Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
-
J Coll Physicians Surg Pak · Jan 2020
Controlled Clinical TrialLow Pneumoperitoneum Pressure Improves Recovery of Transabdominal Preperitoneal Hernioplasty.
To evaluate the recovery influence of CO₂ pneumoperitoneum pressure for transabdominal preperitoneal hernioplasty (TAPP). ⋯ Low pneumoperitoneum pressure can relieve swelling of perineum perioperatively and improve recovery of TAPP.
-
J Coll Physicians Surg Pak · Jan 2020
Randomized Controlled TrialComparison of Curative Effects between Minimally Invasive Percutaneous Lag Screw Internal Fixation and Reconstruction Plate for Unstable Pelvic Fractures.
To compare the clinical efficacy of minimally invasive percutaneous lag screw internal fixation and reconstruction plate in the treatment of unstable pelvic fractures. ⋯ Compared with reconstruction plate, minimally invasive percutaneous lag screw internal fixation has better clinical efficacy in patients with unstable pelvic fractures; meanwhile, it can effectively increase serum ALP level, reduce the levels of inflammatory cytokines TNF-α and CRP, and effectively reduce surgical trauma as well as postoperative body stress response.
-
J Coll Physicians Surg Pak · Jan 2020
Randomized Controlled TrialIntraperitoneal Bupivacaine as Post-laparoscopic Cholecystectomy Analgesia.
To assess the efficacy of large volumes of diluted intraperitoneal bupivacaine in post-laparoscopic cholecystectomy analgesia. ⋯ Large volume of diluted bupivacaine when injected intraperitoneally during laparoscopic cholecystectomy provides prolonged time pain relief.
-
J Coll Physicians Surg Pak · Jan 2020
Randomized Controlled TrialEffects of Propranolol in Accelerating Wound Healing and Attenuation of Hypermetabolism in Adult Burn Patients.
To compare the mean duration of wound healing and attenuation of muscle wasting in adult burn patients treated with propranolol and control group. ⋯ Propranolol administration in adult burn patients appears to be beneficial in reducing morbidity, mortality and hospital stay by enhancing earlier wound healing and attenuating the catabolic muscle wasting in response to stress caused by burn.
-
J Coll Physicians Surg Pak · Jan 2020
Comparative StudyOutcomes of Total Parathyroidectomy with Autotransplantation versus Subtotal Parathyroidectomy Techniques for Secondary Hyperparathyroidism in Chronic Renal Failure.
To compare the safety and the effectiveness of total parathyroidectomy with autotransplantation versus subtotal parathyroidectomy for refractory secondary hyperparathyroidism in patients with chronic kidney disease. ⋯ Both surgical options can be safely utilised in the management of refarctory secondary hyperparathyroidism. Moreover, regardless of the procedure used, all the parathyroid glands must be explored. However, due to high morbidity and failure rates of subsequent surgeries, the surgeon should be keen and thorough in the initial procedure.