ABSTRACT
Objective: to assess the outcome of intraperitoneal instillation of bupivacaine injection in terms of post-operative pain [visual analogue score] and duration of hospital stay [in hours] in patients undergoing laparoscopic cholecystectomy
Material and Methods: in this study, a total of 150 patients were recruited after fulfilling the inclusion/exclusion criteria to assess the outcome of intraperitoneal instillation of bupivacaine injection in terms of post-operative pain [visual analogue score] and duration of hospital stay [in hours] in patients undergoing laparoscopic cholecystectomy
Results: most of the patients were between 41-50 years of age, mean age was 39.76+2.31, 44% [n=66] male and 56% [n=84] females. Stay at hospital [in hours] after laparoscopic cholecystectomy showed the 8.67% [n=1 3] stayed <9 hours, 89.33% [n=134] 9-18, 2% [n=3] 18- 24 hours and no patient with >24 hours, 8.67% [n=13] had excellent, 89.33% [n=134] had good and only 2%[n=3] had fair outcome [pain relief]
Conclusion: the assessment of outcome of intraperitoneal instillation of bupivacaine injection in terms of post-operative pain [visual analogue score] and duration of hospital stay [in hours] in patients undergoing laparoscopic cholecystectomy is found considerably good and may be promoted for use in routine clinical practices to make laparoscopic cholecystectomy more safe and effective
ABSTRACT
Objective: to compare open and closed haemorrhoidectomy for wound healing time, hospital stay and complications
Material and Methods: sixty patients fulfilling the inclusion criteria were selected for this study and divided into two groups. Group A was treated by open haemorrhoidectomy and group B by closed haemorrhoidectomy. Postoperatively patients were evaluated for wound healing time, hospital stay, early and late complications
Results: the mean wound healing time in closed haemorrhoidectomy group was 2.60+/-0.67 weeks. The mean wound healing time in op n haemorrhoidectomy group was 3.97+/-0.76 weeks. There were 2 [6.7%] patients of urinary retention in closed haemorrhoidectomy group and no patient in open haemorrhoidectomy group. There were 29 [96. 7%] patients of mild to moderate bleeding and 1 [3.3%] patient of severe bleeding in closed haemorrhoidectomy group. In open haemorrhoidectomy group, 1[3.3%] patient had no bleeding, 28 [93 .3%] patients had mild to moderate bleeding and 1 [3.3%] patient had severe bleeding. Among late complications at one month follow up, 1 [3.3%] patient developed anal stenosis in closed haemorrhoidectomy group. In open haemorrhoidectomy group there was 1 [3.3%] patient of anal stenosis and 1 [3.3%] patient of anal fissure
Conclusion: open haemorrhoidectomy has more reliable wound healing with lesser complications, though complete wound healing time is more as compared to the closed technique
ABSTRACT
Port site infections after laparoscopic surgery are a known complication and take away a lot of benefits attributed to the minimal access approach. Detecting the flora responsible is essential and atypical mycobacteria must also be considered. This case series is a compilation of the accounts of ten different patients with chronic granulomatous inflammation of the anterior abdominal wall presenting with port site discharging sinuses and lumps after laparoscopic surgery. Atypical mycobacterial infections must be considered in patients with persistent wound infections after laparoscopic surgery and warrants a revision of the high level disinfection [HLD] process.
Subject(s)
Humans , Female , Laparoscopy/adverse effects , Abdomen/pathology , Granuloma/diagnosis , Surgical Wound Infection/diagnosis , Disinfection , Postoperative Complications , Mycobacterium tuberculosisABSTRACT
Objective: to determine whether use of ultrasonic dissector [UD] in thyroid surgery results in shorter operative time, hospital stay and reduced average drainage and to compare the incidence of postoperative complications with electrocautery [EC]
Material and Methods: hundred patients with thyroid disease were inducted in the study. The patients were randomized in two groups. Group A [EC], and Group B [UD]
Results: the study carried out on patients undergoing ultrasonic dissector group B [UD] for thyroid surgery revealed meager post-operative complications attributable to harmonic scalpel but on the contrary the benefits were decrease in operative time, less post-operative pain, less drainage, early hospital discharge and very few complications as compared to Electrocautery group A [EC]
Conclusion: the complete ultrasonic dissection of thyroid gland with Harmonic scalpel is not only safe but it also reduces pain, hematoma formation and drainage. Hospital stay and operative time is also shortened