scholarly journals A prospective study in esophageal atresia with tracheoesophageal fistula: Oblique versus circular anastomosis

2018 ◽  
Vol 5 (5) ◽  
pp. 1894
Author(s):  
Vikram Singh Mujalde ◽  
Dinesh Kumar Barolia ◽  
Pradeep Gupta ◽  
Sunil Mehra ◽  
Arun Gupta
Keyword(s):  
Esophageal Atresia ◽  
Leak Rate ◽  
Stricture Formation ◽  
Esophageal Fistula ◽  
Anastomotic Technique ◽  
Congenital Esophageal Atresia ◽  
Recurrent Fistula ◽  
Group B ◽  
A Prospective Study ◽  
Circular Anastomosis

Background: Congenital esophageal atresia with tracheo-esophageal fistula is a common congenital anomaly facing at our centre. There is various proposed anastomotic technique to avoid post-op stricture. In this study we compare outcome of oblique and circular anastomosis technique at our centre.Methods: This study conducted in 60 cases of congenital esophageal atresia with tracheo-esophageal fistula, designed randomly in two groups. Oblique anastomosis in group A and Circular anastomosis in group B. The complications of anastomotic leaks, anastomotic narrowing with strictures and recurrent fistula were studied.Results: Anastomotic leak rate in case oblique anastomosis was 6.7% as compared to circular anastomosis was 16.7%. Stricture formation in oblique anastomosis was 13.3% in comparison to circular anastomosis there was 43.3% stricture formation. None of the cases required re-exploration in Oblique anastomosis, whereas two (6.7%) cases required re-exploration in circular anastomosis.Conclusions: Present study showed that oblique anastomotic technique is superior to circular anastomotic technique, in term of less stricture and leak rate.

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

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Nikolaos Mertziotis ◽  
Diomidis Kozyrakis ◽  
Christos Kyratsas ◽  
Andreas Konandreas
Keyword(s):  
Prospective Study ◽  
Operation Time ◽  
Transurethral Resection Of Prostate ◽  
Stricture Formation ◽  
Urogenital Infections ◽  
Bipolar Technology ◽  
Group A ◽  
New Perspective ◽  
Group B ◽  
A Prospective Study

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.

Esophageal atresia and tracheo-esophageal fistula

2017 ◽  
Vol 26 (2) ◽  
pp. 67-71 ◽  
Author(s):  
David C. van der Zee ◽  
Stefaan H.A. Tytgat ◽  
Maud Y.A. van Herwaarden
Keyword(s):  
Esophageal Atresia ◽  
Esophageal Fistula

CLINICAL OUTCOME AND COST COMPARISON OF CARPAL TUNNEL WOUND CLOSURE WITH MONOCRYL® AND ETHILON®: A PROSPECTIVE STUDY

Hand Surgery ◽  
2013 ◽  
Vol 18 (02) ◽  
pp. 189-192 ◽  
Author(s):  
Anis Dosani ◽  
Sameer K. Khan ◽  
Sheila Gray ◽  
Steve Joseph ◽  
Ian A. Whittaker
Keyword(s):  
Carpal Tunnel ◽  
Wound Closure ◽  
Unit Cost ◽  
Cost Effective ◽  
Cost Comparison ◽  
Absorbable Suture ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
A Prospective Study

This prospective non-randomised two-cohort study compares the use of an absorbable suture (Poliglecrapone [Monocryl]: Group A) and a non-absorbable suture (Polyamide [Ethilon]: Group B) in wound closure after elective carpal tunnel decompression. The primary outcome was scar cosmesis as assessed by the Stonybrook Scar Evaluation Scale (SBSES); the financial cost of wound closure was compared as a secondary outocome. All fifty patients completed follow-up. At six weeks, there was no significant difference in the two groups regarding scar tenderness (p = 0.5), although residual swelling was more evident in the absorbable group (p = 0.2). The mean SBSES score at six weeks was 4.72 in Group A, and 4.8 in Group B (p = 0.3). The unit cost per closed wound of Monocryl was three times than Ethilon (p < 0.05). Ethilon is thus cost-effective without compromising the cosmetic outcome, and we recommend using this as the preferred suture for closure of carpal tunnel wounds.

Esophagitis with Eosinophil Infiltration Associated with Congenital Esophageal Atresia and Stenosis

2013 ◽  
Vol 161 (s2) ◽  
pp. 159-163 ◽  
Author(s):  
Yoshiyuki Yamada ◽  
Akira Nishi ◽  
Masahiko Kato ◽  
Fumiaki Toki ◽  
Hideki Yamamoto ◽  
...  
Keyword(s):  
Esophageal Atresia ◽  
Eosinophil Infiltration ◽  
Congenital Esophageal Atresia
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