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Biomedical subjects

P J Gupta

Publications and source records attributed to P J Gupta.

22 records · Page 2Linked to original sources
PubMed2003

Radiofrequency fistulotomy in anal fistula. An alternative to conventional surgical fistulotomy.

Most surgeons prefer fistulotomy by laying an open technique in treating different types of anal fistula. We used the radiofrequency fistulotomy procedure in 136 cases of various types of low anal fistulae in a one-year period. The patients were followed for 18 months. The average time for complete wound healing was 37 days and to resume routine 7 days. Delayed wound healing occurred in 7 patients. It failed completely in 2 patients and 3 patients lost to follow up. No patient had interference with continence. Radiofrequency fistulotomy method was effective with easy tissue excision and minimum bleeding. It permitted to be used in deep and difficult areas like the adjoining tracts. The failure rate was 3.7%. (Ref. 5.)

Catheter Ablation↗
PubMedDate not supplied

A review of conservative and surgical management of anal fissure.

BACKGROUND: Anal fissures are one of the common perianal conditions presenting with bleeding, itching, and pain of varying severity. The method of treating this pathology should preferably be the one that results in optimal clinical outcome, is less painful, and is patient friendly. Despite a plethora of techniques in vogue, an ideal management of this condition continues to be a subject of debate. MATERIALS AND METHODS: A Medline database was used to perform a literature search for articles relating to the term 'anal fissure'. CONCLUSION: Analysis of the available literature shows that by far, medical manipulation of the internal sphincter should be the first-line treatment in anal fissure. A surgical therapy is called for if the medical therapy fails or there is a recurrence.

Administration, Oral↗
PubMedDate not supplied

Ambulatory proctology surgery--an Indian experience.

OBJECTIVE: To evaluate the results of proctological surgeries carried out by us on an outpatient basis. DESIGN: Retrospective study. SUBJECT: 3256 patients with benign ano-rectal pathologies needing surgical intervention. MATERIALS AND METHODS: Patient demographics, type of anesthesia used, the type of operation and postoperative complications are described. Patient satisfaction was assessed independently after surgical procedure. RESULTS: Mean age of the patients was 37.5 years. 61% patients were male. There was no mortality. The mean duration of hospital stay was 8.4 hours (range 3-22 hours). Complication rate was 2.9%. 81.4% patients were highly satisfied with the procedure. CONCLUSION: Day care proctological procedures are a safe and effective way of reducing costs without increasing morbidity, mortality, and is acceptable to majority of patients.

Adolescent↗