RESUMO
To observe the perioperative morbidity and mortality rates of 100 transhiatal esophagectomies operated for esophageal carcinoma in a surgical unit of a tertiary care hospital. Data pertaining to all patients that had undergone transhiatal esophagectomy from Feb, 2012 to Jan, 2014 were reviewed. The study group comprised 100 patients. Indication for surgery was esophageal cancer. Perioperative morbidity and mortality i.e. morbidity and mortality during the first 30 days, were studied. Two patients died during the postoperative period in hospital. The anastomotic leakage rate was zero. No dysphagia was found during one month of postoperative period. Overall survival was 98% for the first 30 days of surgery. Transhiatal esophagectomy has been common stay and a safe rather feasible procedure. Oncological therapy has its role and better results are found in centers where the procedure is frequently performed
RESUMO
Objective: to record the experience of a non-hernia specialist general surgeon with the Tension Free Mesh Hernioplasty
Material and Methods: of the total, 67 [70%] cases were performed under local anaesthesia; the remaining 29 [30%] had general anaesthesia. This is a prospective study of 96 men that underwent the Lichtenstein Tension-free mesh hernioplasty, from February 1997 to February 2000, a total period of three years. The study was conducted at the surgical department of Khyber Teaching Hospital
Results: after a minimum follow-up period of 2 years, not a single recurrence was noted. The overall sepsis rate was 3%, and residual neuralgia was recorded in 2% cases. No prosthesis required removal
Conclusion: the study confirms the safety and efficacy of the TFM Hernioplasty as a treatment modality for inguinal hernias. Furthermore the study also reveals the fact that similar results to those reported by the Lichtenstein Clinic can be reproduced in the hands of the "real world" of general surgeons