scholarly journals Short term outcome of midline laparotomies in view abdominalfascia closer

2021 ◽  
Vol 9 (1) ◽  
pp. 107
Author(s):  
Chinmay S. Gandhi ◽  
Dajiram G. Mote ◽  
Zahid Shivani ◽  
Kalan Kumar Sama
Keyword(s):  
Comparative Study ◽  
Surgical Site Infection ◽  
Abdominal Wall ◽  
Surgical Site Infections ◽  
Standard Of Care ◽  
Site Infection ◽  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome

Background: This is a prospective non randomized observational comparative study for surgical site infections and surgical site occurrences after laparotomy fascia closer with two different techniques. Regular bite remains the standard of care in most hospitals. Laparotomies were done for elective and emergency cases.Methods: There were two techniques used to close abdominal wall fascia. The present study has evaluated small bite abdominal closer verses regular bite closer. Author and his team had used small bite fascia closer technique for all laparotomies, while other group of surgeons utilized regular bite fascia closer.Results: Out of 26 laparotomies in short bite closer, 8 had surgical site infections and surgical site occurrences, while 26 laparotomies in regular bite closer group had 15 patients with surgical site infections and surgical site occurrences. There is significant reduction in surgical site infection and surgical site occurrences observed in small bite abdominal closer group.Conclusions: It is recommended all laparotomies elective or emergent should be closed with small bite technique as it reduces surgical site infections and surgical site occurrences.

scholarly journals Stapled haemorrhoidectomy versus openhaemorrhoidectomy: a prospective comparative study

2015 ◽  
Vol 4 (4) ◽  
pp. 7-11
Author(s):  
R S Bhandari ◽  
P J Lakhey ◽  
Y P Singh ◽  
P R Mishra ◽  
K P Singh
Keyword(s):  
Postoperative Pain ◽  
Comparative Study ◽  
Operating Time ◽  
Symptom Duration ◽  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome ◽  
Early Return ◽  
Sh Group ◽  
Prospective Comparative Study

Open haemorrhoidectomy (OH) treatment has been reserved for prolapsing haemorrhoidal disease (third and fourth grade) and comprehends excision of haemorrhoidal tissue and is associated with significant postoperative pain. As an alternative approach, many randomized controlled trials have shown consistent advantage with haemorrhoidopexy (SH) in terms of postoperative pain, analgesic requirement, length of surgical procedure, short recovery time and early return to normal activities. This study has been conducted to compare the short-term outcome of SH with OH. A prospective comparative study, which included grade 3 and 4 haemorrhoids and comparing short Term outcomes between SH and OH was conducted in the Surgical Gastroenterology units of University Teaching Hospital. A total 44 patients, 22 in each group were compared. Age (SH 42±10.80 Vs. OH 45±13.30) and sex (SH, M:F-9:13 Vs. OH, M:F-14:8) distribution was comparable. Also, the groups were comparable in terms of symptom duration in years (SH, 3.20±2.26 Vs. OH, 2.31±2.47) and distribution of haemorrhoid grades. The SH group showed significant advantage in terms of postoperative pain (Average pain score SH, 2.73±1.20 Vs. OH, 5.20±1.91) and analgesic use (SH 2.32±0.94 Vs. OH 9.32±2.62). Similarly the operating time (time in minutes SH, 42±7.34 Vs. OH, 57.50±8.27), hospitals stay (days of stay SH, 2.90±0.68 Vs. OH, 3.77±0.86) and return to preoperative activity (days to return SH, 7.9±4.90 Vs. OH, 13.6±5.60) were also significantly shorter in the SH group than the OH group. The short-term complications were similar in both groups (P value >0.05). In conclusion, SH has better short-term outcome compared with OH and SH is a viable addition to the therapy options available for haemorrhoids.DOI: http://dx.doi.org/10.3126/jcmc.v4i4.11956

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