ABSTRACT
Background: This study is conducted from November 2018 to November 2019 in this institute, where comparison of performance statistics is done between CT scan and Ultrasonography in patients with complicated appendicitis scheduled for conservative management, elective or emergency surgery. Aim of the study was to evaluate and compare the performance statistics of CT scan and Ultrasonography in complicated appendicitis.Methods: The CT scan or USG findings of 87 patients were reviewed. The patients were divided into two groups i.e. CT scan group (group-1/18 patients), USG group (group-2/69 patients). Satistical analysis Student”s t-test, Fischer”s test, p-value, k-value.Results: Clinical signs, CT findings, USG findings, complications at surgery and histological examinations were noted. 2, 3, 13, patients presenting with CT features and 5, 13, 51 patients presenting with USG features of appendicular perforation, peri-appendicular abscess, inflammatory appendicular mass respectively. No clinical signs showed a significant association with the presence of appendicular perforation, peri-appendicular abscess, inflammatory appendicular mass or the complication encountered at surgery.Conclusions: In this study, by comparing CT scan group and USG group in complicated acute appendicitis, CT scan can change the plan of management in doubtful cases, decrease length of hospital stay and expenses, reduce the complication rate and negative laparotomy rate, and reduce the episodes of conversion to open surgery.
ABSTRACT
Introduction: Although shockwave lithotripsy is introduced3 decades ago still it is the first line surgical managementto meet huge burden of urinary stones worldwide, despiteavailability of other newer modalities of effective treatment.For developing countries like India, it is very helpful andpromising to meet demand of huge burden of patients withless number of urologist. Our aim was to study the efficacyand outcome of this procedure in our institute and how it isinfluencing the guidelines.Materials and methods: A prospective study over a periodof two years was conducted in the department of urology inVIMSAR, Burla with patients 15 -60 years age having singlesolitary stone of below 2cm size in the kidney and below1 cm size for upper ureteric stone. Efficacy and outcomewere calculated as rate of stone clearance, percentage ofcomplications. Statistical analysis was performed.Results: A statistically significant 85.3% of patients getcleared and labelled stone free. Whereas 14.7% of patientshaving incomplete clearance switched over to other modalityof treatment. A 20.6% of patients reported transient pain andother complication treated with appropriate medication whichgradually subsided in follow-up.Conclusion: ESWL is the first line of management for renaland upper ureteric calculus in properly selected patients asit is non-invasive, economical, efficacious with minimalcomplication and can be done as day care procedure.