scholarly journals A Comparative Study on Haemodynamic and Recovery Status in Day-Case Anaesthesia Between Infusion of Propofol, Midazolam, Nalbuphine and Ketamine, Diazepam, Tramadol

2009 ◽  
Vol 21 (1) ◽  
pp. 36-42
Author(s):  
M Masudul Haque ◽  
Md Rabiul Alam ◽  
Md Al Mamun ◽  
Md Mozaffer Hossain ◽  
Md Zahurul Islam
Keyword(s):  
Comparative Study ◽  
Cost Effective ◽  
Combination Group ◽  
Day Case ◽  
Group A ◽  
Prospective Comparative Study ◽  
Case Anaesthesia ◽  
Recovery Status ◽  
Group B ◽  
The Cost

A prospective comparative study was carried out to evaluate haemodynamic and recovery status using infusion of propofol-midazolam-nalbuphine and ketamine-diazepam-tramadol in surgical daycases. Fifty patients of either sex aged within 18-60 years ASA grade I or II requiring routine surgery as day-case basis under GA were selected in Dept of Anaesthesia, CMH, Dhaka during February-May 2006. Cases were randomly divided equally into two groups of 25 each. Group-A received propofolmidazolam- nalbuphine infusion and infusion of ketamine-diazepam-tramadol was used in Group- B for anaesthesia. Haemodynamic parameters, recovery status and home readiness time were monitored and recorded at 10 min intervals. The variations in heart rate, systolic and diastolic BP of both groups were found statistically insignificant (p-values: 0.0524, 0.0513 and 0.0575 respectively). Recovery scores were high in Group-A (p-0.0443) and time for home-readiness were found 242±35 (mean±SD) minutes in Group-A and 367±83 minutes in Group-B (p-0.0329). Drugs used in Group-B were found highly cost effective. It is concluded that by using ketamine, diazepam and tramadol combination (group-B), we can reduce the cost of anaesthesia, which is necessity for majority of patients in our country. On the other hand, propofol, midazolam and nalbuphine combination (group-A), a costlier regime appears suitable for the patients from affluent population. Both the regimes can be practiced with safety.   Journal of BSA, Vol. 21, No. 1, January 2008 36-42

Modified Lift Versus Cutting Seton for Transphincteric Fistula -Experience at Tertiary Care Hospital

2021 ◽  
Vol 15 (12) ◽  
pp. 3257-3260
Author(s):  
Muhammad Najam Iqbal ◽  
Ashfaq Nasir
Keyword(s):  
Comparative Study ◽  
Anal Incontinence ◽  
Complete Healing ◽  
Fistula Tract ◽  
Fistula Closure ◽  
Fistula In Ano ◽  
Group A ◽  
Prospective Comparative Study ◽  
Cutting Seton ◽  
Group B

Background: Fistula in ano is a common disease which has high recurrence rate and high fecal incontinence rate after surgery. We compared modified LIFT (Ligation of the intersphincteric fistula tract (LIFT) through lateral approach ) with cutting seton for transphincteric fistula. Aim: This study is aimed at which procedure is better with respect to postoperative complications Study design: It was a prospective comparative study. Methods: This was a prospective comparative study from 01-01-2019 to 30-06-2021 which was conducted on 50 patients who presented with transsphincteric fistula in ano (FIA) in surgical ward of Bahawal Victoria Hospital Bahawalpur. Patients were divided into two groups .Patients of Group A underwent modified lift procedure and patients of group B underwent cutting seton procedure. Data was collected on a proforma which included patients’ name ,age ,sex, age group, comorbid disease like diabetes mellitus ,chronic liver disease, cardiovascular disease and chronic renal failure, fistula tract involving less than 50% or more than 50% external sphincter ,procedure done, healing time of wound, complications like recurrence and incontinence. Patients were followed for 6 months for healing rate ,recurrence and incontinence. Data was analysed on spss 22 version Results: In Group A, complete healing (fistula closure without recurrence) was achieved in 20 patients (80%) out of 25. There was no case of anal incontinence after the procedure. 5 (20%) patients experienced recurrence in 6 months . In Group B, complete healing (fistula closure without recurrence) was achieved in 21 patients (84%), in 6 months follow up . 4(16%) patients were diagnosed as a case of anal incontinence. There were 4 (16%) patients with recurrence. Conclusion: Modified LIFT is better in terms of incontinence where as cutting seton is better in terms of recurrence.it is suggested that for high lying fistula modified LIFT is better procedure and for low lying fistula involving less than 50% sphincter cutting seton is better procedure.. Keywords: Modified LIFT (ligation of ineter sphincteric fistula tract) ,Cutting seton , transphincteric fistula.

scholarly journals O’CONOR (TRANSABDOMINAL) REPAIR: IS IT ALWAYS NECESSARY TO INTERPOSE A FLAP IN SIMPLE VESICO-VAGINAL FISTULA? A COMPARATIVE STUDY

2021 ◽  
Vol 71 (1) ◽  
pp. 347-50
Author(s):  
Qamar Zia ◽  
Asma Rizwan ◽  
Adil Khurshid ◽  
Mudassar Sajjad ◽  
Muhammad Nawaz ◽  
...  
Keyword(s):  
Comparative Study ◽  
Vesicovaginal Fistula ◽  
Armed Forces ◽  
Vaginal Fistula ◽  
Fistulous Opening ◽  
Vesicovaginal Fistulae ◽  
Group A ◽  
Prospective Comparative Study ◽  
Group B ◽  
Vesico Vaginal Fistula

Objective: To assess morbidity and success of transabdominal (O’Conor) repair of vesicovaginal fistula with orwithout interposition of flap between vagina and urinary bladder. Study Design: Prospective comparative study. Place and Duration of Study: Armed Forces Institute of Urology, Rawalpindi, from Mar 2016 to Jan 2019. Methodology: Fifty five patients were randomized into group A & B by lottery method. An inclusion criterionwas single fistulous opening of ≤3cm. Complex and recurrent fistulae were excluded. Patients in group A underwent O’Conor repair without interpositional flap while in group B vesicovaginal fistulae were repaired with flap interposition. Results: Twenty two patients were randomized in group A while 27 in group B. Mean age of patients was 41.65± 11.93 years. Gynecological and obstetrical surgery was the main cause of fistula. Mean duration of surgerywas 162.7 ± 18.49 minutes. Per-operative ureteric catheterization was done in 9 (16.8%) patients. Seventeen(30.6%) patients had paralytic ileus. There was transient fever in 4 (7.6%) of cases and wound infection was seenin 3 (5.8%) of patients. Mean hospital stay was 3.4 ± 2.3 days. Cystogram was done in 35 (64.5%) of patients before the removal of per-urethral catheter. The overall success rate was 92.9%. Ten (18.2%) of patients developed denovo urgency which was managed conservatively. There was no statistical difference in both groups in terms of morbidity and success. Conclusion: In simple Vesico-vaginal fistulae repair, interposition of flap can be omitted and it does not affect the outcomes in terms of success and morbidity.

scholarly journals Comparative study of endoscopic tympanoplasty and conventional tympanoplasty

2020 ◽  
Vol 6 (10) ◽  
pp. 1804
Author(s):  
Priyanka Aggarwal ◽  
Barjinder Singh Sohal ◽  
J. P. Goyal
Keyword(s):  
Success Rate ◽  
Cost Effective ◽  
Patient Comfort ◽  
Hearing Improvement ◽  
Post Operation ◽  
Group A ◽  
Group B ◽  
The Cost ◽  
Results Of Surgery ◽  
Endoscopic Tympanoplasty

<p><strong>Background:</strong> To compare the results of endoscopic tympanoplasty with that of conventional tympanoplasty and to evaluate and compare the graft uptake in both of these methods. The study was done to evaluate the improvement in hearing after tympanoplasty and the problems faced while doing the endoscope assisted tympanoplasty.</p><p><strong>Methods: </strong>Between July 2010 to June 2013, 50 patients underwent tympanoplasty, 25 were endoscope assisted (group A) and 25 were microscope assisted (group B). Results of surgery were compared at the end of three and six months post operation.</p><p><strong>Results: </strong>The success rate in terms of graft uptake rate was 88% with endoscope assisted tympanoplasty and 84% with other microscope assisted tympanoplasty. Overall success rate was 86.0%. Mean hearing improvement was (16.24±10.21 dB) and (14.28±7.10 dB) in group A and group B respectively.</p><p><strong>Conclusions: </strong>Tympanoplasty with its visualization of hidden corners, justifies tympanoplasty by using endoscope in selected cases with comparable improved results in the literature. Furthermore, the cost of the endoscope is much less (about 10%) in comparision to operating microscope, making it more cost effective in developing countries. However, the endoscope cannot be employed in every case as one hand is blocked. In terms of Patient comfort, the endoscope assisted outnumbers the benefits of other conventional methods.<strong></strong></p>

scholarly journals A PROSPECTIVE COMPARATIVE STUDY OF OPEN VERSUS CLOSED METHOD OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERY

2020 ◽  
pp. 1-3
Author(s):  
Akshar Patel ◽  
Shashank Desai
Keyword(s):  
Laparoscopic Surgery ◽  
Comparative Study ◽  
Tertiary Care ◽  
Needle Insertion ◽  
Care Hospital ◽  
Open Method ◽  
Group A ◽  
Prospective Comparative Study ◽  
Group B ◽  
Open Versus

Objective: The aim of the study was to compare open and closed method in terms of time require for creation of pneumoperitoneum and to ascertain safety in laparoscopic surgery. Methodology: This was a prospective comparative study carried out at a tertiary care hospital from January 2019 to December 2019.We selected 100 patients who were planned for laparoscopic surgery and divided them into two equal groups using the envelop method of randomization. Group A comprised of patients in whom we created pneumoperitoneum by classical veress needle insertion and in Group B by open method. Results: In our study, the mean time require for closed method was 6.92 minutes while by open method it was 4.36 minutes. Complication rate was 18% in closed and 16% in open method. Conclusion: open method is quick but comparable to closed method in terms of complications.

scholarly journals DCP vs LCDCP in forearm fractures: a comparative study of functional outcomes

2019 ◽  
Vol 5 (3) ◽  
pp. 454
Author(s):  
Aaron R. D’souza ◽  
Vamsi M. Krishna ◽  
Kaushik S. Eswaran ◽  
Shailesh Kumar
Keyword(s):  
Comparative Study ◽  
Functional Outcomes ◽  
Forearm Fractures ◽  
Group A ◽  
Prospective Comparative Study ◽  
Diaphyseal Fractures ◽  
Both Bones ◽  
Group B ◽  
Limb Fractures ◽  
Upper Limb Fractures

<p class="abstract"><strong>Background:</strong> Forearm fractures in general, and diaphyseal fractures in specific, are one of the most common fractures which accounts for about 31% of upper limb fractures seen in emergency. Early reduction and fixation is necessary in order to restore the function of forearm so as to be able to carry out their daily activities. The objective of this study was to compare the functional outcomes of forearm fractures fixed with DCP and LC DCP.</p><p class="abstract"><strong>Methods:</strong> The present study was a hospital based study, and a prospective, comparative study. A total of 40 patients with fracture of both bones forearm were taken up for the study, and randomly divided into 2 groups of 20 patients each. They were followed up for a period of 1 year.<strong></strong></p><p class="abstract"><strong>Results:</strong> The majority of patients were males (31 males and 9 females), involving age group 21-30. The left side was more common than right in both groups. The site of fracture was middle one-third of forearm in both groups (60% in group A and 65% in group B). The time for union was on average 4 weeks for LC DCP and DCP. ROM was full in 85% in DCP group and 90% in LC DCP group. Overall results were comparable in both groups. Excellent in 34 cases (18 in LC DCP, 16 in DCP), satisfactory in 5 cases (2 in LC DCP, 3 in DCP) and unsatisfactory in one case treated with DCP.</p><p class="abstract"><strong>Conclusions:</strong> LC DCP provides slightly better functional outcome in terms of time taken for union, early mobilisation and range of motion. However, it is more expensive than DCP.</p><p class="abstract"> </p><p> </p>

scholarly journals A Comparative Study of Diclofenac with Paracetamol versus Diclofenac with Serratiopeptidase in Pain Associated with Soft Tissue Injury

2021 ◽  
Vol 9 (8) ◽  
pp. 2740-2744
Author(s):  
Dr. S. E. Gowtham
Keyword(s):  
Soft Tissue ◽  
Pain Intensity ◽  
Proteolytic Enzyme ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Cost Effective ◽  
Care Hospital ◽  
Group A ◽  
Group B ◽  
The Cost

Abstract: The point of the executives is to ease the pain rapidly and improve practical capacity. NSAIDs are the primary line treatment. Serratiopeptidase is the proteolytic enzyme. The challenge lies in deciding whether only NSAIDs or NSAIDs with proteolytic enzyme will give more prominent indicative help, while additionally being savvy. the primary goal is to think about the adequacy of diclofenac with paracetamol and diclofenac with serratiopeptidase in the administration of delicate tisssue injury. This prospective, open label, observational study was conducted at a tertiary care hospital. Patients over 18 years of age and presenting with soft tissue injury pain (elbow pain, knee pain, general pain, back pain ) of less than 6 weeks duration were enrolled in the study. Forty patients with soft tissue injury pain were randomized into two groups: Group A got diclofenac with paracetamol (50mg/325mg) double a day and Group B got diclofenac with serratiopeptidase (50mg/10mg) double a day for 1 week. The Numerical Rating Scale (NRS) determined the clinically significant results. The decrease in pain intensity in Group B was (MEAN= 3.76), while in Group A it was (MEAN= 3.93). The average cost-effectiveness ratio indicated that diclofenac wit paracetamol was the dominant treatment over diclofenac with serratiopeptidase. Therefore, diclofenacc with paracetamol was found to be the cost-effective option for soft tissue injury pain relief in for 1 week. Both diclofenac wit paracetamol and diclofenac with serratiopeptidase. were clinically effective in reducing the pain intensity and in improving functional ability. H owever, diclofenac wit paracetamol was found to be the cost-effective intervention. Keywords: Paracetamol, diclofenac, Serratiopeptidase, soft tissue injury, pain.

scholarly journals Single Layer Extra-Mucosal Interrupted Anastomoses; Revalidated

2015 ◽  
Vol 2 (1) ◽  
pp. 22-26
Author(s):  
Bilal Khattak ◽  
Faiz -Ur- Rahman ◽  
Irfan -Ul-Islam Nasir ◽  
Muhammad Iftikhar ◽  
Imtiaz Ahmad Khattak ◽  
...  
Keyword(s):  
Comparative Study ◽  
Double Layer ◽  
Intestinal Anastomosis ◽  
Single Layer ◽  
P Value ◽  
Burst Abdomen ◽  
Group A ◽  
Prospective Comparative Study ◽  
Anastomosis Leakage ◽  
Group B

Objective:To evaluate the safety regarding anastomotic failure of single layer interrupted extra mucosal intestinal anastomosis in comparison with double layer intestinal anastomosisMethodology:This prospective comparative study was conducted in surgical A unit of Lady reading Hospital Peshawar from 1st June 2007 to 1st February 2008 (8 months).Patients were divided into two groups, each comprising 60 patients. First 60 consecutive patients were included in Group A, for single layer extra mucosal anastomosis while Group B included last 60 consecutive patients for double layer inverting anastomosis (continuous inner and interrupted outer Lambert sutures). All the cases were admitted through OPD and emergency. The safety of two techniques of anastomosis was analyzed by comparing the outcome in terms of complications.Results:In this study, anastomosis leakage occurred only in 4 (3.33%) patients, one (1.67%) in group A and three (5%) in group B with a P-Value 0.138. Mean age of patient in group A was 36.15 years (+/- 6.0 years) and in group B was 33.25 years (+/- 5.5 years).Conclusion:Single layer extra-mucosal anastomosis has least anastomotic leakage and other complication like wound infection, septicemia, and collection and burst abdomen than in patients with double layer investing anastomosis.

scholarly journals Laparoscopic appendectomy versus laparoscopic assisted appendectomy: a hospital based comparative study

2020 ◽  
Vol 7 (6) ◽  
pp. 1935
Author(s):  
Gopal Sharma ◽  
Barinder Kumar
Keyword(s):  
Comparative Study ◽  
Laparoscopic Appendectomy ◽  
Operating Time ◽  
Laparoscopic Technique ◽  
Average Operating ◽  
Group A ◽  
Prospective Comparative Study ◽  
Average Operating Time ◽  
Group B ◽  
Laparoscopic Assisted

Background: Laparoscopic appendectomy is more expensive and time consuming as compared to open technique. On the other hand, laparoscopic assisted appendectomy has the advantages of both the open and laparoscopic methods.Methods: This was a prospective comparative study of patients that underwent appendectomy by laparoscopic or laparoscopic assisted techniques.Results: A total of 40 patients were selected for the study. Standard laparoscopic technique was performed in 20 patients and laparoscopic assisted appendectomy was performed in 20 patients. The average operating time was 25.4±15 minutes in laparoscopic assisted appendectomy while it was 46.20±10.90 minutes in standard laparoscopic appendectomy which was statistically significant. Mean hospital stay in group A was 2.70±0.70 and in group B it was 2.10±0.70 which was not statistically significant.Conclusions: The laparoscopic-assisted method of appendix removal can be performed as efficiently as laparoscopically. It is fast and easy to perform, and it is expected to decrease the overall cost of laparoscopic appendectomy.

scholarly journals Feto-maternal outcomes following caesarean section: a prospective comparative study at tertiary care centre in North-Western Rajasthan

2018 ◽  
Vol 7 (6) ◽  
pp. 2311
Author(s):  
Neha Kuntal ◽  
Madhu Patni Bhat ◽  
Amit Nimawat ◽  
Munmun Yadav ◽  
Mahendra Kumar Verma
Keyword(s):  
Caesarean Section ◽  
Comparative Study ◽  
Tertiary Care ◽  
Maternal Outcomes ◽  
Data Types ◽  
Common Indication ◽  
Group A ◽  
Prospective Comparative Study ◽  
Group B ◽  
North Western

Background: Caesarean section (CS) is employed when vaginal delivery is not feasible or hazardous to the mother and/or her baby. The procedure, however, is not without risk. We determined the fetomaternal outcomes of CS conducted at P.B.M Tertiary hospital situated in the North-Western region of Rajasthan.Methods: This is a Hospital based prospective comparative study of all CSs performed for various indications at the Dept. of Gynaecology and Obst., S.P. Medical College and P.B.M Hospital, Bikaner, India, from August 01, 2016, to July 31, 2017. All patients who had CS at any time within the 24 h period were noted and followed up until discharge. The sociodemographic data, types of CS, indications, and feto-maternal outcomes were documented in a proforma. Statistical analysis was carried out using the SPSS version 24.Results: There were 16386 deliveries out of which 4456 (27.1%) were by LSCS. The age range of the group A was 21-25 years while in group B it was 26-30 years. The mean age group A was 22.4, and group B it was 27.9 years. Total 6572 primigravida patients delivered and 32.1% had LSCS. Total 9814 multigravida patients delivered and 12.6% had primary LSCS. In group A, 119(79.3%) LSCS were elective as compared to group B where only 19(12.7%) were elective and this difference was found statistically highly significant (p<0.001). Indication of LSCS is different in both the groups. Fetal distress was most common indication in group A (53.3%) while in group B most common indication was APH (35.9%). Perinatal mortality/morbidity was significantly higher in group B (7.3%) as compared to group A (2.7%).Conclusions: The CS rate in this study was 27.1%. Although primary caesarean section in multipara constitutes only a small percentage of total deliveries and caesarean, they are associated with high maternal and perinatal morbidity. The reason for these complications is many. Beside obstetrical causes, factors like lack of antenatal care, low socioeconomic status, anaemia, malnutrition and illiteracy also play a major role obstructed labor and previous CS among Maternal and perinatal complications were more frequent with emergency CS and in the referred cases.

scholarly journals Prospective comparative study of hypospadias surgical repair with and without the use of fibrin sealant

2019 ◽  
Vol 6 (8) ◽  
pp. 2722
Author(s):  
Tamer A. Sultan ◽  
Tamer A. Faktry ◽  
Ahmad Nabil ◽  
Mohammed Z. Shenishn
Keyword(s):  
Comparative Study ◽  
Urethral Stricture ◽  
Fibrin Sealant ◽  
Tertiary Care ◽  
Hypospadias Repair ◽  
Flap Necrosis ◽  
Significant Difference ◽  
Group A ◽  
Prospective Comparative Study ◽  
Group B

Background: Hypospadias is the most common congenital malformation of the penis, affecting about 4-6 males per 1000 male births, and ranging in severity from a urethral meatus that is slightly off-center to a meatus in the perineal area, The aim of this study was to evaluate whether the application of fibrin sealant over the suture lines of neo-urethra reduces complications and improve overall outcome in children hypospadias repair.1,2 Methods: It was a prospective comparative study conducted in a tertiary care center (Department of pediatric surgery - Menoufia University), we included the patients age more than 6 months and less than 4 years presented with hypospadias to our department in this study. A total 30 patients of coronal, sub coronal, mid shaft hypospadias and distal hypospadias were studied and were divided into two groups, group (A) 15 cases and group (B) 15 cases. All patients underwent a tabularized incised plate (TIP) repair with a Dartos vascularized pedicle flap to cover the neo-urethra, In group (B) a thin layer of fibrin sealant applied over the suture line of neo-urethra but no sealant was used in group (A).Results: Postoperative surgical complications: urethra cutaneous fistula, flap dehiscence, flap necrosis and urethral stricture were recorded. Urethrocutaneous fistula flap dehiscence and flap necrosis were lower in group (B) patients. There was no significant difference in postoperative urethral stricture between two groups. Conclusions: Use of fibrin sealant in hypospadias repair is safe and can reduce complications.

Sign in / Sign up

Export Citation Format

Share Document