Comparative Study Of Outcomes Research Articles

A Comparative Study of Surgical Outcomes between the Adjustable Suture Technique and Conventional Technique in Strabismus Surgery

Objective: To compare the success rate between adjustable suture technique and conventional technique in rectus muscle surgery. Materials and Methods: The present study was a retrospective review of patients aged 10 and above underwent rectus muscle surgery between 2010 and 2018. Patients were classified into two groups according to the surgical techniques, the adjustable group and the conventional group. Preoperative and postoperative orthoptic evaluation including angle of deviation, sensory outcomes, and reoperation rate were collected. The primary outcome was surgical success rate at two years postoperatively, with success defined as ocular alignment within 10 prism diopters (PD) for horizontal rectus muscle surgery or within 5 PD for vertical rectus muscle surgery. The secondary outcome was reoperation rate and binocular functions improvement two years post-operation. Results: One hundred fifteen cases in the adjustable group and 90 in the conventional group were identified. Patients in the adjustable group had a higher success rate achieving the target angle after six months, one year, and two years post-operation compared to the conventional group at 77.4% versus 70% (p=0.23), 73.9% versus 65.6% (p=0.19), and 72.2% versus 60% (p=0.066), respectively, but there was no statistically significant difference. Sensory improvement was seen in 43.4% of patients in the conventional group and 42.6% in the adjustable group (p=0.54). Median stereopsis improvement was seen in both groups at 80 to 45 seconds of arc in the adjustable group and 100 to 60 seconds of arc in the conventional group (p=0.67). The reoperation rate was 18.9% in the conventional group and 19.1% in the adjustable group (p=0.97). Conclusion: The adjustable suture technique presented a superior success rate compared to conventional technique though there was no statistically significant difference. A longer follow-up period and larger sample size might be needed to demonstrate statistically significant difference between the two techniques. No significant difference in binocular functions, sensory improvement, or reoperation rate was seen in the present study. Keywords: Strabismus surgery; Adjustable suture; Conventional suture; Surgical outcome

A Comparative Study of Student Learning Outcomes in Geography Learning Using ArcGIS Application and QGIS Application

One of the characteristics of learning geography in the 21st century is that teachers must strive to develop technology that supports learning. This study aims to discover differences in learning outcomes in geography learning using the ArcGIS application and the Quantum GIS application for senior high school students. The method used was a quantitative experiment with a quasi-experimental form. Determination of the sample by purposive sampling consisted of two experimental classes, with each class totaling 34 students. Students' learning outcomes were tested with a two parties t-test which previously tested data normality, data homogeneity, and the hypothesis. The results of this study show that the experimental class using the ArcGIS application has a post-test average score of 83.03 and the class using the Quantum GIS application has a post-test average score of 77.50. Therefore, there are differences in the learning outcomes of the two experimental classes, which show that using the ArcGIS application is more effective in geography learning in senior high schools than the Quantum GIS application. The results of this study can be used as material for consideration of implementing the use of innovative learning media and improving mapping skills for high school students.

A Comparative Study of Fetomaternal Outcome in Women with Spontaneous Vs Induced Labour

A Comparative Study of Fetomaternal Outcome in Women with Spontaneous Vs Induced Labour

Locked Tension Band Wiring for Mayo IIA Olecranon Fractures: Modified Surgical Technique and Retrospective Comparative Study of Clinical Outcomes and Cost-effectiveness with Locking Plate.

Background: Tension band wiring (TBW) has traditionally been used for simple olecranon fractures, but due to its many complications, locking plate (LP) is increasingly being employed. To reduce the complications, we developed a modified technique for olecranon fracture repair, locked TBW (LTBW). The study aimed to compare (1) the frequency of complications and re-operations between LP and LTBW techniques, (2) clinical outcomes and the cost efficacy. Methods: We retrospectively evaluated data of 336 patients who underwent surgical treatment for simple and displaced olecranon fractures (Mayo Type ⅡA) in the hospitals of a trauma research group. We excluded open fractures and polytrauma. We investigated complication and re-operation rates as primary outcomes. As secondary outcomes, Mayo Elbow Performance Index (MEPI) and the total cost, including surgery, outpatients and re-operation, were examined between the two groups. Results: We identified 34 patients in the LP group and 29 patients in the LTBW group. The mean follow-up period was 14.2 ± 3.9 months. The complication rate in the LTBW group was comparable to that in the LP group (10.3% vs. 17.6%; p = 0.49). Re-operation and removal rates were not significantly different between the groups (6.9% vs. 8.8%; p = 1.000 and 41.4% vs. 58.8%; p = 1.00, respectively). Mean MEPI at 3 months was significantly lower in the LTBW group (69.7 vs. 82.6; p < 0.01), but mean MEPI at 6 and 12 months were not significantly different (90.6 vs. 85.2; p = 0.06, 93.9 vs. 95.2; p = 0.51, respectively). The mean cost/patient of the total cost in the LTBW group were significantly lower than those in the LP group ($5,249 vs. $6,138; p < 0.001). Conclusions: This study showed that LTBW achieved clinical outcomes equivalent to those of LP and was significantly more cost effective than LP in the retrospective cohort. Level of Evidence: Level III (Therapeutic).

Comparative Study of Perinatal Outcome in Uncomplicated Monochorionic Diamniotic versus Dichorionic Diamniotic Twins at a Specialized Twin Clinic—A Prospective Study

Abstract Background Monochorionic twins have higher perinatal morbidity and mortality than dichorionic twins. However, there is conflicting data on outcomes of uncomplicated monochorionic twins. Purpose of the Study The aim of this study is to compare the outcomes of apparently uncomplicated monochorionic twins to dichorionic twins. Methods This is a prospective study conducted from August 2019 to December 2020 at a specialized twin clinic. All twins, whose chorionicity was determined before 14 weeks with two live fetuses at 24 weeks, were recruited. Complicated monochorionic diamniotic (MCDA) twins with twin-to-twin transfusion syndrome, twin anemia polycythemia syndrome, selective fetal growth restriction before 24 weeks and single or double fetal demise before 24 weeks were excluded. Other exclusion criteria were major congenital and chromosomal abnormalities, higher order multiples, monoamniotic twins, and twins with undetermined chorionicity antenatally. Both the groups were followed till delivery and neonates followed till 28 days. Maternal and neonatal outcomes were studied and compared. Results One-hundred forty-eight mothers with dichorionic diamniotic (DCDA) and 74 with uncomplicated MCDA were studied. Mean gestational age at delivery was 35 weeks in both the groups. Maternal, fetal, and neonatal morbidities were similar in both, except early onset preeclampsia that was higher in the DCDA group. Prospective risk of stillbirth for DCDA and MCDA after 24 weeks was 1.35 and 4.05%, respectively. Prospective risk of stillbirth for DCDA and MCDA after 30 weeks was 1.49 and 0%, respectively. Conclusion The maternal and perinatal outcomes in uncomplicated MCDA twins are similar to DCDA twins. Prospective risk of stillbirth after 30 weeks is extremely low. Hence, uncomplicated MCDA twins should not be delivered electively before 36 weeks.

A comparative study of functional outcome between DHS and PFN in Basicervical femur fracture

Objective: To study and compare the functional outcome of Dynamic Hip Screw vs. Proximal Femoral Nail in basicervical fracture of femur. Materials and Methods: A prospective randomized and comparative study of 18 months duration was conducted on 28 patients admitted in the Department of Orthopaedics in our hospital with Basicervical femur fracture. These patients were randomly treated by a Dynamic hip screw or Proximal femoral nail. The parameters studied were functional outcome in terms of Harris hip score at 4 and 12 weeks, total duration of operation, length of incision and amount of blood loss during surgery. These values were statistically evaluated and two tailed p-values were calculated and both groups were statistically compared. Results: The average age of our patient in DHS group is 53.642±12.923 years and in PFN group is 67.285±11.424 years. The average blood loss was 115 ml and 192 ml in PFN and DHS group, respectively. The average operating time for the patients treated with PFN was 73 min as compared to 101 min in patients treated with DHS. The average HHS at 4 weeks was 53.071±12.639 and 48.428±9.120 in DHS and PFN group respectively. The average HHS at 12 weeks was 69.571±9.928 and 68.928±8.080 in DHS and PFN group respectively. Both the implants had almost similar functional outcomes. Conclusion: In our study we have found that the PFN group has less blood loss, smaller incision and less operating time compared to DHS group. In both DHS and PFN group patients have similar HHS at 4 weeks and 12 weeks. There is no significant difference in functional outcome in terms of HHS.

Robotic versus open approach in total gastrectomy for gastric cancer: a comparative single-center study of perioperative outcomes.

The robotic approach to gastric cancer has been gaining interest in recent years; however, its benefit over the open procedure in total gastrectomy with D2 lymphadenectomy is still controversial. The aims of the study were to compare postoperative morbidity and mortality, hospital stay, and anatomopathological findings between the robotic and open approaches to oncologic total gastrectomy. We analyzed a prospectively collected database, which included patients who underwent total gastrectomy with D2 lymphadenectomy in our center using a robotic or an open approach between 2014 and 2021. Comparative analysis of clinicopathological, intraoperative, postoperative and anatomopathological variables between the robot-assisted group and the open group was performed. Thirty patients underwent total gastrectomy with D2 lymphadenectomy by a robotic approach and 48 patients by an open procedure. Both groups were comparable. The robot-assisted group presented a lower rate of Clavien-Dindo complications ≥ stage II (20 vs. 48%, p = 0.048), a shorter hospital stay (7days vs. 9days, p = 0.003) and had a higher total number of lymph nodes resected (22 nodes vs. 15 nodes, p = 0.001) compared to the open approach. Operative time was longer in the robotic group (325min vs. 195min, p < 0.001) compared to the open group. The robotic approach is associated with a longer surgical time, a lower rate of Clavien-Dindo complications ≥ stage II and a shorter hospital stay, and more lymph nodes were resected compared to the open approach.

A scoping review of intimate partner violence in hospitalized patients.

Despite the high prevalence and significant health effects of intimate partner violence (IPV), little is known about its associations with hospitalization. To perform a scoping review of how IPV impacts hospitalization rates, characteristics, and outcomes in adult patients. A search of four databases (MEDLINE, Embase, Web of Science, and CINAHL) using a combination of terms including hospitalized patients and IPV revealed 1608 citations. One reviewer determined eligibility based on inclusion and exclusion criteria, which a second reviewer independently verified. Data were extracted and organized a posteriori into three categories based on research aim: (1) comparative studies of hospitalization risk associated with recent IPV exposure, (2) comparative studies of hospitalization outcomes by IPV exposure, and (3) descriptive studies of hospitalizations for IPV. Of the 12 included studies, 7 were comparative studies of hospitalization risk associated with IPV, 2 were comparative studies of hospitalization outcomes by IPV, and 3 were descriptive studies of hospitalizations for IPV. Nine out of 12 studies focused on specific patient populations. All but one study demonstrated that IPV was associated with increased risk of hospitalization and/or worse hospitalization outcomes. Six of the seven comparative studies showed a positive association between recent IPV and hospitalization risk. This review suggests that IPV exposure increases the risk of hospitalization and/or worsens inpatient outcomes in specific patient populations. Additional work is needed to characterize hospitalization rates and outcomes for persons who have experienced IPV in a broader, nontrauma population.

A Randomized Comparative Study of Functional and Radiological Outcome of Tension Band Wiring for Patella Fractures Using SS Wire Versus Fiberwire.

Patellar fractures account for 1% of all skeletal injuries. Tension band wiring using SS wire has been the most commonly practiced procedure. Although this has shown good results, many patients experience hardware related problems like pain, irritation and prominence which necessitate it's removal. Recent studies have highlighted braided sutures as a possible alternative to SS wire. The purpose of this study is to evaluate the functional and radiological outcomes and complications of TBW using SS wire versus FiberWire (a reinforced braided polyblend suture) for the treatment of displaced transverse patellar fractures. A randomized comparative study was carried out at a tertiary care center from November 2019 to May 2021. 32 patients were randomized into two equal groups, one treated with TBW using FiberWire and the other with SS wire. Patients were followed up for a period of 20weeks and evaluated for functional outcome using the Bostman scoring scale, radiological union, complications and hardware removal rates. The mean duration for radiological union was 12.85weeks using FiberWire and 12.75weeks using SS wire. The mean knee range of motion was 118.57° in the FiberWire group and 117.18° in the SS wire group. Functional scores in the FiberWire and SS wire groups were 24 (good) and 26 (good) respectively measured using the Bostman scoring scale at end of 20weeks. Complications like hardware prominence, soft tissue irritation and hardware removal rates were significantly higher in the SS wire group with a p value of 0.023. SS wire is biomechanically stronger than FiberWire when used for TBW. Both implants produce comparable results with respect to union rate, ROM and functional outcome, however, FiberWire causes fewer hardware complications like prominence and pain and hence alleviates the need for a second surgical procedure for implant removal. Thus, surgical treatment of transverse and inferior pole of patella fractures with TBW using FiberWire is a better alternative to SS wire considering early rehabilitation and lesser complication rates.

A comparative study of outcomes of burns across multiple levels of care

BackgroundBurn injuries are a significant contributor to the burden of diseases. The management of burns at specialised burn centres has been shown to improve survival. However, in low- and middle-income countries (LMICs) major burns are managed at non-specialised burn centres due to resource constraints. There is insufficient data on survival from treatment at non-specialised burn centres in LMICs. This study aimed to compare the outcomes of burns treatment between a specialised burn centre and five non-specialised centres. MethodsA prospective cohort study was conducted on patients aged 18 years or above from January 1, 2021 to September 30, 2021. Participants were selected from the admission register at the emergency department. All burns irrespective of the mechanism of injury or %TBSA were included. Data were entered into REDCap. Statistical analysis of outcomes such as positive blood culture, length of hospital stay (LOHS) and 90-day mortality between specialised burn versus non-specialised centres was performed. Furthermore, an analysis of risk factors for mortality was performed and survival data computed. ResultsOf the 488 study participants, 36% were admitted to a specialised burn centre compared to 64% admitted to non-specialised centres. The demographic characteristics were similar between centres. Patients at the specialised burn centre compared to non-specialised centres had a significantly higher inhalation injury of 30.9% vs 7.7% (p < 0.001), > 10%TBSA at 83.4% vs 45.7% (p < 0.001), > 20%TBSA at 46.9% vs 16.6% (p < 0.001), and a median (IQR) ABSI score of 6 (5−7) vs 5 (4−6) (p < 0.0001). Furthermore, patients from specialised burn vs non-specialised centres had a longer median (IQR) time from injury to first burn excision at 7 (4−11) vs 5 (2−10) days, higher rate of burn sepsis 69% vs 35%, increased LOHS 17 (11−27) vs 12 (6−22) days, and 90-day mortality rates at 19.4% vs 6.4%. After adjusting for cofounding variables, survival data showed no difference between specialised burn and non-specialised centres (HR 1.8 95% CI 1.0–3.2, p = 0.05). ConclusionAlthough it appears that the survival of burn patients managed at non-specialised centres in a middle-income country is comparable to those managed at specialised burn centres, there is uncounted bias in our survival data. Hence, a change in practice is not advocated. However, due to resource constraint specialised burn centres in addition to managing major burns should provide training and support to the non-specialised centres.

A prospective, comparative study of clinical outcomes following clinic-based versus self-use of medical abortion

BackgroundTo determine whether clinical outcomes differ among women accessing a combined medical abortion regimen from a health clinic when compared with those accessing it from a pharmacy.MethodsWe conducted a multicentre,...

Single-center comparative study of short-term outcomes of transanal and laparoscopic total mesorectal excisions for low and middle rectal cancers.

Transanal total mesorectal excision is a promising surgical treatment for rectal cancer. However, evidence regarding the differences in outcomes between the transanal and laparoscopic total mesorectal excisions is scarce. We compared the short-term outcomes of transanal and laparoscopic total mesorectal excisions for low and middle rectal cancers. This retrospective study included patients who underwent low anterior or intersphincteric resection for middle (5-10cm) or low (< 5cm) rectal cancer at the National Cancer Center Hospital East, Japan, from May 2013 to March 2020. Primary rectal adenocarcinoma was confirmed histologically. Circumferential resection margins (CRMs) of resected specimens were measured; margins ≤ 1mm were considered positive. The operative time, blood loss, hospitalization length, postoperative readmission rate, and short-term treatment results were compared. Four hundred twenty-nine patients were divided into two mesorectal excision groups: transanal (n = 295) and laparoscopic (n = 134). Operative times were significantly shorter in the transanal group than in the laparoscopic group (p < 0.001). The pathological T stage and N status were not significantly different. The transanal group had significantly lower positive CRM rates (p = 0.04), and significantly lower incidence of the Clavien-Dindo grade III (p = 0.02) and IV (p = 0.03) complications. Both groups had distal margin positivity rates of 0%. Compared to laparoscopic, transanal total mesorectal excision for low and middle rectal cancers has lower incident postoperative complication and CRM-positivity rates, demonstrating the safety and usefulness of local curability for middle and low rectal cancers.

Fixation of intra-articular calcaneal fractures: A comparative study of the postoperative outcome between HA/PPLA screws and locking plates

BackgroundForged unsintered hydroxyapatite and poly l-lactic acid (F-u-HA/PLLA) screw is bioactivite, bioabsorbable, and radiopaque with high mechanical strength. Its efficacy has been previously demonstrated in the treatment of lateral humeral condylar, lateral tibial condylar, ankle, and patellar fractures. However, studies on its efficacy in treatment of calcaneal fractures is lacking. This study aimed to compare the postoperative results of F-u-HA/PLLA screw fixation and locking plate fixation for intra-articular calcaneal fractures. MethodsFrom January 2013 to December 2019, 47 closed intra-articular fractures treated with either F-u-HA/PLLA screws (group S, 18 feet in 17 patients) or locking plates (group P, 29 feet in 28 patients) in a single trauma center were retrospectively reviewed. The sinus tarsi approach was used in both groups. The time to bone union, step-off, varus deformity, Bohler's angle, and width and height of the calcaneus were assessed after surgery. Ankle joint range of motion (ROM) and postoperative complications were also assessed. ResultsAll fractures were successfully treated. The Kaplan-Meier curves of the two groups showed similar trends. The log-rank test showed no significant difference in the time to bone union between the two groups (p = 0.48). In the Cox proportional hazards model adjusted for preoperative width and Bohler's angle, the hazard ratio for bone union was not statistically significant (HR: 1.13, 95%CI: 0.50–2.56, p = 0.78). Other variables included step-off (group S: 2.0 vs group P: 2.2 mm, p = 0.84), varus deformity (2.0° vs. 3.0°, p = 0.7), Gissane's angle (103.5° vs 104.0°, p = 0.84), width (38.0 vs 34.8 mm, p = 0.12), height (42.1 vs 44.0 mm, p = 0.07), and ankle ROM degrees (dorsal flexion, 20.0° vs. 20.0°, p = 0.13; plantar flexion 40.0° vs 40.0°, p = 0.56), which were not significantly different between groups P and S. The Bohler's angle was smaller in group S than in group P (20.5° vs 27.0°, p < 0.01). No skin necrosis or infection was observed in either group. ConclusionPostoperative results of F-u-HA/PLLA screw fixation using the sinus tarsi approach for intra-articular calcaneal fractures were as good as those of locking plate fixation.

Comparative study of outcomes in patients where pneumoperitoneum is created by Veress needle versus open method in laparoscopic surgeries

Background: The establishment of pneumoperitoneum is the inevitable first step in laparoscopic surgery as it increases the distance between the anterior abdominal wall and intra-abdominal viscera, thus creating a working space. Methods: This prospective study was conducted on 50 patients. Patients were randomly divided into two groups, in first group, pneumoperitoneum is created by Veress needle and in second group, pneumoperitoneum is created by open method. Results: The open method takes less time to create pneumoperitoneum while leads to statistically significant more gas leaks as compared to the closed method. Conclusions: The open technique is almost equal to closed technique or Veress technique in terms of the time taken to complete the operation and major and minor complications because there was no statistically significant difference in the frequency of these parameters between the two techniques. The open method takes less time to create pneumoperitoneum while leads to statistically significant more gas leaks as compared to the closed method.

Comparative study of functional outcome of distal one-third shaft tibia fractures treated with tip locking tibia nailing versus precontoured anatomical locking plate

Background: The distal 1/3rd shaft tibia extra-articular fractures are treated with both tip locking intra-medullary nailing (TLIMN) and precontoured anatomical locking plates (PCALP). The aim of this study was to compare the results of TLIMN and PCALP in distal tibia fractures and to determine dominant strategies. The complications and functional outcome in both groups were compared. Methods: Forty patients with distal 1/3rd shaft tibia were randomly assigned to TLIMN (group 1) and PCALP group (group 2). The functional outcomes were evaluated using American Orthopaedic Foot and Ankle Society (AOFAS) score. Complications like infection, delayed union, non-union, malunion, hardware prominence and secondary interventions were compared. Results: The average union time was 15.05±3.33 weeks in group 1 and 13.4±2.46 weeks in group 2 (p=0.045). The mean AOFAS score at 1 year follow up was 89.8±6.13 in group 1 and 89.1±6.15 in group 2 (p=0.262). Five patients in group 1 and one in group 2 had mal-alignment. Deep infection was present in one and superficial infection was present in two cases in group 2. Four patients in group 1 developed anterior knee pain and five patients in group 2 had hardware prominence. Conclusions: We conclude that tip locking intra-medullary nail is a reliable and satisfactory method for treatment of fractures of distal 1/3rd shaft tibia AO type 42A, 42B and 42C fractures with good functional outcomes and high union rates with comparatively low complications. Prevalence of malunion was higher in TLIMN group and hardware prominence was more prevalent in PCALP group. Implant removal are more in PCALP group mostly due to implant irritation.

A Comparative Study of The Clinical Outcomes Using Conventional Manual Staplers and Circular Powered Staplers in Patients Undergoing Left Sided Colorectal Anastomosis

Aim: The aim of our study was to assess safety and efficacy of powered circular staplers for colorectal anastomosis and its comparison with conventional (manual staplers). Method: It’s a single institute, single surgeon based retrospective study to compare powered staplers with manual for the patient’s undergoing anastomosis in colorectal surgery. We assessed the two techniques on the basis of type of surgery, technical problems, intraoperative leak, post-operative leak, blood transfusion, post-operative complication rates, adverse events, additional use of analgesics, antibiotics and readmission rates. SPSS version 20 was used to perform the statistical analysis. Result: Study consisted of forty- eight patients who underwent surgery for colorectal disease. Mean operating time was same for both the groups (3.33 hours). One post-operative leak was observed in manual stapler anastomosis. Four patients had complications including anastomotic leak, anastomotic stricture, wound infection and perianal pain in our study, amongst them three patients underwent manual anastomosis while one patient underwent powered anastomosis. One patient in each arm required readmission. Three patients who underwent powered stapler anastomosis required higher analgesics and higher antibiotics as compared to none in manual, however it was not statistically significant. The mean pain score for patient in powered stapler and manual stapler was 2.96 and 2.92 respectively(p&lt;0.851), while mean length of stay was 7.04 for powered and 6.1 for manual stapler(p&lt;0.08). Conclusion: In our preliminary study, powered stapler was safe and efficacious without any added complications and adverse events. We observed comparable intraoperative and higher trends of post-operative complication rates in manual stapler group.

Immediate Versus Delayed Induction with PGE2 Gel in Term Premature Rupture of Membranes: Comparative Study of Maternal Outcome

Immediate Versus Delayed Induction with PGE2 Gel in Term Premature Rupture of Membranes: Comparative Study of Maternal Outcome

Comparative Study of Outcome of Surgical Treatment of Haemorrhoid between Open Haemorrhoidectomy and Stapled Haemorhoidopexy

Background: Hemorrhoids are anal cushions that enlarge, bleed, thrombose, prolapse, and result in clinical complaints. Surgery is the recommended course of action for people with grade III or grade IV haemorrhoids. The purpose of this study was to evaluate the clinical characteristics, operating time, hospital stay, and postoperative complications of the two haemorrhoid surgery procedures: open hemorrhoidectomy and stapled haemorrhoidopexy. Methods: A retrospective cross-sectional study was carried out at the department of Surgery in Kumuduni Women's Medical College, Tangail from January 2020 to January 2021. The current study covered all 84 patients, 42 of which underwent open surgery and 42 of which underwent stapled treatment. Version 20 of SPSS was used for the statistical analysis. In order to compare the results between the groups, both parametric and non-parametric tests were performed. Result: The mean age of patients was 39.05±5.29 years for the stapled haemorrhoidopexy group and 39.52±5.22 years for the open hemorrhoidectomy group. Most 23(54.8%) participants were male and 19(45.2%) were female in the stapled group whereas 25(59.5%) were male and 17(40.5%) were female in the open hemorrhoidectomy group. The stapled haemorrhoidopexy group's mean ± SD of intraoperative bleeding was 48.44±.9.42 ml, the average hospital stay was 1.42±.94 days and the average surgical duration was 1.42±.94 minutes. The mean ± SD of intraoperative blood loss for the open hemorrhoidectomy group was 72.65±11.92 ml, the mean hospital stay was 3.3±2.9 days, and the mean operational time and standard deviation were 49.12 ± 6.46 minutes. It was discovered that the open group had a higher rate of urine retention. Six (14.3%) patients in the stapled group experienced post-operative bleeding, compared to nine (21.4%) in the open group. In addition to 31% of patients in the stapled group, 57.1% of patients in the open group reported pain. Conclusion: In conclusion, this study reveals ....

Ventral Hernia Repair and Diabetes Mellitus - A Prospective, Observational and Comparative Study of Outcomes.

Diabetes mellitus (DM) and obesity are known to influence postoperative outcomes in surgical patients. This study aimed to analyze the divergence in outcomes between patients with and without DM who underwent ventral hernia repair, while also assessing the additional impact of obesity on postoperative complications, hospitalization, and costs. A prospective, non-interventional, observational study was conducted over five years (2018-2022) at the First Surgical Clinic of Craiova Emergency Clinical Hospital. The study included 216 patients, with 42 (19.44%) having DM, half of whom were also obese. There were no significant differences in age between patients with or without DM. However, diabetes and obesity were more prevalent in female patients. The mean duration of hospitalization was 10.7±8.6 days, with no significant differences observed between patients with or without DM or obesity. Statistical analysis revealed that patients with DM had a higher incidence of seroma formation, wound infection, and hematoma formation compared to patients without DM. However, there were no significant differences in mesh infection, hospitalization days, or costs between the two groups. Similarly, no significant differences were found between obese and non-obese patients in terms of complications, hospitalization days, or costs. In conclusion, this study highlights that DM is associated with an increased risk of specific complications in ventral hernia repair, including seroma formation, wound infection, and hematoma formation. However, the impact of obesity on these outcomes appears to be limited. Individualized preoperative optimization and targeted interventions are necessary to mitigate the risk of complications in patients with DM or obesity.

Laparoscopic vs. open transcapsular adenomectomy (Millin): A comparative study of perioperative outcomes and complications

Laparoscopic vs. open transcapsular adenomectomy (Millin): A comparative study of perioperative outcomes and complications