Résumé
AIM: To compare the outcome of laparoscopic cholecystectomy (LC) and mini-lap cholecystectomy (MC) in patients with symptomatic gallstone disease. METHOD: One hundred patients undergoing LC (50) or MC (50) were evaluated for duration of surgery, morbidity, need for analgesia, duration of hospitalization and interval to return to normal work. RESULTS: The mean operative time was significantly longer in the LC group (94 +/- 17 vs 129 +/- 33 min; p < 0.05). The rate of morbidity and conversion to open surgery were similar in the two groups. Patients in the MC group required more oral analgesia (p = ns). The mean post-operative hospital stay in this group was 3.3 +/- 1.5 days as compared to 3.3 +/- 2.7 days in the LC group (p = ns). Patients in the LC group took the same time to return to normal work (19.1 +/- 3.2 days) as those in the MC group 19.5 +/- 5.4 days (p = ns). CONCLUSION: MC and LC are comparable procedures for treatment of gallstone disease in our country.
Sujets)
Cholécystectomie/méthodes , Cholécystectomie laparoscopique , Lithiase biliaire/chirurgie , Femelle , Humains , Mâle , Adulte d'âge moyen , Complications postopératoires/épidémiologie , Études prospectives , Facteurs tempsRésumé
Thirty cases of uncomplicated duodenal ulcer treated by anterior superficial lesser curvature seromyotomy and posterior truncal vagotomy were studied to evaluate the efficacy of this procedure. There was completeness of vagotomy in all the cases as shown by endoscopic Congo Red test. Twenty-seven cases were asymptomatic at 1-48 months (Mean 22.3) follow up, while 3 patients had controllable side effects such as dumping and diarrhoea. There was no mortality. This procedure is safe, effective and is a favourable alternative to highly selective vagotomy.
Sujets)
Adulte , Maladie chronique , Association thérapeutique , Ulcère duodénal/diagnostic , Duodénoscopie , Femelle , Études de suivi , Humains , Mâle , Adulte d'âge moyen , Études prospectives , Estomac/chirurgie , Vagotomie tronculaire/méthodesRésumé
Hirschsprung's disease in adulthood is a rare entity. We report Hirschsprung's disease in a 35-year-old woman who had absence of anorectal inhibitory reflex on manometric studies.
Sujets)
Adulte , Constipation/étiologie , Femelle , Maladie de Hirschsprung/complications , HumainsRésumé
A total of 48 cases of non-specific abdominal pain admitted in one year period were studied. Routine investigations of blood, urine, stool and X-ray examinations done after admission were negative. The pain was relieved in 48 hours time with analgesics and antispasmodics. During their follow-up in the out-patient department a variety of causes were discovered on investigations.