Background: Routine use of nasogastric tubes, after abdominal operations, is intended to hasten the return of bowel function, prevent pulmonary complications, diminish the risk of
anastomotic leakage, increase patient comfort and shorten hospital stay. Aim of this study is to evaluate the efficacy of routine nasogastric decompression after abdominal surgery, in
achieving each of the above goals.
Patients and methods:Two hundred and twelve patients having abdominal operations of any type, emergency and elective have been followed prospectively over a period of three years (1st December 2004 until end of December 2007) in Baghdad teaching hospital. Patients were randomized into two groups. Group 1 had nasogastric tube inserted and kept in place until
intestinal function has returned. Group 2 had no nasogastric tube or immediately removed at the end of the operation. Excluded from the study , were laparoscopic surgeries , gastric and
duodenal surgeries.
Results: There was earlier return of bowel function and shorter hospital stay in the non tube group. There were no significant statistical differences concerning the occurrence of
postoperative vomiting, pulmonary complications, anastamotic leakage and wound dehisence.
Conclusions: Routine nasogastric decompression does not accomplish any of its intended goals and so should be abandoned in favor of selective use of nasogastric tube.
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... Show MoreTo assess the use of miniaturized percutaneous nephrolithotomy (mini-PCNL) for renal stones in children, as well as its safety and efficacy. Seventy-seven patients with more than 15 mm renal stones whose age was less than 15 years were enrolled in this prospective case-controlled study at Al-Ramadi Teaching Hospital, Ar Razi Private Hospital, and Ghazi Al-Hariri Hospital for Surgical Specialties, Anbar and Baghdad, Iraq. The study was conducted from January 2020 to January 2024. The group mentioned above served as group A, and it was compared to the control group (group B), which consisted of 70 adult patients aged 18–60 years. Patients in both groups underwent mini-PCNL. Gender, stone size and location, time of operation, stone-free rate
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