COMPARATIVE STUDY OF MEDICAL AND CONSERVATIVE SURGICAL METHODS FOR UNRUPTURED ECTOPIC PREGNANCIES

Background: Comparative study of laparoscopic and open surgical method in management of peptic ulcer perforation Methods: The present study was conducted in patients presented with perforation peritonitis to the emergency department in G.G.S medical college and hospital, a tertiary care hospital in Faridkot, Punjab in which comparison of the clinical outcome between laparoscopic and open surgical methods for treatment of Gastro duodenal perforation was study. Results: Mean operative time of laparoscopic repair group was higher (158.2±0.64 min) in comparison to open repair group (70.8±0.42 min). In the present study post-operative pain score was assessed in each and every patient using Visual analogue scale. On post-operative day 1, mean VAS for OR Group was significantly higher in comparison to LR Group. Later on postoperative day 3, Majority of patients of in LR group had a highest score of 1-4 while in OR group was score 5-7.Nexton postoperative day 5, again mean VAS for LR patients was less in comparison to OR Group. Conclusion: As this is the first kind of study in our geographical area in which role of alcohol proved to be an important risk factor. Laparoscopic approach for repair of perforated peptic ulcer may offer significant advantage over open repair approach with lesser post-operative pain, lsser postoperative complications like wound infections, comparable reperforation rates and lesser duration of hospital stay. Keywords: Laparoscopic, Open, Repair

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Comparative study of laparoscopic management of gastro-oesophageal reflux disease by two different surgical methods

http://isrctn.org/> ◽

10.1186/isrctn29225711 ◽

2012 ◽

Author(s):

Ahmed Hawash

Keyword(s):

Comparative Study ◽

Reflux Disease ◽

Oesophageal Reflux ◽

Laparoscopic Management ◽

Oesophageal Reflux Disease ◽

Surgical Methods

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Comparative study of uterine repair during caesarean section: exteriorization repair versus in-situ repair

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20171403 ◽

2017 ◽

Vol 6 (4) ◽

pp. 1426

Author(s):

Lakshmi Priya ◽

Reddi Rani P. ◽

Lopamudra B

Keyword(s):

Caesarean Section ◽

Cesarean Section ◽

Comparative Study ◽

P Value ◽

Surgical Methods ◽

Significant Difference ◽

Operative Complications ◽

In Situ Repair ◽

Post Operative Complications

Background: Cesarean section is one of the most common major obstetrical operation performed worldwide and the rates of cesarean section are increasing. It is associated with both intra-operative and post-operative complications. Many variations in surgical methods have been devised to decrease the adverse effects and morbidity. One such method is technique of uterine repair after delivery of the fetus and placenta by exteriorizing the uterus or in-situ repair.Methods: A prospective comparative study was conducted in the department of Obstetrics and Gynecology at MGMCRI Pondicherry over 18 months from March 2015 to August 2016. Two hundred women undergoing caesarean section were assigned to 2 groups. Group 1 (Exteriorization) 100 women and Group 2 (In-situ repair) 100 women. Intra-op and post-operative complications were assessed in both groups and compared.Results: There was no significant difference between the two groups with regard to age, parity, gestational age and type of cesarean section. There was no significant difference between two groups with regard to fall in Hb, operating time, mean drop in pulse rate and blood pressure, nausea, vomiting and intra-op pain. There was significant difference in blood loss during surgery in in-situ repair, P value was <0.001 highly significant and also statistically significant increase in transfusion rates in in-situ group with a p value of 0.038. Postoperative complications like febrile morbidity was significantly more in in-situ repair P=0.046. There was no significant difference in other variables like urinary tract infection, surgical site infection, endometritis and hospital stay.Conclusions: Both techniques are accepted methods of uterine repair. Technique of repair depends on surgeon’s choice and clinical situation. Exteriorization repair is a valid option with no significant increase in morbidity compared to In-situ repair especially in cases where exposure of lower uterine segment is difficult, there is extension of incision and difficulty in achieving hemostasis.

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Comparative Study of Modifying Meatal Advancement Glandular with Release Chordi versus Snodgrass Surgical Methods Regarding the Repair of Distal Hypospadias

WORLD JOURNAL OF PLASTIC SURGERY ◽

10.52547/wjps.10.3.73 ◽

2021 ◽

Vol 10 (3) ◽

pp. 73-77

Author(s):

Shahnam Askarpour ◽

Mehran Peyvasteh ◽

Armin Mohamadi ◽

Mahmoud Khoshkhabar ◽

◽

...

Keyword(s):

Comparative Study ◽

Surgical Methods ◽

Distal Hypospadias

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Atypical ectopic pregnancy: a nightmare for the gynaecologist

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20214350 ◽

2021 ◽

Vol 10 (11) ◽

pp. 4304

Author(s):

Bikram Bhardwaj ◽

Aruna Menon ◽

Souvik Nandy ◽

Santosh .

Keyword(s):

Ectopic Pregnancy ◽

Transvaginal Ultrasound ◽

Armed Forces ◽

Pain Abdomen ◽

Beta Hcg ◽

Surgical Methods ◽

Maternal Morbidity And Mortality ◽

Ectopic Pregnancies ◽

Classical Triad ◽

Atypical Presentations

Ectopic pregnancy is one of the leading causes of maternal morbidity and mortality in early pregnancy. Incidence of ectopic pregnancy is 2% of total reported pregnancies and is rising in the recent past due to increase in RTIs and STIs and even early diagnosis due to advancing technology. Classical triad of pain abdomen, bleeding p/v and amenorrhea is not present in all the cases which add to confusion in diagnosing these atypical presentations. A meticulous history and clinical examination along with combination of transvaginal ultrasound (TVS) and serum beta HCG levels (discriminatory zone) can aid in picking up these atypical cases as depicted in our study. Here, we discussed 7 cases of atypical presentations of ectopic pregnancy which reported to gynaecology OPD of a service hospital of armed forces in a span of 3 months. One patient had pregnancy test negative, one patient was repeatedly treated as a case of AUB, 2 cases of heterotopic pregnancies, 1 case of elderly cornual ectopic and 2 young cases reporting one with repeated episodes of gastritis and other with post tubectomy status. The cases were managed accordingly using surgical methods. Ectopic pregnancy is like a tornado which if not diagnosed in time may prove fatal. Atypical presentation of ectopic pregnancies not fitting into the well-known triad of ectopic pregnancies these days add to confusion. One really needs to be ectopic minded if we actually want to avoid this catastrophe & save these young mothers.

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A comparative study of transscrotal, transinguinal and laparoscopic orchidopexy for inguinal cryptorchidism

10.21203/rs.3.rs-31371/v1 ◽

2020 ◽

Author(s):

Yun-jin Wang ◽

Qi-liang Zhang ◽

Liu Chen ◽

Xu Cui ◽

Chao-ming Zhou ◽

...

Keyword(s):

Comparative Study ◽

Operation Time ◽

Laparoscopic Group ◽

Clinical Results ◽

Testicular Atrophy ◽

Hospitalisation Cost ◽

Indirect Inguinal Hernia ◽

Surgical Methods ◽

Significant Difference ◽

Laparoscopic Orchidopexy

Abstract Background A retrospective comparative study was performed on scrotal incision, inguinal incision and laparoscopic orchidopexy. The characteristics of the different surgical methods were analysed. Methods Clinical data of 158 patients with inguinal cryptorchidism admitted to our hospital from January 2017 to January 2018 were retrospectively analysed. Results The operation time in the scrotal incision group was significantly less than that in the inguinal incision group and laparoscopic group (P < 0.05). The length of the operative incision in the scrotal incision group and laparoscopic incision group was shorter than that in the inguinal incision group. There was no significant difference in the postoperative hospitalisation time or hospitalisation cost among the three groups (P > 0.05). The incidence of scrotal haematoma in the scrotal incision group was significantly higher than that in the inguinal incision group and laparoscopic group. There were no complications, such as testicular atrophy, testicular retraction, indirect inguinal hernia, or hydrocele. Conclusions Transscrotal incision, transinguinal incision and laparoscopic orchidopexy are safe for the treatment of inguinal cryptorchidism. Satisfactory early clinical results can be achieved. Rational use of scrotal incision surgery and laparoscopic surgery for cryptorchidism may replace transinguinal surgery and can provide a good cosmetic effect for children.

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A comparative study on the Efficacy of Retroperitoneoscopic Pyeloplasty and Open Surgery for Ureteropelvic Junction Obstruction in Children

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.37.7.4205 ◽

2021 ◽

Vol 37 (7) ◽

Author(s):

Jianghua Jia ◽

Qingsong Meng ◽

Ming Zhang ◽

Jinchun Qi ◽

Dongbin Wang

Keyword(s):

Comparative Study ◽

Open Surgery ◽

Ureteropelvic Junction Obstruction ◽

Operation Time ◽

Ureteropelvic Junction ◽

Intraoperative Bleeding ◽

Conversion To Open Surgery ◽

Bleeding Volume ◽

Surgical Methods ◽

Significant Difference

Objectives: To compare the therapeutic effect of retroperitoneoscopic dismembered pyeloplasty and open ureteropelvic junction plasty on the ureteropelvic junction obstruction (UPJO) in children. Methods: After the retrospective analysis of clinical data, 78 children with ureteropelvic junction stenosis treated from January, 2012 to June, 2018 were divided into two groups: OP (open pyeloplasty) group (38 cases) and LP (laparoscopic dismembered pyeloplasty) group (40 cases) according to the surgical methods. The operation time, intraoperative bleeding volume, postoperative length of stay (LOS), postoperative complication rate, postoperative hydronephrosis improvement and other indicators were compared between the two groups. Results: All patients underwent surgery successfully, without conversion to open surgery in LP group. The incidence of postoperative urine leakage and the recovery of hydronephrosis between LP group and OP group 12 months after operation showed no statistically significant difference (P>0.05). The intraoperative bleeding volume, the incidence of postoperative retroperitoneal hematoma, and the postoperative LOS in LP group were lower than those in OP group, while the operation time was longer than that in the OP group, with statistically significant difference (P<0.05). Conclusion: Retroperitoneoscopic dismembered pyeloplasty had similar effect with open dismembered pyeloplasty, but faster recovery and fewer complications, so it has become the preferred treatment method for UPJO in children. doi: https://doi.org/10.12669/pjms.37.7.4205 How to cite this:Jia J, Meng Q, Zhang M, Qi J, Wang D. A comparative study on the Efficacy of Retroperitoneoscopic Pyeloplasty and Open Surgery for Ureteropelvic Junction Obstruction in Children. Pak J Med Sci. 2021;37(7):---------. doi: https://doi.org/10.12669/pjms.37.7.4205 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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