|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | PERFACT procedure:A new concept to treat highly complex anal fistula显示文摘AIM: To check the efficacy of the PERFACT procedure in highly complex fistula-in-ano.METHODS: The PERFACT procedure(proximal superficial cauterization, emptying regularly fistula tracts and curettage of tracts) entails two steps: superficial cauterization of mucosa at and around the internal opening and keeping all the tracts clean. The principle is to permanently close the internal opening by granulation tissue. This is achieved by superficial electrocauterization at and around the internal opening and subsequently allowing the wound to heal by secondary intention. Along with this, all the tracts are curetted and it is ensured that they remain empty and clean in the postoperative period until they heal completely. The latter step also facilitates the closure of the internal opening by preventing collected fluid in the tracts from entering the internal opening and thus not letting it close. Objective incontinence scoring was done preoperatively and 3 mo after the operation.RESULTS: Fifty-one patients with complex fistula-inano were prospectively enrolled. The median followup was 9 mo(5-14 mo). The mean age was 42.7 ± 11.3 years. Male:female ratio was 43:8. Fistula was recurrent in 76.5%(39/51), horseshoe in 50.1%(26/51), had multiple tracts in 52.9%(27/51), had an associated abscess in 41.2%(21/51), was anterior in 33.3%(17/51), the internal opening was not found in 15.7%(8/51) and 9.8%(5/51) of fistulas had a supralevator extension. Seven patients were excluded(5 lost to follow up, 2 with tuberculosis leading to/associated with fistula-in-ano). The success rate was 79.5%(35/44) and the recurrence rate was 20.5%(9/44). Out of these recurrences, three underwent reoperation(2 PERFACT procedure, 1 fistulotomy) and all three were successful. Thus, the overall success rate was 86.4%. The only complication was a non-healing tract in 9.1%(4/44) of patients. There was no significant change in objective incontinence scores three months after the operation. The pain was minimal, with all patients resuming their normal activities within 72 h of the operation.CONCLUSION: The PERFACT procedure is a new effective method for complex fistula-in-ano, effective even in fistula associated with abscess, supralevator fistula-in-ano and where the internal opening is nonlocalizable. | Pankaj Garg Mahak Garg | 2015 | World Journal of Gastroenterology2015，21，13： | 7 |
| 2 | Laying open(deroofing) and curettage under local anesthesia for pilonidal disease: An outpatient procedure显示文摘AIM: To test the efficacy of lay open(deroofing, not excision) with curettage under local anesthesia(LOCULA) for pilonidal sinus as an outpatient procedure. METHODS: LOCULA procedure was done for all types of pilonidal disease. The primary outcome measure was cure rate. The secondary outcome measures were hospital stay, operating time, return to work, healing time and complication rate.RESULTS: Thirty-three(M/F-30/3, mean age-23.4 ± 5.8 years) consecutive patients were operated and followed for 24 mo(6-46 mo). Eleven were pilonidal abscess and 22 were chronic pilonidal disease. Six had recurrent disease. Operating time and the hospital stay was 22.3 ± 5.6 min and 63.8 ± 22.3 min respectively. The patients could resume normal work in 4.3 ± 3.2 d and the healing time was 42.9 ± 8.1 d. Thirty(93.8%)patients had complete resolution of the disease and two(6.2%) had a recurrence. Both the recurrences happened in patients who had complete healing but ignored the prescribed recommendations. One out of these got cured after getting operated again with the same procedure. Thus the overall success rate of this procedure was 96.9%.CONCLUSION: Lay open(deroofing) with curettage procedure under local anesthesia is an effective procedure to treat both simple and complicated pilonidal sinus and abscess. It is a simple procedure, has a high cure rate(up to 97%), doesn't require admission and is associated with minimal morbidity and scarring. Considering the distinct advantages, this procedure has the potential to become the first line procedure for treating pilonidal disease. | Pankaj Garg Mahak Garg Vikas Gupta Sudhir Kumar Mehta Paryush Lakhtaria | 2015 | World Journal of Gastrointestinal Surgery2015，7，9： | 1 |
| 3 | Single-Incision Laparoscopic Cholecystectomy vs. Conventional Laparoscopic Cholecystectomy: a Meta-analysis of Randomized Controlled Trials显示文摘 | Pankaj Garg Jai Thakur Mahak Garg Geetha Menon | 2012 | Journal of Gastrointestinal Surgery2012，，8： | 1 |
| 4 | AssociationbetweenPM10exposureandsleep ofEgyptian schoolchildren显示文摘 | MahaK AbouK | 2013 | SleepBreath2013，17，： | 1 |
| 5 | Impact of random and scattered coincidences from outside of field of view on positron emission tomography/computed tomography imaging with different reconstruction protocols显示文摘Image quality in positron emission tomography(PET)is affected by random and scattered coincidences and reconstruction protocols.In this study,we investigated the effects of scattered and random coincidences from outside the field of view(FOV)on PET image quality for different reconstruction protocols.Imaging was performed on the Discovery 690 PET/CT scanner,using experimental configurations including the NEMA phantom(a body phantom,with six spheres of different sizes)with a signal background ratio of 4:1.The NEMA phantom(phantom I)was scanned separately in a one-bed position.To simulate the effect of random and scatter coincidences from outside the FOV,six cylindrical phantoms with various diameters were added to the NEMA phantom(phantom II).The 18 emission datasets with mean intervals of 15 min were acquired(3 min/scan).The emission data were reconstructed using different techniques.The image quality parameters were evaluated by both phantoms.Variations in the signal-to-noise ratio(SNR)in a 28-mm(10-mm)sphere of phantom II were 37.9%(86.5%)for ordered-subset expectation maximization(OSEM-only),36.8%(81.5%)for point spread function(PSF),32.7%(80.7%)for time of flight(TOF),and 31.5%(77.8%)for OSEM+PSF+TOF,respectively,indicating that OSEM+PSF+TOF reconstruction had the lowest noise levels and lowest coefficient of variation(COV)values.Random and scatter coincidences from outside the FOV induced lower SNR,lower contrast,and higher COV values,indicating image deterioration and significantly impacting smaller sphere sizes.Amongst reconstruction protocols,OSEM+PSF+TOF and OSEM+PSF showed higher contrast values for sphere sizes of 22,28,and 37 mm and higher contrast recovery coefficient values for smaller sphere sizes of 10 and 13 mm. | Mahak Osouli Alamdari Pardis Ghafarian Arman Rahmim Mehrdad Bakhshayesh‑Karam Mohammad Reza Ay | 2023 | Nuclear Science and Techniques2023，34，12： | 0 |
| 6 | Investigation on the key aspects of l-arginine para nitrobenzoate monohydrate single crystal:A non-linear optical material显示文摘In the contemporary days, non-linear optical materials(NLO) are getting higher attention as per the increasing demand in optical communication and data storage technology. Consequently, they explore various physical properties of the NLO material for their industrial applications. In current report, l-arginine p-nitrobenzoate monohydrate(LANB) single crystals were obtained by adopting slow cooling technique. The structural confirmation of grown single crystal was carried out using single crystal X-Ray diffractometer. Presence of strain within single crystal was deduced using Hall–Williamson relation. Various defects associated within single crystal were assessed using high resolution XRD. Additionally, its crystalline quality was again confirmed by time resolved photoluminescence spectroscopy(TRPL). Using transmission spectra, the cut off wavelength and band gap of the host material was determined to be nearly 420 nm and 2.9 e V respectively. The dielectric property has been recorded by varying the frequency ranging from 50 Hz to 100 k Hz. The curve suggests that dielectric loss value is less at high frequency ensures the suitability of crystal in photonics and NLO based devices.The laser damage threshold values were also measured for single and multiple shots. Thermal parameters of the titled compound were calculated using PPE. In photoconductivity measurement, negative photoconductivity has been observed in titled compound. Microhardness studies were also performed on single crystal to explore its mechanical properties. | Sonia N.Vijayan Mahak Vij Kanika Thukral Naghma Khan D.Haranath Rajnikant M.S.Jayalakshmy | 2019 | Chinese Journal of Chemical Engineering2019，27，3： | 0 |
您所在的机构暂未开通此部分的功能，请联系管理员