scholarly journals Comparison of the Effects of Minimally Invasive Percutaneous Nephrolithotomy and Open Surgery on Kidney Stones

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Shrestha Navin ◽  
Huanchun Hu
Keyword(s):  
Minimally Invasive ◽  
Percutaneous Nephrolithotomy ◽  
Kidney Stones ◽  
Open Surgery ◽  
Control Group ◽  
Observation Group ◽  
Intraoperative Blood Loss ◽  
Stone Clearance ◽  
Minimally Invasive Percutaneous Nephrolithotomy ◽  
The Difference

Objective: To compare the treatment effects of minimally invasive percutaneous nephrolithotomy and open surgery on kidney stones. Methods: From November 2018 to November 2019, 80 patients with kidney stones who were treated in our hospital were selected and divided into two groups according to the random number table method. Each group contained 40 patients. The patients in control group were treated with open surgery while the patients in observation group were treated with minimally invasive percutaneous nephrolithotomy. The surgical indicators, rate of stone removal, and adverse events were compared between the two groups. Results: There was no statistically significant difference in surgical time between the two groups (P>0.05). Compared with the control group, the observation group had less intraoperative blood loss and shorter hospital stay, and the differences were statistically significant (P<0.05). The stone clearance rate (95.00%) in the observation group was higher than that in the control group (77.50%), and the difference was statistically significant (P<0.05). Compared with the control group, the incidence of postoperative adverse effects was lower in the observation group, and the difference was statistically significant (P<0.05). Conclusion: Minimally invasive percutaneous nephrolithotomy for kidney stones is effective in reducing the intraoperative blood loss, shortening the length of hospital stay, improving the rate of stone clearance and reducing the occurrence of adverse effects. Therefore, this treatment method should be promoted for clinical use.

scholarly journals More Minimally Invasive Percutaneous Nephrolithotomy in Adult Patients with Kidney Stones

2021 ◽  
pp. 221-224
Author(s):  
Bülent KATI ◽  
Adem TUNÇEKİN ◽  
İbrahim Halil ALBAYRAK ◽  
Muhammed Nur KARADENİZ ◽  
Halil ÇİFTÇİ
Keyword(s):  
Minimally Invasive ◽  
Percutaneous Nephrolithotomy ◽  
Kidney Stones ◽  
Adult Patients ◽  
Minimally Invasive Percutaneous Nephrolithotomy

scholarly journals A Comparative Study on the Efficacy between Minimally Invasive Caries Removal Technique involving Carisolv and Traditional Mechanical Caries Removal in Treating Dental Caries in Children

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Jiaying Song
Keyword(s):  
Dental Caries ◽  
Minimally Invasive ◽  
Recovery Time ◽  
Control Group ◽  
Observation Group ◽  
Research Subjects ◽  
Removal Method ◽  
Caries Removal ◽  
The Difference ◽  
Removal Technique

Objective: To explore the curative effect of Carisolv, a minimally invasive caries removal technique and traditional mechanical caries removal treatment on children's dental caries. Methods: A total of 97 children with dental caries who were treated in the Department of Stomatology in Affiliated Hospital of Chifeng University, Chifeng from September 2017 to May 2019 were selected and recruited as the research subjects. They were divided into two groups by random number table method. Forty-nine individuals were assigned in the control group while the remaining 48 individuals in the observation group. The control group was treated with traditional mechanical caries removal method, and the observation group was treated with minimally invasive caries removal technique, i.e. Carisolv. Both groups were followed up for six months. The degree of pain, recovery time of dental function and complications after six months of treatment were observed in the two groups of children. Results: During the treatment, compared with the control group, the children in the observation group experienced lower degree of pain and had shorter recovery time of dental function. After six months of treatment, the incidence of complications in the observation group was lower than that in the control group. The difference was statistically significant (P<0.05). Conclusion: Compared with traditional mechanical caries removal method, Carisolv, a minimally invasive caries removal technique could reduce the pain of children during the treatment process, shorten the time to restore dental function, reduce the occurrence of complications, and had a better therapeutic effect in treating children’s dental caries.

scholarly journals Comparison of the Effect of Combined Cardiovascular Dexmedetomidine and Propofol in Minimally Invasive axillary Odor Surgery with Tumescent Anesthesia

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Chunfei Xu ◽  
Xiaoying Gao
Keyword(s):  
Postoperative Complications ◽  
Minimally Invasive ◽  
Postoperative Recovery ◽  
Control Group ◽  
Observation Group ◽  
Tumescent Anesthesia ◽  
Arterial Blood ◽  
Before And After ◽  
The Difference ◽  
Axillary Odor

Objective: The effects of combined dexmedetomidine hydrochloride and propofol in minimally invasive axillary odor surgery with tumescent anesthesia. Methods: A total of 46 patients underwent minimally invasive axillary odor surgery by tumescent anesthesia received in the hospital from May 2017 to January 2019 were divided into observation group (23 cases) and control group (23 cases) according to the random number table method. The control group used propofol, and the observation group underwent minimally invasive axillary odor combined with dexmedetomidine hydrochloride by tumescent anesthesia. The changes of arterial blood pressure (MAP), heart rate (HR) and postoperative complications before and after anesthesia were compared and analyzed between the two groups. Results: After anesthesia, MAP and HR in both groups were lower than before anesthesia, and the observation group was lower than the control group, the difference was statistically significant (P<0.05). Compared with the control group, the postoperative complications were less in the observation group, but the difference was not statistically significant (P>0.05). Conclusion: Compared with the use of propofol, the effect of dexmedetomidine hydrochloride combined with minimally invasive axillary odor surgery by tumescent anesthesia is more obvious, and the postoperative recovery is faster with fewer complications.

scholarly journals Clinical effect of minimally invasive aspiration and drainage of intracranial hematoma in the treatment of cerebral hemorrhage

2021 ◽  
Vol 38 (1) ◽  
Author(s):  
Chao Deng ◽  
Yuanling Ji ◽  
Wei Song ◽  
Jingfang Bi
Keyword(s):  
Minimally Invasive ◽  
Cerebral Hemorrhage ◽  
Clinical Effect ◽  
Statistical Significance ◽  
Control Group ◽  
Efficacy Rate ◽  
Observation Group ◽  
Intracranial Hematoma ◽  
Significant Difference ◽  
The Difference

Objectives: To explore the clinical value of minimally invasive aspiration and drainage of intracranial hematoma in the treatment of cerebral hemorrhage. Methods: Seventy-eight patients with cerebral hemorrhage who were treated in the Taian City Central Hospital and the Second Affiliated Hospital of Shandong First Medical University between June 2018 and December 2019 were selected. The patients were randomly numbered and divided into two groups by drawing lots, 39 in each group. The control group was treated with the traditional internal medicine conservative therapy, and the observation group was treated with minimally invasive intracranial hematoma aspiration and drainage. The indexes of the two groups were compared. Results: The efficacy rate of the observation group was significantly higher than that of the control group, and the difference was statistically significant (P<0.05). The National Institutes of Health Stroke Scale (NIHSS) score of the observation group was lower than that of the control group after treatment, and the difference was statistically significant (P<0.05). After treatment, the good recovery rate of the observation group was higher compared to the control group, and the difference had statistical significance (P<0.05). The incidence of complications in the observation group was lower than that of the control group, with a statistically significant difference (P<0.05). Conclusion: In the treatment of cerebral hemorrhage, minimally invasive intracranial hematoma aspiration and drainage facilitates the recovery of patients, promotes the improvement of neurological function, and has a high safety profile and an ideal prognostic quality. doi: https://doi.org/10.12669/pjms.38.1.4618 How to cite this:Deng C, Ji Y, Song W, Bi J. Clinical effect of minimally invasive aspiration and drainage of intracranial hematoma in the treatment of cerebral hemorrhage. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.4618 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.

scholarly journals Observation of Clinical Treatment Effect of Plastic Surgery of Asymmetric Double Eyelids

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Liang Gao ◽  
Shuang Xu ◽  
Miao Zhang ◽  
Jing Chen ◽  
Li Ma
Keyword(s):  
Blood Loss ◽  
Plastic Surgery ◽  
Operation Time ◽  
Healing Time ◽  
Control Group ◽  
Observation Group ◽  
Intraoperative Blood Loss ◽  
Incision Size ◽  
The Difference ◽  
Double Eyelid

Objective: To explore the clinical efficacy of plastic surgery of asymmetric double eyelid. Methods: The clinical data of 70 patients with asymmetrical double eyelid who underwent plastic surgery in our hospital from April 2018 to December 2019 were retrospectively analyzed. The patients were divided into different groups based on different plastic surgery procedures. The control group (n=35 cases) were the patients who underwent double eyelid incision method, and the patients who used embedding double eyelid method were included in the observation group (n=35 cases). The operation time, intraoperative blood loss, incision size, healing time of incision, satisfaction of plastic surgery and occurrence of complications were compared between the two groups. Results: The operation time and incision healing time of the observation group were shorter than those of the control group. The intraoperative blood loss and incision were less than those of the control group, and the satisfaction was higher than that of the control group. The difference was statistically significant (P<0.05). The incidence of complications in the observation group was slightly lower than the control group, but the difference was not statistically significant (P>0.05). Conclusion: For asymmetric double eyelid, it should undergo embedding double eyelid plastic surgery, because the operation time and incision healing time are shorter. And intraoperative blood loss and incision size are smaller, which can improve patient satisfaction and reduce the incidence of complications.

1704: Treatment of Staghorn Calculi by Chinese Minimally Invasive Percutaneous Nephrolithotomy

2006 ◽  
Vol 175 (4S) ◽  
pp. 548-548
Author(s):  
Xun Li ◽  
Guohua Zeng ◽  
Jian Yuan ◽  
Chichang Shan ◽  
Kaijun Wu ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Percutaneous Nephrolithotomy ◽  
Staghorn Calculi ◽  
Minimally Invasive Percutaneous Nephrolithotomy

scholarly journals A non-bioartificial liver support system combined with transplantation in HBV-related acute-on-chronic liver failure

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Peng Li ◽  
Xi Liang ◽  
Shan Xu ◽  
Ye Xiong ◽  
Jianrong Huang
Keyword(s):  
Survival Rate ◽  
Blood Loss ◽  
Liver Failure ◽  
Control Group ◽  
Observation Group ◽  
Intraoperative Blood Loss ◽  
Chronic Liver Failure ◽  
Short Term ◽  
Liver Support ◽  
Liver Support System

AbstractWe aim to determine the impact of an artificial liver support system (ALSS) treatment before liver transplantation (LT), and identify the prognostic factors and evaluate the predictive values of the current commonly used ACLF prognostic models for short-term prognosis after LT. Data from 166 patients who underwent LT with acute-on-chronic liver failure (ACLF) were retrospectively collected from January 2011 to December 2018 from the First Affiliated Hospital of Zhejiang University School of Medicine. Patients were divided into two groups depending on whether they received ALSS treatment pre-LT. In the observation group, liver function tests and prognostic scores were significantly lower after ALSS treatment, and the waiting time for a donor liver was significantly longer than that of the control group. Both intraoperative blood loss and period of postoperative ICU care were significantly lower; however, there were no significant differences between groups in terms of total postoperative hospital stays. Postoperative 4-week and 12-week survival rates in the observation group were significantly higher than those of the control group. Similar trends were also observed at 48 and 96 weeks, however, without significant difference. Multivariate Cox regression analysis of the risk factors related to prognosis showed that preoperative ALSS treatment, neutrophil–lymphocyte ratio, and intraoperative blood loss were independent predicting factors for 4-week survival rate after transplantation. ALSS treatment combined with LT in patients with HBV-related ACLF improved short-term survival. ALSS treatment pre-LT is an independent protective factor affecting the 4-week survival rate after LT.

scholarly journals Safety and efficacy of Chinese minimally invasive percutaneous nephrolithotomy in the management of renal stones ≤ 2 cm: a single-center experience

2019 ◽  
Vol 25 (1) ◽  
Author(s):  
Elsayed M. Salih ◽  
Ibrahim Elsotohi ◽  
Hisham Elhelaly ◽  
Mohamed Elsalhy ◽  
Mourad M. Mourad
Keyword(s):  
Minimally Invasive ◽  
Percutaneous Nephrolithotomy ◽  
Renal Stone ◽  
Renal Stones ◽  
Stone Size ◽  
Intraoperative Complication ◽  
Safety And Efficacy ◽  
Single Center Experience ◽  
Minimally Invasive Percutaneous Nephrolithotomy ◽  
The Mean

Abstract Background The goal for using smaller caliber instruments in PNL was to reduce the access-related complications and to decrease morbidity. The objective of this study was to evaluate the safety and efficacy of Chinese minimally invasive percutaneous nephrolithotomy (MIPNL) in the treatment of renal stones ≤ 20 mm. Results Sixty-seven patients completed the study protocol. The mean age was 41.10 ± 13.99 years (range 18–68 years). There were 43 (64%) male and 24 (36%) females. The mean stone size was ranged from 78.5 to 439.6 mm2 (mean ± SD 172.48 ± 69.54 mm2). The overall SFR was (82%). Twelve (18%) needed post-MIPNL auxiliary procedure, in the form of second MIPNL in 3 (4.5%) cases, SWL in 7 (10%), and RIRS in 2 (3%) cases. The intraoperative complication was present in four patients (5%) include bleeding necessitate blood transfusion in one patient (1.5%) and renal collecting system perforation 3 (4.5%). The postoperative complication was urine leakage 5 (7.5) and fever in 6 (9%) of patients. Conclusion Chinese MIPNL is safe and effective method for treatment of renal stone ≤ 20 mm size with satisfactory SFR and low complication rate when SWL failed or contraindicated. It is considered a feasible treatment alternative to standard PNL, in the absence of flexible URS or miniature nephroscope.

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