Major in Hospital Complications and Duration of Hospital Stay in a Comparative Study between a Multimodal Analgesia Regimen Versus IV Morphine Analgesia after Open-Cardiac Surgeries

Background: The study was conducted to compare and assess the duration of procedure, complications encountered, post-operative pain and recovery, duration of hospital stay, and time taken in resumption to work between two techniques of open Lichtenstein mesh repair (OLMR) and Totally extra peritoneal (TEP) repair in the low resource settings.Methods: A cross sectional comparative study was conducted among 50 male patients admitted for surgical repair of hernia. After considering the inclusion and exclusion criteria, the subjects were randomly assigned to the groups of OLMR and TEP and were assessed for pain in the post-operative period was rated using a Visual Analogue Scale. Total duration of the procedure, complications, duration of hospital stay, and time taken in resumption to work were elicited between two techniques. A p-value of <0.05 was taken as statistically significant.Results: The mean duration of surgery among the study participants in TEP (49.60+3.62 mins) group was significantly higher compared to OLMR (45.96+4.63 mins) group (p=0.003). The median of post-operative pain scores in TEP group was significantly lower compared to OLMR group. The mean duration of post-operative recovery time (3.08+0.4 days), for resumption to work (5.08+0.28 days) among the study participants in TEP group was significantly lower compared to OLMR (5.00+0.00 days), (10.08+0.76 days) (p<0.001) respectively. The complications were significantly higher among the OLMR group (100.0%) compared to the TEP group (p<0.05).Conclusions: Though the procedure of TEP repair for inguinal hernia takes a little longer time and complications of general anaesthesia cannot be ruled out, it is a better procedure compared to open type.

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A COMPARATIVE STUDY OF PERCUTANEOUS NEEDLE ASPIRATION AND CATHETER DRAINAGE IN MANAGEMENT OF LIVER ABCESS

10.36106/paripex/2801535 ◽

2021 ◽

pp. 1-2

Author(s):

Haresh G. Memariya ◽

Rajnish R. Patel ◽

Hitendra K. Desai ◽

Rajesh K. Patel ◽

Deep N. Patel ◽

...

Keyword(s):

Comparative Study ◽

Hospital Stay ◽

Percutaneous Drainage ◽

Treatment Effectiveness ◽

Needle Aspiration ◽

Percutaneous Catheter Drainage ◽

Common Disease ◽

Catheter Drainage ◽

Duration Of Hospital Stay ◽

Percutaneous Catheter

Modern management of liver abcess include a combination of percutaneous Needle aspiration or percutaneous Catherter drainage along with intravenous antibiotic .Liver abcess is common disease in india, if not treated properly can lead to hazardous complication. MATERIAL AND METHOD; This was comparative study of 30 patient from august 2018 to August2020 in civil hospital ahmedabad. Randomization was done and dived into two groups of 25 each and assigned two group as percutaneous Catherter drainage and needle aspiration. Both groups were given intravenous antibiotics for 7 days .Both modalities were performed under guidance of ultrasound imaging. Needle aspiration was repeated for three times and if size of abcess cavity not reduced to half consider as failure of treatment. Effectiveness of treatment measured in term of days to achieve clinical improvement, total/near total resolution of abcess cavity and duration of hospital stay. RESULT; Needle aspiration was successful in 13 out of 15,whereas percutaneous drainage was successful in 14 out of 15.Duration of hospital stay were significantly lower in percutaneous drainage.one patient with needle aspiration developed subcapsular hematoma. CONCLUSION; We can conclude that percutaneous drainage is better modality is better modality as compared to needle aspiration in medium to large size liver abcess. The duration of hospital stay is comparatively lower in percutaneous drainage and days of clinical relief were earlier in percutaneous drainage. This study also verify that both were adequately effective in the treatment of liver abcess. *AIM OF THE STUDY To compare the effectiveness of percutaneous catheter drainage and percutaneous needle aspiration in management of liver abcess.

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COMPARATIVE STUDY OF LRINEC SCORE: PROCALCITONIN AND LRINEC SCORE: C-REACTIVE PROTEIN IN PREDICTING DURATION OF HOSPITAL STAY AND SEVERITY IN NECROTISING FASCIITIS

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2016/754 ◽

2016 ◽

Vol 5 (51) ◽

pp. 3248-3251

Author(s):

Manoj Gowda Avalahalli ◽

Pavan Kumar Muniraja ◽

Mohammed Suhail Khalid ◽

Kavitha Kaverappa ◽

Lakshmi Devaraj ◽

...

Keyword(s):

Comparative Study ◽

Hospital Stay ◽

Necrotising Fasciitis ◽

C Reactive Protein ◽

Reactive Protein ◽

Duration Of Hospital Stay ◽

Lrinec Score

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A comparative study of single layer extra mucosal versus conventional double layer anastomosis of intestines in elective and emergency laparotomy

International Surgery Journal ◽

10.18203/2349-2902.isj20195966 ◽

2019 ◽

Vol 7 (1) ◽

pp. 184

Author(s):

K. Lohit Sai ◽

C. Sugumar

Keyword(s):

Comparative Study ◽

Hospital Stay ◽

Anastomotic Leak ◽

Double Layer ◽

Single Layer ◽

Duration Of Hospital Stay ◽

Key Skills ◽

Group A ◽

The Difference ◽

Group B

Background: Gastrointestinal anastomosis has been a part of research since decades and is one of the key skills in surgeon’s armamentarium. This study compared the outcome of single layer anastomosis with double layer anastomosis.Methods: The study was designed as a prospective comparative study and 29 cases were included in the study during December 2016 to September 2017, who consented for being part of the study. Patients were alternatively allotted into the either group. Group A underwent single layer anastomosis and Group B underwent double layer anastomosis. Outcome parameters were analysed in the form of ‘duration required to perform anastomoses, ‘duration of hospital stay’ and ‘dnastomotic leak.Results: Mean duration required to perform anastomosis in Group A is 21.64±1.60 minutes and in Group B is 29.6±2.02 minutes. The difference between the mean duration required for anastomosis between the two groups were statistically significant (p<0.005). Mean duration of hospital stay in Group A was 12.35±1.72 days and Group B was 12±2.44 days (difference was statistically insignificant), 3 (10%) cases in Group A and 2 (6.8 %) cases in Group B developed anastomotic leak and the difference was statistically insignificant.Conclusions: Our study concluded that there is statistically significant difference between the single layer anastomosis and double layer anastomosis in terms of time taken to perform anastomosis, however there is no difference in postoperative anastomotic leak and duration of hospital stay.

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A comparative study of suturing technique of intestine between extra-mucosal single layer interrupted and continuous all layers: a single center experience

International Surgery Journal ◽

10.18203/2349-2902.isj20213652 ◽

2021 ◽

Author(s):

Manoranjan Kar ◽

Somu Singhal ◽

Bismoy Mondal ◽

Arijit Roy

Keyword(s):

Comparative Study ◽

Hospital Stay ◽

Intestinal Anastomosis ◽

Single Layer ◽

P Value ◽

Bowel Anastomosis ◽

Duration Of Hospital Stay ◽

Group A ◽

The Mean ◽

Group B

Background: Gastrointestinal anastomosis has been excited interest in our day to day surgical practice. We have compared efficacy, advantages, disadvantages, and complications following intestinal resection-anastomosis using extra-mucosal interrupted single layer suturing or continuous all layer suturing.Methods: This comparative study included 50 cases (either in emergency or elective undergoing bowel resection and anastomosis), comprising of 2 Groups (25 cases in each Group) between January 2019 to June 2021 at Midnapore Medical College and Hospital. Patients data, operative findings, duration of anastomosis and length of hospital stay, post-operative complications of all patients were followed till discharge.Results: Our comparative study have shown that- the mean duration for intestinal anastomosis in Group A (extra-mucosal interrupted single layer) and Group B (continuous all layers) were 21.43 minutes and 14.35 respectively. Considering duration of the anastomosis continuous all layers intestinal anastomosis appears to represent in shorter duration, anastomotic leak was noted in 3 patients (6%). Anastomotic leak was observed in 1 patient extra-mucosal interrupted single layer bowel anastomosis whereas two patients in the Group of continuous all layered bowel anastomosis had leak (p value 0.5-not significant) and the mean duration of hospital stay in the Group A and Group B were 7.32 days and 7.92 days respectively. (p value -insignificant).Conclusions: Duration required to perform a continuous all layer bowl anastomosis is lesser when compared to an extra-mucosal interrupted single layer intestinal anastomosis. There is no significant difference in complications, final outcome and duration of hospital stay between two Groups.

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BLUNT ABDOMINAL TRAUMA WITH HAEMOPERITONEUM TREATED BY EXPLORATORY LAPAROTOMY VERSUS ONLY ABDOMINAL DRAINAGE: A PROSPECTIVE AND COMPARATIVE STUDY.

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i1.842 ◽

2020 ◽

Vol 4 (1) ◽

Author(s):

Dhawal Panchal ◽

Firdaus Dekhaiya ◽

Harin Tailor

Keyword(s):

Hospital Stay ◽

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Exploratory Laparotomy ◽

Blunt Injury ◽

Abdominal Drainage ◽

Duration Of Hospital Stay ◽

Considerable Morbidity ◽

Injured Patients

In today’s mechanized world, Blunt Abdominal Trauma (BAT) is a common emergency which is associated with considerable morbidity and mortality. More than 75% of abdominal traumas are blunt in nature and liver and spleen are the commonest organs to be injured as a result of BAT. The aim is to analyse and compare two groups of patient of blunt abdominal trauma managed conservatively with drainage and one by exploratory laparotomy. 50 cases of blunt abdominal trauma were taken. The patient were studied which includes age ,sex, mode of injury, initial vitals on presentation, Mortality in each group, duration of hospital stay, pre interventions and post interventions state and requirements, complications and follow up. It was observed 48% of patients were in between age group ranging from 10 to 30. Overall in terms of sex ratio, males dominated the no. of cases. RTA was most common mode of trauma. Liver and spleen was most common organ to be injured. Patients managed by laparotomy had higher mortality rate, duration of hospital stay was more, and complication were more. Early diagnosis and repeated clinical examination and use of appropriate investigation form the key in managing blunt injury abdomen patients. Keywords: Blunt Abdominal Trauma, Haemoperitoneum , laparotomy , Abdominal Drainage.

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EVALUATION OF LONGO’S HEMORRHOIDECTOMY AT HUE UNIVERSITY HOSPITAL

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2012.6.10 ◽

2012 ◽

pp. 79-85

Author(s):

Van Lieu Nguyen ◽

Doan Van Phu Nguyen ◽

Thanh Phuc Nguyen

Keyword(s):

Hospital Stay ◽

Perioperative Complications ◽

University Hospital ◽

Anal Pain ◽

Stapled Hemorrhoidectomy ◽

Fourth Degree ◽

Duration Of Hospital Stay ◽

The Mean ◽

Good For

Introduction: Since Longo First described it in 1998, Stapled Hemorrhoidectomy has been emerging as the procedure of choice for symtomatic hemorrhoid. Several studies have shown it to be a safe, effective and relative complication free procedure. The aim of this study was to determine the suitability of (SH) as a day cas procedure at Hue University Hospital. Methods: From Decembre 2009 to April 2012, 384 patients with third- degree and fourth-degree hemorrhoids who underwent Stapled Hemorrhoidectomy were included in this study. Parameters recorded included postoperative complications, analegic requirements, duration of hospital stay and patient satisfaction. Follow-up was performed at 1 month and 3 months post-operative. Results: Of the 384 patients that underwent a Stapled Hemorrhoidectomy 252 (65,7%) were male and 132 (34,3%) were female. The mean age was 47,5 years (range 17-76 years. Duration of hospital stay: The mean day was 2,82 ± 1,15 days (range 1-6 days). There were no perioperative complications. There was one case postoperative complication: hemorrhage; Follow-up after surgery: 286 (74,4%) patients had less anal pain, 78 (20,3%) patients had moderate anal pain, 3 (0,8%) patients had urinary retention; Follow-up after one month: good for 325 (84,6%) patients, average for 59 (15,4%) patients; Follow-up after three months: good for 362 (94,3%) patients, average for 22 (5,7%) patients. Conclusion: Our present study shows that Stapled Hemorrhoidectomy is a safe, reduced postoperative pain, shorter hospital stay and a faster return to unrestricted daily activity

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321 Role of Antibiotics in Acute uncomplicated diverticulitis, A Systematic Review and Meta-Analysis

British Journal of Surgery ◽

10.1093/bjs/znab134.404 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

A A Tahir ◽

K M Ali ◽

A U Khan ◽

S Kamal ◽

A Hussain ◽

...

Keyword(s):

Systematic Review ◽

Statistical Analysis ◽

Treatment Failure ◽

Hospital Stay ◽

Meta Analysis ◽

Dietary Advice ◽

Duration Of Hospital Stay ◽

Uncomplicated Diverticulitis ◽

Acute Uncomplicated Diverticulitis

Abstract Introduction Diverticular disease is a common health problem with a wide clinical spectrum. About 75% of the patients would have uncomplicated diverticulitis. Cornerstones of treatment are antibiotics, analgesia, and dietary advice. Recent evidence has shown that its treatment is controversial, questioning the use of antibiotics. Aim is to assess the role of antibiotics in the treatment of acute uncomplicated diverticulitis. Method This is a systematic review and Meta-analysis. Literature review of the available studies was conducted using search engines like Pubmed, Medline, Embase, Google Scholar, and Cochrane databases. Statistical analysis was conducted using RevMan5.4. Results Out of 1754 records 1324 were duplicates, 430 studies were screened. 395 were further excluded.35 full text articles were assessed and in the final review 10 studies were included. PRISMA guidelines were used. Pooled OR for recurrence = 0.92 (95% CI = 0.74 to 1.13). Pooled OR for Hospital stay= -0.66 (95% CI= -1.12 to -0.21). Pooled OR for complications = 1.06 (95% CI = 0.69 to 1.64). Pooled OR for treatment failure= 1.24 (95% CI = 0.90-1.69). Conclusions We conclude that from the available evidence antibiotics have no role in reducing recurrence, complications, treatment failure, and duration of hospital stay in acute uncomplicated diverticulitis.

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