This is a rare but important diagnosis however we recommend that in patients with atypical histories, it should be included in the differential diagnosis.
Authors' Contribution ZK planned the experiments, performed the statistical analyses, wrote and directed this project. DŞ collected the data and wrote this manuscript. MÖ collected data. ÜÖ performed the statistical analyses. OA revised the manuscript.
508 esophageal dilatations were performed in our unit from January 2003 to May 2005. Thesedilatations were performed using Savary Gilliard dilator system. Instead of using image intensifier to confirm guide wireposition, abdominal palpation was used for this purpose. 508 dilatations were performed in a total of 119 patients. Sixtythree patients underwent more than one dilatation. 71 dilatations were performed under local anaesthesia using flexedscope 437 were performed under general anaesthesia using rigid scope. Our postoperative observation protocol isgiven which was developed to pick up iatrogenic esophageal tear at an early stage. Out of 508 dilatation performed,18 perforations occurred. Eleven patients had a minor confined leak. They were managed conservatively and allsurvived. Seven patients had a major leak. Out of those, three died resulting in an overall 0.59% procedure relatedmortality, while mortality for major leak group was 43%. None of the patients undergoing dilatation under localanaesthetic had a perforation. Following the protocol, no significant iatrogenic esophageal injury was missed. Weconclude that esophageal dilatation can safely be performed using Savary Gilliard dilator system. Correct positioningof guide wire can confidently be confirmed by abdominal palpation in a large majority of patients. Minor leaks can bemanaged conservatively with excellent outcome. A well functioning protocol to pick up any iatrogenic esophageal injuryearly is vital to keep a dilatation programme safe.
ORIGINAL PROF-3519 ABSTRACT… Objectives: To highlight an economical laparoscopic technique for rapid recovery & early return to work especially for the 3rd world inguinal hernia patients. Study Design: Descriptive study. Setting: Surgical unit of Nishtar Hospital Multan. Period: 02 years i.e. from January 2014 to January 2016. Methods: There were 90 patients in the study. A prolene mesh of 15 x 15 cm used for the repair of inguinal hernia laparoscopiclly without the use of spacer balloon & tacker (To make it cost effective). Results: Out of 90 patients only 3 patients develop scrotal seroma. All the patients discharged on the 1st postoperative day & allowed to return to their normal routine work from the 3rd postoperative day onward. Conclusion: (e-TEP) without spacer balloon & tacker is an economical approach toward the inguinal hernia repair.
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.