EVALUATION OF MIDLINE INCISION VERSUS PARAMEDIAN INCISION FOR EMERGENCY LAPAROTOMIES

2021 ◽  
pp. 50-50
Author(s):  
Rajeev Ranjan Kumar ◽  
Raj Shekhar
Keyword(s):  
Incisional Hernia ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Midline Incision ◽  
Burst Abdomen ◽  
Abdominal Scar ◽  
Randomized Controlled ◽  
Paramedian Incision ◽  
Opening And Closing

Prospective randomized controlled study was conducted between October,2015 and September,2017 evaluating midline incision and paramedian incision in case of emergency laparotomies. A total of 60 cases were randomized into two groups of 30 each. Time taken for midline incision opening and closing was less 9.86 min as compared to paramedian incision is 19.08 min. This is due to opening and closure of abdomen in layered manner in paramedian incision. Three cases of burst abdomen were reported in midline incision as compared to one case in paramedian incision. Cases having previous abdominal scar were excluded from the present study. 4 cases of incisional hernia were reported in case of midline incision as compared to one case in paramedian incision.

scholarly journals Incisional hernia: conventional open mesh versus laparoscopic repair; a randomized controlled study

2020 ◽  
Vol 7 (10) ◽  
pp. 3211
Author(s):  
Ibrahim F. Alsubaiee
Keyword(s):  
Incisional Hernia ◽  
Laparoscopic Repair ◽  
Mesh Repair ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Patient’S Satisfaction ◽  
Randomized Controlled ◽  
Open Mesh Repair ◽  
Repair Group ◽  
Open Mesh

Background: Incisional hernia is a common complication after laparotomy. Up to now, there is no consensus on the ideal surgical approach of such hernia. The aim of the present study was to compare the surgical outcomes, feasibility and cost effectiveness of the open mesh repair and laparoscopic repair of incisional hernia.Methods: A randomized controlled study conducted between August 2015 and September 2019 in which 64 patients with incisional hernias were randomly selected for either open mesh repair (36 patients) or laparoscopic repair (28 patients).Results: Patients in both groups were similar in their characteristics. The mean operative time was significantly longer in laparoscopic repair than in open mesh repair (128.6±15 minutes versus 89.8±82 minutes, p<0.05). The peri-operative complications and intra-operative blood loss were comparable in the two groups. The use of the drain was significantly higher in open group than in laparoscopic repair group (44.4% versus 10.7%). The overall rate of postoperative complications was similar in both groups, (25% for each group). The rate of wound infection and the length of hospitalization were significantly less in laparoscopic repair group. The results of postoperative pain score, cosmetic outcomes and recurrence rate showed no significant differences between the two groups but patient's satisfaction was significantly higher in laparoscopic repair. p>0.05.Conclusion: Both laparoscopic and conventional open mesh repair of incisional hernia are equivalent and feasible and safe technique. Laparoscopic repair was superior to open mesh repair in term of surgical site infection, hospital stay and patient’s satisfaction only.

A Randomized Controlled Study of Consultation for Students With Autism: Impact of Web Technology

2012 ◽  
Author(s):  
Lisa A. Ruble ◽  
John H. McGrew ◽  
Michael D. Toland
Keyword(s):  
Web Technology ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Randomized Controlled ◽  
Students With Autism

Foreign language learning in older age does not improve memory or intelligence: Evidence from a randomized controlled study.

2020 ◽  
Vol 35 (2) ◽  
pp. 212-219
Author(s):  
Rasmus Berggren ◽  
Jonna Nilsson ◽  
Yvonne Brehmer ◽  
Florian Schmiedek ◽  
Martin Lövdén
Keyword(s):  
Foreign Language ◽  
Language Learning ◽  
Foreign Language Learning ◽  
Older Age ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Randomized Controlled

Prevention of Surgical Site Sternal Infections in Cardiac Surgery: A Two-center Prospective Randomized Controlled Study

2016 ◽  
Vol 64 (S 01) ◽  
Author(s):  
C. Schimmer ◽  
E. Ramm ◽  
G. Hoffmann ◽  
B. Panholzer ◽  
R. Leyh ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Randomized Controlled
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