Open renal approach: comparative analysis of sub-costal incision versus trans-costal incision with excision of 12[th] rib
Pakistan Journal of Medical Sciences. 2009; 25 (4): 557-562
Dans Anglais
| IMEMR
| ID: emr-103365
ABSTRACT
To compare the outcome of sub-costal incision with trans-costal incision and 12[th] rib resection in the surgical approach for benign renal disease. It is a prospective, analytical, comparative study using randomized controlled trial [RCT], conducted at Fatima hospital-Baqai medical university [Karachi], from June 2005 to December 2008. In total 54 patients were enrolled in the study, who either underwent pyelolithotomy or nephrectomy via sub-costal [group A 27 patients] or trans-costal incision [group B 27 patients]. Incision time, duration of operation, postoperative pain, duration of hospital stay, and peroperative and postoperative complications were noted. Incision time and duration of operation were longer in group B patients [p-value 0.002 and 0.029 respectively]; pain perception was also markedly high in this group [p=0.001]. Total period to stay in hospital was marginally higher in group B [p=0.212]. Peroperative and postoperative complications were also slightly higher in group B patients [p-value 0.064 and 0.838 respectively]. Sub-costal renal approach provides adequate exposure, is quick, safe and less painful
Recherche sur Google
Indice:
Méditerranée orientale
Sujet Principal:
Complications postopératoires
/
Côtes
/
Procédures de chirurgie opératoire
/
Études prospectives
/
Néphrectomie
Type d'étude:
Essai clinique contrôlé
Limites du sujet:
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Pak. J. Med. Sci.
Année:
2009
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS