Urinary bladder cancer is the second most frequent tumour of the genitourinary tract with bladder adenocarcinoma comprising for about 0.5-2% of all malignant bladder tumours. Other primary sites for such tumours include rectum, stomach, endometrium, breast, prostate, seminal vesicles and ovaries. Such non-urothelial bladder tumours with intramural bladder tumour growth may delay the onset of symptoms which may lead to a delay in the diagnosis and thereby adversely affecting the prognosis as compared to urothelial
In the present study, we aim to prospectively evaluate the effect of performing rigid cystoscopy (CPE) in urological patients on the total serum prostate-specific antigen (PSA) levels. The study design was a prospective observational study. After giving informed consent, urological patients visiting the outpatient clinic of our institution from
Backaround: Surgical myocardial revascularization in certain subset of patients carries significantly higher morbidity and mortality. Off pump myocardial revascularization versus revascularization using cardiopulmonary bypass and cardioplegic arrest in these patients remains a matter of debate. We evaluated our results of off pump myocardial revascularization in these palients by comparing them with similar group of patients who underwent off pump myocardial revascularization at another prime institute of the country, Methods: From October 2004 to September 2005, 181 patients were operated for off pump CABG at our institute. Out of these, data for 132 patients having one or more adverse prognostic factors were retrospectively entered into a database. These factors included: • Unstable angina. • Recent acute myocardial infarction. • Severe left ventricular dysfunction • Critical left main coronary artery stenosis. • Diffusely diseased or small or intramyocardial target arteries, • Patients' operated as emergency. Results: Hospital mortality was nil. Mean duration of mechanical ventilatory support was 10.75 hours (Standard deviation of 5.76 hours) Mean duration of ICU stay was 4.22 days. (Standard deviation of 0.89 days) Mean duration of postoperative hospital stay was 8.06 days (Standard deviation 1.18 days) Complications: • Post operative atrial fibrillation in 8 patients (6.06%) • Ventricular tachycardia in 1 patient (0.76%) • Respiratory insufficiency requiring ventilatory support in 2 patients (1.52%) • Pulmonary oedema in 1 patient (0.76%) • Pre-renal azotemia in 1 patient (0.76%) • Myoclonic seizures in 1 patient (0.76%) • Chest wound infection in 1 patient (0.76%) • Leg wound infection in 3 patients (2.27%) • Urinary tract infection in 1 patient (0.76%) Conclusions: Our experience of off pump CABG in high risk patients compares well with published results of contemporary cardiac surgery. in India.Objectives: A retrospective analysis was done to know the spectrum or risk factors and results or CABG in female patients compared with male patients. Coronary 2006; 22: 69patients at discharge; the incidence decreased to 77.8 percent at six weeks and 30.8 percent at 6 months of follow-up. One year after surgery, the incidence of decline was 35.1 percent. The inclusion of worst-case scores for patients who were unable to complete testing changed the incidence of decline only minimally.Conclusions: The results of our study indicate that early cognitive impairment is clinically significant and is a harbinger of later cognitive impairment.
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