BACKGROUNDThere is always a concern amongst the surgeons about abdominal wound complications after continuous or interrupted suturing, so our study is hereby intended to compare the outcome of continuous and interrupted suture in laparotomy wound repair. Aims & Objectives-To measure the risk of abdominal wound dehiscence, wound infections & gaping, seroma and incisional hernia for interrupted and continuous suture technique in laparotomy and to calculate the relative risk of burst abdomen between continuous and interrupted method.
Introduction:It is a matter of debate whether to use a stent (double J) or not during pyeloplasty in patients of puj obstruction. This study was conducted to assess which technique-stented or non-stented is better for paediatric patients with puj obstruction. Materials and method: 45 paediatric patients aged 0-12 years were included in this prospective comparative simple randomized sample study during the period of june 2015 to august 2017 in paediatric surgery division of department of surgery in M.Y. Hospital, Indore. The M:F ratio was 2:1. All patients except one underwent open A-H Dismembered Pyeloplasty. The parameters used for comparison were:-• Renal parenchymal diameter • Renal pelvis AP diameter • GFR (by DTPA scan) • Rate of complications.Minimum follow up period was 3 months.Result: Stented children had significant improvement in renal parenchymal diameter (i.e. increase) and GFR (of affected kidney) after pyeloplasty whereas non-stented children too had improvement in renal parenchymal diameter and GFR (affected kidney) but was not significant. The percentage of post-operative complications were more in non-stented group as compared to stented group. Conclusion:In all paediatric cases with pujo undergoing A-H pyeloplasty, a double J stent should be placed.
Most paediatric patients attend Urology Outpatient Department with diagnosis of pelviureteric junction obstruction. Now-a-days laparoscopic pyeloplasty is increasingly been used for the pelviureteric junction obstruction in paediatric patients. In the present case series, four paediatric patients of pelviureteric junction obstruction with age group of six, seven, eight and 12 years underwent laparoscopic pyeloplasty with adult sized laparoscopic instruments with ports size of 5 mm and 10 mm. Outcomes were measured in terms of mean operative duration, mean hospital stay and complications and improvement in Glomerular Filtration Rate (GFR). Mean operative duration was 211 min , mean blood loss of 96.25 mL and mean hospital stay was 5.75 days. Mean preoperative and mean postoperative GFR (at three months) were 53.19 mL/min and 55.35 mL/min respectively. In postoperative period one patient had increased drain output of more than 250 mL up to postoperative day three. All four patients had minor complications like postoperative fever on postoperative and ileus which were managed conservatively. Mean postoperative follow up duration was six weeks when Double-J (DJ) stent was removed. All patients had good outcome in terms of being asymptomatic and decreased hydronephrosis on follow-up renal ultrasonography and increased function of operated kidney on renal scan at three months. Based on intraoperative and postoperative observations, adult sized laparoscopic instruments can be used with ease with changes in port position and length of instrument inserted , adult sized laparoscopic instruments can be a useful armamentarium for paediatric laparoscopic pyeloplasty in cases of unavailability or intraoperative instrumental damage.
Background: It is a matter of debate whether to use a stent (double J) or not during pyeloplasty in patients of pelvic ureteric junction obstruction (PUJ obstruction). This study was conducted to assess which technique- stented or non-stented is better for paediatric patients with PUJ obstruction.Methods: 45 paediatric patients aged 0-12 years were included in this prospective comparative simple randomized sample study during the period of June 2015 to August 2017 in paediatric surgery division of department of surgery in M.Y. Hospital, Indore. All patients except one underwent open A-H dismembered pyeloplasty. The parameters used for comparison were renal parenchymal diameter, renal pelvis AP diameter, GFR (by DTPA scan) and rate of complications. Minimum follow up period was 3 months.Results: The M:F ratio was 2:1. Stented children had significant improvement in renal parenchymal diameter (i.e. increase) and GFR (of affected kidney) after pyeloplasty, whereas non-stented children too had improvement in renal parenchymal diameter and GFR (affected kidney) but was not significant. The percentage of postoperative complications were more in non-stented group as compared to stented group.Conclusions: In all paediatric cases with PUJO undergoing A-H pyeloplasty, both stenting and non-stenting have similar results and to place a double J stent should depend on choice of surgeon.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.