Online ISSN: 2515-8260

Keywords : Surgical


Comparing the Efficacy of the Contasure-Needleless Sling Technique with a Conventional Midurethral Sling in the Surgical Management of Female Stress Urinary Incontinence

Abd El-moneim Abd El-Aziz Saleh; Mahmoud Ahmed Ghareb; Diab Alsayed Mohamed Ibrahiem; Walid Mohamed Elnagar; Mohammed Hassan Elsayed Barakat

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 9, Pages 709-719

Objective: This study aimed to compare the efficacy of the Contasure-Needleless (C-NDL) technique with the Transvaginal Tension Free Vaginal Tape-Obturator (TVT-O) technique in the surgical management of stress urinary incontinence (SUI).
Methods: This prospective observational study was performed on adult women with urodynamic proved SUI who failed or declined conservative treatment between August 2017 to October 2019. The cough Stress test was performed for all patients, and they underwent urodynamic evaluation preoperatively. Follow-up visits were performed at one month, six months, and 12 months after surgery. For statistical analysis, we used the Statistical Packages for Software Sciences (SPSS) version 21.
Results: Forty patients were divided equally into two groups (TVT-O subgroup and C-NDL subgroup). Regarding the operative time and pain scale, there were no significant differences between both groups (p= 0.078 and 0.054). A higher blood loss was observed in the TVT-O group than the C-NDL group (p= 0.001). At three, six, and 12 months of follow-up, no significant difference was observed in terms of the cough test (p= 0.4708, 0.7256, and 0.6644). Moreover, there was no significant difference in terms of complications (all p>0.05). Regarding the relationship between Valsalva leak-point pressure and cough stress reflex at the last follow-up visit, we detected a significant difference among the studied patients (p= 0.001).
Conclusions: C-NDL is a promising technique for treating SUI cases, with low complication rates and a good patient satisfaction level. Furthermore, the procedure's efficacy holds encouraging results that need to be affirmed and tested by long-term outcomes.

Assessment of effect of Anaemia on recovery in surgical patients: An observational study

Dr. Tarun Kumar, Dr.Seema Solanki, Dr.Manav Vadhera, Dr. Jessica Kaushal, Dr Neeeaj Joshi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 8903-8907

Background: Anaemic patients frequently proceed to surgery without considered
assessment and management of this risk factor for adverse outcome. Hence; the present
study was conducted with the aim of assessing the effect of Anaemia on recovery in
surgical patients.
Materials & methods: 100 anaemic patients were randomly enrolled in the present study.
Complete demographic and clinical details of all the patients were obtained. Thorough
history of all the patients was recorded. The line of treatment was also recorded.
Haemoglobin estimation was done by Acid haematin method and according to
haemoglobin patients were divided in mild, moderate and severe. Recovery profile of all the
patients was assessed.
Results: Mean hospital stay among patients with haemoglobin levels of Less the 6 gm%
was 29.4 days while among patients with haemoglobin levels between 6 to 8.99 gm%, mean
hospital stay was 21.8 days. Mean hospital stay among patients with haemoglobin level s
between 9 to 10.99 gm% and between 11 to 12.5 gm% was 12.3 days and 8.5 days
respectively. Significantly longer hospital stay days were associated with patients with
more severe degree of anaemia.
Conclusion: Severity of Anaemia affects the recovery profile in surgical patients