Comparative Study between Fistulectomy and Seton in Fistula in ANO Regarding Healing and Postoperative Complications

There are presented results of surgical treatment of 347 patients with colorectal cancer. Based on the retrospective analysis a comparative study of results of surgical treatment for colorectal cancer using laparoscopic technologies and “open” access was carried out. Predictive factors that correlate with the risk of postoperative complications with laparoscopic and “open” access at the surgical stage of treatment for colorectal cancer were determined.

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Modified Lift Versus Cutting Seton for Transphincteric Fistula -Experience at Tertiary Care Hospital

10.53350/pjmhs2115123257 ◽

2021 ◽

Vol 15 (12) ◽

pp. 3257-3260

Author(s):

Muhammad Najam Iqbal ◽

Ashfaq Nasir

Keyword(s):

Comparative Study ◽

Anal Incontinence ◽

Complete Healing ◽

Fistula Tract ◽

Fistula Closure ◽

Fistula In Ano ◽

Group A ◽

Prospective Comparative Study ◽

Cutting Seton ◽

Group B

Background: Fistula in ano is a common disease which has high recurrence rate and high fecal incontinence rate after surgery. We compared modified LIFT (Ligation of the intersphincteric fistula tract (LIFT) through lateral approach ) with cutting seton for transphincteric fistula. Aim: This study is aimed at which procedure is better with respect to postoperative complications Study design: It was a prospective comparative study. Methods: This was a prospective comparative study from 01-01-2019 to 30-06-2021 which was conducted on 50 patients who presented with transsphincteric fistula in ano (FIA) in surgical ward of Bahawal Victoria Hospital Bahawalpur. Patients were divided into two groups .Patients of Group A underwent modified lift procedure and patients of group B underwent cutting seton procedure. Data was collected on a proforma which included patients’ name ,age ,sex, age group, comorbid disease like diabetes mellitus ,chronic liver disease, cardiovascular disease and chronic renal failure, fistula tract involving less than 50% or more than 50% external sphincter ,procedure done, healing time of wound, complications like recurrence and incontinence. Patients were followed for 6 months for healing rate ,recurrence and incontinence. Data was analysed on spss 22 version Results: In Group A, complete healing (fistula closure without recurrence) was achieved in 20 patients (80%) out of 25. There was no case of anal incontinence after the procedure. 5 (20%) patients experienced recurrence in 6 months . In Group B, complete healing (fistula closure without recurrence) was achieved in 21 patients (84%), in 6 months follow up . 4(16%) patients were diagnosed as a case of anal incontinence. There were 4 (16%) patients with recurrence. Conclusion: Modified LIFT is better in terms of incontinence where as cutting seton is better in terms of recurrence.it is suggested that for high lying fistula modified LIFT is better procedure and for low lying fistula involving less than 50% sphincter cutting seton is better procedure.. Keywords: Modified LIFT (ligation of ineter sphincteric fistula tract) ,Cutting seton , transphincteric fistula.

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Comparative study of postoperative complications in elective versus emergency laparotomy at JSS hospital

International Journal of Surgery Science ◽

10.33545/surgery.2020.v4.i2d.423 ◽

2020 ◽

Vol 4 (2) ◽

pp. 233-236

Author(s):

Dr. N Ravishankar ◽

Dr. Sujit Kumar Sah ◽

Dr. Shivkumar S ◽

Dr. Arjun MV ◽

Dr. Madhava Shenoy

Keyword(s):

Postoperative Complications ◽

Comparative Study ◽

Emergency Laparotomy

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Comparative Study of Fistulectomy and Fistulotomy in the Management of Fistula-in-ano

New Indian Journal of Surgery ◽

10.21088/nijs.0976.4747.10419.10 ◽

2019 ◽

Vol 10 (4) ◽

pp. 407-413

Author(s):

Bijaya Kumar Sethi ◽

◽

Kalpana Vineet ◽

Yogesh T ◽

Sidduraj C Sajjan ◽

...

Keyword(s):

Comparative Study ◽

Fistula In Ano

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Comparative study of Nyagrodha Ksheer Sutra and Snuhi Ksheer Sutra in the management of Bhagandar (Fistula-in-Ano)

Journal of Indian System of Medicine ◽

10.4103/jism.jism_30_20 ◽

2020 ◽

Vol 8 (3) ◽

pp. 177

Author(s):

DhananjayD Deshmukh ◽

KiranB Khandare ◽

PoojaP Shrivastav ◽

NehaS Chavhan

Keyword(s):

Comparative Study ◽

Fistula In Ano

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Comparative Study of Postoperative Complications Associated With Modified Indiana Pouch in Elderly Versus Younger Patients

The Journal of Urology ◽

10.1016/s0022-5347(01)66849-6 ◽

1995 ◽

Vol 154 (4) ◽

pp. 1325-1328 ◽

Cited By ~ 16

Author(s):

Joseph D. Navon ◽

Alan K. Wong ◽

Alan C. Weinberg ◽

Thomas E. Ahlering

Keyword(s):

Postoperative Complications ◽

Comparative Study ◽

Younger Patients ◽

Indiana Pouch

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Ultrasonic Shear Device versus Monopolar Electric Cautery in Conservative Breast Surgery Following Neoadjuvant Chemotherapy: A Comparative Study

10.21203/rs.3.rs-409844/v1 ◽

2021 ◽

Author(s):

Islam Khaled ◽

Ihab Saad ◽

Hany Soliman ◽

Mohammed Faisal

Keyword(s):

Postoperative Complications ◽

Focus Group ◽

Neoadjuvant Chemotherapy ◽

Comparative Study ◽

Lymph Node Biopsy ◽

Drain Removal ◽

Harmonic Focus ◽

Lower Volume ◽

Monopolar Electrocautery ◽

Ultrasonic Shear

Abstract Background: Surgical devices are commonly used during breast-conservative surgery (BCS) to provide better hemostasis. Ultrasonic shear has recently gained momentum as an effective tool for intraoperative bleeding reduction. This comparative study was designed to determine the efficacy of Harmonic focus in reducing postoperative complications of BCS following neoadjuvant chemotherapy (CTH), in comparison to the conventional method using monopolar diathermy.Methods: We conducted a prospective, non-randomized, comparative, study on patients scheduled to undergo BCS with axillary dissection or sentinel lymph node biopsy after neoadjuvant CTH. Patients were recruited consecutively throughout the study period and were divided in an equal manner to undergo either monopolar electrocautery or Harmonic focus®.Results: Patients in the Harmonic Focus group had significantly shorter operative time than the monopolar electrocautery group (101.32 ± 27.3 versus 139.3 ± 31.9 minutes, respectively; p <0.001). Besides, the blood loss was significantly lower in the Harmonic Focus group (117.14 ± 35.6 versus 187 ± 49.8mL, respectively; p <0.001). Postoperatively, patients in the Harmonic Focus group had a significantly lower volume of chest wall drain (p <0.001) and shorter rime till drain removal (p <0.001). Likewise, patients in the Harmonic Focus group had a significantly lower volume of axillary drain and shorter rime till drain removal than monopolar electrocautery (p <0.001). The incidence of postoperative complications was comparable between both groups (p =0.128). Conclusions: In conclusion, the current study confirms the superiority of Harmonic Focus, compared to monopolar electrocautery, amongst patients receiving neoadjuvant CTH before BCS.

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Comparative Study of Surgical Management of Low Fistula- In- Ano between Fistulotomy & Fistulectomy and Its Outcome

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v6i1.41 ◽

2018 ◽

Vol 6 (1) ◽

Cited By ~ 1

Author(s):

Dr Amit Mittal ◽

Keyword(s):

Comparative Study ◽

Surgical Management ◽

Fistula In Ano

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Intraoperative and Postoperative Outcomes of Harmonic Focus Versus Monopolar Electrocautery after Neoadjuvant Chemotherapy in Breast Conservative Surgery: A Comparative Study

10.21203/rs.3.rs-820715/v1 ◽

2021 ◽

Author(s):

Islam Khaled ◽

Ihab Saad ◽

Hany Soliman ◽

Mohammed Faisal

Keyword(s):

Postoperative Complications ◽

Focus Group ◽

Neoadjuvant Chemotherapy ◽

Comparative Study ◽

Conservative Surgery ◽

Breast Conservative Surgery ◽

Drain Removal ◽

Harmonic Focus ◽

Lower Volume ◽

Monopolar Electrocautery

Abstract Background: Surgical devices are commonly used during breast conservative surgery (BCS) to provide better hemostasis. The Harmonic scalpel has recently gained momentum as an effective tool for intraoperative bleeding reduction. This comparative study was designed to determine the efficacy of Harmonic Focus in reducing postoperative complications of BCS after neoadjuvant chemotherapy (NCTH) compared to the conventional method using monopolar diathermy.Results: A prospective, nonrandomized, comparative study was conducted on patients scheduled to undergo BCS with axillary dissection after NCTH. Patients in the Harmonic Focus group had significantly shorter operative times than the monopolar electrocautery group (101.32 ± 27.3 vs. 139.3 ± 31.9 min, respectively; p < 0.001). Besides, blood loss was significantly lower in the Harmonic Focus group (117.14 ± 35.6 vs. 187 ± 49.8 mL, respectively; p < 0.001). Postoperatively, patients in the Harmonic Focus group had a significantly lower volume of chest wall drain (p < 0.001) and shorter time until drain removal (p < 0.001). Likewise, patients in the Harmonic Focus group had a significantly lower volume of axillary drain and shorter time until drain removal than monopolar electrocautery (p < 0.001). The incidence of postoperative complications was comparable between both groups (p = 0.128).Conclusions: This study confirmed the superiority of Harmonic Focus compared to monopolar electrocautery among patients receiving NCTH before BCS.

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