scholarly journals Comparison of outcome of Desarda versus Bassini repair in management of complicated inguinal hernia

2019 ◽  
Vol 6 (11) ◽  
pp. 3889 ◽  
Author(s):  
Faiz Manzar Ansari ◽  
Tariq Hameed ◽  
Sudhir Kumar Jain ◽  
Amrita Dua ◽  
Adiba Nizam
Keyword(s):  
Inguinal Hernia ◽  
Surgical Repair ◽  
Controlled Study ◽  
Medical College ◽  
Pain Scores ◽  
Randomised Controlled Study ◽  
Duration Of Surgery ◽  
Bassini Repair ◽  
Randomised Controlled

Background: Complicated inguinal hernia is a common problem faced by surgeons across the world. Various methods of surgical repair have been described. It is important to identify the best repair technique of inguinal hernia to have better post-operative outcome.Methods: This randomised controlled study consisted of 84 cases of complicated inguinal hernias presenting to surgical emergency department of Maulana Azad Medical College. Patients were randomly allocated to two repair groups- Desarda and Bassini and various intra/post-operative parameters were compared.Results: Duration of surgery and postoperative pain scores were less in Desarda group. Time to return to strenuous daily activities was also less with Desarda repair. Desarda repair was associated with less incidence of chronic inguinodynia and post-operative complications.Conclusions: Desarda repair was found to be superior to Bassini group due to shorter duration of surgery. Patients required less analgesics following Desarda repair as compared to Bassini group. There was no recurrence in any group at four months follow up. 

scholarly journals Effect of patient-initiated versus fixed-interval telePRO-based outpatient follow-up: study protocol for a pragmatic randomised controlled study

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Liv Marit Valen Schougaard ◽  
Caroline Trillingsgaard Mejdahl ◽  
Klaus Hvam Petersen ◽  
Anne Jessen ◽  
Annette de Thurah ◽  
...  
Keyword(s):  
Study Protocol ◽  
Fixed Interval ◽  
Controlled Study ◽  
Follow Up Study ◽  
Randomised Controlled Study ◽  
Randomised Controlled

1359 DETERIORATION OF CONTINENCE AFTER TOT WHEN THE FOLLOW-UP IS EXTENDED: RESULTS FROM A RANDOMISED CONTROLLED STUDY

2013 ◽  
Vol 189 (4S) ◽  
Author(s):  
Elisabetta Costantini ◽  
Massimo Lazzeri ◽  
Alessandro Zucchi ◽  
Raffaella Bruno ◽  
Eleonora Salvini ◽  
...  
Keyword(s):  
Controlled Study ◽  
Randomised Controlled Study ◽  
Randomised Controlled

scholarly journals Efficacy of Pelvic Floor Muscle Training and Cough-suppression Therapy to Reduce Urinary Incontinence in Women With Chronic Obstructive Pulmonary Disease – a Randomised Controlled Study

2021 ◽  
Author(s):  
Stacey Haukeland-Parker ◽  
Bente Frisk ◽  
Martijn A Spruit ◽  
Signe Nilssen Stafne ◽  
Hege Hølmo Johannessen
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Controlled Study ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Randomised Controlled Study ◽  
Randomised Controlled ◽  
And Control

Abstract BackgroundLittle is known regarding treatment of urinary incontinence (UI) in women with chronic obstructive pulmonary disease (COPD). The aim of the study was to explore the efficacy of pelvic floor muscle training (PFMT) or cough-suppression techniques (CST) on UI in women with COPD.MethodsA three armed, two centred, single blinded, randomised controlled study was performed. Subjects were randomised to a) PFMT for 16 weeks, b) 2-3 educational sessions in CST, or c) written information only. All participants completed questionnaires about UI, cough symptoms and health status, and underwent clinical examinations to evaluate strength of the pelvic floor muscles and exercise capacity. Daily physical activity levels were measured using an activity monitor, and lung function with spirometry. With a significance level of 5% and an 80% chance of detecting a significant difference between groups of 2.5 points on the ICIQ UI SF score, our sample size calculation showed that a total of 78 women, 26 in each group, was required to complete the study. ResultsDuring the period 2016 to 2018, 95 women were invited to the study. A total of 42 were recruited, 3 were excluded and 10 (24%) dropped out during the follow-up period. Mean ICIQ-UI SF total baseline score was 9.6 (range: 1-17) and 7.0 (range: 0-16) at follow up. Significant changes in subjective UI as measured with the ICIQ-UI SF questionnaire were seen in the PFMT group (p=0.03) and control group (p=0.02), but not in the CST group (p=0.46).Conclusionue to the low number of available participants and recruitment difficulties including practical issues such as travel distance, lack of interest, poor state of health and high number of comorbidities, our results are inconclusive. However, reduced subjective UI was observed in the PFMT and control groups with a trend towards best effect in the PFMT group. Screening for UI is advisable in all women with COPD to be able to identify and treat these women to reduce symptom burden and improve quality of life. Future studies should focus on barriers to recruitment as well as randomised controlled studies with larger sample sizes. Trial registrationThe study is registered on ClinicalTrials.gov (NCT02614105).

scholarly journals Proposal of New Key Step in Lateral Approach Thyroidectomy in Light of Comparison of Surgical Outcomes of Medial versus Lateral Approach Thyroidectomy: A Randomised Controlled Study

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Jyotirmoy Phookan ◽  
Shilpi Gupta ◽  
Nabajyoti Saikia ◽  
Debajit Sarma ◽  
Mohan Kumar Mili ◽  
...  
Keyword(s):  
Demographic Data ◽  
Lateral Approach ◽  
Controlled Study ◽  
Follicular Neoplasm ◽  
Current Time ◽  
Medical College ◽  
Anatomical Basis ◽  
Randomised Controlled Study ◽  
Single Structure ◽  
Randomised Controlled

Objective. Thyroid surgery has travelled a long path, from a surgery which once was considered deemed to fail and even led to death, to the current time when newer techniques are being tested to make the incision smaller and smaller. The aim of our study is to give a precise detailed stepwise description of medial and lateral surgical approach with the anatomical basis and to compare their feasibility and safety. Methods. 104 cases presenting with thyroid swelling in the Department of Otorhinolaryngology, Assam Medical College Dibrugarh from January 1, 2019, to December 31, 2019, were selected and randomisation was done based on day of admission from OPD. Basic demographic data, preoperative diagnosis, operative time, blood loss, need for transection of strap muscles, and complications were recorded. Result. The distribution of thyroid cases according to age ranged from 17 to 81 years. The prevalence of thyroid disorders was the highest (37.5%) in the age group of 31–40 yrs. Of a total of 104 thyroid cases, 49 were colloid goitre, 24 were multinodular goitre, 9 were follicular neoplasm category 4, 4 were papillary thyroid carcinoma, 2 were follicular neoplasm category 3, and 3 were follicular neoplasm category 5. Conclusion. Out of the two approaches, lateral approach thyroidectomy showed better results with fewer complications. A single structure (superior belly of omohyoid) can be used as a guide to preserving all vital structures related to the thyroid gland.

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