Comparison of efficacy of internal sphincterotomy versus topical 0.2 % glyceryl trinitrate ointment after hemorrhoidectomy.

Arif, Muhammad; Nofal, Sabih; Khan, Aamir Hameed; Awana, Mariam Tariq; Arif, Anum

doi:10.29309/tpmj/2020.27.12.4728

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…Pulmonary edema and HELLP syndrome were the most common complications in our study population. It was supported by studies of Zuberi NF et al, 15 Aali BS et al 7 Tufnell DJ et al 16 and Imarengiaye et al 9 Mortality was 8.57% in our study. The studies conducted by Sailaja K et al 10 showed mortality rate of 9.9%, Gupta S et al 12 showed 41.67%, Ozcelik M et al 13 showed 12.5%.…”

Section: Discussionsupporting

confidence: 89%

Interventions required and outcome in pregnancy induced hypertension patients in Intensive Care Unit: An observational study

Raghuveer¹,

Sundrani

Sahare³

et al. 2023

IJCA

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Hypertensive disorders of pregnancy, particularly preeclampsia, eclampsia remain one of the leading causes of maternal morbidity and mortality worldwide. We studied the association between the risk factors, interventions required, diagnosis and outcome in these patients admitted to the Intensive Care Unit (ICU).: We conducted a prospective, observational study after the Institutional Scientific and Ethics committee approval. The Institutional record was taken to identify 70 women with Pregnancy Induced Hypertension (PIH) admitted to ICU after meeting the inclusion and exclusion criteria. Socio-demographic details, indication and timing of ICU admission were noted. On ICU admission; baseline vitals, detailed history, duration of complications, therapeutic interventions, laboratory parameters and imaging were compiled. Maternal outcome was assessed in terms of interventions needed, complications encountered and mortality or discharge and follow up was done up to 6 weeks postpartum. Fetal outcome was assessed in terms of live births or Intrauterine fetal death (IUFD), Apgar score, term/preterm and followed up to 7 postnatal days.: It was observed that out of 70 women enrolled in our study, 48 women were diagnosed with preeclampsia, 54 belonged to the age group of 21-30 years, 61 were unregistered for antenatal checkup, 46 had term gestation, 52 were nulliparous and 64 underwent Lower segment caesarean section (LSCS). 60 of them had postpartum ICU admission, all of them had significant rise in blood pressure. Most common interventions were transfusion of blood products (n=30) and mechanical ventilation (n=6). HELLP syndrome was the most common complication (n=7). Maternal mortality was seen in 6 women. 35 neonates had low birth weight, 6 had intra uterine growth retardation (IUGR), 19 were preterm and Apgar score was significant at 5 minutes.: From our observations, it can be concluded that majority of the women were diagnosed with preeclampsia, were relatively of younger age group, nulliparous with no antenatal checkup, underwent LSCS and were admitted postpartum to ICU. Transfusion of blood products was the most common intervention & HELLP syndrome was most common complication. Maternal mortality was higher in women with preeclampsia although overall mortality was low. The incidence of low birth weight, IUGR and preterm neonates was more in eclamptic women. Neonatal mortality was more in preeclamptic women.

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Section: Discussionsupporting

confidence: 89%

Interventions required and outcome in pregnancy induced hypertension patients in Intensive Care Unit: An observational study

Raghuveer¹,

Sundrani

Sahare³

et al. 2023

IJCA

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“…The use ofglyceryltrinitrate ointment (GTN) which is a vasodilator has been linked with relaxing anal canals smooth muscle and also decrease the sphincter spasm production [8][9] . This results in reversal of chemical sphincterotomy.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Glyceryl Trinitrate Ointment versus Internal Lateral Sphincterotomy for Anal Fissure Pain Relief

Sadiq¹,

Shakir²,

Khan³

et al. 2021

PJMHS

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Background: Anal fissure is a linear painful mucosal tearing in the distal part of anal canal. It extends from dentate to anal edge. Aim: To compare the glyceryltrinitrate ointment and internal lateral sphincterotomy for anal fissure pain relief in acute/chronic pts. Study Design: Prospective study Place and duration of study: Department of Surgery Unit-II, Fatima Memorial Hospital, Shadman Lahore from 1st October 2018 to 31stDecember 2020. Methodology: 40 pts with acute and chronic anal fissure were enrolled. Half of the patients undergo internal lateral sphincterotomy while other opted 0.2% use of glyceryl trinitrate ointment. Each patient was followed for pain, recovery, complications and recurrence until 12 months for internal lateral sphincterotomy and 18 months in glyceryl trinitrate ointment. Results: There were 24 males and 16 females with a mean age of patients as 30±3.2 years. Initial follow-up of patients showed 100% pain and fissure improvement in internal lateral sphincterotomy group as compared to 60% in glyceryl trinitrate ointment group respectively. Conclusion: Internal lateral sphincterotomy is most efficient and reliable procedure in relieving anal fissure pains. Keywords: Anal fissure, Internal lateral sphincterotomy, Glyceryl trinitrate

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Comparison of efficacy of internal sphincterotomy versus topical 0.2 % glyceryl trinitrate ointment after hemorrhoidectomy.

Cited by 2 publications

References 12 publications

Interventions required and outcome in pregnancy induced hypertension patients in Intensive Care Unit: An observational study

Interventions required and outcome in pregnancy induced hypertension patients in Intensive Care Unit: An observational study

Comparison of Glyceryl Trinitrate Ointment versus Internal Lateral Sphincterotomy for Anal Fissure Pain Relief

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