THE COMPARATIVE STUDY BETWEEN OPEN TECHNIQUES VERSUS LIMBERG FLAP TECHNIQUE IN MANAGEMENT OF SACROCOCCYGEAL PILONIDAL SINUS

Background: Comparative study of laparoscopic and open surgical method in management of peptic ulcer perforation Methods: The present study was conducted in patients presented with perforation peritonitis to the emergency department in G.G.S medical college and hospital, a tertiary care hospital in Faridkot, Punjab in which comparison of the clinical outcome between laparoscopic and open surgical methods for treatment of Gastro duodenal perforation was study. Results: Mean operative time of laparoscopic repair group was higher (158.2±0.64 min) in comparison to open repair group (70.8±0.42 min). In the present study post-operative pain score was assessed in each and every patient using Visual analogue scale. On post-operative day 1, mean VAS for OR Group was significantly higher in comparison to LR Group. Later on postoperative day 3, Majority of patients of in LR group had a highest score of 1-4 while in OR group was score 5-7.Nexton postoperative day 5, again mean VAS for LR patients was less in comparison to OR Group. Conclusion: As this is the first kind of study in our geographical area in which role of alcohol proved to be an important risk factor. Laparoscopic approach for repair of perforated peptic ulcer may offer significant advantage over open repair approach with lesser post-operative pain, lsser postoperative complications like wound infections, comparable reperforation rates and lesser duration of hospital stay. Keywords: Laparoscopic, Open, Repair

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Laparoscopic versus Open Repair of Perforated Peptic Ulcer: Comparative Study

The Medical Journal of Cairo University ◽

10.21608/mjcu.2018.56573 ◽

2018 ◽

Vol 86 (6) ◽

pp. 1767-1775

Author(s):

EL-SAYED ABDULLAH, M.D.; AHMED NEGM, M.D. ◽

MOHAMED SAMIR, M.D.; MAGDY BASHEER, M.D. ◽

HOSAM EL-GHADBAN, M.D.; ABD EL-RAHMAN EL-BAHY, M.D. ◽

AHMED ABD EL-MODABER, M.D.; ASHRAF ABBAS, M.D. ◽

MAHMOUD AMIN, M.D.; IBRAHIM DAWOUD, M.D.

Keyword(s):

Peptic Ulcer ◽

Comparative Study ◽

Open Repair ◽

Perforated Peptic Ulcer

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Diagnostic indicators for peptic ulcer perforation at a tertiary care hospital in Thailand

Clinical and Experimental Gastroenterology ◽

10.2147/ceg.s25501 ◽

2011 ◽

pp. 283 ◽

Cited By ~ 6

Author(s):

Chutikarn Suriya ◽

Nongyao Kasatpibal ◽

Kunaviktikul ◽

Kayee

Keyword(s):

Peptic Ulcer ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Peptic Ulcer Perforation ◽

Care Hospital ◽

Ulcer Perforation

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H. pylori and peptic ulcer perforation: prevalence of infection and role in surgical outcome

International Surgery Journal ◽

10.18203/2349-2902.isj20211305 ◽

2021 ◽

Vol 8 (4) ◽

pp. 1243

Author(s):

Saad Anwar ◽

Afzal Anees ◽

Nishat Afroz ◽

Sabiha Aziz

Keyword(s):

Peptic Ulcer ◽

Surgical Outcome ◽

Perforated Peptic Ulcer ◽

Rapid Urease Test ◽

Peptic Ulcer Perforation ◽

Care Hospital ◽

Ulcer Perforation ◽

Test Kit ◽

Urease Test ◽

H Pylori

Background: Perforated peptic ulcer is one of the most common surgical emergencies. Despite a definite association of H. pylori with peptic ulcer disease, its association with peptic ulcer perforation is still doubtful. The aim of the present study was to know the prevalence of H. pylori infection and its role in surgical outcome of patients.Methods: This prospective observational study was carried out at a tertiary care hospital of north India for a period of two years and included 136 consecutive patients of perforated peptic ulcer who underwent emergency laparotomy. H. pylori infection was tested on ulcer margin biopsy using rapid urease test kit and confirmed on histopathological examination.Results: 136 consecutive patients of perforated peptic ulcer were included in this study with mean age of 42.43 years and sex ratio of 11.4:1. H. pylori infection was present in fifty four percent (54%) of patients. There was no relationship of H. pylori infection with morbidity and mortality of patients.Conclusions: H. pylori infection should be assessed at the time of primary surgical management on biopsy specimen using rapid urease test and confirmed on histopathological examination. All positive patients should be subjected to H. pylori eradication therapy.

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A clinical study of factors affecting the prognosis in duodenal ulcer perforation cases in tertiary care hospital, Kanchipuram district

International Surgery Journal ◽

10.18203/2349-2902.isj20195214 ◽

2019 ◽

Vol 6 (12) ◽

pp. 4290

Author(s):

Dhinesh Babu K. ◽

M. Bhaskar

Keyword(s):

Duodenal Ulcer ◽

Peptic Ulcer ◽

Tertiary Care ◽

Peptic Ulcer Perforation ◽

Care Hospital ◽

Chronic Alcoholic ◽

Factors Affecting ◽

Ulcer Disease ◽

Ulcer Perforation ◽

Duodenal Ulcer Perforation

Background: Peptic ulcer disease is an erosion of the lining of the stomach or duodenum. It is associated with potentially life-threatening complications such as bleeding, perforation and obstruction. The main predisposing factors for peptic ulcer perforation are smoking, use of non-steroidal anti-inflammatory drugs (NSAIDs), chronic stress, Helicobacter pylori infection, and age >60 years. In recent years, with introduction of proton pump inhibitors and increased knowledge of duodenal ulcer perforation (DUP) has decreased the incidence of DUP.Methods: 50 patients with DUP were studied prospectively with respect to age, gender, use of NSAIDs, morbidity, mortality and complications.Results: Out of 50 patients, the mean age of incidence DUP was 46 yrs, which is more common in males. And also 48% patients were chronic alcoholic and 52% patients were chronic smokers. Moreover, 14% patients were chronic NSAIDs users.Conclusions: Factors such as age, gender, use of NSAID, Alcohol and smoking affects the life expectancy of the patients, which leads to morbidity and mortality.

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A comparative study between figure of eight suturing technique and omentopexy in closure of peptic ulcer perforation: a prospective study on 60 patients with APACHE II score and #8804;10

International Surgery Journal ◽

10.5455/2349-2902.isj20150206 ◽

2015 ◽

Vol 2 (1) ◽

pp. 31

Author(s):

Vimal Bhandari ◽

Gopalakrishnan Gunasekaran ◽

Debasis Naik ◽

Shivani Paruthy ◽

Lokendra Choudhry ◽

...

Keyword(s):

Peptic Ulcer ◽

Comparative Study ◽

Prospective Study ◽

Apache Ii ◽

Apache Ii Score ◽

Peptic Ulcer Perforation ◽

Ulcer Perforation ◽

Suturing Technique ◽

A Prospective Study

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COMPARATIVE STUDY BETWEEN TWO DIFFERENT TECHNIQUES OF PEPTIC ULCER PERFORATION CLOSURE

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2015/961 ◽

2015 ◽

Vol 4 (38) ◽

pp. 6636-6643

Author(s):

Rajendra Jain ◽

Brajesh B. Gupta ◽

Arti Mitra ◽

Amit Bellurkar

Keyword(s):

Peptic Ulcer ◽

Comparative Study ◽

Peptic Ulcer Perforation ◽

Ulcer Perforation

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A comparative study of temporalis fascia grafting techniques in cortical mastoidectomy with type 1 tympanoplasty patients in tertiary care hospital

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20203559 ◽

2020 ◽

Vol 6 (9) ◽

pp. 1612

Author(s):

Gowrishankar M. ◽

Athiyaman K. ◽

Suresh V. ◽

Gayathiri R. ◽

Natarajan S.

Keyword(s):

Comparative Study ◽

Tympanic Membrane ◽

Otitis Media ◽

Middle Ear ◽

Tertiary Care ◽

Chronic Otitis Media ◽

Graft Material ◽

Care Hospital ◽

Temporalis Fascia ◽

Surgical Methods

Background: Chronic otitis media is a highly prevalent middle ear disease in the developing countries which causes various pathological changes in the tympanic membrane and middle ear. Treatment of chronic otitis media involve medical and surgical methods. There are many surgical techniques followed regarding the grafts used, temporalis fascia remains the most commonly used. There are some studies debating the usefulness of dry grafts and wet grafts. Our study is aimed at comparing the both and evaluating the outcome.Methods: A prospective comparative study conducted in the department of Otorhinolaryngology and Head and Neck surgery, Government Stanley Medical College, Chennai, with 64 patients for the period of 1 year from July 2017 to June 2018.Results: Graft uptake of temporalis fascia in dry group is 93.8% and wet group has graft uptake of 87.5%, failure rate is low in dry group when compared with wet group. And also, this study showed higher graft uptake in small and medium sized perforation (95%) than the larger perforation (87.5%) and also there is no relationship between the duration of inactive stage and the graft uptake has been observed in our study.Conclusion: Temporalis fascia is a reliable graft material for reconstruction of tympanic membrane perforations. In our study dry graft has shown more success rate than the wet graft. Hearing improvement was the same in dry and wet group in which the grafts have been up taken well.

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Observational study of small bowel perforation in a tertiary care hospital

International Surgery Journal ◽

10.18203/2349-2902.isj20173411 ◽

2017 ◽

Vol 4 (8) ◽

pp. 2746 ◽

Cited By ~ 1

Author(s):

Shashank Nahar ◽

Alok Ranjan

Keyword(s):

Peptic Ulcer ◽

Small Bowel ◽

Observational Study ◽

Blunt Trauma ◽

Clinical Presentation ◽

Bowel Perforation ◽

Peptic Ulcer Perforation ◽

Care Hospital ◽

Small Bowel Perforation ◽

Study Region

Background: Perforation of the small intestine causing peritonitis is the most common abdominal surgical emergency encountered in study region. Late presentations with sepsis and septic shock makes evaluation and management of these patients a formidable surgical challenge. The aim of this study was to identify the etiologies, clinical presentation, diagnostic dilemmas and modalities of treatment of the small bowel perforation of diverse etiology in this study region. Objective was to study the demography, etiology, pathology, clinical presentation and various surgical procedures in treatment of small bowel perforation in hospital.Methods: This study was a prospective observational study conducted in the department of general surgery Rohilkhand medical college Bareilly, Uttar Pradesh, India from November 2015 to December 2016. 90 patients admitted in the emergency of this hospital who eventually turned out to be those of small bowel perforation were included in this study and an analysis of the demographic data, clinical presentations, radiological findings, site of perforation, surgical procedure performed, surgical complications and duration of hospital stay was done.Results: Duodenal perforation was the commonest cause of small bowel perforation, contributing to 51 (56.66%) patients. Peptic ulcer disease accounted for 49 (96.07%) patients and blunt trauma abdomen for 2 (3.9%) of these patients. Jejunal perforations accounted for 9 (10%) patients and ileal perforations for 30 (33.34%) patients. Typhoid fever was the commonest cause of ileal perforation in 24 (80%) patients Blunt trauma abdomen was the commonest cause in 5 (55.55%) patients of jejunal perforations.Conclusions: Indiscriminate use of NSAIDS/Steroids accounted for most of the peptic ulcer perforation in our region. The other additive factors include alcohol consumption and smoking.

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Perforation Peritonitis and the Developing World

ISRN Surgery ◽

10.1155/2014/105492 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 17

Author(s):

Rajandeep Singh Bali ◽

Sushant Verma ◽

P. N. Agarwal ◽

Rajdeep Singh ◽

Nikhil Talwar

Keyword(s):

Peptic Ulcer ◽

Single Unit ◽

Tertiary Care ◽

Exploratory Laparotomy ◽

Gastric Ulcers ◽

Peptic Ulcer Perforation ◽

Care Hospital ◽

Duodenal Ulcers ◽

Ulcer Disease ◽

Perforation Peritonitis

Background. Perforation peritonitis is the one of the commonest emergency encountered by surgeons. The aim of this paper is to provide an overview of the spectrum of perforation peritonitis managed in a single unit of a tertiary care hospital in Delhi. Methods. A retrospective study was carried out between May 2010 and June 2013 in a single unit of the department of Surgery, Lok Nayak Hospital, Delhi. It included 400 patients of perforation peritonitis (diffuse or localized) who were studied retrospectively in terms of cause, site of perforation, surgical treatment, complications, and mortality. Only those patients who underwent exploratory laparotomy for management of perforation peritonitis were included. Results. The commonest cause of perforation peritonitis included 179 cases of peptic ulcer disease (150 duodenal ulcers and 29 gastric ulcers) followed by appendicitis (74 cases), typhoid fever (48 cases), tuberculosis (40 cases), and trauma (31). The overall mortality was 7%. Conclusions. Perforation peritonitis in India has a different spectrum as compared to the western countries. Peptic ulcer perforation, perforating appendicitis, typhoid, and tubercular perforations are the major causes of gastrointestinal perforations. Early surgical intervention under the cover of broad spectrum antibiotics preceded by adequate aggressive resuscitation and correction of electrolyte imbalances is imperative for good outcomes minimizing morbidity and mortality.

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