scholarly journals The results of using the original technique of testicular fixation with transscrotal approach in the surgery of cryptorchidism in children

2021 ◽  
Vol 14 (1) ◽  
pp. 151-155
Author(s):  
M.I. Kogan ◽  
◽  
A.G. Makarov ◽  
V.V. Sizonov ◽  
I.M. Kagantsov ◽  
...  
Keyword(s):  
Postoperative Period ◽  
Spermatic Cord ◽  
Original Method ◽  
Testicular Atrophy ◽  
Fixation Technique ◽  
Chi Square ◽  
Group I ◽  
Chi Square Test ◽  
Group Ii ◽  
Student’S T

Introduction. Transscrotal orchiopexy is gradually gaining more and more adherents and expanding the boundaries of its use. At the stage of funiculolysis, the use of the transscrotal approach is accompanied by extensive dissection of the tunica dartos, which makes it almost impossible to use the Shoemaker technique for testicular fixation. The described situation determines the need to develop a testicular fixation technique with transscrotal approach (TA). Material and methods. The study included 186 patients operated on for unilateral inguinal cryptorchidism in the period from 2009 to 2019 using TA Left-sided cryptorchidism was in 76 (41%), right-sided in 110 (59%) boys. Group I – 89 (47.8%) patients operated on TA according to the Bianchi technique, the average age of patients was 45.9 ± 39.6 months. Group II – 97 (52.2%) patients, mean age 47.8 ± 41.6 months, operated on TA using an original method of testicular fixation, consisting in the formation of a cuff from subcutaneous adipose tissue around the spermatic cord by suturing it from superficial inguinal ring, above and below the spermatic cord in the caudal direction to the entrance to the scrotum. In the postoperative period, the volume and position of the gonads in the scrotum were assessed at 3, 6 and 12 months after surgery. To determine the significance of differences between the groups, Student's t-test and chi-square test were used. Results. Unsatisfactory position of the gonads in the postoperative period in group I was noted in 6 (9.5 %), in group II in 1 (1.16%) cases (p < 0.05). Testicular atrophy was detected in group I in 1 (1.59%) patient, in group II also in 1 (1.16%) patient (p> 0.05). The testicular hypotrophy index decreased after 12 months. In group I from 60.7 ± 21.2% to 44.3 ± 23.9%, in group II from 63.1 ± 19.4% to 43.8 ± 19.1%, (p < 0.05). Conclusions. The author's testicular fixation technique for transscrotal orchiopexy provides the safety of surgery comparable to the standard Bianchi and Squire technique, but higher efficiency in preventing testicular malposition after surgery.

scholarly journals POSTOPERATIVE NAUSEA AND VOMITING (PONV)

2010 ◽  
Vol 17 (03) ◽  
pp. 394-399
Author(s):  
ZULFIQAR ALI ◽  
TANVEER AHMAD ◽  
IRSHAD AHMAD ◽  
A G Rehan
Keyword(s):  
Placebo Group ◽  
Postoperative Period ◽  
Normal Saline ◽  
Postoperative Nausea And Vomiting ◽  
Complete Response ◽  
Chi Square ◽  
Dexamethasone Group ◽  
Group I ◽  
Chi Square Test ◽  
Group Ii

Objective: To evaluate the effect of preoperative single dose injection dexamethasone for prevention of PONV in patients undergoing laparoscopic cholecystectomy and comparing it with normal saline (placebo). Design: Experimental RCT study. Place and duration of study: The study was conducted at Madina Teaching hospital, University Medical & Dental College, Faisalabad from January, 2008 to October 2009. Materials and Methods: After approval from the hospital ethical committee, 200 patients with ASA I & II were included in the study. We divided the patients into two groups; group I received preoperative dexamethasone (8mg) and the group II received normal saline (placebo) 90 minutes before the surgery. Patients were observed for any episodes of nausea or vomiting, need for rescue antiemetics, and complete responses in the postoperative period. The complete response was defined as no nausea, no vomiting, and no ant emetic medicationduring a 24-h postoperative period. This was also the primary efficacy end point of the study. The data was analyzed using Pearson’s Chi square test with P < 0.05 taken as significant. Results: Nineteen patients (19%) in the dexamethasone group reported nausea, compared with 43 (43%) in placebo group (p<0.05). Eight patients (8%) in the dexamethasone group reported vomiting and twenty two patients (22%) in theplacebo group reported vomiting (P <0.05). In group I, thirteen patients (13%) asked for rescue anti-emetic where as in group II (placebo group) thirty six patients (36%) asked for rescue anti-emetic (p<0.05). Seventy three patients (73%) in the dexamethasone group showed a complete response, compared with 35 (35%) in placebo group (p<0.05). Conclusion: We concluded that preoperative dexamethasone (8mg) reducesthe incidence of PONV as compared to placebo. As it is a cheap, freely available drug causing no complications, it should be used in otherwise fit selected patients undergoing laparoscopic cholecystctomy.

To Compare Frequency of Sore Throat in Early Postop period in General Anesthesia and Endotracheal Intubation for Abdominal Surgeries who are given Dexamethasone and Normal Saline

2021 ◽  
Vol 15 (6) ◽  
pp. 1227-1229
Author(s):  
R. Farooqi ◽  
T. Iqbal ◽  
M. S. Mehmood ◽  
Z. Y. Bhatti ◽  
F. Liaquat
Keyword(s):  
General Anesthesia ◽  
Sore Throat ◽  
Endotracheal Intubation ◽  
Normal Saline ◽  
Controlled Study ◽  
Control Group ◽  
Chi Square ◽  
Group I ◽  
Chi Square Test ◽  
Group Ii

Aim: To Compare frequency of sore throat in early post operative period among patients undergoing general anaesthesia and endotracheal intubation for abdominal surgeries who are given dexamethasone and normal saline. Study Design: Randomized controlled study Setting: Department of Anesthesia/ ICU, Sheikh Zayed Hospital, Lahore Duration of study: Six months i.e. 25-09-2009 to 25-03-2010. Methodology: 120 patients undergoing elective general surgery on abdomen were selected. They were divided into two groups. Group I received dexamethasone 8mg (2ml) I/V pre-operatively and group II received 2ml normal saline I/V pre-operatively. Chi square test was used. Visual analogue (VAS) scale was used for recording sore throat. The VAS score ≤4 was considered as no sore throat and VAS scores>4 were considered as the sore throat. Results: Frequency of post-operative sore throat after the first 24 hours following GA and endotracheal intubation was lower in group (I) as compared to the control group (II). Eleven (20%) patients with dexamethasone had post-operative sore throat compared to thirty one (56.3%) patients in control group. (p<0.01). Conclusion: Pre-operative use of dexamethasone was associated with decreased incidence of post-operative sore throat. Keywords: Visual analogue scale (VAS), Post-operative sore throat, general anesthesia

scholarly journals Influence of apical foramen cleaning in the repair of periapical lesions

2011 ◽  
Vol 52 (1/3) ◽  
pp. 45-47
Author(s):  
Carolina Dos Santos Guimarães ◽  
Gerhilde Callou Sampaio ◽  
Élvia Barros de Almeida ◽  
Luciano Barreto Silva ◽  
Ana Paula Mourato ◽  
...  
Keyword(s):  
Root Canal ◽  
Endodontic Treatment ◽  
Periapical Lesion ◽  
Chi Square ◽  
Periapical Lesions ◽  
Group I ◽  
Significant Difference ◽  
Chi Square Test ◽  
Group Ii ◽  
One Year

Introduction: The present study sought to assess the effect of apical foramen cleaning in the repair of periapical lesions detected by radiography. Methods: The sample comprised 980 teeth collected from 25 February 1997 to 15 March 2005 which had been subjected to endodontic treatment and exhibited radiographically visible periapical lesions. The sample was then divided into two groups: Group I, 402 root canal treatments in which cleaning of the apical foramen had not been performed, and Group II, composed of the remaining 578 root canal treatments where the procedure had been performed. After one year, the teeth were clinically and radiographically evaluated. Results: In Group I, 360 canals (89.55%) had no evidence of periapical lesions, versus 521 (90.13%) in Group II. Partial presence of these lesions was observed in 23 canals (5.72%) in Group I versus 27 (4.67%) in Group II. No changes in images were observed in 19 (4.72%) canals in Group I and 30 in Group II. Pearson’s chi-square test showed no statistically significant difference between the Groups I and II (p = 0.732). Conclusions: These findings suggest that foramen cleaning is not a determinant of periapical lesion repair.

Frequency of Post Dural Puncture Headache with Quincke 25g and Quincke 27g Spinal Needle after Spinal Anaesthesia

2021 ◽  
Vol 15 (11) ◽  
pp. 3116-3118
Author(s):  
Gulsher . ◽  
Riffat Zahid ◽  
Syed Mehmood Ali ◽  
Muhammad Naveed Shahzad ◽  
Amer Latif ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Dural Puncture ◽  
P Value ◽  
Chi Square ◽  
Post Dural Puncture Headache ◽  
Group I ◽  
Chi Square Test ◽  
Randomized Control ◽  
Group Ii ◽  
The Difference

Objective: To compare the frequency of post dural puncture headache with Quincke 25G and Quincke 27G of spinal needles for spinal anesthesia. Design of the Study: It’s a Randomized control trial. Study Settings: This study was carried out Department of anesthesiology and Intensive Care Unit, Shaikh Zayed Hospital Lahore from 29-08-2020 to 01-03-2021. Material and Methods: In this prospective study 100 patients were enrolled who were decided to undergo spinal anesthesia. Two groups were made by randomization. In patients of group I, anesthesia was administered by using 25G quincke needle while 27G quincke needle was used for patients in group II. Evaluation of patients was with regard to development of postoperative PDPH within 3-days. Groups were compared by using Chi-square test and a P-value<0.05 was taken statistically significant. Results of the Study: PDHD was seen in 14 (28%) patients in group I and in 4 (8%) patients in group II. Statistically, the difference between the two groups was significant (p<0.05).. Conclusion: Due to less frequency of PDPH with 27G needle, it should be given preference for applying spinal anesthesia over 25G needle. Keywords: Spinal anesthesia, post dural puncture headache; quincle needle.

scholarly journals Effect of a Metal Primer on the Adhesive Interface between Composite and Lingual Brackets

2013 ◽  
Vol 14 (6) ◽  
pp. 1106-1108 ◽  
Author(s):  
Julio Pedra e Cal Neto ◽  
José de Albuquerque Calasans-Maia ◽  
Natalia Valli de Almeida ◽  
Helen Rohen ◽  
Maria Angélica Galvão Freire
Keyword(s):  
Testing Machine ◽  
Chi Square ◽  
Adhesive Interface ◽  
Indirect Bonding ◽  
Group I ◽  
Significant Difference ◽  
Group Ii ◽  
Prior Application ◽  
Student’S T ◽  
Lingual Brackets

ABSTRACT Aim To test the null hypothesis was that there is no difference in the shear strength of indirectly bonded lingual brackets with or without prior application of metal primer on their bases. Materials and methods Forty recently extracted human premolars were obtained and randomly divided into two groups of 20 each: group I (control), phosphoric acid and indirect bonding with Maximum Cure (Reliance Orthodontic Products, Itasca, IL, USA); and group II, application of metal primer (Metal Primer, Reliance Orthodontic Products) on bracket base prior to conditioning and indirect bonding. All products were used according to the manufacturer's instructions. A universal testing machine was used to apply a shear force directly onto the enamel- bracket interface at a speed of 1.0 mm/min. Results Mean (SD) shear bond strength for group I was 12.87 (5.75) MPa and for the group II was 18.47 (8.48) MPa. The Student's t-test showed a significant difference (p = 0.0311) between the groups. The chi-square test for the adhesive remnant index (ARI) indicated that there was a significant difference (p = 0.2750). Conclusion The application of metal primer increased the adhesion of lingual brackets, and may be a promising procedure for clinical orthodontics. How to cite this article e Cal Neto JP, de Albuquerque Calasans-Maia J, de Almeida NV, Rohen H, Freire MAG. Effect of a Metal Primer on the Adhesive Interface Between Composite and Lingual Brackets. J Contemp Dent Pract 2013;14(6):1106- 1108.

scholarly journals Antibodies detectable by counterimmunoelectrophoresis against Bacteroides antigens in serum of patients with inflammatory bowel disease

1979 ◽  
Vol 9 (3) ◽  
pp. 373-378
Author(s):  
C J Helphingstine ◽  
D J Hentges ◽  
B J Campbell ◽  
J Butt ◽  
J T Barrett
Keyword(s):  
Dominant Role ◽  
Immunoglobulin M ◽  
P Value ◽  
Chi Square ◽  
Passive Hemagglutination ◽  
Group I ◽  
Significant Difference ◽  
Chi Square Test ◽  
Inflammatory Bowel ◽  
Group Ii

Heat-extracted antigens from seven species of Bacteroides were used in passive hemagglutination and counterimmunoelectrophoretic tests. Sera from 87 normal persons (group I) and 15 patients with ulcerative colitis (group II) were of low and equal reactivity in passive hemagglutination tests; all positive tests were eliminated by 2-mercaptoethanol reduction of the sera. When these same sera were tested by counterimmunoelectrophoresis with six of the Bacteroides antigens, no significant difference in the percentage of positive reactions was noted. However, using the chi-square test, the seventh antigen, prepared from Bacteroides vulgatus, successfully distinguished the two populations at the 0.025 level. Counterimmunoelectrophoretic tests with the B. vulgatus antigen also provided a means to separate the patients in group II with active disease from those in remission at a P value of 0.01. All the sera from 12 patients with defined Crohn's disease activity indexes reacted with the B. vulgatus antigen in counterimmunoelectrophoretic tests. Reduction and alkylation of patient sera with 2-mercaptoethanol and iodoacetamide removed detectable antibody in 78% of the samples, which suggested a dominant role of immunoglobulin M in the response to Bacteroides antigens.

Comparison Between Rotary and Manual Instrumentation in Primary Teeth

2008 ◽  
Vol 32 (4) ◽  
pp. 295-298 ◽  
Author(s):  
S Crespo ◽  
O Cortes ◽  
C Garcia ◽  
L Perez
Keyword(s):  
Root Canal ◽  
Primary Teeth ◽  
Clinical Success ◽  
Preparation Time ◽  
Chi Square ◽  
Root Canal Filling ◽  
Group I ◽  
Patient Cooperation ◽  
Chi Square Test ◽  
Group Ii

The aim of this study was to compare the efficiency in both, preparation time and root canal shape, when using the Nickel Titanium (Ni-Ti) rotary and K-Files hand instrumentation on root canal preparation of single rooted primary teeth. Material and methods: Sixty single rooted primary teeth were selected and divided into two equal groups: Group (I) 30 teeth instrumented with manual K- files and group (II) 30 teeth instrumented with Ni-Ti rotary files (ProFile 0.04). Instrumentation times were calculated and root canal impressions were taken with light bodied silicone in order to evaluate the shape. The data was analyzed with SPSS program using the t-test and the Chi-square test to compare their means. Results: The preparation time with group (I) K- files was significantly higher than in group (II) rotary files (ProFile 0.04), with a p= .005. The ProFile system showed a significantly more favorable canal taper when compared to the K-files system (P= .002). Conclusions: The use of rotary files in primary teeth has several advantages when compared with manual K files: the efficiency in both, preparation time and root canal shape. 1. A decreased working time, that helps maintain patient cooperation by diminishing the potential for tiredness. 2. The shape of the root canal is more conical, favoring a higher quality of the root canal filling, and increasing clinical success.

Heparin Prophylaxis Combined with DHE or Dextran in HIP Operations

1979 ◽  
Author(s):  
T.H. Schöndorf ◽  
U. Weber
Keyword(s):  
Chi Square ◽  
Group Iii ◽  
Vein Thrombosis ◽  
Peridural Anaesthesia ◽  
Group I ◽  
Chi Square Test ◽  
Fibrinogen Test ◽  
Group Ii ◽  
Deep Vein ◽  
Heparin Prophylaxis

162 elective hip operation patients were randomly allocated to: Group I: 5 000 U heparin injected s.c. 10 and 2 hours pre-operatively, then 8 hourly; Group II: heparin as above plus dextran 40 on three days; Group III: heparin as in group I combined with dihydroergotamine (DHE). The 125-I-fibrinogen test was routinely used for diagnosis of deep vein thrombosis (DVT), when positive, phlebography was performed. DVT occurred in 8/55 patients in group I, in 9/54 in group II and in 2/53 in group III. (Chi-square test: I vs. III p = 0.054; II vs. III p = 0.028) . Pulmonary embolism (confirmed at autopsy) occurred in one patient in both group I and II.In the three groups, the intra-operative transfusions, wound blood loss at the pre- and post-operative haematocrit did not differ.Platelet aggregation was only significantly lowered in group II.Heparin/DHE were most effective in preventing thromboemboli, dextran infusions did not improve heparin prophylaxis.Peridural anaesthesia performed in 83 - 87% of patients in all groups led to no complications following pre-operative heparin.

scholarly journals Comparison of Shock Wave Parameters of in Situ ESWL & ESWL After Push Back for Upper Ureteric Calculi

2017 ◽  
Vol 16 (1) ◽  
pp. 7-10
Author(s):  
Sakhawat Mahmud Khan ◽  
Shahin Akhter ◽  
SAM Golam Kibria ◽  
Isteaq Ahmed Shamim ◽  
Shireen Akhter Khanam
Keyword(s):  
Shock Wave ◽  
Wave Number ◽  
Chi Square ◽  
Wave Parameters ◽  
Group I ◽  
Chi Square Test ◽  
Group 2 ◽  
Student’S T ◽  
Group 1

Background: To compare the shock wave parameters of in situ ESWL & ESWL after push back for upper ureteric calculi.Methods: This hospital based prospective study was carried out in the Department of Urology, Bangabandhu Sheikh Mujib Medical University (BSMMU) Dhaka from January 2006 to December 2006. For this study, 90 patients were selected according to the selection criteria. They were divided into two groups. Group 1 included 50 patients treated by in situ ESWL and group 2 included 40 patients treated by push back and ESWL. For statistical analysis, student’s t- test & chi-square test were performed.Results: In group 1 and in group 2 patients mean age were 34.86±11.74 years and 35.12± 12.48 years respectively. In group 1: Over all clearance of calculi was 92.86% in 1cm stones and 86.36% in 1cm stones (p>0.05). In group 2: Total clearance was 100% in stones <1cm size and 88% in1cm size stones (p>0.05). Although clearance rate was higher in push back group it was not statistically significant (92.5% Vs.90%) (p>0.05). Number of ESWL session in case of <1 cm size stone were 1.54 in group 1 and 1.46 in group 2. In case of 1 cm size stone, it was 1.77 in group 1, 1.48 in group 2 (p>0.05). Considering the requirement of shock wave number, less shock wave were required in group 2 (1757.50 ± 255.09) than group 1 (1994 ± 449.22) (p < 0.01). Mean energy needed in group I was 5.07±0.81 and in group 2 it was 4.63±0.48 (p<0.01).Conclusion: Although more ESWL sessions were required in group 1 than group 2, it was not statistically significant. But mean shock wave number and energy were higher in group 1 than group 2 which was statistically significant.Chatt Maa Shi Hosp Med Coll J; Vol.16 (1); Jan 2017; Page 7-10

To Compare Frequency of Post Dural Puncture Headache with Quincke 25g and Quincke 27g Needles for S/A

2021 ◽  
Vol 15 (6) ◽  
pp. 1221-1222
Author(s):  
M. S. Mehmood ◽  
T. Iqbal ◽  
R. Farooqi ◽  
Z. Y. Bhatti ◽  
F. Liaquat
Keyword(s):  
Spinal Anesthesia ◽  
Dural Puncture ◽  
Randomized Study ◽  
Chi Square ◽  
Post Dural Puncture Headache ◽  
Group I ◽  
Chi Square Test ◽  
Group Ii ◽  
A Prospective Study ◽  
Study Setting

Aim: Frequency of post dural puncture headache with Quincke 25G and 27G needles for spinal anesthesia Design of study: Control randomized study Setting: Anesthesiology/ deptt. / ICU, Shaikh Zayed Hospital Lahore Duration: 29-08-2013 to 01-03-2014 for 6 months Methodology: This was a prospective study of 100 patients undergoing surgery under spinal anesthesia. The subjects were divided in two groups. In group I, the anesthesia was applied with 25G quincke needle and in group II, the anesthesia was applied with 27G quincke needle. The patients were evaluated for post dural puncture headache till 72 hours postoperatively. Chi-square test was applied. P <0.05 was taken as significant. Results: PDPH was seen in 14 (28%) subjects in group I and in 4 (8%) subjects in group II. Conclusion: 27G needle should be preferred over 25G needle for application of spinal anesthesia due to decreased PDPH Keywords: Post dural puncture headache; spinal anesthesia; quincke needle

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