study of abdominal wound dehiscence in continuous versus interrupted fascial closure after emergency midline laparotomy. Int Surg J 2019 Mar;6(3):886-891.

  11. McNeill PM, Sugerman HJ. Continuous Absorbable vs Interrupted Nonabsorbable Fascial Closure. Arch Surg 1986;121: 45-48.

  12. Khan MI, Khalil J, Khan MA. Internal tension sutures, a novel method of midline laparotomy closure in high-risk patients. Pak J Surg 2017; 33(3):165-169.

  13. Vipul G, Halvadia BM, Bharaney RP, Vicky A, Shah SM, Samir R, et al. Study of Two Techniques for Midline Laparotomy Fascial Wound Closure. Indian J Surg 2014;76(2):91–94.

  14. Leaper DJ, Pollock AV, Evans M. Abdominal wound closure, a trial of nylon, polyglycolic acid and steel sutures. Br J Surg 1977; 64: 603-606.

Announcements

Dr. Pramod Kumar Manjhi joined Editor-in-Chief since July 2021 onwards

COPE guidelines for Reviewers

SCOPUS indexing: 2014, 2019 to 2021


Awards, Research and Publication incentive Schemes by IJCRR

Best Article Award: 

One article from every issue is selected for the ‘Best Article Award’. Authors of selected ‘Best Article’ are rewarded with a certificate. IJCRR Editorial Board members select one ‘Best Article’ from the published issue based on originality, novelty, social usefulness of the work. The corresponding author of selected ‘Best Article Award’ is communicated and information of award is displayed on IJCRR’s website. Drop a mail to editor@ijcrr.com for more details.

Women Researcher Award:

This award is instituted to encourage women researchers to publish her work in IJCRR. Women researcher, who intends to publish her research work in IJCRR as the first author is eligible to apply for this award. Editorial Board members decide on the selection of women researchers based on the originality, novelty, and social contribution of the research work. The corresponding author of the selected manuscript is communicated and information is displayed on IJCRR’s website. Under this award selected women, the author is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.

Emerging Researcher Award:

‘Emerging Researcher Award’ is instituted to encourage student researchers to publish their work in IJCRR. Student researchers, who intend to publish their research or review work in IJCRR as the first author are eligible to apply for this award. Editorial Board members decide on the selection of student researchers for the said award based on originality, novelty, and social applicability of the research work. Under this award selected student researcher is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.


Best Article Award

A study by Dorothy Ebere Adimora et al. entitled \"Remediation for Effects of Domestic Violence on Psychological well-being, Depression and Suicide among Women During COVID-19 Pandemic: A Cross-cultural Study of Nigeria and Spain\" is awarded Best Article of Vol 14 issue 23
A study by Muhas C. et al. entitled \"Study on Knowledge & Awareness About Pharmacovigilance Among Pharmacists in South India\" is awarded Best article for Vol 14 issue 22
A study by Saurabh Suvidha entitled \"A Case of Mucoid Degeneration of Uterine Fibroid with Hydrosalphinx and Ovarian Cyst\" is awarded Best article of Vol 14 issue 21
A study by Alice Alice entitled \"Strengthening of Human Milk Banking across South Asian Countries: A Next Step Forward\" is awarded Best article of Vol 14 issue 20
A study by Sathyanarayanan AR et al. entitled \"The on-task Attention of Individuals with Autism Spectrum Disorder-An Eye Tracker Study Using Auticare\" is awarded Best article of Vol 14 issue 19
A study by Gupta P. et al. entitled \"A Short Review on \"A Novel Approach in Fast Dissolving Film & their Evaluation Studies\" is awarded Best Article of Vol 14 issue 18.
A study by Shafaque M. et al. entitled \"A Case-Control Study Performed in Karachi on Inflammatory Markers by Ciprofloxacin and CoAmoxicillin in Patients with Chronic Suppurative Otitis Media\" is awarded Best Article of Vol 14 issue 17
A study by Ali Nawaz et al. entitled \"A Comparative Study of Tubeless versus Standard Percutaneous Nephrolithotomy (PCNL) \? A Randomized Controlled Study\" is awarded Best Article for Vol 14 issue 16.
A study by Singh R. et al. entitled \"A Prospective Study to Find the Association of Astigmatism in Patients of Vernal Keratoconjunctivitis (VKC) in a Tertiary Health Care Centre in India (Vindhya Region MP)\" is awarded Best Article for Vol 14 issue 15
A Study by Humaira Tahir et al. entitled "Comparison of First Analgesic Demand after Major Surgeries of Obstetrics and Gynecology between Pre-Emptive Versus Intra-Operative Groups by Using Intravenous Paracetamol: A Cross-Sectional Study" is awarded Best Article for Vol 14 issue 14
A Study by Monica K. entitled "Risk Predictors for Lymphoma Development in Sjogren Syndrome - A Systematic Review" is awarded Best Article for Vol 14 issue 13
A Study by Mokhtar M Sh et al. entitled "Prevalence of Hospital Mortality of Critically Ill Elderly Patients" is awarded Best Article for Vol 14 issue 12
A Study by Vidya S. Bhat et al. entitled "Effect of an Indigenous Cleanser on the Microbial Biofilm on Acrylic Denture Base - A Pilot Study" is awarded Best Article for Vol 14 issue 11
A Study by Pandya S. et al. entitled "Acute and 28-Day Repeated Dose Subacute Toxicological Evaluation of Coroprotect Tablet in Rodents" is awarded Best Article for Vol 14 issue 10
A Study by Muhammad Zaki et al. entitled "Effect of Hemoglobin Level on the Severity of Acute Bronchiolitis in Children: A Case-Control Study" is awarded Best Article for Vol 14 issue 09
A Study by Vinita S & Ayushi S entitled "Role of Colour Doppler and Transvaginal Sonography for diagnosis of endometrial pathology in women presenting with Abnormal Uterine Bleeding" is awarded Best Article for Vol 14 issue 08
A Study by Prabhu A et al. entitled "Awareness of Common Eye Conditions among the ASHA (Accredited Social Health Activist) Workers in the Rural Communities of Udupi District- A Pilot Study" is awarded Best Article for Vol 14 issue 07
A Study by Divya MP et al. entitled "Non-Echoplanar Diffusion-Weighted Imaging and 3D Fiesta Magnetic Resonance Imaging Sequences with High Resolution Computed Tomography Temporal Bone in Assessment and Predicting the Outcome of Chronic Suppurative Otitis Media with Cholesteatoma" is awarded Best Article for Vol 14 issue 06
A Study by Zahoor Illahi Soomro et al. entitled "Functional Outcomes of Fracture Distal Radius after Fixation with Two Different Plates: A Retrospective Comparative Study" is awarded Best Article for Vol 14 issue 05
A Study by Ajai KG & Athira KN entitled "Patients’ Gratification Towards Service Delivery Among Government Hospitals with Particular Orientation Towards Primary Health Centres" is awarded Best Article for Vol 14 issue 04
A Study by Mbungu Mulaila AP et al. entitled "Ovarian Pregnancy in Kindu City, D.R. Congo - A Case Report" is awarded Best Article for Vol 14 issue 03
A Study by Maryam MJ et al. entitled "Evaluation Serum Chemerin and Visfatin Levels with Rheumatoid Arthritis: Possible Diagnostic Biomarkers" is awarded Best Article for Vol 14 issue 02
A Study by Shanthan KR et al. entitled "Comparison of Ultrasound Guided Versus Nerve Stimulator Guided Technique of Supraclavicular Brachial Plexus Block in Patients Undergoing Upper Limb Surgeries" is awarded Best Article for Vol 14 issue 01
A Study by Amol Sanap et al. entitled "The Outcome of Coxofemoral Bypass Using Cemented Bipolar Hemiarthroplasty in the Treatment of Unstable Intertrochanteric Fracture of Femur in a Rural Setup" is awarded Best Article Award of Vol 13 issue 24
A Study by Manoj KP et al. entitled "A Randomized Comparative Clinical Trial to Know the Efficacy of Ultrasound-Guided Transversus Abdominis Plane Block Against Multimodal Analgesia for Postoperative Analgesia Following Caesarean Section" is awarded Best Article Award of Vol 13 issue 23
A Study by Karimova II et al. entitled "Changes in the Activity of Intestinal Carbohydrases in Alloxan-Induced Diabetic Rats and Their Correction with Prenalon" is awarded Best Article of Vol 13 issue 22
A Study by Ashish B Roge et al. entitled "Development, Validation of RP-HPLC Method and GC MS Analysis of Desloratadine HCL and It’s Degradation Products" is awarded Best Article of Vol 13 issue 21
A Study by Isha Gaurav et al. entitled "Association of ABO Blood Group with Oral Cancer and Precancer – A Case-control Study" is awarded Best Article for Vol 13 issue 20
A Study by Amr Y. Zakaria et al. entitled "Single Nucleotide Polymorphisms of ATP-Binding Cassette Gene(ABCC3 rs4793665) affect High Dose Methotrexate-Induced Nephrotoxicity in Children with Osteosarcoma" is awarded Best Article for Vol 13 issue 19
A Study by Kholis Ernawati et al. entitled "The Utilization of Mobile-Based Information Technology in the Management of Dengue Fever in the Community Year 2019-2020: Systematic Review" is awarded Best Article for Vol 13 issue 18
A Study by Bhat Asifa et al. entitled "Efficacy of Modified Carbapenem Inactivation Method for Carbapenemase Detection and Comparative Evaluation with Polymerase Chain Reaction for the Identification of Carbapenemase Producing Klebsiella pneumonia Isolates" is awarded Best Article for Vol 13 issue 17
A Study by Gupta R. et al. entitled "A Clinical Study of Paediatric Tracheostomy: Our Experience in a Tertiary Care Hospital in North India" is awarded Best Article for Vol 13 issue 16
A Study by Chandran Anand et al. entitled "A Prospective Study on Assessment of Quality of Life of Patients Receiving Sorafenib for Hepatocellular Carcinoma" is awarded Best article for Vol 13 issue 15
A Study by Rosa PS et al. entitled "Emotional State Due to the Covid – 19 Pandemic in People Residing in a Vulnerable Area in North Lima" is awarded Best Article for Vol 13 issue 14
A Study by Suvarna Sunder J et al. entitled "Endodontic Revascularization of Necrotic Permanent Anterior Tooth with Platelet Rich Fibrin, Platelet Rich Plasma, and Blood Clot - A Comparative Study" is awarded Best Article for Vol 13 issue 13
A Study by Mona Isam Eldin Osman et al. entitled "Psychological Impact and Risk Factors of Sexual Abuse on Sudanese Children in Khartoum State" is awarded Best Article for Vol 13 issue 12
A Study by Khaw Ming Sheng & Sathiapriya Ramiah entitled "Web Based Suicide Prevention Application for Patients Suffering from Depression" is awarded Best Article for Vol 13 issue 11
A Study by Purushottam S. G. et al. entitled "Development of Fenofibrate Solid Dispersions for the Plausible Aqueous Solubility Augmentation of this BCS Class-II Drug" is awarded Best article for Vol 13 issue 10
A Study by Kumar S. et al. entitled "A Study on Clinical Spectrum, Laboratory Profile, Complications and Outcome of Pediatric Scrub Typhus Patients Admitted to an Intensive Care Unit from a Tertiary Care Hospital from Eastern India" is awarded Best Article for Vol 13 issue 09
A Study by Mardhiah Kamaruddin et al. entitled "The Pattern of Creatinine Clearance in Gestational and Chronic Hypertension Women from the Third Trimester to 12 Weeks Postpartum" is awarded Best Article for Vol 13 issue 08
A Study by Sarmila G. B. et al. entitled "Study to Compare the Efficacy of Orally Administered Melatonin and Clonidine for Attenuation of Hemodynamic Response During Laryngoscopy and Endotracheal Intubation in Gastrointestinal Surgeries" is awarded Best Article for Vol 13 issue 07
A Study by M. Muthu Uma Maheswari et al. entitled "A Study on C-reactive Protein and Liver Function Tests in Laboratory RT-PCR Positive Covid-19 Patients in a Tertiary Care Centre – A Retrospective Study" is awarded Best Article of Vol 13 issue 06 Special issue Modern approaches for diagnosis of COVID-19 and current status of awareness
A Study by Gainneos PD et al. entitled "A Comparative Evaluation of the Levels of Salivary IgA in HIV Affected Children and the Children of the General Population within the Age Group of 9 – 12 Years – A Cross-Sectional Study" is awarded Best Article of Vol 13 issue 05 Special issue on Recent Advances in Dentistry for better Oral Health
A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" is awarded Best Article of Vol 13 issue 06
A Study by Chen YY and Ghazali SRB entitled "Lifetime Trauma, posttraumatic stress disorder Symptoms and Early Adolescence Risk Factors for Poor Physical Health Outcome Among Malaysian Adolescents" is awarded Best Article of Vol 13 issue 04 Special issue on Current Updates in Plant Biology to Medicine to Healthcare Awareness in Malaysia
A Study by Kumari PM et al. entitled "Study to Evaluate the Adverse Drug Reactions in a Tertiary Care Teaching Hospital in Tamilnadu - A Cross-Sectional Study" is awarded Best Article for Vol 13 issue 05
A Study by Anu et al. entitled "Effectiveness of Cytological Scoring Systems for Evaluation of Breast Lesion Cytology with its Histopathological Correlation" is awarded Best Article of Vol 13 issue 04
A Study by Sharipov R. Kh. et al. entitled "Interaction of Correction of Lipid Peroxidation Disorders with Oxibral" is awarded Best Article of Vol 13 issue 03
A Study by Tarek Elwakil et al. entitled "Led Light Photobiomodulation Effect on Wound Healing Combined with Phenytoin in Mice Model" is awarded Best Article of Vol 13 issue 02
A Study by Mohita Ray et al. entitled "Accuracy of Intra-Operative Frozen Section Consultation of Gastrointestinal Biopsy Samples in Correlation with the Final Histopathological Diagnosis" is awarded Best Article for Vol 13 issue 01
A Study by Badritdinova MN et al. entitled "Peculiarities of a Pain in Patients with Ischemic Heart Disease in the Presence of Individual Combines of the Metabolic Syndrome" is awarded Best Article for Vol 12 issue 24
A Study by Sindhu Priya E S et al. entitled "Neuroprotective activity of Pyrazolone Derivatives Against Paraquat-induced Oxidative Stress and Locomotor Impairment in Drosophila melanogaster" is awarded Best Article for Vol 12 issue 23
A Study by Habiba Suhail et al. entitled "Effect of Majoon Murmakki in Dysmenorrhoea (Usre Tams): A Standard Controlled Clinical Study" is awarded Best Article for Vol 12 issue 22
A Study by Ghaffar UB et al. entitled "Correlation between Height and Foot Length in Saudi Population in Majmaah, Saudi Arabia" is awarded Best Article for Vol 12 issue 21
A Study by Siti Sarah Binti Maidin entitled "Sleep Well: Mobile Application to Address Sleeping Problems" is awarded Best Article for Vol 12 issue 20
A Study by Avijit Singh"Comparison of Post Operative Clinical Outcomes Between “Made in India” TTK Chitra Mechanical Heart Valve Versus St Jude Mechanical Heart Valve in Valve Replacement Surgery" is awarded Best Article for Vol 12 issue 19
A Study by Sonali Banerjee and Mary Mathews N. entitled "Exploring Quality of Life and Perceived Experiences Among Couples Undergoing Fertility Treatment in Western India: A Mixed Methodology" is awarded Best Article for Vol 12 issue 18
A Study by Jabbar Desai et al. entitled "Prevalence of Obstructive Airway Disease in Patients with Ischemic Heart Disease and Hypertension" is awarded Best Article for Vol 12 issue 17
A Study by Juna Byun et al. entitled "Study on Difference in Coronavirus-19 Related Anxiety between Face-to-face and Non-face-to-face Classes among University Students in South Korea" is awarded Best Article for Vol 12 issue 16
A Study by Sudha Ramachandra & Vinay Chavan entitled "Enhanced-Hybrid-Age Layered Population Structure (E-Hybrid-ALPS): A Genetic Algorithm with Adaptive Crossover for Molecular Docking Studies of Drug Discovery Process" is awarded Best article for Vol 12 issue 15
A Study by Varsha M. Shindhe et al. entitled "A Study on Effect of Smokeless Tobacco on Pulmonary Function Tests in Class IV Workers of USM-KLE (Universiti Sains Malaysia-Karnataka Lingayat Education Society) International Medical Programme, Belagavi" is awarded Best article of Vol 12 issue 14, July 2020
A study by Amruta Choudhary et al. entitled "Family Planning Knowledge, Attitude and Practice Among Women of Reproductive Age from Rural Area of Central India" is awarded Best Article for special issue "Modern Therapeutics Applications"
A study by Raunak Das entitled "Study of Cardiovascular Dysfunctions in Interstitial Lung Diseas epatients by Correlating the Levels of Serum NT PRO BNP and Microalbuminuria (Biomarkers of Cardiovascular Dysfunction) with Echocardiographic, Bronchoscopic and HighResolution Computed Tomography Findings of These ILD Patients" is awarded Best Article of Vol 12 issue 13 
A Study by Kannamani Ramasamy et al. entitled "COVID-19 Situation at Chennai City – Forecasting for the Better Pandemic Management" is awarded best article for  Vol 12 issue 12
A Study by Muhammet Lutfi SELCUK and Fatma entitled "Distinction of Gray and White Matter for Some Histological Staining Methods in New Zealand Rabbit's Brain" is awarded best article for  Vol 12 issue 11
A Study by Anamul Haq et al. entitled "Etiology of Abnormal Uterine Bleeding in Adolescents – Emphasis Upon Polycystic Ovarian Syndrome" is awarded best article for  Vol 12 issue 10
A Study by entitled "Estimation of Reference Interval of Serum Progesterone During Three Trimesters of Normal Pregnancy in a Tertiary Care Hospital of Kolkata" is awarded best article for  Vol 12 issue 09
A Study by Ilona Gracie De Souza & Pavan Kumar G. entitled "Effect of Releasing Myofascial Chain in Patients with Patellofemoral Pain Syndrome - A Randomized Clinical Trial" is awarded best article for  Vol 12 issue 08
A Study by Virendra Atam et. al. entitled "Clinical Profile and Short - Term Mortality Predictors in Acute Stroke with Emphasis on Stress Hyperglycemia and THRIVE Score : An Observational Study" is awarded best article for  Vol 12 issue 07
A Study by K. Krupashree et. al. entitled "Protective Effects of Picrorhizakurroa Against Fumonisin B1 Induced Hepatotoxicity in Mice" is awarded best article for issue Vol 10 issue 20
A study by Mithun K.P. et al "Larvicidal Activity of Crude Solanum Nigrum Leaf and Berries Extract Against Dengue Vector-Aedesaegypti" is awarded Best Article for Vol 10 issue 14 of IJCRR
A study by Asha Menon "Women in Child Care and Early Education: Truly Nontraditional Work" is awarded Best Article for Vol 10 issue 13
A study by Deep J. M. "Prevalence of Molar-Incisor Hypomineralization in 7-13 Years Old Children of Biratnagar, Nepal: A Cross Sectional Study" is awarded Best Article for Vol 10 issue 11 of IJCRR
A review by Chitra et al to analyse relation between Obesity and Type 2 diabetes is awarded 'Best Article' for Vol 10 issue 10 by IJCRR. 
A study by Karanpreet et al "Pregnancy Induced Hypertension: A Study on Its Multisystem Involvement" is given Best Paper Award for Vol 10 issue 09

List of Awardees

A Study by Ese Anibor et al. "Evaluation of Temporomandibular Joint Disorders Among Delta State University Students in Abraka, Nigeria" from Vol 13 issue 16 received Emerging Researcher Award


A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award


RSS feed

Indexed and Abstracted in


Antiplagiarism Policy: IJCRR strongly condemn and discourage practice of plagiarism. All received manuscripts have to pass through "Plagiarism Detection Software" test before Toto Macau forwarding for peer review. We consider "Plagiarism is a crime"

IJCRR Code of Conduct: To achieve a high standard of publication, we adopt Good Publishing Practices (updated in 2022) which are inspired by guidelines provided by Committee on Publication Ethics (COPE), Open Access Scholarly Publishers Association (OASPA) and International Committee of Medical Journal Editors (ICMJE)

Disclaimer: International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal.



ABOUT US

International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal

Contact

148, IMSR Building, Ayurvedic Layout,
        Near NIT Complex, Sakkardara,
        Nagpur-24, Maharashtra State, India

editor@ijcrr.com

editor.ijcrr@gmail.com


Copyright © 2024 IJCRR. Specialized online journals by ubijournal .Website by Ubitech solutions