Refine your search
Collections
Co-Authors
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Singh, Usha
- Pilot Study of Laparoscopic Cholecystectomy in LLRM Medical College, Meerut
Abstract Views :237 |
PDF Views:0
Authors
Affiliations
1 L.L.R.M Medical College, Meerut, IN
2 Deptt. of Surgery L.L.R.M Medical College, Meerut, IN
3 Deptt. of Surgery L.L.R.M, Meerut, IN
4 LLRM Medical College, Meerut, IN
1 L.L.R.M Medical College, Meerut, IN
2 Deptt. of Surgery L.L.R.M Medical College, Meerut, IN
3 Deptt. of Surgery L.L.R.M, Meerut, IN
4 LLRM Medical College, Meerut, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 1 (2012), Pagination: 64-65Abstract
Before 1987, when Mauret from France performed the first human Laparoscopic Cholecystectomy, open Cholecystectomy was considered the gold standard for performing Cholecystectomy. But as the technique grew & with wide acceptance of laparoscopy, Laparoscopic Cholecystectomy became the gold standard for Cholecystectomy. This study is done to evaluate our technique of Laparoscopic Cholecystectomy in terms of hospital stay, post-op pain & complications in patients of acute/chronic Cholecystitis with Cholelithiasis. All case of acute/chronic Cholecystitis with Cholelithiasis who presented in emergency/O.P.D of Surgery from July 2004 to 30th June 2010 (n= 141). Data regarding age group, sex, acute versus chronic, time taken(average operative time), conversion rate & reason for conversion, complications were obtained during the hospital stay & subsequent follow up of patients. Cholelithiasis was more commonly found in middle age group (4th decade)&majority of patients were female. Majority of patients had chronic Cholecystitis with Cholelithiasis (Acute:Chronic = 1: 10.75). Average operative time was one to one & half hour in the initial years & it decreased to thirty minutes in non acute eases & about one hour in acute cases. Ten (10) cases were converted to open Cholecystectomy due to bleeding & major complication^) like bile duct injury was observed in two{2} patients. This study suggests that Laparoscopic Cholecystectomy is far more superior to open Cholecystectomy in terms hospital stay, post-op pain, return to work & lesser incidence of wound infection.Keywords
Cholelithiasis, Cholecystitis, Laparoscopic CholecystectomyReferences
- Maingot’s abdominal operation 11th edition page 847.
- Maingot’s abdominal operation 11th edition page 847.
- Singapore MED J. 1995; Vol. 36; 407.
- Tropical gastroenterololgy; official journal of digestive disease foundation. 2003 Apr – June; 24(2): 90-2.
- Barkun JS, Barkun AN, Sampalis JS, et al. Randomized controlled trial of laproscopic versus mini – cholecystectomy.
- Laparoscopic Cholecystectomy V/s Open Cholecystectomy: a Comparative Study at LLRM Medical College & Hospital, Meerut
Abstract Views :224 |
PDF Views:0
Authors
Affiliations
1 LLRM Medical College, Meerut, UP, IN
1 LLRM Medical College, Meerut, UP, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 1 (2012), Pagination: 72-74Abstract
Cholecystectomy is the surgical removal of the gallbladder. It is the most common method for treating symptomatic gallstones. Surgical options include the standard procedure, called laparoscopic cholecystectomy, and an older more invasive procedure, called open cholecystectomy. A traditional open cholecystectomy is a major abdominal surgery in which the surgeon removes the gallbladder through a 8-10 cm incision. Laparoscopic cholecystectomy has now replaced open cholecystectomy as the first-choice of treatment for gallstones unless there are contraindications to the laparoscopic approach. The operation usually requires general anaesthesia and is subject to the same risks and complications as open cholecystectomy. However, patients have little pain after the operation, and hospital stays (1-2 days) and recovery (1-2 weeks) are usually shorter than after open cholecystectomy. So, the purpose of the study is the usefulness of laparoscopic cholecystectomy in the treatment of symptomatic cholelithiasis in present set up of LLRM Medical College&Hospital, Meerut. Operations were performed by consultant surgeons or senior residents under their direct supervision, all having sufficient skills and experience in both types of procedures. Laparoscopic cholecystectomy did not differ much from open cholecystectomy regarding mortality, major complications and bile duct injuries. However, laparoscopic cholecystectomy leads to shorter incisional wounds; lesser incidence of post operative wound infections and seems to be associated with a shorter hospital stay and hence faster return to work. These seems the reasons for laparoscopic cholecystectomy being the preferred method of choice above open cholecystectomyKeywords
Cholelithiasis, Cholecystitis, Open & Laparoscopic CholecystectomyReferences
- Taber’s Cyclopaedic medical dictionary, 18th edition page 372
- Langenbuch C. Ein Fall Von extirpation der gallenblase wegen chronischer cholelithiasis: Heilung. Klin Wochenschr 1882;19:725-727.
- Halpert B. fiftieth anniversary of removal of gallbladder. Arch surg 1982;117:1526-30
- Dubois F. Berthelot B. cholecystectmoie par mini-laparotomie. Nouv presse med 1982;11:1139-41.
- Ellis H.cholecystectomy and cholecystostomy. In Schwartz SH, Ellis H., Husser ec(edition) maingot’s abdominal operation , 9th edition vol.2; Connecticut: Appleton and Lange 1990;1413
- Cameron JL, Maddoy WL, Zuidema GD. Billiary tract disease in sickle cell anaemia; surgical considerations. Ann surg 1971;174:702
- Litynski G. mouret, Dubois and Perissat. The French connection. In; highlights in the history of laparoscopy. Frankfurt; bernert, 1996.
- Udawadia TE, laparoscopic cholecystectomy. In roshan lal gupta (ed) recent advances in surgery no. 3 new delhi; jaypee brothers medical publishers pvt limited 1991;pp 285-297.
- Comparative Study of PAP Smear with Lower Abdominal Pain and per Vaginal Discharge: a Survey in Rural Western UP
Abstract Views :193 |
PDF Views:0
Authors
Usha Singh
1,
Sohan Pal Singh
2,
Arati Srivastava
3,
Gita Deshmukh
3,
Ashutosh Niranjan
3,
Hemant Kumar Singh
3
Affiliations
1 Department of Obsterisc & Gynaecology, Saraswati Institute of Medical Sciences, Hapur, UP, IN
2 Department of Surgery, Saraswati Institute of Medical Sciences, Hapur, UP, IN
3 Saraswati Institute of Medical Sciences, Hapur, UP, IN
1 Department of Obsterisc & Gynaecology, Saraswati Institute of Medical Sciences, Hapur, UP, IN
2 Department of Surgery, Saraswati Institute of Medical Sciences, Hapur, UP, IN
3 Saraswati Institute of Medical Sciences, Hapur, UP, IN
Source
Indian Journal of Public Health Research & Development, Vol 2, No 1 (2011), Pagination: 100-102Abstract
No AbstractReferences
- Parkin DM, Bray F, Ferlay J et al. Estimating the world cancer burden: Globocan 2000;. Int J Cancer 2001:94:153-6.
- Shankarnarayana R, Nene BM, Dinshaw K, Rajkumar R, Shasstri S, Wesley R, et al. Early detection of cervical cancer with visual inspection method: a summary of completed and ongoing studies in India. Salud Publica de Mexico 2003;45(12):274-82 .
- Dinshaw KA, Rao DN, Ganesh B. Tata Memorial Hospital Cancer Regstry annual reports Mumbai, India. 1999; 52.
- Shankarnarayanan R, Black RB, Parkin DM, eds. Cancer Survival in developing countries. Lyon: IARC Press. 1998; ( IARC Scientific Publication No. 145 )
- Richart RM, Barron BA. A follow up study of patients with cervical dysplasia. Am J Obstet Gynecol 1969; 105:386.
- Shah M., Parkin B. Epidiological study of the cancer of the uterine cervix in adivasi people of five different states of India. J Obst Gynae of India 1985;335:335- 60..
- Gopalkrishna V, Murthy NS, Sharma JK, Roy M et al. Increased Human papilloma Infection with increasing number of pregnancies in Indian Women. J Infec Dis 1995; 171: 254-55.
- Luthra UK, Prabhakar AK, Seth P, Agarwal SS, Murthy NS, Bhatnagar P, Das DK, Sharma BK. Natural history of precancerous and early cancerous lesions of the uterine cervix. Acta Cytol 1987; 31 (3 ): 226-34.
- Cuzick J, Szarowski A, Terry G, Ho L Hanby A, Maddox P, Anderson M, Kocjan G, Steele ST, Guillebaud J. Human Papilloma virus testing in primary cervical neoplasia in a developing country. Am J Obstet Gynecol 2003; 188:395-400.
- Cronje HS, Parham GP, Cooreman BF, de Beer A, Divall P, Bam Rh. A comparison of four screening methods for cervical neoplasia in a developing country. Am J Obstet Gynecol 2003; 188:395-400.
- Soost HJ, Lehmacher W, Ruffinger, Kullman B. The validation of cerical cytology- sensitivity, specificity and predictive value. Acta Cytol 1991; 35 (1): 8-14.
- Vander Graff, Voojis GP: False negative rates in cervical cytology. J Clin Pathol !987; 40: 438-442.
- Gay JD , Donald LD, Goellner JR. False negative results in cervical cytological studies. Acta Cytol 1985; 29: 1043.
- Elliot RIK. On prevention of carcinoma of cervix. Lancet. 1964; 1: 232.
- AC. Anonymous: Black-White difference in cervical cancer mortality, United States, 1980-1987. MMWR1990; 39:245.