ABSTRACT
Objectives: To determine the effectiveness of Gastrografin in resolving intestinal obstruction
Study Design: Observational / descriptive study
Place and Duration of Study: This study was conducted in the Department of Surgery, Shaikh Zayed Hospital, Lahore from 02-10-2013 to 02-04-2014
Materials and Methods: One hundred thirty five patients who having small bowel obstruction were admitted through out-patient, accident and emergency departments. Every participant was explained about both procedures and their consequences
Results: Average age was 44 +/- 70 years. 77 [57%] were males and 58 [43%] were females with a male to female ratio was 1.32:1. In 58 [43%] male patients the obstruction was resolved, but in 19 [14%] male patients obstruction was not resolved. In 41 [30%] female patients the obstruction was resolved and in 17 [12%] female patients the obstruction could not be resolved. Overall, in 99 [73%] patients, the obstruction was resolved but in 36 [27%] of patients the obstruction was not resolved
Conclusion: Gastrografin is a secure and reduces the need for surgery when conservative treatment fails. It remains a leading cause of hospital admission in surgical departments
ABSTRACT
Objectives: the purpose of this prospective randomized clinical study was to compare the outcome regarding pain and recurrence following Lichtenstein repair with Modified Kugel repair of inguinal hernias
Study Design: this was a prospective randomized clinical study
Materials and Methods: patients with inguinal hernia who were treated during Sep. 2010 to May 2012 using Preperitoneal Modified Kugel approach [PP group, n: 89] and the Anterior Lichtenstein approach [AL group n:87]. The operation time, hospital stay, postoperative complications and recurrence after surgery were assessed and compared statistically in both groups
Results: a total of 176 patients [173 men and 03 women] randomized to either group PP or group AL. No significant differences were observed regarding seroma and infection in both groups, however postoperative hematoma and operative time were higher in AL Group without any statistical significance [p< 0.098].The rate of recurrence and pain were significantly high with in AL group versus PP Group during period of follow up time [23.34 +/- 1.07 months Vs 23.01 +/- 0.13 months in group PP and AL respectively]. The operative time in Preperitoneal Modified Kugel Repair [PP Group] was 45.16 +/- 10.14 minutes and 52.34 +/- 07.04 minutes for Anterior Lichtenstein Repair [AL Group]
Conclusion: modified Kugel Repair of Inguinal Hernia is minimal invasive method and as safe as Anterior approach with less recurrence and pain than Lichtenstein operation