ABSTRACT
Objective: to compare the outcomes of Desrada repair and Lichtenstein mesh repair of inguinal hernia with respect to operative time, Post-operative pain, hematoma and seroma formation, surgical site infection, early and late recurrence and chronic pain
Methods: 100 patients were admitted throughout patient department and divided into Group D [Desarda repair] and Group L [Lichtenstein repair] with 50 patients in each group. Same surgical team performed the procedure. Early out measures were recorded while patients were admitted in the ward and OPD follow up. Late outcome measures were recorded by telephonic follow up
Results: Mean Operative time was calculated to be 57.84+/-13.07 min in Group D and 60.52 +/- 14.62 min in Group L with a p-value of 0.3362 which is insignificant. No significant difference was found in Post-operative pain in both groups having mean score of 2.11+/- 0.73 in Group D and 2.10 +/- 0.73 in Group L with a p-value of 0.9458. One patient [2%] developed hematoma in Group D and two patients [4%] in Group L suffered from surgical site infection. Seroam formation, early or late recurrence was not reported in any case. 4 patients [8%] complaint of chronic pain in Group L
Conclusion: This study showed that the desarda repair is comparable to Lichtenstein repair for inguinal hernia in respect of post-operative outcomes. Desarda repair is an effective method to replace the use of mesh for the repatr of inguinal hernia. This new repair has the potential to become the gold standard of hernia repair in years to come
ABSTRACT
Objective: to determine whether use of ultrasonic dissector [UD] in thyroid surgery results in shorter operative time, hospital stay and reduced average drainage and to compare the incidence of postoperative complications with electrocautery [EC]
Material and Methods: hundred patients with thyroid disease were inducted in the study. The patients were randomized in two groups. Group A [EC], and Group B [UD]
Results: the study carried out on patients undergoing ultrasonic dissector group B [UD] for thyroid surgery revealed meager post-operative complications attributable to harmonic scalpel but on the contrary the benefits were decrease in operative time, less post-operative pain, less drainage, early hospital discharge and very few complications as compared to Electrocautery group A [EC]
Conclusion: the complete ultrasonic dissection of thyroid gland with Harmonic scalpel is not only safe but it also reduces pain, hematoma formation and drainage. Hospital stay and operative time is also shortened