Online ISSN: 2515-8260

Keywords : Randomized

A Randomized Evaluation of Urinary Catheters Removal after Complete Abdominal Hysterectomy

Bhima Harika; Ch. Srikarani Reddy; Gunapati Mithilasri

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 1960-1966

Background: The purpose of this study is to determine whether immediate, intermediate, or delayed removal of an indwelling urinary catheter after an uncomplicated abdominal hysterectomy has an effect on the rate of recatheterization due to urinary retention, the rate of urinary tract infection, the amount of time patients spend walking around in the hospital, and the total length of their hospital stay. Martial and Methods: A Randomized controlled study was carried out at Narayana Medical College, Nellore, A. P, and India. A total abdominal hysterectomy was performed on two hundred twenty one women who were diagnosed with benign gynecological disorders. The patients were then divided into three groups at random. Urinary catheters were removed from the urinary systems of the women in group and as soon as possible after surgery. In group B, the catheter was withdrawn six hours after the surgery, while in group C, it was removed twenty-four hours after the surgery. The frequency of urine retention, the number of urinary tract infections, the amount of time spent ambulating, and the total length of hospital stay were the primary end measures. Results: The rapid removal group saw a statistically significant increase in the number of urinary retention episodes requiring catheterization when compared to the groups that underwent intermediate or delayed removal. The delayed urinary catheter removal was associated with a greater prevalence of urinary tract infections, a longer delay in ambulation time, and an extended hospital stay as compared to the early and intermediate removal groups. Conclusion: Removal of the urinary catheter 6 h postoperatively appears to be more advantageous than early or late removal in cases of uncomplicated total abdominal hysterectomy

Addition Of Eccentric Elbow Exercises To Local Corticosteroid Injection For Tennis Elbow – A Prospective Randomized Study

Niranjanan Raghavn Muralidharagopalan; Raghav Gopal; Sugumar Natarajan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3528-3537

Lateral epicondylitis or Tennis elbow is a painful condition of the elbow that is characterized by pain and weakness of grip strength. It is usually due to a tendinopathy involving the origin of the ECRB and EDC tendons. Wide variety of treatment options exists. Injection corticosteroids are considered to be a good choice for short term improvement of the problem but has doubtful effects in the medium to long term.
This study is a randomized study that compares the short to medium term effect of addition of eccentric elbow strengthening exercises to local corticosteroid injections
This is a prospective randomized study with 1 year follow up. 24 subjects received corticosteroid injections alone while 26 underwent eccentric elbow strengthening additionally.
The patients were administered VAS , DASH score and tenderness on resisted dorsiflexion of wrist and middle finger initially. This was followed up after 2 weeks, 6 weeks, 3 months , 6 months and 1 year.
The groups were also well matched for age, sex, time since diagnosis.
The VAS, DASH and the tenderness scores were also similar in the two groups.
In the injection only group there was reduction of VAS from 7.08 to 2.83 in 2 weeks which showed a decreasing trend till 6months follow up. Similarly, the DASH scores decreased from 33.40 to 13.63 in 2 weeks and the same trend was seen till 6 months. However, at 1 year follow up both scores showed a slight increase.
In the injection plus exercises group the reduction of VAS and DASH scores continues till one year. Also comparing the two groups the injection plus exercise group shows significant improvement at 2weeks, 6 weeks and 1 year follow up
Addition of eccentric elbow strengthening exercises significantly improves the benefit of having a local corticosteroid injection for tennis elbow