Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Oct 2021
Is Access Sheath Essential for Safety and Effective Retrograde Intrarenal Stone Surgery?
To evaluate the results of retrograde intrarenal surgery (RIRS) with flexible ureteroscope (f-URS), using ureteral access sheath and without the sheath. ⋯ UAS usage has no marked impact on SFR, complication rate and operation time. RIRS can be performed safely and effectively without using UAS. Key Words: Flexible ureteroscope, ITO score, Ureteral access sheath, Intrarenal stones.
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J Coll Physicians Surg Pak · Oct 2021
Mindfulness in the Emergency Department (MED): An Asynchronous Learning Course to Practise Mindfulness and Resilience in the Emergency Room of Low Resource Setting.
Owing to the fast-paced, stressful, and frequent crucial rapid decisions that trigger cognitive exhaustion, emergency physicians are especially vulnerable to burnout. Mindfulness practices have been defined in the literature and it focuses on the well-being and resilience. ⋯ It would concentrate on the foundations of mindfulness and resilience, learning and incorporating mindfulness, understanding the coping mechanisms and establishing a pathway to minimise anxiety and depression. Key Words: Mindfulness, Resilience, Burnout, Emergency medicine, Emergency department, Wellness.
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J Coll Physicians Surg Pak · Oct 2021
Outcomes of Transurethral Resection of Prostate in Patients with and without Renal Failure Secondary to an Enlarged Prostate.
The natural history of benign enlargement of the prostate is variable and ranges from mild symptoms to chronic retention and renal failure. In this study, the outcomes of patients with urinary retention alone were compared with those of chronic retention and renal failure caused by an enlarged prostate. The first group had 79, while the second group had 20 patients included. ⋯ However, the residual symptoms after surgery were higher in the chronic retention group. It was concluded that patients, with chronic retention experience and higher postoperative residual storage symptoms, after transurethral resection of the prostate, are able to void without a catheter and their renal functions were stabilised. Key Words: Transurethral resection of the prostate, Prostatic hyperplasia, Renal insufficiency, Urinary bladder neck obstruction.
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J Coll Physicians Surg Pak · Oct 2021
Outcomes of Cystectomy with MAINZ Pouch II and Epispadias Repair in Exstrophy Epispadias Complex in Adults: A Single-centre Experience from Pakistan.
To evaluate surgical outcomes and renal functions after cystectomy + MAINZ Pouch II and epispadias repair as a staged procedure in adult patients with exstrophy epispadias complex (EEC). ⋯ In adult EEC patients, cystectomy + MAINZ Pouch II and epispadias repair is safe and effective. Key Words: Adults, Exstrophy epispadias complex, MAINZ pouch II, Pakistan.
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J Coll Physicians Surg Pak · Oct 2021
Effect of Goal-directed Fluid Therapy on the Shedding of the Glycocalyx Layer in Retroperitoneal Tumour Resection.
To evaluate the effects of different stroke volume variation (SVV) targets on endothelial glycocalyx (EG) shedding. ⋯ Using SVV 14% as a target for guiding fluid therapy in elective retroperitoneal tumour resection was associated with reduced perioperative glycocalyx shedding, ameliorated inflammatory response, and reduced postoperative complications. Key Words: Randomised controlled trial, Retroperitoneal neoplasms, Glycocalyx, Tumour necrosis factor-alpha, Interleukin-6, Fluid therapy, Stroke volume.