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Journal articles on the topic 'Medical operative'

Author: Grafiati
Published: 4 June 2021
Last updated: 18 February 2022

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1

Williams, Kevin. "Pre-Operative Consent and Medical Negligence." Anglo-American Law Review 14, no. 2 (April 1985): 169–83. http://dx.doi.org/10.1177/147377958501400205.

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2

Webster, C. S., D. Anderson, and S. Murtagh. "Safety and peri-operative medical care." Anaesthesia 56, no. 5 (May 2, 2001): 496–97. http://dx.doi.org/10.1046/j.1365-2044.2001.02047-21.x.

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3

Mawhinney, Maryann Skasko. "Operative Stretchers." AORN Journal 50, no. 2 (August 1989): 310–15. http://dx.doi.org/10.1016/s0001-2092(07)65981-x.

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4

Fang, Clarissa Ern Hui, and Seng Kheong Fang. "Intermediate-term outcome of placement of Baerveldt glaucoma implant for refractory glaucoma in a Malaysian population." Asian Journal of Ophthalmology 17, no. 1 (January 17, 2020): 108–19. http://dx.doi.org/10.35119/asjoo.v17i1.500.

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Objective: To report baseline characteristics and surgical outcomes of placement of Baerveldt glaucoma implant (BGI) in Asian eyes with considerably elevated intraocular pressure (IOP) despite maximal medical therapy. Design: Retrospective case series of surgical cases from a single surgeon. Retrospective review of medical records of last clinic visits. Participants: One hundred and ninety-seven eyes of patients underwent placement of 350-mm2 Baerveldt implant. Methods: The medical records of consecutive patients who underwent placement of a Baerveldt 350-mm2 glaucoma drainage device (GDD) at the International Specialist Eye Centre from 2007 to 2014 were reviewed. Patients with a minimum 1-year follow-up were included. Baseline characteristics, pre-operative and post-operative IOP, number of glaucoma medications, visual acuity (VA) and complications were recorded. The pre-operative IOP is compared with the IOP at 1, 2, 3 and 5 years. Measures: The IOP, VA, supplemental medical therapy, complications and success and failures were recorded. Results: One hundred and ninety-seven patients were followed up at 1-year post-operation, 157 patients at 2 years, 120 at 3 years and 37 at 5 years. The mean baseline IOP of 29.2 ± 10.6 mmHg was significantly reduced at all time points post-operatively. Mean number of glaucoma medications was significantly lower at last follow-up than pre-operatively (1.8 vs. 2.7). Conclusions: Placement of GDDs effectively reduces IOP without much long-term complication and may be useful in glaucomatous eyes with considerably elevated pre-operative IOP not well controlled with maximal medical therapy in the Asian population.
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5

Chhetri, Raj Kumar, Suman Baral, and Neeraj Thapa. "Prediction of Infectious Complications after Percutaneous Nephrolithotomy." Journal of Society of Surgeons of Nepal 21, no. 2 (December 31, 2018): 12–18. http://dx.doi.org/10.3126/jssn.v21i2.24355.

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Introduction: Post-operative infection is one of the most common and potentially life-threatening complications following percutaneous nephrolithotomy, ranging from Systemic inflammatory response syndrome (SIRS) to severe sepsis. It is reported to be the most common peri-operative cause of death. Despite taking utmost precautions, we come across major complications such as haemorrhage and urosepsis after percutaneous nephrolithotomy. This study aims to find the risk factors for infectious complications after percutaneous nephrolithotomy. Methods: This was an observational, cross-sectional, analytical study carried out in the Department of Surgery of Lumbini Medical College and Teaching Hospital over a period of six months. Pre- operative and intra-operative parameters of ninety-seven patients who underwent percutaneous nephrolithotomy were analysed to see the association between perioperative and intraoperative factors in development of post-operative infectious complications. Results: Post-operatively, SIRS was observed in 28.9% of the patients and 6.2% developed post operative sepsis. Stone burden, types of stone, abnormal urinalysis and mean operative time were associated with post-operative SIRS while stone burden, abnormal urinalysis, positive urine culture and operation time were statistically associated with post-operative sepsis. In univariate analysis only mean operation time and mean stone burden were statistically associated in development of post operative SIRS and sepsis. Conclusion: In the present study mean operation time and mean stone burden were found to be the predictive factors for post-operative infectious complications after percutaneous nephrolithotomy.
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6

Skorupa, Mary. "Labeling Operative Sites." AORN Journal 69, no. 1 (January 1999): 21. http://dx.doi.org/10.1016/s0001-2092(06)62739-7.

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7

Masud, M. A. A., S. M. N. Rahman, Z. Rahman, R. Amin, S. Ashrafuzzaman, and T. Alam. "Comparative Study of Prescribing Trends of Analgesics in Post Operative Pain Management in Surgery Units Between Government And Private Medical College Hospital." Journal of Medical Science & Research 18, Number 1 (January 1, 2012): 20–26. http://dx.doi.org/10.47648/jmsr.2012.v1801.03.

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The study was done to compare the prescribing trend of analgesics used in post operative patients in surgery units of a government and a private medical college hospital of Dhaka city. A total of 360 prescriptions of patients who underwent surgery were collected randomly .Among 360 prescriptions. 180 were collected from the government and other from private medical college hospital from the period of July 2007 to June 2008. Data pertaining to medications prescribed for pain management from the day of operation to sixth post operative day were recorded. It was observed that in government medical college and hospital 90.6% patients received pethidine on the operation day. Other associated analgesics on that day were either tramadol (42.2%) or ketorolac (54.4%). Only 9.4% patients did not receive any analgesic on that day. In private medical college hospital 65.6% patients received nalbuphine and 33.3% patients received pethidine on the operation day. Along with nalbuphine and pethidine, 86.7% patients received tramadol and 13.3% patients received kctorolac. 0.6% patients did not receive any analgesic on that day. In government medical college hospital, most of the patients received only tramadol (48.3%). kctorolac (38.9%) and pethidine (0.6%) on the first post operative day as a single drug. In private medical college hospital. 84.4% patients received ketorolac and 15.6% patients received tramadol on the lu post operative day. In government hospital most of the patients received tramadol whereas in private medical college hospital most of the patients received ketorolac on 2thl, 3"3, 4th and 5th post operative day. On 6th post operative day. 81.1% patients did not receive any analgesic in government hospital and 92.8% patients did not receive any analgesic in private medical college hospital.
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8

Deshaies, Eric Michael, Alan S. Boulos, and A. John Popp. "Peri-operative medical management of cerebral vasospasm." Neurological Research 31, no. 6 (July 2009): 644–50. http://dx.doi.org/10.1179/174313209x382340.

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9

Kaur, Happy, Babar Maqbool, and Manpreet Kaur. "Outcome of pterygium surgery by using conjunctival autograft attachment with fibrin glue: a prospective study." International Journal of Research in Medical Sciences 9, no. 1 (December 28, 2020): 134. http://dx.doi.org/10.18203/2320-6012.ijrms20205831.

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Background: Pterygium is a degenerative condition of sub conjunctival tissues that proliferates as vascularised granulation tissue to invade cornea. Treatment modalities may be medical or surgical. Objectives were to asses results of pterygium surgery in patients with pterygium, in terms of operative time, post-operative symptoms, overall graft success and post-operative complications conducted at government medical college, hospital, Jammu during one year.Methods: Prospective study conducted on 25 patients by using fibrin glue over a period of one year in upgraded department of ophthalmology at GMC Jammu.Results: Mean operating time was 23.20 minutes by using fibrin glue, severity of post-operative symptoms were less. Graft successfully attached in all cases.Conclusions: Present study concluded that use of fibrin glue associated with less operating time and less post-operative discomfort in terms of severity and duration
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10

Nel, Linda, and Efrem Eren. "Peri-operative anaphylaxis." British Journal of Clinical Pharmacology 71, no. 5 (April 11, 2011): 647–58. http://dx.doi.org/10.1111/j.1365-2125.2011.03913.x.

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11

O'Neil, Lisa A., Karen Correnti, Julie Perry, and Kim Benea. "Post-Operative Handoff Improvement." Journal of PeriAnesthesia Nursing 28, no. 3 (June 2013): e1. http://dx.doi.org/10.1016/j.jopan.2013.04.003.

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12

Mackinnon, Susan E., and Christine B. Novak. "Operative Findings in Reoperation of Patients with Cubital Tunnel Syndrome." HAND 2, no. 3 (April 10, 2007): 137–43. http://dx.doi.org/10.1007/s11552-007-9037-3.

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The purpose of this study was to report the operative findings in patients who underwent a secondary operation for cubital tunnel syndrome. A chart review was performed of 100 patients who had undergone a secondary operation for cubital tunnel syndrome by one surgeon. The mean age was 48 years (standard deviation 13.5 years). The most common complaint after primary surgery was increased symptoms in the ulnar nerve distribution ( n=55) and pain in the medial antebrachial cutaneous nerve distribution ( n=55). The most common operative findings included a medial antebrachial cutaneous nerve neuroma ( n=73) and a distal kink of the ulnar nerve ( n=57). This kink was noted as the nerve moved from its transposed position anterior to the medical epicondyle to its native position within the flexor carpi ulnaris. This study suggests that during primary surgery for cubital tunnel syndrome care should be given to avoid injury to the medial antebrachial cutaneous nerve, distal kinking of the ulnar nerve with transposition and pressure on the transposed nerve by the fascial flaps or tendinous bands.
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13

Chowdhury, Abdul Qayum, Dhanenjoy Mojumder, and Jishu Deb Nath. "Complications of Tonsillectomy, Adenoidectomy and Adenotonsillectomy in Chittagong Medical College Hospital." Chattagram Maa-O-Shishu Hospital Medical College Journal 13, no. 2 (November 30, 2014): 4–7. http://dx.doi.org/10.3329/cmoshmcj.v13i2.21047.

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It is a prospective study is done with materials of 100 cases of Tonsillectomy patient giving Proper attention to age, sex, Indication of operation, Clinical Presentation, Duration of Operation, Post operative complications. Altogether 100 Patients of whom 54 were male and 46 female, collected for a period of 6 months from 16th July 2001 to 15th January 2002 with maximum age group 48% were of 20+years and a sex ratio of Male: female 1.17:1 were included in the series the commonest indication is Recurrent tonsillitis was 83%. Among them clinical presentation, Patients presented with recurrent pain in throat (85%), History of Fever in 62% and difficulty in swallowing in 46%. Regarding duration of operation 40% Patients were operation within 30 to 39 minutes, 31% patients were operated within 40 to 49 minutes. In this Series, Complications that encountered after operation were hemorrhages both reactionary and secondary 1% and 2% respectively, operative local trauma in 4% cases and local infection in tonsillar bed in 6% cases. In this Series one patient needed second time general anaesthesia.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i2.21047
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14

Adams, W. J., L. J. Mann, E. L. Bokey, P. H. Chapuis, S. G. Koorey, and W. J. Hughes. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 19, no. 6 (November 1992): 230. http://dx.doi.org/10.1097/00152192-199211000-00020.

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15

&NA;. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 12, no. 1 (January 1985): 34. http://dx.doi.org/10.1097/00152192-198501000-00031.

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16

&NA;, &NA;. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 12, no. 2 (March 1985): 69. http://dx.doi.org/10.1097/00152192-198503000-00038.

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17

&NA;, &NA;. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 12, no. 3 (May 1985): 107. http://dx.doi.org/10.1097/00152192-198505000-00049.

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18

&NA;. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 12, no. 4 (July 1985): 150. http://dx.doi.org/10.1097/00152192-198507000-00042.

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19

&NA;, &NA;. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 12, no. 5 (September 1985): 188. http://dx.doi.org/10.1097/00152192-198509000-00043.

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20

&NA;, &NA;. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 12, no. 6 (November 1985): 221. http://dx.doi.org/10.1097/00152192-198511000-00052.

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21

NM, &NA;. "Operative Technique." Journal of Wound, Ostomy and Continence Nursing 13, no. 2 (March 1986): 70. http://dx.doi.org/10.1097/00152192-198603000-00043.

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22

Boarini, Joy. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 13, no. 3 (May 1986): 122. http://dx.doi.org/10.1097/00152192-198605000-00045.

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23

&NA;. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 13, no. 4 (July 1986): 166. http://dx.doi.org/10.1097/00152192-198607000-00051.

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24

&NA;. "Operative techniques." Journal of Wound, Ostomy and Continence Nursing 14, no. 1 (January 1987): 40. http://dx.doi.org/10.1097/00152192-198701000-00033.

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25

&NA;, &NA;. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 14, no. 2 (March 1987): 88. http://dx.doi.org/10.1097/00152192-198703000-00055.

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26

Boarini, Joy. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 14, no. 3 (May 1987): 130. http://dx.doi.org/10.1097/00152192-198705000-00046.

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27

&NA;. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 14, no. 4 (July 1987): 175. http://dx.doi.org/10.1097/00152192-198707000-00035.

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28

&NA;. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 14, no. 5 (September 1987): 223. http://dx.doi.org/10.1097/00152192-198709000-00022.

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29

&NA;, &NA;. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 15, no. 1 (January 1988): 46–47. http://dx.doi.org/10.1097/00152192-198801000-00029.

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30

&NA;. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 15, no. 2 (March 1988): 94. http://dx.doi.org/10.1097/00152192-198803000-00037.

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31

&NA;. "Operative techniques." Journal of Wound, Ostomy and Continence Nursing 15, no. 3 (May 1988): 142. http://dx.doi.org/10.1097/00152192-198805000-00033.

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32

&NA;. "Operative techniques." Journal of Wound, Ostomy and Continence Nursing 15, no. 4 (July 1988): 177. http://dx.doi.org/10.1097/00152192-198807000-00027.

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33

&NA;, &NA;. "Operative techniques." Journal of Wound, Ostomy and Continence Nursing 15, no. 5 (September 1988): 212. http://dx.doi.org/10.1097/00152192-198809000-00040.

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34

&NA;. "Operative techniques." Journal of Wound, Ostomy and Continence Nursing 16, no. 1 (January 1989): 46. http://dx.doi.org/10.1097/00152192-198901000-00027.

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35

&NA;. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 16, no. 4 (July 1989): 183. http://dx.doi.org/10.1097/00152192-198907000-00024.

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36

&NA;, &NA;. "Operative techniques." Journal of Wound, Ostomy and Continence Nursing 16, no. 5 (September 1989): 225. http://dx.doi.org/10.1097/00152192-198909000-00028.

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37

&NA;. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 17, no. 1 (January 1990): 37. http://dx.doi.org/10.1097/00152192-199001000-00029.

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38

&NA;, &NA;. "Operative techniques." Journal of Wound, Ostomy and Continence Nursing 17, no. 3 (May 1990): 124–25. http://dx.doi.org/10.1097/00152192-199005000-00028.

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39

&NA;. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 18, no. 4 (July 1991): 143. http://dx.doi.org/10.1097/00152192-199107000-00026.

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40

&NA;. "Operative Technique." Journal of Wound, Ostomy and Continence Nursing 18, no. 5 (September 1991): 175. http://dx.doi.org/10.1097/00152192-199109000-00025.

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41

&NA;. "Operative technique." Journal of Wound, Ostomy and Continence Nursing 18, no. 6 (November 1991): 206. http://dx.doi.org/10.1097/00152192-199111000-00020.

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42

&NA;. "Operative Techniques." Journal of Wound, Ostomy and Continence Nursing 19, no. 2 (March 1992): 72. http://dx.doi.org/10.1097/00152192-199203000-00023.

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43

Lan, Roy H., and Atul F. Kamath. "Does the Timing of Pre-Operative Medical Evaluation Influence Perioperative Total Hip Arthroplasty Outcomes?" Open Orthopaedics Journal 11, no. 1 (March 22, 2017): 195–202. http://dx.doi.org/10.2174/1874325001711010195.

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Background:Medical evaluation pre-operatively is an important component of risk stratification and potential risk optimization. However, the effect of timing prior to surgical intervention is not well-understood. We hypothesized that total hip arthroplasty (THA) patients seen in pre-operative evaluation closer to the date of surgery would experience better perioperative outcomes.Methods:We retrospectively reviewed 167 elective THA patients to study the relationship between the number of days between pre-operative evaluation (range, 0-80 days) and surgical intervention. Patients’ demographics, length of stay (LOS), ICU admission frequency, and rate of major complications were recorded.Results:When pre-operative evaluation carried out 4 days or less before the procedure date, there was a significant reduction in LOS (3.91 vs. 4.49; p=0.03). When pre-operative evaluation carried out 11 days or less prior to the procedure date, there was a four-fold decrease in rate of intensive care admission (p=0.04). Furthermore, the major complication rate also significantly reduced (p<0.05). However, when pre-operative evaluation took place 30 days or less before the procedure date compared to more than 30 days prior, there were no significant changes in the outcomes.Conclusion:From this study, pre-operative medical evaluation closer to the procedure date was correlated with improved selected peri-operative outcomes. However, further study on larger patient groups must be done to confirm this finding. More study is needed to define the effect on rare events like infection, and to analyze the subsets of THA patients with modifiable risk factors that may be time-dependent and need further time to optimization.
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44

Shamil, E., M. J. Rouhani, A. C. Panayi, J. Lynch, J. Tysome, and N. Jonas. "Investigating the effect of a nasal decongestant on post-adenotonsillectomy respiratory complications in 25 paediatric patients with obstructive sleep apnoea: a pilot study." Journal of Laryngology & Otology 133, no. 2 (February 2019): 110–14. http://dx.doi.org/10.1017/s0022215119000033.

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AbstractObjectiveAdenotonsillectomy is frequently performed for obstructive sleep apnoea, but is associated with post-operative respiratory morbidity. This study assessed the effect of paediatric Otrivine (0.05 per cent xylometazoline hydrochloride) on post-operative respiratory compromise.MethodsPaediatric patients undergoing adenotonsillectomy for obstructive sleep apnoea were included. The control group (n = 24) received no intervention and the intervention group (n = 25) received intra-operative paediatric Otrivine during induction using a nasal patty. Post-operative outcomes included pain, respiratory distress signs and medical intervention level required (simple, intermediate and major).ResultsPost-operative respiratory distress signs were exhibited by 4 per cent of the Otrivine group and 21 per cent of the control group. Sixty-eight per cent of the Otrivine group required simple medical interventions post-operatively, compared to 42 per cent of the control group. In the Otrivine group, 4 per cent required intermediate interventions; none required major interventions. In the control group, 12.5 per cent required both intermediate and major interventions. Fifty per cent of the control group reported pain post-operatively, compared with 40 per cent in the Otrivine group.ConclusionIntra-operative paediatric Otrivine may reduce post-operative respiratory compromise in paediatric patients undergoing adenotonsillectomy for obstructive sleep apnoea. A randomised controlled trial is required.
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45

Chaudhary, Sanjay, Lokeshwar Chaurasia, and Jitendra Kumar Singh. "Duration of Hospital Stay and Treatment Pattern among Patients Undergoing Common Operative Procedures at tertiary care hospital in Nepal." Janaki Medical College Journal of Medical Science 7, no. 2 (December 31, 2019): 27–35. http://dx.doi.org/10.3126/jmcjms.v7i2.30691.

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Background and Objectives: Appendectomy, cholecystectomy, fistulectomy, and herniotomy or herniorrhaphy are the most common surgical operations in Nepal. Despite the high prevalence and complexity of the patient population served by general and universal surgery services, little has been reported about the services, treatment procedures and outcomes. Therefore, the study is designed to investigate the duration of hospital stay, and treatment pattern among patients undergoing common surgical operative procedures at Janaki Medical College, Janakpur, Nepal. Material and methods: A prospective observational study was conducted among patients undergoing common surgical operative procedures at surgery department of Janaki Medical College (JMC) over a period of one year from January 2018 to December 2018. Patients of all age groups and gender undergoing surgical operative procedures; appendectomy, herniotomy cholecystectomy and fistulectomy were included in the study. The patients were assessed preoperatively, intra-operatively and postoperatively. Results: In a total of 325 patients, 11.1% of patients underwent fistulectomy, 14.5% underwent appendectomy, 35.4% underwent herniorrhaphy and 39.1% underwent cholecystectomy. Mean duration of stay at hospital for cholecystectomy was slightly higher (8.13±2.40 days) than other operating procedures: fistulectomy (5.44 ±1.48 days), appendectomy (7.40±2.00 days), and operative procedure of hernia (6.17±1.59 days). Most commonly used antibiotic for control of preoperative and post operative infection was third generation cephalosporin’s, ceftriaxone and cefixime. Conclusion: The study demonstrates longer duration of hospital stay for cholecystectomy as compared to other operating procedures like fistulectomy, appendectomy, herniorrhaphy, hernioplasty and herniotomy with significant difference by types of surgery. Most commonly used antibiotic for control of infection was third generation cephalosporin, ceftriaxone and cefixime.
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46

Khongphaophong, Methee. "Sinus tarsi approach vs. extensile lateral approach for intra-articular calcaneal fracture." Foot & Ankle Orthopaedics 3, no. 3 (July 1, 2018): 2473011418S0028. http://dx.doi.org/10.1177/2473011418s00286.

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Category: Trauma Introduction/Purpose: The options of operative treatment for intra-articular calcaneal fracture still remains controversial. Extensile lateral approach allow excellent exposure to fracture, but bring high rate of wound complications. The aim of this study was to compare the outcome of intra-articular calcaneal fracture treated with open reduction and internal fixation via an extensile lateral versus. Sinus tarsi approach Methods: Prospective study of 62 intra-articular calcaneal fractures treated by open reduction and internal fixation between 2014, October to 2017, June. 29 were treated with extensile lateral approach with calcaneal locking plate(Wright medical, Tennessee), 33 sinus tarsi approach(4 cases need additional mini medial incision approaches for SanderIII AC, BC) with mini-calcaneal locking plate(Normed, Florida). Durations until operation, operative time, foot functional index(total score), visual analog scale, SF-36, Bohler’s angle, angle of Gissane, wound complications and duration of hospital stay were recorded post-operatively and minimal 6 months follow up. Results: Compared 2 groups with demographic datas.Average duration until operation; extensile group was 13.32 days, sinus tarsi group was 6.08 days, p <0.001. Operative time; extensile group was 123.41minutes vs. sinus tarsi group was 91.20 minutes, p <0.001. Wound complications was 24.13% in extensile group vs. 6.06% in sinus tarsi group, p =0.045, Duration of post-operative admission was 6.68 days in extensile group vs. 3.10 days in sinus tarsi group p <0.001 FFI last visits was 25.36 in extensile group vs. 25.65 in sinus tarsi group, p =0.969, VAS activity was 29.68 in extensile group vs. 28.54 in sinus tarsi group, p=0.271. Conclusion: Sinus tarsi approach with mini-calcaneal locking plate was a great option for treatment of intra-articular calcaneal fracture. This approach brought lower rate of wound complications, earlier operations, shorter operation times and shorter hospital stay compared to extensile lateral approach.
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47

Sagar, SM Iftekhar Uddeen, SM Nazrul Islam, Md Abul Kalam Azad, Mohammad Khaleduzzaman Khan, Muhammad Mofazzal Hossain, and Md Abdullah Yusuf. "Post-Operative Outcome of Desarda Repair of Inguinal Hernia in Emergency Case in Bangladesh." Journal of Current and Advance Medical Research 7, no. 1 (April 5, 2020): 44–48. http://dx.doi.org/10.3329/jcamr.v7i1.46430.

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Background: Desarda hernia repair has emerged as a recognized operative method for inguinal hernia repair. Objective: The purpose of the present study was to see the outcome of emergency inguinal hernia repair by Desarda technique. Methodology: This was an observational study was carried out in the Department of Surgery at Sher-E-Bangla Medical College Hospital, Barisal, Bangladesh and Private Hospital, Narayanganj, Bangladesh from August 2015 to January 2017. Twenty patient was operated by Desarda technique. Variables includes age, operating time, post-operative complications, post-operative hospital stay, cost of the procedure, chronic groin pain and any early recurrence. Result: Mean age of patient 50.25±18.9, Mean operating time was 78.4±9.64 mins. Majority 16 patient experienced mild post-operative pain measured in VAS score. Mean with SD of hospital stay was 5.05±2.16 days. Patient had developed different post-operative complications like wound infection in 2(10.0%) cases, scrotal edema in 5(25.0%) cases, seroma formation in 1(5.0%) case and no early recurrence and. Conclusion: In this study, it revealed that Desarda repair was associated with less post-operative complications, less post-operative pain, zero recurrence rate, no chronic groin pain and performed in emergency cases. So it is safe and most reliable technique for complicated (Incarcerated, Obstructed, Strangulated) inguinal hernia. Journal of Current and Advance Medical Research 2020;7(1): 44-48
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48

Guidry, Christopher A., Stephen W. Davies, Rhett N. Willis, Zachary C. Dietch, Puja M. Shah, and Robert G. Sawyer. "Operative Start Time Does Not Affect Post-Operative Infection Risk." Surgical Infections 17, no. 5 (October 2016): 547–51. http://dx.doi.org/10.1089/sur.2015.150.

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49

Torresyap, Pearl M. "Operative Surgery: Principles and Techniques." AORN Journal 52, no. 5 (November 1990): 1082–84. http://dx.doi.org/10.1016/s0001-2092(07)69178-9.

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50

Gollaba, Rita Mae J., Derick Erl P. Sumalapao, and Mary Ellen M. Chiong-Perez. "Post-operative residual neuromuscular blockade after the administration of a single intubating dose of intermediate-acting non-depolarising neuromuscular blocking agent in adult elective surgical procedures." Indian Journal of Physiology and Pharmacology 64 (July 31, 2020): 142–46. http://dx.doi.org/10.25259/ijpp_101_2020.

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Objectives: Post-operative residual neuromuscular blockade may result in life-threatening conditions if not properly managed making it a common and significant concern among anaesthesiologists. Among adult elective surgeries requiring single intubating dose of intermediate-acting non-depolarising neuromuscular blocking agent, the study determined the incidence and risk factors associated with post-operative residual neuromuscular blockade during early post-operative period. Materials and Methods: A prospective, open-labelled, non-randomised observational study conducted in an operating room and post-anaesthesia care unit. A total of 175 ASA-PS Class I and II patients admitted in the surgical wards scheduled for elective surgical operation and were administered of a single intubating dose of intravenous intermediate-acting non-depolarising neuromuscular blocking drug. The train-of-four (TOF) method of peripheral nerve stimulation detects the presence of post-operative residual neuromuscular blockade. Results: A significant post-operative residual paralysis was identified in specific age groups (26–35, 46–55 and 56–65), in surgical procedures in the orthopaedic service, and among patients who were given a reversal agent. Residual neuromuscular blockade is still present even if the interval between the last dose of muscle relaxant and the measurement of TOF ratio at the post-anaesthesia care unit was long, however, less than that observed in short interval surgeries. Conclusion: Clinical importance of residual neuromuscular blockade is still evident up to the present time and the present study recommends routine monitoring of neuromuscular blockade and pharmacologic antagonism in the reversal of non-depolarising neuromuscular blocking drugs.
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