We conclude that the temperature of tumescent anesthesia solution is not important, while the proper administration of tumescent solution in adequate amounts ensuring delivery of the fluid to all segments appears to be a more significant determinant for the success of the procedure.
BACKGROUNDPatent ductus arteriosus (PDA) is commonly seen in premature infants with low birth weights (LBW). It is a condition that has high mortality and morbidity rates. Early closure of the ductus arteriosus may require surgery or medical treatment. However, the decision of first medical approach for symptomatic PDA closure is still debated. In this study, we compared the surgical and medical treatments for the closure of PDA in premature LBW infants.METHODSThis study included 27 premature infants whose birth weights were lower than 1500 g, who were born in the period between 2011 and 2013 and had symptomatic PDA. Patients were separated into two groups: groups A and B. Group A included patients whose PDAs were closed with medical treatment (n = 16), and group B included patients who had undergone surgical operations for PDA closure (n = 11).RESULTSThere were no statistically significant differences between groups A and B when the groups were compared in terms of birth weight, gestational age, respiratory distress syndrome (RDS), necrotizing enterocolitis (NEC), sepsis, intraventricular hemorrhage (IVH), retinopathy of prematurity (ROP), and pneumothorax. Although the mortality rate was determined to be lower in group B (2 out of 11, 18.1%) than in group A (7 out of 16, 43.7%), no statistically significant difference was found between the two groups. A statistically significant increase was determined in the incidence of kidney function loss in patient group that received Ibuprofen, a medical treatment, in comparison to the patients who had surgery.CONCLUSIONIn conclusion, surgery is a safe method to repair PDA in premature LBW infants. Although there is no remarkable difference between surgery and medical treatment, we suggest that a surgical approach may be used as a first choice to repair PDA considering the lower rate of mortality and morbidity and higher rate of closure compared to medical treatment.
C hronic venous insufficiency is a serious chronic disorder that affects almost half of society, and it presents with pain, swelling and increase of pigmentation in the lower extremities. 1 To date, surgical ligation and stripping have been accepted as the most successful treatment methods. 2 However, surgical methods have some disadvantages since they are major interventions. Due to these disadvantages, absolute patient satis-Damar Cer Derg 2015;24(1)
35Comparison of 940 nm and 1470 nm Bare Fibers in Treatment of Great Saphenous Vein Insufficiency A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Endovenous laser ablation has been easily accepted since present surgical methods are major interventions. The aim of this study was to investigate the effectiveness and early postoperative morbidities of two different wavelengths used in endovenous laser ablation. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Randomly selected 200 patients were included in the study. In group 1, 125 lower extremities of 106 patients were treated with 940 nm laser wavelength. In group 2, 110 lower extremities of 94 patients were treated with 1470 nm laser wavelength. R Re es su ul lt ts s: : Percutaneous intervention and endovenous insertion of fiber were successfully completed in both groups. Only induration was statistically significantly more in group 1. There were no statistically significant differences for the other postoperative parameters between two groups. C Co on nc cl lu us si io on n: : Treatment of the great saphenous vein by endovenous laser ablation using a 1470 nm laser wavelength resulted in less postoperative pain. Although it was not statistically significant, the duration of pain was longer in the group with more induration. We suppose that vein should not be perforated in order not to increase postoperative morbidities. K Ke ey y W Wo or rd ds s: : Venous insufficiency; ablation techniques; laser therapy Ö ÖZ ZE ET T A Am ma aç ç: : Endovenöz laser ablasyon, majör cerrahi işlemler nedeniyle kolay kabul görmüştür. Bu çalışmada iki farklı dalga boyunun etkinlik ve erken postoperatif morbiditeleri karşılaştırılmıştır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Rastgele seçilen 200 hasta çalışmaya dahil edilmiştir. Grup 1'de 106 hastanın 125 alt ekstremitesi 940 nm lazer ile, grup 2'de 94 hastanın 110 alt ektremitesi 1470 nm lazer ile tedavi edilmiştir. B Bu ul lg gu ul la ar r: : Her iki grupta da perkütan girişim ve endovenöz yerleşim başarı ile yapılmıştır. Grup 1'de sadece endurasyon istatistiksel olarak anlamlı derecede daha fazla bulunmuştur. Her iki grupta da diğer postoperatif parametreler arasında istatistiksel olarak anlamlı bir fark bulunmamıştır. S So on nu uç ç: : Büyük safen venin endovenöz laser ablasyonunda 1470 nm dalga boyu kullanımı ile daha az postoperatif ağrı görülmektedir. Ağrı süresi endurasyon olan grupta daha fazla olmasına rağmen, istatistiksel olarak iki grup arasında bir fark bulunmamıştır. Postoperatif morbidite artışını önlemek için, ablasyonunun venin perf...
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