Background: Blumgart's pancreaticojejunostomy(PJ) has been described with low pancreatic leak rates. This study aimed to evaluate our experience with this technique regarding the pancreatic leak and other perioper...Background: Blumgart's pancreaticojejunostomy(PJ) has been described with low pancreatic leak rates. This study aimed to evaluate our experience with this technique regarding the pancreatic leak and other perioperative outcomes. Methods: We performed a single-center retrospective analysis of a cohort of 81 patients who underwent pancreaticoduodenectomy in our department from January 2011 to February 2018. The primary endpoint was the occurrence of a clinically relevant postoperative pancreatic fistula(CR-POPF) and analysis of its risk factors. Results: The CR-POPF rate was 12.3%. Fistula risk score(FRS) was the only significant risk factor for the occurrence of overall POPF in multivariate analysis. However, none of the other factors including FRS was found to be significantly associated with CR-POPF risk. A strong positive correlation was found between the CR-POPF and the incidence of delayed gastric emptying, post-pancreatectomy hemorrhage and increased length of hospital stay. Conclusion: Blumgart's technique is a safe technique of pancreatico-enteric anastomosis with low rates of CR-POPF. CR-POPF with this technique is independent of most of the preoperative and intraoperative factors. Therefore, this technique can be used for all types of the pancreas with consistently good results.展开更多
Aim: To evaluate the comparative efficacy of Polymer bur (Smartprep) and Conventional burs (Carbide bur & Diamond Points) in selective Dentin caries removal. Materials and method: 15 freshly extracted carious huma...Aim: To evaluate the comparative efficacy of Polymer bur (Smartprep) and Conventional burs (Carbide bur & Diamond Points) in selective Dentin caries removal. Materials and method: 15 freshly extracted carious human premolars and molars were selected for this study. These teeth were split in the center of carious lesion, in order to obtain two corresponding half. Thus 30 samples were prepared in this way. These were randomly divided in to 3 groups of 10 samples each. Group 1: The carious portion of these samples was excavated with the help of polymer bur Smartprep (SS White). Group 3: Prepared with Tungsten carbide round bur (No. 018). Group 3: Prepared with the help of Diamond points (No. 018). The period of time involved in this process is measured. After excavation of all carious lesions, a longitudinal section from mid most part of lesion was obtain with the help of diamond disc at slow speed. After staining with caries detector dye “Seek”, the sections were subjected to histological evaluation under stereomicro-scope. The thickness of remaining caries is measured in more or less than 1 mm. Results: The difference in grading of remaining carious dentin between Polymer bur and Conventional burs were statistically non- significant, but Polymer bur taken more time in comparison to Conventional burs. Conclusion: Smartprep bur is more conservative in selectively dentin caries removal than Conventional burs but same time it is more time consuming than Conventional burs.展开更多
文摘Background: Blumgart's pancreaticojejunostomy(PJ) has been described with low pancreatic leak rates. This study aimed to evaluate our experience with this technique regarding the pancreatic leak and other perioperative outcomes. Methods: We performed a single-center retrospective analysis of a cohort of 81 patients who underwent pancreaticoduodenectomy in our department from January 2011 to February 2018. The primary endpoint was the occurrence of a clinically relevant postoperative pancreatic fistula(CR-POPF) and analysis of its risk factors. Results: The CR-POPF rate was 12.3%. Fistula risk score(FRS) was the only significant risk factor for the occurrence of overall POPF in multivariate analysis. However, none of the other factors including FRS was found to be significantly associated with CR-POPF risk. A strong positive correlation was found between the CR-POPF and the incidence of delayed gastric emptying, post-pancreatectomy hemorrhage and increased length of hospital stay. Conclusion: Blumgart's technique is a safe technique of pancreatico-enteric anastomosis with low rates of CR-POPF. CR-POPF with this technique is independent of most of the preoperative and intraoperative factors. Therefore, this technique can be used for all types of the pancreas with consistently good results.
文摘Aim: To evaluate the comparative efficacy of Polymer bur (Smartprep) and Conventional burs (Carbide bur & Diamond Points) in selective Dentin caries removal. Materials and method: 15 freshly extracted carious human premolars and molars were selected for this study. These teeth were split in the center of carious lesion, in order to obtain two corresponding half. Thus 30 samples were prepared in this way. These were randomly divided in to 3 groups of 10 samples each. Group 1: The carious portion of these samples was excavated with the help of polymer bur Smartprep (SS White). Group 3: Prepared with Tungsten carbide round bur (No. 018). Group 3: Prepared with the help of Diamond points (No. 018). The period of time involved in this process is measured. After excavation of all carious lesions, a longitudinal section from mid most part of lesion was obtain with the help of diamond disc at slow speed. After staining with caries detector dye “Seek”, the sections were subjected to histological evaluation under stereomicro-scope. The thickness of remaining caries is measured in more or less than 1 mm. Results: The difference in grading of remaining carious dentin between Polymer bur and Conventional burs were statistically non- significant, but Polymer bur taken more time in comparison to Conventional burs. Conclusion: Smartprep bur is more conservative in selectively dentin caries removal than Conventional burs but same time it is more time consuming than Conventional burs.
