RÉSUMÉ
Background@#The treatment of kidney stones by surgery is very important for relieve pain, reduce the risk of infection and protect kidney function. @*Method@#This was descriptive prospective cross-sectional study research to identify the outcome of surgery for kidney stone in the Urology Department of Mahosot Hospital. The research was performed between June-December 2017. The subjects consisted of 120 patients. Data were collected using questionnaires by interview, reviewing hospital charts and following the patients post operation. Data were analyzed by using SPSS.@*Results@#The results showed that the majority of patients were aged 43-52 years (30.0%), were mostly male (60.8%), Lao lum (76.7%), with high school education (28.0%), farmers (50.8%), and family history of having kidney stones (55%), previously treated with herbal medicines (72.5%), and presented with pain (90.8%) and hematuria (57.5%). Ultrasound scans demonstrated pyelo-caliciel calculi (50.8%), blood group “B” (43.3%) and hydronephrosis level II (45%). Operation was by bivalve nephrotomy in 37.5%. The operation duration was one hour (51.7%) and management outcome post surgery was successful in 85%, with complications of anemia (0.8%), need for hemodialysis (1.7%), pyelonephritis (8.3%), wound infection (1.7%), and hemorrhages (1.7%). @*Conclusion@#The outcome of surgery for kidney stone success is high, but complications persist. Discussion of interventions to reduce complication rates are needed.
RÉSUMÉ
Background: The prevalence of back pain has been reported between 49% and 80%. Except for cases that require immediatesurgical intervention, the first-line treatment involves medical choices. 90% of attacks of sciatica respond to conservativemanagement. Surgical intervention when indicated involves discectomy and various operative methods include laminectomydiscectomy, microlumbar discectomy, and microendoscopic discectomy. The objective of this study was to evaluate theadvantages and disadvantages and outcome of the above-mentioned surgical operations for lumbar disc herniation (LDH) andthen, specifically, the outcomes for each of them using Odom’s criteria.Materials and Methods: A prospective study was carried out between April 2015 and April 2017 to compare the advantages/disadvantages and outcome of various surgical interventions in LDH, namely laminectomy discectomy (Group A), microlumbardiscectomy (Group B), and microendoscopic discectomy (Group C) with each group consisting of 30 patients. All patients wereadmitted as per inclusion criteria.Results: In each group of our study, the mean age and sex distribution were comparable and statistically not significant. Ourstudy showed the post-operative hospital stay and the need for post-operative analgesia was low for microendoscopic surgery,but on long-term evaluation with Odom’s criteria, laminectomy achieved better outcomes than other methods.Conclusion: Our study showed that microlumbar discectomy and microendoscopic discectomy have a better short-term outcomeas compared to laminectomy discectomy. However, long-term results are comparable.