scholarly journals COMPARATIVE STUDY BETWEEN HERNIOPLASTY AND HERNIORRHAPHY AT ESI PGIMSR, BASAIDARAPUR, NEW DELHI

2020 ◽  
pp. 53-54
Author(s):  
Rakesh Kumar Thakur ◽  
Tanweer Karim ◽  
Debarshi Jana
Keyword(s):  
Comparative Study ◽  
Care Setting ◽  
Current Approach ◽  
Abdominal Muscles ◽  
New Delhi ◽  
Post Operative Pain ◽  
Scrotal Swelling ◽  
One Year ◽  
Retrospective Comparative Study ◽  
Surgical Setting

Inguinal hernia is a very common problem. Surgical repair is the current approach. Local anaesthesia is a suitable and economic option for open repairs, and should be popularized in day-care setting. Numerous repair methods have been described to date. Mesh repairs are superior to "non-mesh" tissue-suture repairs, but in some socio economically backward areas and in rural setups still non-mesh tissue repair is being performed. This study is done to compare and demonstrate the efficacy, acceptability, outcomes and recurrences of herniorrhaphy (Bassinis's repair) and hernioplasty (Lichtenstein's tension free repair). This retrospective comparative study of herniorrhaphy and hernioplasties was conducted in 62 patients who were admitted and treated in surgical setting from August 2014 to July 2015. Patients were evaluated thoroughly with physical examination, routine investigations, and ultrasonography. Patients were selected either for herniorrhaphy or hernioplasty depending on the age of presentation, tone of the abdominal muscles and size of the defect. All the operated patients were followed up for a period of one year. In the study paediatric hernias subjected to herniotomies were excluded. This study showed that majority of the patients who were subjected to herniorrhaphy were patients below the age of 50 years with good abdominal tone and majority of people above 60 years with weak abdominal tone i.e. those presenting with direct hernias, were subjected for hernioplasty and neither of the patient had any recurrence or other complications. Out of the 38 patients who underwent hernioplasty 3 patients had infection and mesh extrusion and 7 had inguinodynia. Out of the 24 patients who underwent herniorrhaphy 4 had scrotal swelling and about 9 of the patients had increased post-operative pain compared to patients who underwent hernioplasties. But no cases of wound infections were reported in Bassini’s repair. This study shows that, pre operatively if the patient is assessed properly and then subjected to herniorrhaphy or hernioplasties the rate of recurrence is minimal to nil and more economical. In our study there were no hernia recurrences noticed.

Comparative Study between Endoscopic Aided Septoplasty with Two Handed Technique using Endoholder and Conventional Septoplasty

2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Apar Pokharel ◽  
Naganawalachullu Jaya Prakash Mayya ◽  
Nabin Gautam
Keyword(s):  
Comparative Study ◽  
Nasal Septum ◽  
Deviated Nasal Septum ◽  
Endoscopic Septoplasty ◽  
Septal Surgery ◽  
Significant Difference ◽  
Common Causes ◽  
Prospective Comparative Study ◽  
Evolutionary Step ◽  
One Year

Introduction: Deviated nasal septum is one of the most common causes for the nasal obstruction. The objective of this study is to compare the surgical outcomes in patients undergoing conventional septoplasty and endoscopic septoplasty in the management of deviated nasal septum. Methods:  Prospective comparative study was conducted on 60 patients who presented to the Department of ENT, College of Medical sciences, during a period of one year. The severity of the symptoms was subjectively assessed using NOSE score and objectively assessed using modified Gertner plate. Results: There was significant improvement in functional outcome like NOSE Score and area over the Gertner plate among patients who underwent endoscopic septoplasty. Significant difference in incidence of post-operative nasal synechae and haemorrhage was seen in conventional group compared to endoscopic group. Conclusions: Endoscopic surgery is an evolutionary step towards solving the problems related to deviated nasal septum. It is safe, effective and conservative, alternative to conventional septal surgery.

scholarly journals One versus two anterior miniscrews for correcting upper incisor overbite and angulation: a retrospective comparative study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Arturo Vela-Hernández ◽  
Laura Gutiérrez-Zubeldia ◽  
Rocío López-García ◽  
Verónica García-Sanz ◽  
Vanessa Paredes-Gallardo ◽  
...  
Keyword(s):  
Comparative Study ◽  
Retrospective Comparative Study

scholarly journals Operational experience of the Dutch helicopter emergency medical services (HEMS) during the initial phase of the COVID-19 pandemic: jeopardy on the prehospital care system?

2021 ◽  
Author(s):  
Quinten G. H. Rikken ◽  
Sarah Mikdad ◽  
Mathijs T. Carvalho Mota ◽  
Marcel A. De Leeuw ◽  
Patrick Schober ◽  
...  
Keyword(s):  
The Netherlands ◽  
Initial Phase ◽  
Prehospital Care ◽  
Operational Experience ◽  
Level Of Evidence ◽  
Historical Cohort ◽  
Significant Difference ◽  
One Year ◽  
Retrospective Comparative Study ◽  
Global And Local

Abstract Purpose The SARS-CoV-2 virus has disrupted global and local medical supply chains. To combat the spread of the virus and prevent an uncontrolled outbreak with limited resources, national lockdown protocols have taken effect in the Netherlands since March 13th, 2020. The aim of this study was to describe the incidence, type and characteristics of HEMS and HEMS-ambulance ‘Lifeliner 1’ dispatches during the initial phase of the COVID-19 pandemic compared to the same period one year prior. Methods A retrospective review of all HEMS and HEMS-ambulance ‘Lifeliner 1’ dispatches was performed from the start of Dutch nationwide lockdown orders from March 13th until May 13th, 2020 and the corresponding period one year prior. Dispatch-, operational-, patient-, injury-, and on-site treatment characteristics were extracted for analysis. In addition, the rate of COVID-19 positively tested HEMS personnel and the time physicians were unable to take call was described. Results During the initial phase of the COVID-19 pandemic, the HEMS and HEMS-ambulance was requested in 528 cases. One year prior, a total of 620 requests were received. The HEMS (helicopter and ambulance) was cancelled after deployment in 56.4% of the COVID-19 cohort and 50.7% of the historical cohort (P = 0.05). Incident location type did not differ between the two cohorts, specifically, there was no significant difference in the number of injuries that occurred at home in pandemic versus non-pandemic circumstances. Besides a decrease in the number of falls, the distribution of mechanisms of injury remained similar during the COVID-19 study period. There was no difference in self-inflicted injuries observed. Prehospital interventions remained similar during the COVID-19 pandemic compared to one year prior. Specifically, prehospital intubation did not differ between the two cohorts. The rate of COVID-19 positively tested HEMS personnel was 23.1%. Physicians who tested positive were unable to take call for a mean of 25 days (range 8–53). Conclusion A decrease in the number of deployments and increase in the number of cancelled missions was observed during the COVID-19 study period. No major differences in operational- and injury characteristics were found for HEMS and HEMS-ambulance dispatches between the initial phase of the COVID-19 pandemic in the Netherlands and the same period one year prior. These findings highlight the importance of continued operability of the HEMS, even during pandemic circumstances. Level of evidence III, retrospective comparative study.

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