ABSTRACT
OBJECTIVE: The present study is designed to compare early and interval laparoscopic/open cholecystectomy in patients of acute cholecystitis. The comparison was done on the basis of parameters such as intraoperative difficulty, perioperative bile duct injury and bile leak, time taken for operation, postoperative atelectasis, postoperative wound infection, duration of hospital stay and postoperative pain. METHODOLOGY: This is a prospective study conducted in Department of General surgery, GCS MEDICAL COLLEGE, HOSPITAL AND RESEARCH CENTRE from AUGUST 2018 to DECEMBER 2019. 56 patients were enrolled in the study from which 26 patients were randomly assigned to early lap/open cholecystectomy and 30 were assigned to interval lap/open cholecystectomy group. RESULT: There was no significant difference observed between the two groups. However, the duration of hospital stay was less in early laparoscopic/open cholecystectomy. CONCLUSION: Both the methods, early and interval have no significant benefit over each other but through review of all literature, early lap/open cholecystectomy is found to be beneficial overall with less hospital stay.
ABSTRACT
OBJECTIVE: To compare peri-operative and short-term complications of open trans-vesicalprostatectomy (OP) as well as its functional outcomes with transurethral resection of theprostate (TURP) in management of benign prostatic hyperplasia with prostates sized 30 to100g.METHODOLOGY: This is a prospective study conducted in the department of generalsurgery, GCS Medical College, Hospital and Research Centre from December 2019 toDecember 2020. 24 patients who were candidates for the prostate surgery with prostatesbetween 30 to 100 g, randomly underwent OP or TURP. Secondary endpoints includedinternational prostate symptom score, residual urine volume, surgical complications, andpatients’ quality of life. Patients were followed up for 6 months after the operation.RESULTOut of 24, 12 underwent OP and TURP respectively. Mean of peak flow rate improvementwas 11.2 and 8 in OP and TURP groups, respectively. International prostate symptom scoreimprovement did not reveal statistically significant differences between the treatment groups.Re-operation due to residual prostate lobe, urethral stricture, and urinary retention wasperformed in 3 patients in TURP group versus no patient in OP group. Dysuria was morefrequent in patients that underwent TURP. Hospitalization duration was slightly longer inpatients that underwent OP.CONCLUSIONTURP is a valuable non-invasive surgical method with respect to absence of incision,effective symptom improvement and short hospitalization in BPH. Open prostatectomy easyto learning and more effective in large prostate size