scholarly journals The Comparative Study of Open and Laparoscopic Partial Hepatectomy in 64 Cases of Patients

2015 ◽  
Vol 4 (1) ◽  
pp. 4
Author(s):  
Yaoping Yu ◽  
Zhengbin Huang

<strong>Objective: </strong>A comparative study between two methods of open and laparoscopic partial hepatectomy. <strong>Method: </strong>64 cases of patients with partial hepatectomy were choosing from our hospital from January 2014 to December 2014. Two groups were assigned according to the principle of random allocation of the open group and laparoscopic group, respectively and were observed its operation index, post-operative recovery indicators and other indicators. <strong>Results: </strong>Abdominal incision length, intra-operative bleeding volume, post-operative advanced liquid time, and hospitalization time were significantly better in Laparoscopic than laparotomy group (<em>p</em> &lt; 0.05). There was no significant difference in the operation time and complications between the open and laparoscopic group (<em>p </em>&gt; 0.05). <strong>Conclusion: </strong>Laparoscopic partial hepatectomy is obviously superior to open liver resection where it is worth promoting in clinical practice.

2020 ◽  
Author(s):  
Yun-jin Wang ◽  
Qi-liang Zhang ◽  
Liu Chen ◽  
Xu Cui ◽  
Chao-ming Zhou ◽  
...  

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.


2021 ◽  
Vol 8 (41) ◽  
pp. 3559-3566
Author(s):  
Abdul Salam R. T. ◽  
Shahul Hameed A. ◽  
Meera Rajan

BACKGROUND An ideal surgery to remove hypertrophied adenoid mass should be safe, with less bleeding and operation time along with post-operative improvement in the eustachian tubal ventilation and normal respiration. It should also have low morbidity and mortality. Among the various methods described for its removal, the two commonly used methods are conventional cold curettage method and coblation technique. The purpose of this study was to collate the safety and efficacy of endoscopic coblation adenoidectomy with the conventional curettage adenoidectomy. METHODS A prospective comparative study with fifty patients was studied who underwent adenoidectomy. Twenty five patients underwent endoscopy assisted coblation adenoidectomy and twenty five patients underwent regular adenoidectomy by curettage. RESULTS Patients who underwent coblation adenoidectomy showed better results during follow up in terms of completeness of removal. 80 % of children undergoing regular adenoidectomy by curettage method showed remnant adenoid tissue in the nasopharynx at the end of the procedure. But it was 6 % among the children undergoing endoscopic assisted coblation adenoidectomy. The mean duration of operation was higher for endoscopic assisted coblation adenoidectomy which was significant statistically. The mean blood loss was 30.36 ml in regular curettage adenoidectomy; 10.6 ml with endoscopic coblation adenoidectomy. The grading of pain was significantly lower in endoscopic assisted coblation adenoidectomy. There was no significant difference between two groups in terms of eustachian tube function after surgery. CONCLUSIONS Coblation adenoidectomy has significant advantages over conventional adenoidectomy in terms of completeness of removal, reduced blood loss, and lower post-operative pain grade. KEYWORDS Coblation, Adenoidectomy, Curettage, Haemorrhage and Complications


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Wenkui Mo ◽  
Cansong Zhao

The study focused on the influence of intelligent algorithm-based magnetic resonance imaging (MRI) on short-term curative effects of laparoscopic radical gastrectomy for gastric cancer. A convolutional neural network- (CNN-) based algorithm was used to segment MRI images of patients with gastric cancer, and 158 subjects admitted at hospital were selected as research subjects and randomly divided into the 3D laparoscopy group and 2D laparoscopy group, with 79 cases in each group. The two groups were compared for operation time, intraoperative blood loss, number of dissected lymph nodes, exhaust time, time to get out of bed, postoperative hospital stay, and postoperative complications. The results showed that the CNN-based algorithm had high accuracy with clear contours. The similarity coefficient (DSC) was 0.89, the sensitivity was 0.93, and the average time to process an image was 1.1 min. The 3D laparoscopic group had shorter operation time (86.3 ± 21.0 min vs. 98 ± 23.3 min) and less intraoperative blood loss (200 ± 27.6 mL vs. 209 ± 29.8 mL) than the 2D laparoscopic group, and the difference was statistically significant ( P < 0.05 ). The number of dissected lymph nodes was 38.4 ± 8.5 in the 3D group and 36.1 ± 6.0 in the 2D group, showing no statistically significant difference ( P > 0.05 ). At the same time, no statistically significant difference was noted in postoperative exhaust time, time to get out of bed, postoperative hospital stay, and the incidence of complications ( P > 0.05 ). It was concluded that the algorithm in this study can accurately segment the target area, providing a basis for the preoperative examination of gastric cancer, and that 3D laparoscopic surgery can shorten the operation time and reduce intraoperative bleeding, while achieving similar short-term curative effects to 2D laparoscopy.


2021 ◽  
Vol 9 (01) ◽  
pp. 705-708
Author(s):  
Mohd Iqbal Dar ◽  

The objective of the present study was to access the comparative study different variables between athletes and non athletes of Kashmir division. Physical fitness is a dynamic concept and is continuously growing in its importance to everyday life and health. Although being an attribute that has a genetic basis, it is also sensitive to changes in type and amount of physical activity, mortality and injury. The criterion measures selected for the study were, Explosive Leg strength, Speed, Agility, Resting pulse rate, Blood pressure (Systolic and dia-Systolic),Breath holding capacity. The Mean, Standard deviation and T value of Athletes and Non-Athletes was calculated. The results showed significant difference between Athletes and Non-Athletes (p<0.005) in case of Explosive Leg strength, Speed, Agility, Resting pulse rate and Blood pressure (Systolic), but no significant difference between Breathing capacity and Diastolic Blood pressure of Athletes and Non-Athletes was observed. It is therefore concluded that the athletes are at higher levels of their physical and physiological fitness levels which enhance their performance in sports and also in daily life activities.


2021 ◽  
Vol 29 (2) ◽  
pp. 207-232
Author(s):  
Ali Trigiyatno

This article compares dowry regulations in Indonesia and Morocco. Bearing in mind that Indonesia and Morocco have different characteristics in dowry matter, the regulations are worth comparing for. As understood in Islamic marriages, dowry is an important obligation and must be fulfilled by the bridegroom for the bride. Normative Islamic teaching advocates for dowry that is simple and reasonable, but in practice, sometimes dowry becomes expensive and difficult to be given, and thus, causing unfavorable effects. In addition, dowry also has the potentials to be subjected to disputes between husband and wife if not regulated by legislation in details. The author uses a comparative study of law guided by a normative approach through library research. The main source is the statutes of two countries. Analysis technique used is content analysis. As a result, it is found that with different backgrounds of fiqh school in Indonesia and Morroco-one being strongly influenced by Shāfi‘ī school and the other is influenced by Mālikī school-have similar rules on dowry. The only significant difference is that the Mālikī School and its legislation in Morocco considers dowry as a marriage pillar. Meanwhile, the Shāfi‘ī school and its legislation in Indonesia, even though the dowry is regarded as compulsory, it does not become a condition or a marriage pillar. Other differences are the definition of dowry, regulation of wife’s luggage, lost dowry, defective dowry, introduction of mithil dowry, regulation of dowry disputes before entering the household, and regulation of furniture disputes other than the wife’s luggage.


2017 ◽  
Vol 5 (4) ◽  
pp. 285-291
Author(s):  
Montazeri Mahmood ◽  
Hiyam Hosseini ◽  
Behroz Jokar

Suicide, an act in which individuals sacrifice voluntarily themselves, is considered as a serious psychosocial problem. The main objective of the present study was to determine the comparative study of completed suicide based on season and diseases in Bushehr during 2006-2015. This consideration has been done as a retrospective cross-sectional study; the data were collected by the check list. After coordination to the medico legal 343 cases of completed suicide lead to death over a ten year period from 2006 to 2015 were extracted and the data were analyses by SPSS software. Completed suicides were most prevalent in spring 29.7% (102), whereas least prevalent in autumn 20.1% (69). There was no significantly in different seasons in year (P=0.065). But, was a statistically significant difference observed in the different gender and different seasons of the year (P=0.001). The maximum number of completed suicides 10.2% (35) was observed in April, while the minimum number 6.1% (21) was reported in September and October, too. The value Chi square test was statistically significant differences diseases and different seasons (P=0. 001). The psychological disease was observed most in spring and winter seasons. Also was a significant relationship between season of the year and the method of suicide (P=0.001). The number of completed suicides was higher in moderate and cold seasons.


2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Milind A. Peshave ◽  
Rajashree Gujarathi

Productivity management is a big challenge to organizations especially when the product is in the form of a service. The characteristics of service industry make productivity management in such industries more difficult and challenging. Hotel industry being a part of such a service industry faces a similar problem. This study is aimed at analyzing the challenges faced by hotels in measuring employee productivity and to suggest the most suitable method of measuring employee productivity in hotel industry. In an effort to do so, a survey in the form of a questionnaire and interviews was conducted from the sample comprising of 365 hotel employees from the management and the associates categories to understand their views on the entire process. The findings of his research state that Intangible Product is the biggest challenge in measuring employee productivity in hotels and Number of guest praises / positive feedbacks received per department / person and Percentage of repeat guests generated are the most suitable methods to measure employee productivity in hotels. However, a significant difference has been observed in the comparative study of hotel industry of Pune, Hyderabad & Bangalore cities.


Author(s):  
Ayesha Kazmi ◽  
Ghulam Abbas ◽  
Asim Khurshid ◽  
Shahid Shah ◽  
Tauqeer Hussain Malhi ◽  
...  

Abstract Objective: To compare the efficacy of intravenous midazolam and diazepam in the management of status epilepticus seizures in children. Method: The comparative study was conducted in the paediatric neurological emergency unit of The Children’s Hospital and the Institute Of Child Health, Multan, Pakistan, from December 15, 2018, to May 14, 2019, and comprised paediatric patients of status epilepticus seizures whi were divided into Diazepam and Midazolam groups.  Data was analysed using Graph-Pad Prism 5. Results: Of the 164 patients, 82(50%) were in each of the two groups. There was no significant difference between the groups in terms of weight, age, residence area of patients and mean duration of seizures (p>0.05). Status epilepticus seizures subsided after intravenous midazolam administration in 77(93.90%) cases, while success in the diazepam group 64(78.05%) (p<0.05). Mean time taken by midazolam to halt seizures was significantly shorter than diazepam (p<0.05) and less cases of treatment failure were observed with intravenous midazolam (p<0.05). Somnolence was observed after diazepam administration in 47(57.3%) cases (p=0.0001). Conclusion: Intravenous midazolam was found to be superior in efficacy than intravenous diazepam in controlling status epilepticus seizures. Key Words: Diazepam, Midazolam, Status epilepticus, Seizures


2019 ◽  
Vol 9 (1) ◽  
pp. 21-33
Author(s):  
Insan Praditya Anugrah

The paper examines the comparative study of subaltern between Papua in Indonesia’s New Order era and Rohingya in Myanmar during military rule. In Indonesia, the Papuan case is an example of how the centralistic military regime treats Papuan ethnic as an object and treats them as “the others” rather than considers them as a part of the “Indonesian entity” as the subject itself. Meanwhile, in Myanmar, Rohingya case is an example of how the centralistic military junta regime treats Rohingya ethnic as “the others” and considers them as foreigners in Myanmar. This paper found a significant difference between the treatment of the Indonesian military regime towards Papuan ethnic and the treatment of the Myanmar military junta regime towards Rohingya ethnic. In Indonesia, the military regime acknowledges Papuan as a citizen of Indonesia. However, the regime considers Papuan as the “different other” nonetheless. Their different race and ethnicity from Java and Malay ethnic as the majority ethnic are not the subjects of the cause, yet it is caused by Papuan traditional behavior which is regarded as “backward” as by the central regime. Meanwhile in Myanmar, since the enforcement of citizenship law in 1982, the military regime clearly does not acknowledge Rohingya from state citizenship because of their identities, such as religion and Rohingya's historical background.


2021 ◽  
Vol 37 (7) ◽  
Author(s):  
Jianghua Jia ◽  
Qingsong Meng ◽  
Ming Zhang ◽  
Jinchun Qi ◽  
Dongbin Wang

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.


Sign in / Sign up

Export Citation Format

Share Document