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Volume 25 |
July - September 2009 |
Number 4 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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ORIGINAL ARTICLE |
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Volume 25 |
July - September 2009 |
Number 4 |
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Open renal approach: comparative analysis of
sub-costal incision versus trans-costal incision
with excision of 12th rib
Muhammad Shamim1, S. Abdullah Iqbal2
ABSTRACT
Objective: To compare the outcome of sub-costal incision with trans-costal incision & 12th rib resection in the surgical approach for benign renal disease.
Methodology: It is a prospective, analytical, comparative study using randomized controlled trial (RCT), conducted at Fatima hospital-Baqai medical university (Karachi), from June 2005 to December 2008. In total 54 patients were enrolled in the study, who either underwent pyelolithotomy or nephrectomy via sub-costal (group A: 27 patients) or trans-costal incision (group B: 27 patients). Incision time, duration of operation, postoperative pain, duration of hospital stay, & peroperative and postoperative complications were noted.
Results: Incision time & duration of operation were longer in group B patients (p-value 0.002 & 0.029 respectively); pain perception was also markedly high in this group (p=0.001). Total period to stay in hospital was marginally higher in group B (p=0.212). Peroperative & postoperative complications were also slightly higher in group B patients (p-value 0.064 & 0.838 respectively).
Conclusion: Sub-costal renal approach provides adequate exposure, is quick, safe and less painful.
KEY WORDS:
Renal approach, Subcostal incision, Transcostal incision, 12th rib excision, Pyelolithotomy, Nephrectomy.Pak J Med Sci July - September 2009 Vol. 25 No. 4 557-562
How to cite this article:
Shamim M, Iqbal SA. Open renal approach: comparative analysis of sub-costal incision versus trans-costal incision with excision of 12th rib. Pak J Med Sci 2009;25(4):557-562.
1. Muhammad Shamim, FCPS
Assistant Professor,
2. Prof. S. Abdullah Iqbal, FCPS
Professor & HOD,
1,2: Dept. of Surgery,
Fatima Hospital &
Baqai Medical University,
Karachi-74600 – Pakistan.
Correspondence
Muhammad Shamim, FCPS,
Assistant Professor,
Dept. of Surgery,
Fatima Hospital &
Baqai Medical University,
Karachi-74600.
Email: drshamim@cyber.net.pk
* Received for Publication: January 1, 2009
* Received for Publication: June 22, 2009
* Revision Accepted: June 25, 2009
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