Objective: to analyze the clinical effect of mixed hemorrhoids with improved external stripping and internal ligation combined with lateral incision of internal sphincter. Methods: a total of 80 patients with mixed he...Objective: to analyze the clinical effect of mixed hemorrhoids with improved external stripping and internal ligation combined with lateral incision of internal sphincter. Methods: a total of 80 patients with mixed hemorrhoids admitted to our hospital from June 2019 to June 2020 were randomly divided into two groups. Patients in the control group were treated with external stripping and internal ligation, while patients in the observation group were treated with improved external stripping and internal ligation plus lateral internal sphincter resection. The wound healing time, hospitalization time, postoperative pain duration, postoperative visual analogue score, serum inflammatory factors before and after treatment and the incidence of complications were compared between the two groups. Results: the observation group was better than the control group in wound healing time, hospitalization time, postoperative pain days, postoperative visual analogue score, serum inflammatory factors and complication rate after treatment (P < 0.05). Conclusion: the clinical effect of mixed hemorrhoids modified external peeling and internal ligation combined with internal sphincter lateral incision is definite, which can accelerate the wound healing, relieve pain, control inflammation, shorten the hospitalization time and reduce the incidence of complications.展开更多
Objective: Postpartum haemorrhage (PPH) is one of the important obstetrical emergencies and a leading cause of maternal morbidity and mortality. According to the World Health Organization, postpartum haemorrhage const...Objective: Postpartum haemorrhage (PPH) is one of the important obstetrical emergencies and a leading cause of maternal morbidity and mortality. According to the World Health Organization, postpartum haemorrhage constitutes 25% of all maternal deaths worldwide. In situations where medical line of management fails to control postpartum haemorrhage, anterior division of internal iliac artery ligation can play an important role as a lifesaving and fertility preserving surgical procedure. Keeping this in mind, our study aimed to analyze indications and efficacy of anterior division of Internal Iliac artery ligation in the form of uterine salvage and saving maternal life. Study design: This was a retrospective study carried out in the Department of Obstetrics and Gynaecology, Government Medical College, Aurangabad during the period of July 2014-January 2016. A total of 57 cases that had undergone ligation of anterior division of internal iliac artery were included in the study and different indications and efficacy were studied. Results: Atonic PPH (52.63%) leads the list of indications for ligation anterior division of internal iliac artery ligation followed by traumatic (19.29%), adherent placenta (12.2%), mixed variety (10.52%) and coagulopathy (5.26). Maximum efficacy in terms of preserving fertility and saving maternal life was 73.33% and 93.3% respectively in atonic PPH. Overall efficacy of this procedure in terms of uterine salvage was 54.38% and in terms of saving maternal life was 87.71%. Conclusion: Anterior division of IIAL was effective method in controlling refractory PPH, reducing morbidity and preserving uterus and future fertility. It is safe life saving procedure at experienced hands.展开更多
文摘Objective: to analyze the clinical effect of mixed hemorrhoids with improved external stripping and internal ligation combined with lateral incision of internal sphincter. Methods: a total of 80 patients with mixed hemorrhoids admitted to our hospital from June 2019 to June 2020 were randomly divided into two groups. Patients in the control group were treated with external stripping and internal ligation, while patients in the observation group were treated with improved external stripping and internal ligation plus lateral internal sphincter resection. The wound healing time, hospitalization time, postoperative pain duration, postoperative visual analogue score, serum inflammatory factors before and after treatment and the incidence of complications were compared between the two groups. Results: the observation group was better than the control group in wound healing time, hospitalization time, postoperative pain days, postoperative visual analogue score, serum inflammatory factors and complication rate after treatment (P < 0.05). Conclusion: the clinical effect of mixed hemorrhoids modified external peeling and internal ligation combined with internal sphincter lateral incision is definite, which can accelerate the wound healing, relieve pain, control inflammation, shorten the hospitalization time and reduce the incidence of complications.
文摘Objective: Postpartum haemorrhage (PPH) is one of the important obstetrical emergencies and a leading cause of maternal morbidity and mortality. According to the World Health Organization, postpartum haemorrhage constitutes 25% of all maternal deaths worldwide. In situations where medical line of management fails to control postpartum haemorrhage, anterior division of internal iliac artery ligation can play an important role as a lifesaving and fertility preserving surgical procedure. Keeping this in mind, our study aimed to analyze indications and efficacy of anterior division of Internal Iliac artery ligation in the form of uterine salvage and saving maternal life. Study design: This was a retrospective study carried out in the Department of Obstetrics and Gynaecology, Government Medical College, Aurangabad during the period of July 2014-January 2016. A total of 57 cases that had undergone ligation of anterior division of internal iliac artery were included in the study and different indications and efficacy were studied. Results: Atonic PPH (52.63%) leads the list of indications for ligation anterior division of internal iliac artery ligation followed by traumatic (19.29%), adherent placenta (12.2%), mixed variety (10.52%) and coagulopathy (5.26). Maximum efficacy in terms of preserving fertility and saving maternal life was 73.33% and 93.3% respectively in atonic PPH. Overall efficacy of this procedure in terms of uterine salvage was 54.38% and in terms of saving maternal life was 87.71%. Conclusion: Anterior division of IIAL was effective method in controlling refractory PPH, reducing morbidity and preserving uterus and future fertility. It is safe life saving procedure at experienced hands.
