http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Abhinav Agarwal,Sudheer Rathi,Pranab Patnaik,Dipak Shaw,Madhu Jain,Sameer Trivedi,Udai Shankar Dwivedi 대한비뇨의학회 2014 Investigative and Clinical Urology Vol.55 No.12
Purpose: Urodynamic studies are commonly performed as part of the preoperativework-up of patients undergoing surgery for stress urinary incontinence (SUI). Weaimed to assess the extent to which these urodynamic parameters influence patientselection and postoperative outcomes. Materials and Methods: Patients presenting with SUI were randomly assigned to twogroups: one undergoing office evaluation only and the other with a preoperative urodynamicwork-up. Patients with unfavorable urodynamic parameters (detrusor overactivity[DO] and/or Valsalva leak point pressure [VLPP]<60 cm H2O and/or maximumurethral closure pressure [MUCP]<20 cm H2O) were excluded from the urodynamictesting group. All patients in both groups underwent the transobturator midurethralsling procedure. Evaluation for treatment success (reductions in urogenital distressinventory and incontinence impact questionnaire scoring along with absent positivestress test) was done at 6 months and 1 year postoperatively. Results: A total of 72 patients were evaluated. After 12 patients with any one or moreof the abnormal urodynamic parameters were excluded, 30 patients were finally recruitedin each of the “urodynamic testing” and “office evaluation only” groups. At boththe 6- and the 12-month follow-ups, treatment outcomes (reduction in scores and positiveprovocative stress test) were significantly better in the urodynamic testing groupthan in the office evaluation only group (p-values significant for all outcomes). Conclusions: Our findings showed statistically significantly better treatment outcomesin the urodynamic group (after excluding those with poor prognostic indicators suchas DO, low VLPP, and MUCP) than in the office evaluation only group. We recommendexploiting the prognostic value of these urodynamic parameters for patient counselingand treatment decisions.
Intra-Operative Frozen Sections: Experience at A Tertiary Care Centre
Preeti, Agarwal,Sameer, Gupta,Kulranjan, Singh,Abhinav, Sonkar Arun,Preeti, Rani,Sunita, Yadav,Mati, Goel Madhu Asian Pacific Journal of Cancer Prevention 2016 Asian Pacific journal of cancer prevention Vol.17 No.12
The present study was conducted to assess error rates with diagnosis using intra-operative frozen sections, and to indicate ways to increase overall performance. Over a period of two years, 227 cases were biopsied intra-operatively. Errors were observed in 14 cases. Four of these were sampling errors, one by a pathologist and three by surgeons. In seven cases incorrect interpretations were made. Epithelial dysplasia was observed on definitive histology in two cases which was not reported intra-operatively. One case was of ectopic thyroid. In cases of oral cancer where sentinel lymph nodes were sampled, immunohistochemistry for cytokeratin was performed to facilitate identification of micrometastasis. Only single case displayed tumor deposits which was not evident morphologically. Resection margins were reported in seventy eight cases. Some 18% (14/50) benefited from revision of margins; overall sensitivity of intra-operative frozen sections for marginal status was 71.4%, with a specificity of 90.3%. Overall sensitivity was 75% and specificity was 97.5%. Careful observation, pathologist experience and knowledge of limitations help in improving the overall diagnostic outcome.