BACKGROUNDComparing the operative duration and the pain scores in patients undergoing Single Port Laparoscopic Cholecystectomy (SPLC) vs. multiple port laparoscopic cholecystectomy (MPLC).
MATERIALS AND METHODSIn this comparative randomised study, 100 patients diagnosed as having gall stones, who fit into the inclusion criteria; 50 patients were included in the single port laparoscopic cholecystectomy (SPLC) Group and 50 Multiple Port Laparoscopic Cholecystectomy (MPLC) Group.
RESULTSOut of 50 patients operated by SPLC, 13 were males and 37 were females with mean age of 38.62±12.56 years. In the MPLC group distribution was 9 males and 41 females in a total of 50 patients and the mean age was 37.86±11.31 years. Mean operative time in SPLC group was significantly higher than the MPLC group. Mean VAS pain score at 12, 24, 36 and 48 hrs. was significantly lower in SPLC group as compared to MPLC group; which was significant at all times. Mean NRS pain score at 12, 24, 36 and 48 hrs. was lower in SPLC group as compared to MPLC group; which was significant at 24 and 48 hrs., but not significant at 12 and 36 hrs. Mean VDS pain score at 12, 24, 36 and 48 hrs. was significantly lower in SPLC group as compared to MPLC group, which was significant at all times. Mean FPS pain score at 12, 24, 36 and 48 hrs. was lower in SPLC group as compared to MPLC group, which was significant at 12, 24 and 36 hrs. but not significant at 48 hrs.
CONCLUSIONIn early post-operative hours, VAS and VDS scores were lower in SPLC than MPLC which was significant all the time, but NRS and FPS scores were not significant in all the early hours in spite of higher operative time in SPLC.
Intussusception is a relatively common cause of intestinal obstruction in children but a rare, and uncommon clinical entity in adults accounting for 1%. Lipoma accounts for 4% of all benign tumors of the gut. Most of these are seen in the large intestine, usually submucosal and around ileocecal valve. These are often asymptomatic. Though these lesions are benign, it continues to present difficulties in the preoperative differentiation between malignant and benign colonic neoplasm.
Background: In the developed countries, ileostomy is mainly constructed as a protective cover for distal colorectal or ileoanal pouch anastomosis, but in developing countries, it is still often made in emergency surgical settings where infective conditions such as enteric or tubercular perforations are common and patients present late in their course of illness which precludes primary closure.
Aims and Objectives: The aim of the present study is to compare health-related quality of life at 3, 6, and 12 months comparing early versus late closure of a temporary ileostomy.
Materials and Methods: The study was conducted on 50 patients, 25 patients undergoing for early stoma closure and 25 patients undergoing for late closure ileostomy each in Maharani Laxmi Bai Medical College, Jhansi, between January 2020 and June 2021.
Results: The mean age of patient undergoing early closure is 36.16 and mean age of patient undergoing late closure is 40.36, out of which 80% were male patient and 20% patient were female. Using SF-36 questionnaire, out of 8 domains, quality of life of early closure of ileostomy is significantly better in respect of 3 domains and that is physical functioning – P=0.004. Mean±SD score for early stoma closure 80.6±22.495 for late closure 73.00±25.247. Social functioning P=0.05. Mean±SD score for early stoma closure, 74.00±4.243 late stoma closure 71.50 ±0.707. Role emotion P=0.04, Mean±SD score for early stoma closure 80.00±4.00 late closure 74.67±12.20.
Conclusion: We concluded that quality of life in early closure of ileostomy is significantly better in respect of 3 domains (physical functioning, social functioning, and role emotion) out of 8 domains in SF-36 questionnaire than quality of life in late closure of ileostomy.
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