We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byChaya Helme
Modified about 1 year ago
Dr.Manoharan Nandakishore General and Laproscopic Surgeon Apollo Hospitals,Chennai Prospective Analysis of 48 Consecutive Cases of VAAFT
CONFLICT OF INTEREST NONE
AIM To study the safety, efficacy and patient comfort factor in the treatment of fistula in ano with VAAFT.
MATERIALS AND METHODS This was a prospective study from August 2011 to February 2012 involving 48 patients, who had presented with fistula in ano.
MATERIALS AND METHODS 9 patients – Low anal fistula 16 patients – Intersphincteric fistula 23 patients – Transsphincteric fistula
RECURRENT FISTULA 6 of 16 Intersphincteric fistula 4 of 23 Transsphincteric fistula
SPECIFIC INVESTIGATION MR fistulogram For all intersphinteric and transsphinteric cases and two cases of low anal fistula.
ANAESTHESIA General Anaesthesia – 11 patients Spinal Anaesthesia – 37 patients
CLOSURE OF INTERNAL OPENING 32 patients 12 patients - Mucosal flap – 8 patients had glue reinforcement 20 patients – Stapler + glue reinforcement
PAIN SCORE Score patients Score patients Score patients (GA)
LENGTH OF HOSPITAL STAY 26 patients – Day care 22 patients – 24 hours
3 MONTHS POST OPERATIVE
Total 7 Low anal – 1 I ntersphincteric -4 (2) Transsphincteric – 2(2)
RETURN TO NORMALCY 100 % in 48 hours
SPHINTER INCONTINENCE NONE
CONCLUSION Safe Effective Low morbidity Less Post operative pain Better convalescence Intact sphincter control Less mutilating
Objective Objective Full-thickness rectum prolapse causes perineal discomfort, soiling, spotting, mucosal bleeding and anal sphincter incontinence. Treatment.
50 Vs 50 A Comparison of the Oncologic Outcomes of Retropubic Prostatectomy and Robotic Prostatectomy Chris Ogden Tim Christmas Jordan Durrant Khalid A.
© 2012 National Heart Foundation of Australia. Slide 2.
Efficacy and safety of colchicine for treatment of multiple recurrences of pericarditis (CORP-2): a multicentre, double-blind, placebo- controlled, randomised.
Shouldice Hospital Ltd. Case Study WCU HR-693 Org Planning & Execution – Group 2 Fall 2007.
Laparoscopic Cholecystectomy In elderly patients Dr.Nazari,MD.
Use of BUS (bedside Ultrasound) to guide forearm fracture reduction Becky Box Emergency Registrar 03/04/2013.
NTDB ® Pediatric Report 2006 © American College of Surgeons All Rights Reserved Worldwide.
NTDB ® Annual Report 2009 © American College of Surgeons All Rights Reserved Worldwide Facilities by Pediatric Hospital Association Figure 1.
Surgical Treatment for Local Recurrence of Prostate Cancer After Radiotherapy How safe and effective is modern salvage radical prostatectomy? Karim Touijer,
NTDB ® Annual Pediatric Report 2010 © American College of Surgeons All Rights Reserved Worldwide National Trauma Data Bank 2010 Pediatric Report.
AP STUDY SESSION 2. Answers 1.A 2.E 3.A 4.D 5.B 6.E 7.B 8.E 9.A 10.D 11.C 12.B 13.D 14.B 15.E 16.A 17.E 18.C 19.C 20.D 21.B 22.C 23.A 24.D 25. B 26. E.
Day-case Laparoscopic Nissen Fundoplication The Minimal Access Therapy Training Unit The Royal Surrey County Hospital, Guildford Mr Yuen Soon Locum Consultant.
SH AD- APR 2013 Left Atrial Appendage Closure.
EBPOM SATELITE MEETING 8 TH JULY 2011 DR ROBERT STEPHENS DR SARAH BARNETT Evidence Based Analgesia for lower limb arthroplasty Whole talk at
Introduction The Test of Memory Malingering (TOMM, Tombaugh T, 1996) was designed to help neuropsychologists discriminate between malingered and true memory.
Guide to Patient & Family Engagement Insert hospital logo here Working With Patient and Family Advisors: Part 1. Introduction and Overview [Hospital Name.
Figure ES-1. Select Practice* over Time Percent of hospitals * Hospitals in the top two quintiles for both quality and efficiency. Source: Authors’ analysis.
NTDB ® Annual Report 2009 © American College of Surgeons All Rights Reserved Worldwide Percent of Hospitals Submitting Data to NTDB by State and.
The Application of Propensity Score Analysis to Non-randomized Medical Device Clinical Studies: A Regulatory Perspective Lilly Yue, Ph.D.* CDRH, FDA, Rockville.
American College of Surgeons National Trauma Data Bank ® Version 6.0 © American College of Surgeons All Rights Reserved Worldwide.
University of DundeeSchool of Medicine Improving the management of sepsis in general hospital wards Dr Charis Marwick CSO Clinical Academic Fellow & SpR.
NTDB ® Annual Report 2010 © American College of Surgeons All Rights Reserved Worldwide National Trauma Data Bank 2010 Annual Report.
PROCESS vs. WA State SCS Study A Comparison of Study Design, Patient Population, and Outcomes August 29,2007.
Rebecca O’Malley Patients for Patient Safety Champion Ireland WHO Patient Safety.
Note to the teacher: Was 28. A. to B. you C. said D. on Note to the teacher: Make this slide correct answer be C and sound to be “said”. to said you on.
Phase II/III Design: Case Study Case study: Seamless Phase II/III Design for Registration Program Jeff Maca, Ph.D. Senior Associate Director Novartis Pharmaceuticals.
Introduction to Patient Safety Research Presentation 7 - Understanding Causes: Ethnographic Study.
Association between use of air-conditioning or fan and survival of elderly febrile patients: a prospective study George Theocharis, MD, Giannoula S. Tansarli,
Registries as a base for pan-European health services research in the field of pain Winfried Meissner, M.D. Ruth Zaslansky, D.Sc. Dept. of Anaesthesia.
© 2016 SlidePlayer.com Inc. All rights reserved.