scholarly journals Advantages of ultrasonic tonsillectomy by harmonic scalpel

1970 ◽  
Vol 16 (2) ◽  
pp. 91-95
Author(s):  
M Alamgir Chowdhury ◽  
Naseem Yasmeen ◽  
SM Gplam Rabbani ◽  
Mousumi Malakar ◽  
Farzana Hoque ◽  
...  

Objective: To find out the advantages and disadvantages of ultrasonic tonsillectomy by harmonic scalpel.Design and setting: A prospective study was conducted over a period of five years; from 01.07.2005 to 30.06.2010 in Comfort Nursing Home, 167B, Green Road, Dhaka, Bangladesh.Results: Hospital admitted 540 cases of ultrasonic harmonic scalpel tonsillectomy were included and analyzed. 360 cases were male; whereas 180 cases were female in this study. 0-10 years (168 cases) were the commonest age group of study people. Complications were rare, only two cases 0.37% of secondary hemorrhage had happened and no cases of reactionary hemorrhage was reported.Conclusion: The advantages are almost no bleeding, precise dissection of tonsils, less post operative pain, reduce postoperative discomfort, earlier return to normal activities, oral feeding immediately after operation and less operative time. Key words: Ultrasonic tonsillectomy; Harmonic scalpel. DOI: 10.3329/bjo.v16i2.6843Bangladesh J Otorhinolaryngol 2010; 16(2): 91-95

2020 ◽  
Vol 7 (8) ◽  
pp. 2714
Author(s):  
Srikant Patro ◽  
Ashish K. Sahoo ◽  
Nikhil Muduli ◽  
Ashish K. Mishra ◽  
Tapan Kumar ◽  
...  

Single incision laparoscopic surgery is an emerging branch of minimally assess surgery to reduce scar and post-operative pain. Appendicitis is a common general surgical problem encountered in day to day practice. Different methods of appendectomy have been described by different surgeons from open to laparoscopic and now single incision laparoscopic surgery has been practised. This is a prospective study carried out in our Department of General Surgery SCB Medical College, Cuttack from February 2019 to March 2020; 60 patients had undergone the procedure and the results are published noted under headings of post-operative pain at (6 hours, 12 hours, 24 hours and 48 hours), post-operative requirement of analgesia (diclofenac) at (6 hours, 12 hours, 24 hours and 48 hours), operative time, days to resume bowel activity, days of hospital stay, post-operative complication in accordance to Clavien-Dindo classification.


2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
M. Carbonnel ◽  
H. Abbou ◽  
H. T. N’Guyen ◽  
S. Roy ◽  
G. Hamdi ◽  
...  

Objectives. A prospective study was carried out to compare vaginal hysterectomy (VH) and robotically assisted hysterectomy (RH) for benign gynecological disease.Materials and Methods. All patients who underwent hysterectomy from March 2010 to March 2012 for a benign disease were included. Patients’ demographics per and post surgery results were collected from medical files. A questionnaire was also conducted 2 months after surgery.Results. Sixty patients were included in the RH group and thirty four in the VH one. Operative time was significantly longer in the RH group ( versus  min; ). Blood loss and length of hospital stay were significantly reduced: versus  ml; , and versus days; , respectively. Less pain was reported at D1 and D2 by RH patients, and levels of analgesia were lower compared to those observed in the VH group. No differences were found regarding the rate of conversion to laparotomy, intra- or postoperative complications.Conclusion. Robotically assisted hysterectomy appears to reduce blood loss, postoperative pain, and length of hospital stay, but it is associated with longer operative time and higher cost. Specific indications for RH remain to be defined.


Author(s):  
Ajay Sharma ◽  
Ashok Sharma ◽  
Pramod Jaret ◽  
Malay Sarkar ◽  
Sanjeev Sharma

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The spontaneous pneumothorax has been classified as major cause of morbidity and mortality among respiratory diseases. The objectives of the study were to determine the incidence and aetiology of spontaneous pneumothorax and to assess the clinical profile of affected patients admitted in our institute</span>.</p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A hospital based prospective study was conducted in year 2011-12 in the Department of Medicine, IGMC Shimla (H.P.) India. During study period the total admissions were 7335 out of which 30 patients were diagnosed as spontaneous pneumothorax and treated as cases under study. The data was collected on proforma includes demographic profile, probable cause, clinical and outcome indicators of Spontaneous Pneumothorax, master chart framed and analysed into frequency percentage. </span><span lang="EN-IN"> </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Incidence of spontaneous pneumothorax was found to be 408.99/yr/100000 admissions in the department of medicine. Incidence of primary spontaneous pneumothorax was 81.79/yr/100000 admissions. Incidence of secondary spontaneous pneumothorax was 327.19/yr/100000 admissions. Majority of the patients of primary spontaneous pneumothorax were of the 20-29yrs age group. Higher proportions of cases were from male gender (93.33%). Secondary pneumothorax patients were mostly of 50 to 59 years age group. The predominant aetiology for secondary spontaneous pneumothorax was COPD (36.66%) followed by Pulmonary tuberculosis (33.33%)</span>.</p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Spontaneous pneumothorax was more common in men. The predominant aetiology for secondary spontaneous pneumothorax was COPD (36.66%) followed by pulmonary tuberculosis (33.33%). </span></p><p class="abstract"> </p>


1991 ◽  
Vol 105 (10) ◽  
pp. 825-827 ◽  
Author(s):  
Maurice R. Hawthorne ◽  
Desmond A. Nunez ◽  
Graham P. Clarke ◽  
Desmond Robertshaw

AbstractA prospective study was designed in which General Practitioners were issued with a standard referral letter for hearing aid provision. Unknown to the General Practitioner an independent otolaryngologist assessment was obtained at the time of first attendance. Three hundred consecutive patients selected by General Practitioners applying these guidelines were seen in a designated hearing aid clinic staffed by audiological technicians of senior grade or above. Referral pro formata were incomplete in 75 patients who were not assessed. Ninety-four patients (31 per cent) (95 per cent confidence interval 29–36 per cent) were accepted by the audiologist. Obstructing wax was the most common criterion failed. Clinical agreement between audiologist and otolaryngologist was 57 per cent greater than chance. None of the cases of clinical disagreement altered treatment. A direct referral system as proposed could have processed only 31 per cent of 300 referrals. However, experienced technical staff reliably detected otological pathology and with aural toilet facilities 91 per cent of 225 patients (confidence interval 88–94 per cent) were aided.


2012 ◽  
Vol 60 (5) ◽  
pp. 877-883 ◽  
Author(s):  
Ellen F. Binder ◽  
Heidi K. White ◽  
Barbara Resnick ◽  
William M. McClellan ◽  
Lei Lei ◽  
...  

2020 ◽  
Vol 33 (04) ◽  
pp. 227-234
Author(s):  
Özlem Şengöz Şirin ◽  
Bruno Peirone ◽  
Lisa Adele Piras ◽  
Hasan Bilgili

Abstract Objective The aim of this study was to investigate the applicability of computer-assisted hexapod fixators in dogs and to consider the advantages and disadvantages during implementation. Materials and Methods This was a prospective study. The study material consisted of 11 deformed extremities of 6 dogs. The correction plans were defined according to multiple extremity radiographs of the dog and the clinical evaluation of deformities. All measurements were uploaded to Click2Correct software program. Latent, correction and consolidation periods of each dog were recorded. The hexapod external fixators were removed after completion of the correction. Results Data were adapted to the radiographic navigation software to be used during operation and postoperative period. The latent period ranged from 3 to 20 days, the correction period ranged from 7 to 20 days and the consolidation period ranged from 39 to 81 days. It was concluded that special fixators can be used in dogs with complex antebrachial deformities. Clinical significance The ability to perform six axes correction at the same time has a considerable advantage, especially in dogs with complex antebrachial deformities. It is practical to use this fixation system in dogs with antebrachial deformities.


2008 ◽  
Vol 87 (6) ◽  
pp. 346-349 ◽  
Author(s):  
Jason A. Roth ◽  
Tobias Pincock ◽  
Raymond Sacks ◽  
Martin Forer ◽  
Neil Boustred ◽  
...  

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