LAPROSCOPIC MYOMECTOMY VERSUS OPEN MYOMECTOMY FOR UTERINE FIBROIDS

Fibroids are common benign tumours arising in the uterus.Myomectomy is the surgical treatment of choice forwomenwith symptomatic fibroids who prefer or want uterine conservation. Myomectomy can be performed by laparoscopy or open myomectomy. Aim of study is to determine the benefits and harms of laparoscopic myomectomy compared with open myomectomy.It is a comparative study conductedover 1 year in Department of Obstetrics and Gynecology, GMC ,Akola,Maharashtra . 50 patients were included in study who were having uterine fibroid. Subjects were explained about surgery as treatment.30 subject undergone Laproscopic myomectomy and 20 subjects undergone open myomectomy.The clinical data of patients who underwent OM and LM was analyzed. The data recorded comprised patientdemographic information and clinical characteristics includingage, weight, type, and size of myoma and myomectomyindications; and perioperative data including estimation ofblood loss, duration of surgery, complications, and lengthof hospital stay. Keywords: Laproscopic myomectomy (LM), open myomectomy(OM), uterine fibroid.

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Treatment of the pilonidal sinus in children using laser radiation

Laser Medicine ◽

10.37895/2071-8004-2020-24-4-32-36 ◽

2021 ◽

Vol 24 (4) ◽

pp. 32-36

Author(s):

D. S. Zolotukhin ◽

I. V. Krochek ◽

S. V. Sergiyko

Keyword(s):

Comparative Analysis ◽

Surgical Treatment ◽

Hospital Stay ◽

Pain Syndrome ◽

Surgical Excision ◽

Duration Of Surgery ◽

Invasive Method ◽

Open Excision ◽

Interstitial Thermotherapy ◽

Late Postoperative Period

The work carried out a comparative analysis of the results of surgical treatment of the epithelial-coccygeal course of ECC in 133 children aged 3 to 17 years, using laser-induced interstitial thermotherapy (LIT) and open excision. Comparative analysis was carried out according to the following criteria: duration of surgery, average time of hospital stay, duration of pain syndrome on a 10-point scale (VAS), the presence of complications in the early and late postoperative period. In the main group, the average time of hospital stay was 4.9 ± 0.3; the duration of surgical treatment was 17.2 ± 2.8 minutes. The duration of the pain syndrome was 5.3 ± 2.1 hours, and its severity was 2.7 ± 0.8 points. Average terms of epithelialization of fistulas are 3.1 ± 2.8 days. Recurrence of ECC was observed in 7 patients (11.7%), which required re-intervention. In 3 (5.0%) patients, LIT was used, and in 4 (6.7%), excision using plastics according to the Bascom method. In the comparison group, the duration of surgical treatment was 32.6 ± 5.4 minutes. The duration of inpatient treatment is 16.7 ± 1.4 days. Pain syndrome averaged 71.8 ± 11.9 hours, severity 6.5 ± 2.3 points. The number of relapses was 9 (12.3%), of which 5 (6.8%) children underwent laser treatment, and 4 (5.5%) repeated surgical excision with Bascom with recovery. This technique is an effective and minimally invasive method for treating ECC, which makes it possible to recommend this method for use in pediatric surgical practice.

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Comparative study of laparoscopic hernia repair versus open hernia repair

Journal of Nobel Medical College ◽

10.3126/jonmc.v7i2.22303 ◽

2018 ◽

Vol 7 (2) ◽

pp. 30-34

Author(s):

Rohit Prasad Yadav ◽

Dipendra Thakur ◽

Bashu Dev Baskota ◽

Amit Kumar Shah ◽

Kaushal Samsher Thapa ◽

...

Keyword(s):

Hernia Repair ◽

Comparative Study ◽

Hospital Stay ◽

Laparoscopic Hernia Repair ◽

Fatty Tissue ◽

Duration Of Surgery ◽

Group 2 ◽

Lower Pain Score ◽

Open Hernia Repair ◽

Group 1

Background: Hernia is the abnormal exit of an organ or fatty tissue, such as the bowel, through the weak wall of the cavity in which it normally resides. Repair of inguinal hernia is common surgical procedures. This study aims to compare between laparoscopic and open hernia repair. Method: Study is non randomized comparative study. Study includes 76 patients who had undergone surgery for hernioplasty. Among them 38 undergone laparoscopic hernioplasty and 38 undergone open hernioplasty from June 2016 to August 2018. Results: Mean hospital stay was 2.95 days in group 1 and 4.03 in group 2 .VAS was found to be 2.45 in group 1 and 5.71 in group 2 which is significantly low in group 1 patients with p<0.001. Duration of surgery is more in group 1 with mean duration of 94.08 minutes comparing to group 2 with mean duration of 43.55 minutes (with p<0.001). Conclusion: Laparoscopic hernia repair offers advantages over open repair in terms of less hospital stay and lower pain score for patient not contraindicated for general anesthesia and complicated hernia.

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A comparative study of short term results of open haemorrhoidectomy and stapler haemorrhoidopexy

International Surgery Journal ◽

10.18203/2349-2902.isj20174496 ◽

2017 ◽

Vol 4 (10) ◽

pp. 3358

Author(s):

Chandrasekhar S. Neeralagi ◽

Yogesh Kumar ◽

Surag K. R. ◽

Lakkanna Suggaiah ◽

Preetham Raj

Keyword(s):

Surgical Treatment ◽

Postoperative Pain ◽

Return To Work ◽

Hospital Stay ◽

Stapled Hemorrhoidopexy ◽

Short Term ◽

Post Operative Pain ◽

Duration Of Surgery ◽

Operative Complications ◽

Post Operative Complications

Background: Haemorrhoids are the most common benign anorectal problems worldwide. Treatments of third and fourth degree hemorrhoids include surgical haemorrhoidectomy. Milligan Morgan haemorrhoidectomy (MMH) as described in 1937 has remained the most popular among many techniques proposed. In order to avoid the postoperative drawbacks of Milligan Morgan haemorrhoidectomy, a new surgical treatment for prolapsing haemorrhoids has been described by Longo in 1995, procedure called stapled haemorrhoidopexy which is associated with less postoperative pain and a quicker recovery. The objective of this study was to compare the short-term outcome between stapled hemorrhoidopexy and Milligan-Morgan hemorrhoidectomy.Methods: Prospective randomized study of 120 patients with grade 3 and grade 4 haemorrhoids requiring surgical treatment either MMH or SH, 60 in each group for the period of 18 months from June 2014 to November 2015. Post-operative pain, duration of surgery, duration of hospital stays, post-operative complications and time taken to return to work were compared with mean follow up period of 6 months.Results: Duration of surgery is significantly low in stapled group with P <0.001, duration of hospital stay is significantly low in stapled group with P <0.001, post-operative pain low in staple group with P <0.05, time taken to return to work is significantly early in stapled group with P <0.001. Post-operative complications incontinence not found in the present study but recurrence of two cases in each group noted.Conclusion: Stapled hemorrhoidopexy is associated with less postoperative pain, shorter duration of surgery and hospital stay, earlier return to work as compared with Milligan-Morgan open hemorrhoidectomy. The procedure is not associated with major post-operative complications.

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Reduced Pain, Shorter Hospital Stay And Early Return To Work In Pcnl: Comparative Study On Outcome Of Pcnl Versus Open Surgery In The Treatment Of Large Renal Calculi

Bangladesh Journal of Urology ◽

10.3329/bju.v16i1.45930 ◽

2020 ◽

Vol 16 (1) ◽

pp. 16-20

Author(s):

Syed Al Fasani ◽

Akm Zamanul Islam Bhuiyan

Keyword(s):

Comparative Study ◽

Return To Work ◽

Hospital Stay ◽

Open Surgery ◽

Renal Calculi ◽

Postoperative Hospital Stay ◽

P Value ◽

Early Return ◽

Significant Difference ◽

Duration Of Surgery

Objective: To compare the outcome of PCNL & open surgery in the treatment of large renal calculi by assesing the amount of analgesia required to relief pain, mean hospital stay, & convalescence period. Materials & Methods: : This comparative study in during 80 patients diagnosed with kidney stone disease admitted in the NIKDU during the period of Jan’ to Dec’2009. They were divided conveniently into two groups. Intervention was done in the formPCNL(40) and open surgery (40). Clinical outcome like, duration of surgery, postoperative hospital stay,doses of narcotic analgesia required to relief pain and convalescence periodwere reviewed. In complete follow up 9 patients were missed in PCNL group resulting in 31 patients. There was no significant difference in preoperative variables such as age,sex, stone size in cm, stone number- single/multiple and stag horn Stone. Results : There were statistically significant difference in the parameters between the groups,( PCNL vs open surgery [mean ± SD]): duration of operation (min), 97.90 ± 24.89 vs 136.62 ± 23.54, postoperative hospital stay (days) ,4.77 ± 3.98 vs 9.55 ± 3.65, mean time return to work (days) , 3.09 ± 1.21vs 6.25 ± 1.53, ( p value is <0.001). The amount of analgesia required to relief pain was significantly reduced in PCNL vs open procedure ( no patient required > 2 doses vs 27 patient required 3 or >3 doses ), p value is <0.001. Conclusion: PCNL is relatively safe & better treatment option than open surgery in the treatment of large renal calculi. It has reduced pain, shorter hospital stay and more rapid return to work. Bangladesh Journal of Urology, Vol. 16, No. 1, Jan 2013 p.16-20

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High-intensity focused ultrasound: opportunities and prospects in the treatment of uterine fibroid and deep infiltrative endometriosis

Journal of obstetrics and women s diseases ◽

10.17816/jowd52982 ◽

2021 ◽

Vol 70 (2) ◽

pp. 129-138

Author(s):

Dmitriy S. Sudakov ◽

Igor P. Nikolayenkov ◽

Yulia R. Dymarskaya ◽

Diana V. Bubnova

Keyword(s):

Surgical Treatment ◽

Literature Review ◽

Uterine Fibroid ◽

Focused Ultrasound ◽

Uterine Fibroids ◽

High Intensity Focused Ultrasound ◽

Deep Infiltrating Endometriosis ◽

Unplanned Pregnancies ◽

Infiltrating Endometriosis ◽

Deep Infiltrative Endometriosis

This literature review is devoted to the use of focused ultrasound in gynecological practice as an alternative to the traditional surgical treatment of uterine fibroids and deep infiltrating endometriosis. According to available data, the effectiveness of the treatment of uterine fibroids with focused ultrasound varies widely, ranging from 16.4% to 93.0%. Due to the lack of prospective studies, it is not possible to draw reliable conclusions about the effect of ablation of uterine fibroid with focused ultrasound on fertility. However, unplanned pregnancies after such treatment occurred up to 19.5%, and in 66.3% of cases, pregnancies ended with the childbirth. Research results demonstrate that in 87% of cases, treatment of retrocervical infiltrative endometriosis using focused ultrasound is feasible. Further data accumulation is required to determine the range of patients with uterine fibroids and deep infiltrating endometriosis, to whom the treating technique could be most effective and safe.

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A comparative study of laparoscopic appendectomy versus open appendectomy

International Surgery Journal ◽

10.18203/2349-2902.isj20195959 ◽

2019 ◽

Vol 7 (1) ◽

pp. 138

Author(s):

Reina Khadilkar ◽

Ashwini Anil Panditrao ◽

Ramteja Inturi

Keyword(s):

Acute Appendicitis ◽

Comparative Study ◽

Hospital Stay ◽

Laparoscopic Appendectomy ◽

Open Appendectomy ◽

Research Centre ◽

Total Leukocyte Count ◽

College Hospital ◽

Early Return ◽

Duration Of Surgery

Background: Obstruction of appendiceal lumen resulting in acute appendicitis is diagnosed by clinical examination, supported by raised neutrophil count, computed tomography and/or ultrasonography.Appendectomy one of the most commonly done surgeries is the standard line of management for acute appendicitis. Trend is towards greater utilization of laparoscopic appendectomy despite lack of consensus on superiority of laparoscopic procedure, hence imperative to prove scientifically the effectiveness of the two methods. The aim of the present study was a comparative study of laparoscopic appendectomy versus open appendectomy.Methods: A prospective cohort study of 100 cases of acute appendicitis above 16 years of age with no co morbidities was carried out in Dr. D. Y. Patil Medical College, Hospital and Research Centre from July 2017 to September 2019.Results: Mean age was 28.82 years, 64 (64%) males and 36 (36%) females, pain in abdomen (100%) being most common complaint followed by fever (77%) with positive correlation with severity of appendicitis (Alvarado score) and with total leukocyte count. Mean duration of surgery and hospital stay in laparoscopic appendectomy was lesser than open and difference was statistically highly significant (p=0.000). No difference in pain score observed. Retrocaecal (58%) was the most common position, slightly higher rate of complications in open appendectomy, no conversion of laparoscopic to open. Subjective level of satisfaction score (0-10) in laparoscopic appendectomy was higher than in open and difference was statistically highly significant (p=0.000).Conclusions: Laparoscopic appendectomy had advantages like better cosmesis, shorter duration of procedure and hospital stay, fewer post-operative complications and early return to work with disadvantage of steep learning curve, while open appendectomy, does not require special instruments, and is performed under direct three-dimensional vision.

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Surgical treatment of liver echinococcosis

Perm Medical Journal ◽

10.17816/pmj38332-40 ◽

2021 ◽

Vol 38 (3) ◽

pp. 32-40

Author(s):

M. F. Zarivchatskiy ◽

I. N. Mugatarov ◽

E. D. Kamenskikh ◽

M. V. Kolyvanova ◽

N. S. Teplykh

Keyword(s):

Surgical Treatment ◽

Liver Resection ◽

Postoperative Complications ◽

Hospital Stay ◽

Average Length ◽

Enzyme Linked Immunosorbent Assay ◽

Percutaneous Puncture ◽

Echinococcal Cyst ◽

Duration Of Surgery ◽

Methods Of Treatment

Objective. To improve the results of treatment of patients with liver echinococcosis and carry out a comparative assessment of techniques of surgical treatment depending on the nature of postoperative complications, hospital stay and antirecurrent efficacy. Materials and methods. The experience of complex examination and treatment of 65 patients with liver echinococcosis for the period of 1999-2019 was analyzed. Open echinococectomy was performed in 21 patients, atypical liver resection in 18 patients, anatomical liver resection in 14 patients, pericystectomy in 10, laparoscopic echinococectomy in 1, percutaneous puncture of an echinococcal cyst under ultrasound control in 1 patient. Results. The time of inpatient treatment of patients after open echinococectomy was 23.5 4.3 days, after pericystectomy 19.8 1.4 days, after liver resection 14.4 2.7 days, after laparoscopic echinococcectomy 6, after percutaneous puncture echinococcal cyst 7 days. Postoperative complications were observed in 52.4 % of patients who underwent open echinococectomy, in 20 % of patients after pericystectomy, and in 15.6 % after liver resection. There were no relapses of liver echinococcosis in all the groups. Mortality was 1.5 % and was recorded after open echinococectomy. Conclusions. The most effective techniques for preventing postoperative complications are pericystectomy and liver resection. The duration of surgery and the average length of hospital stay with minimally invasive methods of treatment are shorter. However, the use of these methods of treatment remains controversial due to the possibility of intra-abdominal spread of the parasite. Patients with parasitic liver cysts after surgical treatment are subjected to dynamic follow-up observation (ultrasound examination of the liver, enzyme-linked immunosorbent assay, computed tomography of the abdominal organs) after 3-6 months for at least 5 years.

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THE IMPACT OF UTERINE FIBROMATOSIS ON THE ENDOMETRIUM AND FERTILITY

Journal of Surgical Sciences ◽

10.33695/jss.v7i2.350 ◽

2020 ◽

Vol 7 (2) ◽

pp. 45-51

Author(s):

F.D. Calin ◽

C.A. Ionescu ◽

M.C.T. Dimitriu ◽

A.M. Ciobanu ◽

C.D. Badiu ◽

...

Keyword(s):

Uterine Fibroid ◽

Recurrent Miscarriage ◽

Uterine Fibroids ◽

Public Health Problem ◽

Important Public Health Problem ◽

Common Benign Tumor ◽

Family Medical History ◽

Duration Of Surgery ◽

Group B ◽

The Impact

Uterine fibroids are the most common benign tumor that can be found in a woman's reproductivesystem. The uterine fibroid affects millions of women globally each year and we can consider thispathology, without exaggerating, an important public health problem. Our study was carried outprospectively, in 5 years (2015-2019) and enrolled 480 patients selected with uterine fibroid, from anumber of 28809 women who were hospitalized during this period in the university clinic ofObstetrics and Gynecology within the „Saint Pantelimon” Emergency Hospital, Bucharest, Romania.Patients were divided into two groups of study: Group A, those with well-defined, single or multipleuterine fibroid and Group B – patients with diffuse uterine fibromatosis. The clinical,histopathological and immunohistochemical study analyzed and monitored over time, by comparisonbetween the two groups, 52 parameters for each patient, starting with the usual epidemiologicalfactors (age, weight, height, body mass index, personal or family medical history, etc.), continuingwith those related to fertility and other clinical issues (chronic pain, metrorrhagia, number of births,recurrent miscarriage, etc.), up to intraoperative parameters (duration of surgery, blood loss, pelvicdrainage, the need for blood transfusion) and finally, histopathological aspects. We present in thisarticle some of the results of our study, those related to the quality of the endometrium in thefibromatous uterus and the influence that uterine fibroid had on the fertility of our patients.

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A COMPARATIVE STUDY ON OUTCOMES OF OPEN & LAPAROSCOPIC REPAIR IN INGUINAL HERNIA IN A TERTIARY CARE CENTRE

10.36106/ijsr/2500776 ◽

2020 ◽

pp. 23-25

Author(s):

Konkena Janardhana Rao ◽

K. Meghana ◽

N. Prahalada Reddy ◽

J. Ramanaiah ◽

Mamatha. V ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Comparative Study ◽

Hospital Stay ◽

Laparoscopic Hernia Repair ◽

Female Ratio ◽

Duration Of Surgery ◽

The Mean ◽

Operative Recovery ◽

Lichtenstein Operation

Background: Over the last decade, the field of hernia surgery got a new transformation, with exponential growth in mesh technology. Laparoscopic hernia repair has remained a contentious issue since its inception. Though a variety of procedures performed; none can be termed as an ideal procedure as each one is accompanied by varied early and late complications. The most scientific way to conclude the superiority of one method over others is evidence-based medicine. Hence, we have conducted a study in our institute, to compare Lichtenstein tension-free open hernioplasty with Transabdominal pre-peritoneal repair (TAPP) comparing the intraoperative and early postoperative complications. Methods: Our study was a single-centre, prospective comparative study conducted on sixty-one patients, over a period of 2 years from August 2018 to August 2020. All the cases included in the study were uncomplicated inguinal hernias. A detailed history of the symptoms, thorough clinical examination and investigations were done, which were analysed. Results: Most of the patients presented in the 5th decade. Male to female ratio of incidence of inguinal hernia was 11.2:1. Majority of the patients presented with unilateral hernia with right inguinal hernia being the most frequent presentation. The mean duration of surgery for TAPP is more when compared to Lichtenstein operation. The mean duration of hospital stay for open hernioplasty is more when compared to the laparoscopic hernia repair. TAPP is associated with lesser complications when compared to Lichtenstein's hernioplasty. Seroma, hematoma, and wound infection were the common complications noted. Conclusion: TAPP repair is a better procedure when compared to Lichtenstein operation in terms of hospital stay, post- operative recovery, intra-operative and post-operative complications.

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A comparative study of endoscopic septoplasty and conventional septoplasty

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20200565 ◽

2020 ◽

Vol 6 (3) ◽

pp. 453

Author(s):

Kiran A. Deshmukh ◽

Rashmi T. Ambiger

Keyword(s):

Comparative Study ◽

Prospective Study ◽

Hospital Stay ◽

Nasal Septum ◽

Deviated Nasal Septum ◽

Endoscopic Septoplasty ◽

Advantages And Disadvantages ◽

Duration Of Surgery ◽

A Prospective Study ◽

Endoscopic Group

Background: The aim of the study was to study the advantages and disadvantages of endoscopic septoplasty and conventional septoplasty and to co-relate the two procedures in terms of intra-operative visualization, duration of surgery, procedural difficulties, hospital stay and complications.Methods: It is a prospective study done during November 2017 to April 2019 on 50 patients with symptomatic deviated nasal septum. Patients were randomly divided into conventional septoplasty and endoscopic septoplasty groups of 25 each. Surgery was performed as according to the division. Followed up on 1st week, 15th day, 1st month and 3rd month. Results: In endoscopic septoplasty group, septal pathology, precise correction of the pathology, with less complications were seen. Hospital stay and duration of surgery were significantly less in endoscopic group.Conclusions: For minimal and posterior deviations of the septum, endoscopic septoplasty is better, whereas for anterior deviations, conventional septoplasty could be better choice.

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