A Prospective Study of Bipolar Transurethral Resection of Prostate Comparing the Efficiency and Safety of the Method in Large and Small Adenomas

Bipolar technology offers a new perspective in the treatment of BPH.Purpose.To present our experience with the TURis system (Olympus, Tokyo, Japan).Materials and Methods.From February 2011 till December 2013 in a prospective study, 93 patients were treated for BPH. They were evaluated with IPSS, QoL, uroflow (Qmax), and residual urine (RU), preoperatively as well as 6 and 9 months postoperatively. Based on the prostate volume, the patients were divided into two groups: group A (n=48) with prostates ≥ 75 cc and group B (n=45) with smaller prostate glands. All patients underwent bipolar TURP or/and plasma vaporization.Results.The postoperative improvement for IPSS, QoL,Qmax, and RU was statistically significant. The operation time was longer in group A in comparison with group B (P<0.001). The former group also had higher infection and stricture formation rates; however, there was no statistical difference between the two groups.Conclusions.Treatment with the TURis constitutes an effective technique and can be offered to large prostates with results equivalent to those in small ones. Regarding safety, large adenomas treated with TURis are not at a higher risk for urethral stricture but their odds to develop urogenital infections are relatively higher compared to the smaller adenomas.

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Continuous Ambulatory Peritoneal Dialysis with Three-Liter Exchanges: A Prospective Study

Peritoneal Dialysis International ◽

10.1177/089686088400400207 ◽

1984 ◽

Vol 4 (2) ◽

pp. 82-85 ◽

Cited By ~ 13

Author(s):

Donald Kim ◽

Ramesh Khanna ◽

George Wu ◽

Sheila Clayton ◽

Dimitrios G. Oreopoulos

Keyword(s):

Prospective Study ◽

Surface Area ◽

Body Surface Area ◽

Body Surface ◽

Shortness Of Breath ◽

Group A ◽

Scrotal Swelling ◽

Group B ◽

A Prospective Study

In a prospective study all new patients entering our CAPD program were dialyzed with three-liter exchanges during the first training day and continued with this volume if they tolerated it. Of 47 new patients, 17 (36%) (Group A) tolerated three-liter exchanges, whereas the remaining 30 (Group B) were treated with 4 x two-liter exchanges per day. Group A contained 14 men and three women with an average age of 47 years and a mean body surface area of 1.7 m2. Group B had 15 men and 15 women with an average age of 52 years and a mean body surface area of 1.6 m2. The average follow-up period was 6.4 and 7.1 months respectively. In Group A, eight pa. tients continued on three-liter CAPD, six were transplanted, and three were converted to two-liter exchanges because of penile and scrotal swelling, nausea and vomiting, and shortness of breath. The two groups showed no difference in biochemical and B.P. control. The 24-hour protein losses in the dialysate were also similar. The incidence of peritonitis in Group A was one episode every 55 patient months, significantly lower (p < 0.05) than that in Group B -one episode every 14 patient months.

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A prospective study of diathermy versus scalpel skin incision in abdominal surgery

International Surgery Journal ◽

10.18203/2349-2902.isj20194174 ◽

2019 ◽

Vol 6 (10) ◽

pp. 3554

Author(s):

Arun Kumar Gupta ◽

Tejinder Singh Dall ◽

Darpan Bansal

Keyword(s):

Prospective Study ◽

Harmonic Scalpel ◽

Skin Incision ◽

Recent Past ◽

Medical Sciences ◽

Power Set ◽

Group A ◽

Group B ◽

A Prospective Study ◽

Time Of Administration

Background: Various methods of skin incision have been identified in the recent past. Traditional skin incisions were made with stainless steel scalpel but recently electrocautery instruments like harmonic scalpel are also in use. With rise of seropositive cases, we aimed to evaluate whether the electrocautery can replace scalpel in operation theater, to avoid unfortunate injury to surgeons with scalpel. So we compared the usefulness of diathermy skin incision vs. scalpel skin incision in general surgical patients.Methods: This prospective study designed to include 120 patients admitted in the Department of General Surgery, Sri Guru Ram Das Institute of Medical Sciences and Research, Vallah, Sri Amritsar and who were undergoing elective abdominal surgical procedures namely cholecystectomy, appendectomy and inguinal hernia repair etc. Patients were randomly allocated into 2 groups of 60 patients each. In Group A, incision were made with electrocautery on cut mode and power set to 60-70. In group B, skin incisions were made with scalpel.Results: No statistical difference was found between group A and group B with regard to time of administration of pain killer injection, seroma formation, discharge being noticed from wound in both groups. Moreover the results were statistically non-significant for vascularity, pigmentation and pliability of wound observed.Conclusions: We concluded that electrocautery can effectively and efficiently replace scalpel in operation theater.

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A Comparative Study of patients, Undergoing Transurethral Resection of Prostate Gland With Or Without Otis Urethrotomy Before Surgery – A Single Institution Experience

Journal of Nepalgunj Medical College ◽

10.3126/jngmc.v14i1.17484 ◽

2017 ◽

Vol 14 (1) ◽

pp. 5-7

Author(s):

Naresh Man Shrestha

Keyword(s):

Comparative Study ◽

Urethral Stricture ◽

Transurethral Resection ◽

Prostate Gland ◽

Transurethral Resection Of Prostate ◽

Stricture Formation ◽

Medical College ◽

Urological Complications ◽

Group A ◽

Group B

Background: Transurethral resection of prostate (TURP) is considered as the gold standard surgical treatment for Benign prostatic Hyperplasia (BPH). Among many post TURP complications, urethral stricture is one of the most dreaded urological complications, which may result in lifelong misery. The present study aimed to report the outcomes of Otis urethrotomy to prevent urethral stricture before TURP.Method: This was a comparative study between two equal groups of 100 patients who met inclusion criteria. Study conducted in the department of surgery, Urology unit, Nepalgunj Medical College from 2014 May to 2016 April. In group A, included all the patients underwent TURP without Otis urethrotomy and in group B , included all patients underwent TURP after doing Otis Urethrotomy. The patients were evaluated for evidence of urethral stricture formation.Result: In Group A, 20 patients out of 100(20%) developed urethral stricture whereas in Group B, 8 patients out of 100(8%) developed urethral stricture .The rate of Urethral Stricture in Group A is significantly more than in Group B (p<0.05).Conclusion: The incidence of urethral stricture formation can be significantly reduced by doing Otis urethrotomy before TURP than TURP alone.JNGMC Vol. 14 No. 1 July 2016, Page: 5-7

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A prospective study of 50 cases of laparoscopic intestinal anastomosis by Endo GIA universal loading stapler (green/blue) versus Endo GIA articulating reload with tri staple technology (purple)

International Surgery Journal ◽

10.18203/2349-2902.isj20204667 ◽

2020 ◽

Vol 7 (11) ◽

pp. 3657

Author(s):

Mehulkumar K. Vasaiya ◽

Samir M. Shah ◽

Vikram B. Gohil ◽

Milankumar S. Vaghasia

Keyword(s):

Anastomotic Leak ◽

Staple Line ◽

Intestinal Anastomosis ◽

Operation Time ◽

Clinical Safety ◽

Postoperative Anastomotic Leak ◽

Group A ◽

Prospective Comparative Study ◽

Group B ◽

A Prospective Study

Background: Intestinal anastomosis is a commonly performed procedure in surgery. Various evolvements have occurred in the field of intestinal anastomosis and recent advancement is the use of stapler in laparoscopic surgeries as a device for Gastrointestinal (GI) anastomosis. Few previous studies evaluating the clinical safety of the 2 laparoscopic linear stapling devices are available.Methods: A prospective comparative study of 50 cases which met the inclusion and exclusion criteria were included in this hospital-based study. They were randomly allocated to two groups, Group A which underwent laparoscopic intestinal anastomosis by Endo GIA tri-staple (purple) stapler and Group B which underwent Endo GIA universal loading unit (blue/green) stapler. Primary outcome was assessed in terms of intra-operative staple line bleeding, operative time and post-operative anastomotic leak.Results: Patients with laparoscopic intestinal anastomosis by Endo GIA tri-staple stapler (purple) have required less operation time as compared to Endo GIA universal loading unit. In Endo GIA universal loading unit (blue/green) 04% patients developed anastomotic leak and 40% patients had intra-operative staple line bleed while with Endo GIA tri-staple no postoperative anastomotic leak was found and 02% patients developed intra-operative staple line bleeding.Conclusions: The result of our study has shown that the Endo GIA reload tri- staple (purple) is superior in terms of having no anastomosis leak, negligent staple line bleeding and less operation time as compared with Endo GIA universal loading unit (blue/green). Thus, laparoscopic intestinal anastomosis by Endo GIA reload tri-staple stapler (purple) technology is more effective and overall more efficient.

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Comparison of preoxygenation efficiency with Intersurgical Economy and Intersurgical QuadraLite anaesthetic face masks

Acta medica Lituanica ◽

10.6001/actamedica.v26i1.3950 ◽

2019 ◽

Vol 26 (1) ◽

pp. 11-16

Author(s):

Greta Sakalauskaitė ◽

Evaldas Kauzonas ◽

Greta Bukelytė ◽

Rūta Janulevičienė ◽

Eglė Kontrimavičiūtė

Keyword(s):

Prospective Study ◽

Success Rate ◽

Oxygen Concentration ◽

Arterial Oxygen ◽

Test Results ◽

Group A ◽

Group B ◽

End Tidal ◽

A Prospective Study ◽

Mean Time

Background. Sufficient preoxygenation prevents arterial oxygen desaturation prior to intubation. An optimally sealed facemask is necessary for fast preoxygenation. The study was aimed at comparing the efficiency of preoxygenation using two different face masks. Materials and methods. In 2018, a prospective study was conducted. Patients were classified into two groups: group A – Intersurgical Economy face masks, group B – Intersurgical QuadraLite masks. The circuit was flushed with 100% O2 for 30s, preoxygenation started with flow of 8l/min, FiO2100. The patients were asked to breathe deeply. Fentanyl (1–2 mcg/kg) was administered to increase mask toleration. End-tidal oxygen concentration (EtO2) ≥90% was the goal. EtO2 was monitored after 30, 60, 90, 120, 180, 210, 240, 270 and 300 seconds. Data was analyzed using the Independent-Samples T-test and the Mann-Whitney-U test. Results. Twelve patients were enrolled in group A and 19 in group B. Differences in sex, age, BMI and Mallampati class in the groups were statistically insignificant (p = 0.13, 0.39, 0.65, 0.43 respectively). Patients assigned to ASA I – 25.8% (n = 8–>2/6), ASA II – 71.0% (n = 22–>10/12), ASA III – 3.2% (n = 1–>0/1), p = 0.64. The success rate of preoxygenation to EtO290 within 5 min was statistically significantly different in the groups, with 33.3% in group A and 94.7% in group B (p < 0.01). Mean time to EtO290 was 228.3 ± 104.0/164.4 ± 84.3. Mean EtO2 after: 30s – 56.0 ± 13.5/69.3 ± 11.2 (p < 0.01); 60s – 63.8 ± 15.3/76.1 ± 11.7 (p = 0.02), 90s – 67.8 ± 17.7/80.7 ± 10.1 (p = 0.03); 120s– 69.6 ± 18.2/83.4 ± 10.0 (p = 0.03), 150s–71.1 ± 19.0/87.1 ± 6.5 (p = 0.01); 180s – 72.9 ± 16.8/88.5 ± 5.3 (p = 0.01), 210s – 72.6 ± 18.0/89.2 ± 5.1 (p < 0.01); 240s – 74.17 ± 15.4/90.0 ± 4.3 (p < 0.01), 270s-76.3 ± 16.3/90.2 ± 3.6; 300s – 77.8 ± 14.6/90.2 ± 1.5 (p < 0.01). Conclusions. Preoxygenation was significantly more efficient and faster with Intersurgical QuadraLite face masks.

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Sexual Assault in Southern Dhaka : Two Years Study

Journal of Medical Science & Research ◽

10.47648/jmsr.2009.v1201.03 ◽

2009 ◽

Vol 12 (Number 1) ◽

pp. 14-18

Author(s):

Z K Ahmad ◽

Md. M Hoque ◽

Md. H Kabir ◽

Md. H Chowdhury ◽

Z Rahman

Keyword(s):

Statistical Analysis ◽

Minimally Invasive ◽

Prospective Study ◽

Voiding Dysfunction ◽

Surgical Complication ◽

Wound Sepsis ◽

Group A ◽

Pull Through ◽

Group B ◽

A Prospective Study

Popular Swenson's pull through is stilt the most commonly practiced 'Gold Smi;dant of operative treatment for rectosignroid Hirschspnines disease. But minimally invasive mammal coda-rectal pall through (TERPT) is ;law being increasingly practiced worhhvide for its imminent in many cenires. Here experiences at Dhaka Shish', Hospital regarding the posk operative advantages of TERPT over Swenson's procedure are compared in semis of three gerund surgical complication., namely, avoiding dysfunction. wound sepsis Mid nootannic SICHOSIS. It is a prospective study during Roman. WOO to December 2001 on 32 (age. body weigh, resected rectosiginoid length and folloutp &tuition matched) biopsy co finned patients of rectosiginoid Hirschspnaigg disease. The patients were divided into two Groups: Group A (it = l6) and Group B (n = 16) who under went TERPT and Swenson's pull through respectively. gr'' (with Yates correction) test was used for statistical analysis. In Group A (TERPT) the post-operative urinary voiding dysfunction Orteinion/incontinencel. wound sepsis and anastomatic stenosis were significantly lesser than the Group B (Swenson's). Through this shun temp poll-operative comparative mulls. TERPT was found to he inure ad...gems than the Senson's pull through procedure in toms of three general surgical polluiperaiive complications.

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A prospective study on effectiveness of use of papain urea based preparation in dressings compared with regular conventional dressings in diabetic foot ulcers

International Surgery Journal ◽

10.18203/2349-2902.isj20172396 ◽

2017 ◽

Vol 4 (6) ◽

pp. 1984 ◽

Cited By ~ 1

Author(s):

Balasubrahmanya K. S. ◽

Praveen M. Pawar ◽

Srinidhi M. ◽

Shruthi S. ◽

Jinumon K. V. ◽

...

Keyword(s):

Prospective Study ◽

Diabetic Foot ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Foot Ulcers ◽

Diabetic Foot Ulcers ◽

Necrotic Tissue ◽

Group A ◽

Group B ◽

A Prospective Study

Background: Diabetic foot ulcer is a very common condition encountered in surgical practise. Wound management pose a good challenge for a treating surgeon due to its physical, mental and social implications. The devitalised necrotic tissue present in ulcer does not favour the wound healing as it increases the chance of infection and delays appearance of granulation tissue. Hence debriding of devitalised tissue plays a key role in wound care. In present study ,we used papain urea based preparation in dressings which is a autolytic agent. This study was conducted to evaluate the effectiveness of use of papain urea based preparations compared with regular conventional dressing in diabetic foot ulcer management.Methods: This was a prospective study conducted in K. R. Hospital, Mysore, Karnataka, India. 60 eligible subjects with diabetic foot ulcers were selected and subjects were randomly allocated into two groups Group A and Group B with 30 subjects in each group. Subjects in Group A underwent dressing with papain urea based preparation and in Group B underwent regular conventional dressing. Results were assessed with respect to percentage decrease in necrotic tissue, incidence of infection, appearance of granulation and hospital stay.Results: Among Group A subjects percentage reduction of necrotic tissue was more, granulation appeared early and the hospital stay was less compared to Group B subjects which were statistically significant. However, there was no significant difference with respect to incidence of infection in both groups.Conclusions: Papain urea based preparation is effective in diabetic foot ulcer care.

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Combined radiation and chemotherapy for invasive transitional-cell carcinoma of the bladder: a prospective study.

Journal of Clinical Oncology ◽

10.1200/jco.1993.11.11.2150 ◽

1993 ◽

Vol 11 (11) ◽

pp. 2150-2157 ◽

Cited By ~ 224

Author(s):

M Housset ◽

C Maulard ◽

Y Chretien ◽

B Dufour ◽

S Delanian ◽

...

Keyword(s):

Bladder Cancer ◽

Radiation Therapy ◽

Conservative Treatment ◽

Prospective Study ◽

Transitional Cell ◽

Complete Response ◽

Invasive Bladder Cancer ◽

Group A ◽

Group B ◽

A Prospective Study

PURPOSE To improve the results obtained by cystectomy alone and to determine the possibilities of conservative treatment in invasive bladder cancer, we designed a prospective study using a combination of fluorouracil (5-FU) plus cisplatin and concomitant radiation therapy, followed by either cystectomy or additional chemoradiotherapy. PATIENTS AND METHODS Fifty-four patients with stage T2 to T4 operable untreated invasive bladder cancer were entered onto the study. Treatment was begun in all patients by transurethral resection (TUR) and followed by the 5-FU-cisplatin combination with concomitant bifractionated split-course radiation therapy. A control cystoscopy was performed 6 weeks after completion of the neoadjuvant program. Patients with persistent tumor underwent cystectomy. Complete responders were treated by either additional chemoradiotherapy (group A) or cystectomy (group B). RESULTS At control cystoscopy, 40 of 54 patients (74%) had a histologically documented complete response. Four responders developed recurrent pelvic disease after a mean follow-up time of 27 +/- 12 months (three in group A and one in group B). Metastatic disease, which developed in 16 patients, occurred more frequently in the nonresponders (71%) than in responders (15%). The disease-free survival rate at 3 years was 62%; it was significantly better in responders (77%) than in nonresponders (23%). There was no difference in survival between groups A and B. CONCLUSION This neoadjuvant chemoradiotherapy combination, easy to implement and well tolerated even in elderly patients, provides a high complete response rate. It may prove to be effective in inoperable patients and may be proposed as conservative treatment in patients with a complete response to the initial course of chemoradiation.

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STEP TOWARDS PREVENTION OF ANTIBIOTIC RESISTANCE – A PROSPECTIVE STUDY IN LAPAROSCOPIC CHOLECYSTECTOMY.

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i7.1266 ◽

2020 ◽

Vol 4 (7) ◽

Author(s):

Rohit K Phadnis ◽

Faiz Hussain ◽

Praneeth Tenneti

Keyword(s):

Antibiotic Resistance ◽

Laparoscopic Cholecystectomy ◽

Single Dose ◽

Prospective Study ◽

Prophylactic Antibiotic ◽

Cost Constraints ◽

Significant Difference ◽

Group A ◽

Group B ◽

A Prospective Study

Introduction: Traditionally antibiotics have been advised pre and post operatively in surgery for gall bladder. The knowledge about usage of a single dose prophylactic preoperative antibiotic in comparison to conventional usage of perioperative antibiotics in laparoscopic Cholecystectomy is limited. Hence, this study focuses on comparing the efficacy of a single dose prophylactic antibiotic versus the usage of pre and postoperative antibiotics in laparoscopic Cholecystectomy. Method: This is a prospective study conducted in the General Surgery department of Apollo Institute of Medical Sciences and Research. Over 192 consecutive patients subjected for laparoscopic Cholecystectomy were included in study. They were divided in two groups (A&B) after applying exclusion. 74 patients in group A were given single dose of preoperative prophylactic antibiotic. No further post-operative antibiotics were given. 78 patients in group B were given both pre and postoperative antibiotics. Infective complications and cost constraints were compared between both the groups. Statistical analysis was done using chi-square test wherever necessary. Results: there is no significant difference in the rate of incidence of wound infection in both the groups. Age and gender had no significant association for SSI. The overall cost of Group B was found to be significantly higher than Group A. Conclusion: Usage of single dose prophylactic preoperative antibiotics with no further post operative antibiotics would be sufficient to prevent surgical site infection in uncomplicated laparoscopic Cholecystectomy. Keywords: Prevention, Antibiotic Resistance, Laparoscopic Cholecystectomy.

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A prospective study of deviated nasal septum giving rise to other ENT pathologies

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20200142 ◽

2020 ◽

Vol 6 (2) ◽

pp. 303

Author(s):

S. Ranga Pradheep Kumar ◽

Seema V. Patel

Keyword(s):

Prospective Study ◽

Nasal Obstruction ◽

Nasal Septum ◽

Septal Deviation ◽

Deviated Nasal Septum ◽

Female Ratio ◽

Nasal Symptoms ◽

Group A ◽

Group B ◽

A Prospective Study

Background: The deviated nasal septum (DNS) is a commonly occurring clinical condition that often causes nasal obstruction. This study, included two groups of subjects 100 each. The group A consists of subjects having DNS with nasal symptoms. The group B consists of subjects having DNS without nasal symptoms but with ear and throat symptoms. The present study makes an effort to review the types and its associated pathology.Methods: A prospective study was carried out in the Department of ENT, Government Medical College and Hospital, Nagpur from September 2016 to October 2018. Data was collected and analysed. Results: The mean age 31.17 years in group A and 30.07 years in group B, with male to female ratio of 1.17:1 in group A and 1.04:1 in group B. Left-sided septal deviation was more common than right-sided deviation. The most common symptoms in group A was nasal obstruction (94%) and in group B was otorrhoea (80%)."C" shaped DNS was the most common type in both the groups. Out of total 200 subjects comprising both the groups, 70 (35%) subjects had significant sinonasal disease, 138 (69%) subjects had ear pathology, 69 (34.5%) had Eustachian tube dysfunction, 35 (17.5%) had throat pathology. In this study, “S” shaped deviation was more prone to be associated with ENT pathology.Conclusions: “S” shaped DNS was maximally associated with sinonasal pathology and there was a high correlation between the side of septal deviation to the side of ear pathology, particularly in asymptomatic DNS.

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