scholarly journals The Importance of Rapid Antigen Testing for Group A Streptococcal Tonsillopharyngitis: A Single Center Experience

2018 ◽  
Vol 12 (3) ◽  
pp. 93-98
Author(s):  
Emel Ekşi Alp ◽  
Nazan Dalgıç ◽  
Nur Kına ◽  
Banu Bayraktar ◽  
Ahsen Öncül ◽  
...  
2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Hesham M. Sheir ◽  
Tamer A. Wafa ◽  
Abdelrahman Elshafey ◽  
Mohamed Elzohiri

Abstract Background Although percutaneous endoscopic gastrostomy (PEG) is considered simple and effective, major complications have been reported because of the partly blind placement technique. Laparoscopic gastrostomy was described to overcome most of the problems and the contraindications of PEG. Various modifications have been reported to anchor the stomach to the abdominal wall. This study aims at highlighting a single center experience using a simplified technique for gastrostomy and evaluates its outcome. Results The age of the patients ranged from 7 days to 3 years (mean 11.75 ± 12 months in group A and 16 ± 3 months in group B). The mean body weight at time of gastrostomy was 6.5 ± 4.6 kg in group A and 7.5 ± 2 in group B. The mean operative time was 24.8 ± 4 min in group A and 25 ± 1.6 in group B, ranging from 18 to 31 min. The incidence of gastrostomy-related complications was 20% (three cases) in group A versus 12.5% (one case) among patients included in group B. Yet, this difference was statistically insignificant (p = 0.651). No major complications were reported apart from persistent gastrocutaneous fistula in one out of eight cases followed after removal of the gastrostomy (12.5%). There is no significant difference in the outcome either in neonates or in patients less than 5 kg. Conclusions The described simple technique of laparoscopic-assisted gastrostomy is easy, effective, and with a very low incidence of complications. It is also equally safe in neonates and children less than 5 kg.


2018 ◽  
Vol 11 (2) ◽  
pp. 127-130
Author(s):  
Meryem Kuru Pekcan ◽  
Aytekin Tokmak ◽  
Özgür Ağlamış ◽  
Kübra Akkaya ◽  
Yasemin Taşçı

2021 ◽  
pp. 1-6
Author(s):  
Ben Xu ◽  
Bing-lei Ma ◽  
Yi-ji Peng ◽  
Qian Zhang

<b><i>Background:</i></b> “Three-port” laparoscopic radical prostatectomy (LRP) has been applied as a substitution for the conventional 4- to 5-port LRP to treat prostate cancer (PCa) patients in our institution. <b><i>Objective:</i></b> To evaluate the learning curve of an innovative “3-port” LRP for PCa patients. <b><i>Methods:</i></b> 206 patients who received “3-port” LRP were retrospectively reviewed between January 2016 and December 2019 at our institution. According to the different years of operations performed, all of the patients were divided into group A (No. 1–50), group B (No. 51–107), group C (No. 108–160), and group D (No. 161–206). A learning curve was depicted by analyzing the parameters of operative time (OT), estimated blood loss (EBL), hospitalization, and drainage indwelling days. <b><i>Results:</i></b> All groups were comparable with regard to the preoperative characteristics (<i>p</i> &#x3e; 0.05). The sloping learning curve for the surgeon showed that OT and EBL were strongly correlated with an accumulated experience when compared between group A and the other groups (<i>p</i> &#x3c; 0.05), denoting that the surgical skill of the “3-port” LRP can be fully mastered after around 50 cases. Although no significant correlation with additional experience was observed in the hospitalization and drainage indwelling days among groups, a tendency towards less hospitalization and drainage indwelling days was still reflected. <b><i>Conclusions:</i></b> Our 4-year analysis based on a single-center experience exhibits that the innovative “3-port” LRP appears to be favorable with decreasing tendency in OT and EBL with experience accumulation. In view of its advantage of perioperative parameters with an evidently improved learning curve, it should be recommended in the clinical practice!


2019 ◽  
Vol 38 (4) ◽  
pp. S394
Author(s):  
H. Ilias Basha ◽  
S. Hussain ◽  
E. Raichlin ◽  
S. Gudipati ◽  
M. Liebo ◽  
...  

2021 ◽  
Vol 93 (2) ◽  
pp. 233-236
Author(s):  
Giovanni Saredi ◽  
Fabrizio I. Scroppo ◽  
Paolo Capogrosso ◽  
Giacomo Maria Pirola ◽  
Lorenzo Capone ◽  
...  

Objective: In this study, we compared postoperative outcomes of patients submitted to varicocele correction under general or local anesthesia at a single center. Methods: All patients underwent varicocele surgical treatment with the Colpi-modified Marmar subinguinal technique. They were managed with either general (Group A) or local with ileo-inguinal and ileo-hypogastric nerves block (Group B) anesthesia. The two groups were compared in terms of timing of discharge and post-operative pain as assessed with the numeric rating scale (NRS) at both rest and movement (NRSm). §Results: Overall, 63 patients were included with a mean (SD) age of 25 years ± 5 yrs. The NRS mean score was significantly lower for Group B during the first 4 days after surgery at both rest and movement (all p < 0.05). Patients receiving local anesthesia showed a faster time to first urination (210 vs. 240 min; p = 0.02), although the time to discharge was comparable between the two groups (250 vs. 250 min). Conclusions: These results suggest that local anetshesia for varicocele surgical treatment is feasible and provide better pain control and faster recovery after surgery.


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