BILIARY TRACT INJURY

Objective:-To observe the rate of biliary tract injury and to prove theeffectiveness of mini-cholecystectomy in developing countries. Setting:- Department of Surgery, Nishtar Hospital,Multan. Design:- Descriptive study. Duration:- One year, starting from October 2002 to October 2003. Material andmethods: Total 50 patients were treated with mini-cholecystectomy. Follow up for complication was done for the periodof 6 months after procedure. Results: In 50 patients there was no bile duct injury. Biliary peritonitis and strictures wereseen in 2(4%) patients. Patients developed biliary leakage in which drain was not put at the time of operation and onlydrain was put and recovered. Conclusion: Mini-cholecystectomy is relatively economical method for the treatment ofgall stone disease which is associated with less patients discomfort and less incidence of postoperative complications,short hospital stay, good cosmetic results, early return to work, so it should always be preferred to conventionalcholecystectomy.

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Results and long-term follow-up of combined endoscopic shincterotomy (ES) and percutaneous endoscopic cholecystolithotomy (PECL) in the management of complicated biliary tract stone disease in the elderly

Gastrointestinal Endoscopy ◽

10.1016/s0016-5107(05)80485-7 ◽

1995 ◽

Vol 41 (4) ◽

pp. 408

Author(s):

R. Neidich ◽

C. Courtois ◽

H. Chokshi ◽

S. Edmundowicz ◽

L. Marshall ◽

...

Keyword(s):

Biliary Tract ◽

The Elderly ◽

Stone Disease ◽

Long Term Follow Up

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Permanent Pacemaker Implantation Early After Cardiac Surgery: A Descriptive Study of Pacemaker Utility After One Year of Follow-Up

Journal of Cardiac Surgery ◽

10.1111/jocs.12680 ◽

2016 ◽

Vol 31 (3) ◽

pp. 132-138 ◽

Cited By ~ 3

Author(s):

Ajay M. Patel ◽

Dhruv Verma ◽

Sheng-Fang Jiang ◽

Kimberly Y. Lau ◽

Jerry L. Arrellano ◽

...

Keyword(s):

Cardiac Surgery ◽

Pacemaker Implantation ◽

Descriptive Study ◽

Permanent Pacemaker ◽

Permanent Pacemaker Implantation ◽

One Year

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How We Do Buried Penis Reconstruction in Children: A Novel Technique

Advanced Science Letters ◽

10.1166/asl.2018.12664 ◽

2018 ◽

Vol 24 (8) ◽

pp. 6164-6167

Author(s):

Widi Atmoko ◽

Gerhard Renaldi Situmorang ◽

Irfan Wahyudi ◽

Arry Rodjani

Keyword(s):

Complete Separation ◽

Voiding Function ◽

Novel Technique ◽

Good Cosmetic ◽

Asking Questions ◽

The Mean ◽

Time Of Operation ◽

Satisfaction Rates ◽

Buried Penis

Buried penis is a pathology for which several reconstructive techniques are described. We described a novel technique involving complete separation of dartos fascia from the skin and penis and excision of dartos fascia until penile fixation to pubic region after complete degloving of penis to eradicate the abnormal attachments of the dartos muscle to the corporal bodies and evaluated the efficacy and safety of our technique. From June 2009 and February 2015, 28 patients underwent surgical repair of buried penis with our novel technique. We administered a questionnaire asking questions about penile size, morphology, and voiding status to evaluate parental satisfaction. The mean age of patients at the time of operation was 9.50±2.09 years, and the mean duration of follow-up was 23.27±16.75 months. The mean satisfaction grades for penile size, morphology, and voiding function were improve (p < 0.05) (Fig. 2). The mean preoperative satisfaction grade concerning penile size was 0.82±0.76, and it improved postoperatively to 2.67±0.52 at the last follow-up (p < 0.001). The mean preoperative satisfaction grade for penile morphology was 0.86 ± 0.55, which improved to 2.12±0.40 at the last follow-up visit (p < 0.001). The mean preoperative satisfaction grade for voiding function was 1.10±0.72, which improved to 2.94±0.86 at the last follow-up visit (p < 0.001). There were no complications such as postoperative infection and tissue necrosis. Edema developed in 2 patients, but resolved spontaneously after 1 month. Our method of buried penis correction was found to be technically feasible and safe. It results in a good cosmetic appearance and excellent postoperative satisfaction rates in terms of size, morphology, and voiding function. Further research is needed to understand its pathophysiology.

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Outcome of surgical management of genital prolapse in the obstetric gynecology department of the Ignace Deen Hospital in Conakry, Guinea

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20201818 ◽

2020 ◽

Vol 9 (5) ◽

pp. 2131

Author(s):

Abdourahamane Diallo ◽

Telly Sy ◽

Ibrahima Sory Balde ◽

Ibrahima Koussy Bah ◽

Ibrahima Conte ◽

...

Keyword(s):

Intraoperative Complications ◽

Genital Prolapse ◽

Functional Results ◽

Descriptive Study ◽

Functional Disorders ◽

Operative Results ◽

Main Route ◽

Perineal Operation ◽

One Year

Background: Each year several patients are operated on for genital prolapse in our department, but no study has yet been done to analyse the results. The objective of this study was to highlight the operating techniques used and to analyse the anatomical and functional outcomes.Methods: It was an observational, longitudinal, prospective and descriptive study which took place over a period of 2 years in the department of obstetrics and gynecology of the Ignace Deen hospital de Conakry in Guinea. This study focused on patients operated on in the department for genital prolapse.Results: During the study period, 67 patients underwent genital prolapse surgery in the department. The operating techniques used are the triple perineal operation or, associated with colposuspension and/or Richter or Mc Call, Richardson's operation, Rouhier's operation and promonto-fixation. This study recorded in the follow up a case of recurrence of hysterocele one year after a Richardson operation, a correction of all digestive and sexual functional disorders and a correction of 81.25% of functional urinary disorders. The intraoperative complications were a rectal wound, two bladder wounds and three cases of hemorrhage requiring blood transfusion. The post-operative results were good in 98.5% of the cases.Conclusions: The lower approach is the main route used for surgical treatment of prolapse. The anatomical and functional results obtained are encouraging.

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Subchondroplasty for Bone Marrow Lesions in the Arthritic Knee Results in Pain Relief and Improvement in Function

The Journal of Knee Surgery ◽

10.1055/s-0039-1700568 ◽

2019 ◽

Cited By ~ 2

Author(s):

Kenon Chua ◽

Joseph Yida Benjamin Kang ◽

Favian Ding Jie Ng ◽

Hee Nee Pang ◽

Denny Tjiauw Tjoen Lie ◽

...

Keyword(s):

Bone Marrow ◽

Calcium Pyrophosphate ◽

Bone Marrow Lesions ◽

Early Return ◽

Magnetic Resonance Imaging Mri ◽

One Year ◽

The One ◽

Standard Radiographs ◽

Arthritic Knee

AbstractSubchondroplasty is a relatively new joint preserving procedure, which involves the localized injection of calcium pyrophosphate bone substitute into the bone marrow lesion. The advent of magnetic resonance imaging (MRI) has greatly facilitated the identification of these bone marrow lesions. We investigated the clinical efficacy of subchondroplasty in the treatment of symptomatic bone marrow lesions in the knee, including knees with preexisting osteoarthritis. This study comprised of 12 patients whose knees were evaluated with standard radiographs and MRI to identify and localize the bone marrow lesions. They then underwent subchondroplasty under intraoperative radiographic guidance. Preoperative and postoperative visual analog scale (VAS) pain scores, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, and Knee Injury and Arthritis Outcome Scores (KOOS) were obtained. VAS scores improved significantly from 7.5 ± 1.8 before surgery to 5.2 ± 2.7 after surgery. This further improved to 2.1 ± 2.4 at the one-year follow-up. KOOS scores improved significantly from 38.5 ± 17.0 before surgery to 73.2 ± 19.0 at the one-year follow-up. WOMAC scores improved significantly from 47.8 ± 20.5 before surgery to 14.3 ± 13.2 at the one-year follow-up. Subchondroplasty offers an effective way to treat subchondral bone marrow lesions in the arthritic knee, resulting in improvement in symptoms and early return to activity. Long-term studies are required to evaluate if these benefits can last. This is a Level II study.

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