scholarly journals A comparative study regarding the intraoperative efficacy of conventional open (Milligan-Morgan) and harmonic scalpel haemorrhoidectomies

2019 ◽  
Vol 6 (12) ◽  
pp. 4440
Author(s):  
Swapnil P. Madankar ◽  
Girish L. Jatkar ◽  
Mahendra S. Dandge
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Operative Time ◽  
Harmonic Scalpel ◽  
Positive Impact ◽  
Human Beings ◽  
Operative Blood Loss ◽  
Interventional Study ◽  
Single Blind ◽  
Operative Monitoring

Background: Human beings have suffered from haemorrhoids since they have started to walk. The surgical treatment for haemorrhoids is called ‘Haemorrhoidectomy’. Many techniques have been developed to minimize the morbidity and hasten the recovery. This study compares two such techniques: conventional open haemorrhoidectomy (Milligan-Morgan) and the harmonic scalpel haemorrhoidectomy, in terms of intraoperative efficacy.Methods: This was a randomized, prospective, single blind (patients), non-crossover type interventional study was carried out on patients more than 18 years of age presenting with haemorrhoids requiring surgical treatment. They were randomly divided into two groups and the surgeries were carried out accordingly. Intraoperative and immediate post-operative monitoring was done.Results: Operative time, intraoperative and immediate post-operative blood loss was less in the harmonic group compared to the conventional group.Conclusions: Harmonic scalpel haemorrhoidectomy is better surgical technique than conventional open haemorrhoidectomy as it has better intraoperative efficacy having significant positive impact on the morbidity and recovery of the patient. 

scholarly journals Myoma pseudocapsule - a biological and surgical structure to respect during myomectomy

2020 ◽  
Vol 148 (3-4) ◽  
pp. 236-241
Author(s):  
Andrea Tinelli ◽  
Radmila Sparic
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Biological Process ◽  
Positive Impact ◽  
Uterine Fibroids ◽  
Reproductive Function ◽  
Muscle Scar ◽  
New Techniques ◽  
Anatomical Studies ◽  
Surgical Practice

Uterine fibroids affect almost one in two patients, causing many pelvic problems and requiring pharmacologic and surgical treatment. For many years, the importance of the fibroid was emphasized as uterine pathology, without focusing on the complex myometrial biology peripheral to fibroid. Moreover, the traditional surgical technique in fibroid removal has not been investigated for years. In recent years, on the contrary, morphological, neuroendocrine and anatomical studies have demonstrated the importance of a biological and surgical structure surrounding myoma, rich in neurotransmitters and neurofibres, the myoma pseudocapsule. This structure is formed in the womb peripheral to fibroid onset, it separates the fibroid from the myometrium and acts as a tissue regenerator after the removal of the fibroid from the uterus. The translation of scientific research on pseudocapsules into surgical practice has allowed us to identify new techniques of myomectomy, removing the myoma inside the pseudocapsule and promoting the pseudocapsules sparing surgery. All this to favor the subsequent biological process of uterine scarring and healing, by activating the neurotransmitters and neurofibres present in the myometrial fovea. The correct healing after fibroid removal restores the uterine anatomy, with a positive impact on subsequent reproductive function, reducing problems related to the muscle scar.

Peningkatan Kecerdasan Emosional Dan Spiritual Melalui Intensitas Puasa Senin Kamis

KUTTAB ◽  
2017 ◽  
Vol 1 (1) ◽  
pp. 98-112
Author(s):  
Rokim Rokim
Keyword(s):  
Positive Impact ◽  
Spiritual Intelligence ◽  
Self Control ◽  
Social Awareness ◽  
Human Beings ◽  
Important Thing

As human beings God have given them the potential of emotion to do bad or good things. Totally eliminating emotion is also not good. Whereas on account of the emotion ones are eager to eat when they are hungry, they are sad, happy, have a sense of love and so on. So the most important thing is controlling and directing the emotion so that it becomes a guide toward good things. Fasting on Mondays and Thursdays  as part of refraining from any action contrary to the religious teachings will bring self-control, honesty, social awareness, the meaningfulness of life not do things that deviate from the teachings of Islam. Fasting could have a positive impact on a person's religiosity, but not all fasting could increase spiritual intelligence. Only fasting that is done with pure heart and soul will foster spiritual intelligence. Fasting that is done by involving conscience is the true one for being able to become an important instrument to purify the heart and soul. Fasting on Mondays and Thursdays will be able to improve the emotional and spiritual intelligence.

Impact of Job Stress and Social Support on Job Satisfaction among Academic Staff

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Kumari Kumkum ◽  
R. N. Singh ◽  
Yogershi Rajpoot
Keyword(s):  
Social Support ◽  
Job Satisfaction ◽  
Job Stress ◽  
Positive Impact ◽  
Academic Staff ◽  
Two Dimensions ◽  
The Other ◽  
Human Beings ◽  
Negative Consequences ◽  
Four Dimensions

There may be so many negative consequences of stress for human beings and dissatisfaction among employees happens to be one of the major problems. It indicates negative feelings that individuals have regarding their jobs or its facets. On the other hand, social support is assumed to be mitigating the relationship between negative aspects of the work environment and job satisfaction. Job stress is said to be associated with job dissatisfaction as well as experience of strain. In view of the above, this study examined the role of job stress and social support in job satisfaction. The sample consisted of 30 school teachers from different school of Varanasi (U.P.). The job stress, job satisfaction and social support scales were administered on the participants. The responses of the participants were converted into scores for statistical analyses. The scores of participants on the scales were correlated. The findings revealed that job stress led to increased job satisfaction. It is against the proposed hypothesis and it appears as if the social support received by the participants is a factor behind it. Two of the four dimensions of social support were found to exert positive impact on job satisfaction but the other two dimensions were not found to be correlated with it. The findings are thoroughly discussed and interpreted.

scholarly journals Nonstructural bone graft for single-segment lumbar tuberculosis: surgical indications, clinical efficacy, and preliminary experiences in 34 patients

2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098278
Author(s):  
Xing Du ◽  
Yunsheng Ou ◽  
Guanyin Jiang ◽  
Yong Zhu ◽  
Wei Luo ◽  
...  
Keyword(s):  
Blood Loss ◽  
Hospital Stay ◽  
Bone Graft ◽  
Cobb Angle ◽  
Clinical Efficacy ◽  
Operative Time ◽  
Bone Grafts ◽  
Surgical Indications ◽  
Operative Blood Loss ◽  
The Mean

Objective This study was performed to evaluate the surgical indications, clinical efficacy, and preliminary experiences of nonstructural bone grafts for lumbar tuberculosis (TB). Methods Thirty-four patients with lumbar TB who were treated with nonstructural bone grafts were retrospectively assessed. The operative time, operative blood loss, hospital stay, bone graft fusion time, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) concentration, visual analog scale (VAS) score, Oswestry Disability Index (ODI), American Spinal Injury Association (ASIA) impairment grade, and Cobb angle were recorded and analyzed. Results The mean operative time, operative blood loss, hospital stay, Cobb angle correction, and Cobb angle loss were 192.59 ± 42.16 minutes, 385.29 ± 251.82 mL, 14.91 ± 5.06 days, 9.02° ± 3.16°, and 5.54° ± 1.09°, respectively. During the mean follow-up of 27.53 ± 8.90 months, significant improvements were observed in the ESR, CRP concentration, VAS score, ODI, and ASIA grade. The mean bone graft fusion time was 5.15 ± 1.13 months. Three complications occurred, and all were cured after active treatment. Conclusions Nonstructural bone grafts may achieve satisfactory clinical efficacy for appropriately selected patients with lumbar TB.

scholarly journals Safety and effectiveness evaluation of a two-handed technique combining harmonic scalpel and laparoscopic Peng’s multifunction operative dissector in laparoscopic hemihepatectomy

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Jingwei Cai ◽  
Guixing Jiang ◽  
Yuelong Liang ◽  
Yangyang Xie ◽  
Junhao Zheng ◽  
...  
Keyword(s):  
Blood Loss ◽  
Operative Time ◽  
Harmonic Scalpel ◽  
Peak Level ◽  
Bile Leakage ◽  
Liver Parenchyma ◽  
Control Group ◽  
Case Group ◽  
Intraoperative Blood Loss ◽  
And Control

Abstract Objectives This study was designed to evaluate the safety and effectiveness of a two-hand technique combining harmonic scalpel (HS) and laparoscopic Peng’s multifunction operative dissector (LPMOD) in patients who underwent laparoscopic hemihepatectomy (LHH). Methods We designed and conducted a case-control study nested in a prospectively collected laparoscopic liver surgery database. Patients who underwent LHH for liver parenchyma transection using HS + LPMOD were defined as cases (n = 98) and LPMOD only as controls (n = 47) from January 2016 to May 2018. Propensity score matching (1:1) between the case and control groups was used in the analyses. Results The case group had significantly less intraoperative blood loss in milliliters (169.4 ± 133.5 vs. 221.5 ± 176.3, P = 0.03) and shorter operative time in minutes (210.5 ± 56.1 vs. 265.7 ± 67.1, P = 0.02) comparing to the control group. The conversion to laparotomy, postoperative hospital stay, resection margin, the mean peak level of postoperative liver function parameters, bile leakage rate, and others were comparable between the two groups. There was no perioperative mortality. Conclusions We demonstrated that the two-handed technique combing HS and LPMOD in LHH is safe and effective which is associated with shorter operative time and less intraoperative blood loss compared with LPMOD alone. The technique facilitates laparoscopic liver resection and is recommended for use.

A case of resection of the upper jaw with the use of a prosthesis (demonstration of the patient and preparations)

1909 ◽  
Vol 9 (7-8) ◽  
pp. 365-377
Author(s):  
I. M. Timofeev
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Digestive Tract ◽  
Human Body ◽  
Postoperative Care ◽  
Upper Jaw

Many diseases of the human body, which need surgical treatment, require from the surgeon not only the elimination of this disease according to all the rules of surgical technique and modern asepsis, but also proper postoperative care. The latter is sometimes quite difficult, especially on wounds located near the so-called natural openings and on the path of the respiratory and digestive tract, due to the constant contamination of the wound by the separation and discharge of these pathways.

scholarly journals Intravenous Carbetocin to decrease blood loss during open myomectomy: a randomized placebo-controlled study

2017 ◽  
Vol 7 (1) ◽  
pp. 27
Author(s):  
Hany F. Sallam ◽  
Nahla W. Shady
Keyword(s):  
Placebo Group ◽  
Blood Loss ◽  
Operative Time ◽  
Uterine Leiomyomas ◽  
Reproductive Age ◽  
Controlled Study ◽  
Benign Tumors ◽  
Operative Blood Loss ◽  
Abdominal Myomectomy ◽  
To Receive

Background: Uterine leiomyomas are benign tumors of the uterus, which represent the most common neoplasms in women of reproductive age, and have a lifetime incidence of approximately 70% in the general population. The objective of this study was to assess the effect of using a single pre-operative dose of IV 100 μg Carbetocin on intra-operative blood loss in abdominal myomectomy surgeries.Methods: In a randomized double-blind placebo-controlled trial, 86 women undergoing abdominal myomectomy for symptomatic uterine leiomyomas were randomly assigned to receive a single dose of pre-operative of IV 100 μg Carbetocin (n = 43) or placebo (n = 43) just before the operation. The primary outcome was intra-operative blood loss.Results: Intra-operative blood loss was significantly lower in those women randomized to receive IV Carbetocin versus the placebo group (714.19±186.27 ml versus 1033.49±140.9 ml), p = 0.0001 The incidence of blood transfusion was increased in placebo group (69.8%) compared with (18.6%) in Carbetocin group, (P = 0.0001). Also, there was a significant reduction in operative time in Carbetocin group (66.35%±10.18) compared with placebo group (95.95±9.16), (P = 0.0001).Conclusions: A single pre-operative dose of IV Carbetocin (100 μg) is a simple applicable method for reducing intra-operative blood loss and operative time in abdominal myomectomy.

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