3篇
您的检索式：作者名="Muhammad I.Bhatti"
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| 1 | Specimen retrieval approaches in patients undergoing laparoscopic colorectal resections:a literature-based review of published studies显示文摘Objective:To review the published studies reporting various specimen retrieval incisions being used by colorectal surgeons in patients undergoing laparoscopic colorectal resections(LCR).Methods:Standard medical electronic databases were searched to find relevant articles and a summary conclusion was generated.Results:There were 43 studies reporting various approaches used for the purpose of specimen retrieval in 2388 patients undergoing LCR.The most common approaches were periumbilical midline incision(1260 reported case in the literature),transverse incision(583 reported cases in the literature)in the right-or left iliac fossa,depending on the side of colonic resection,and Pfannensteil incision(293 reported cases in the literature).Periumbilical midline incision was associated with the higher risk of developing incisional hernia(odds ratio 53.72;95%confidence interval 7.48–386.04;Z=3.96;P=0.0001).In terms of surgical site infection(SSI),there was no difference between the three common approaches to specimen retrieval.Transanal and transvaginal approaches were associated with higher risk of SSI.Conclusions:Midline,transverse and Pfannensteil incisions were the most commonly used approaches for specimen retrieval following LCR.Midline incision was associated with higher risk of incisional hernia.Risk of SSI was similar in all three common approaches.The transanal and transvaginal approaches pose a higher risk of SSI.These conclusions are based on the combined outcome of published case series,case reports and comparative studies.Randomized,controlled trials with longer follow-up are required before recommending the routine use of any approach for specimen retrieval in patients undergoing LCR. | Muhammad S.Sajid Muhammad I.Bhatti Parv Sains Mirza K.Baig | 2014 | Gastroenterology Report2014，2，4： | 1 |
| 2 | Use of transanal minimally invasive surgery for endoscopic resection of rectal tumour:a technical note显示文摘Background:The aim of this article is to report and discuss a case of lower rectal cancer undergoing endoscopic transanal resection of tumour(ETART)using a transanal minimally invasive surgery(TAMIS)approach.Methods:A technical note on a case report.An innovative approach for ETART using TAMIS.Results:This is the first-ever case report of lower rectal cancer treated by ETART using a TAMIS approach.The procedure was completed successfully without any operative or peri-operative complication.Peri-operative flexible sigmoidoscopy confirmed a wide and patent rectal lumen.Conclusion:Use of a TAMIS approach for ETART to remove lower rectal cancer for palliation can be technically very effective compared with conventional ETART,due to the potential advantages of avoiding contaminant fluid spillage,easy access,better visualization compared with conventional ETART,and being user-friendly.The results from larger cohorts of patients undergoing TAMIS ETART are required before recommending the routine use of this technique.However,until then,this approach may be considered as an alternative to conventional ETART. | Muhammad Shafique Sajid Muhammad I.Bhatti MK Baigand William F.A.Miles | 2015 | Gastroenterology Report2015，3，3： | 1 |
| 3 | Systematic review and meta-analysis of published randomized controlled trials comparing purse-string vs conventional linear closure of the wound following ileostomy(stoma)closure显示文摘Objective:The objective of this article is to systematically analyse the randomized,controlled trials comparing the effectiveness of purse-string closure(PSC)of an ileostomy wound with conventional linear closure(CLC).Methods:Randomized,controlled trials comparing the effectiveness of purse-string closure vs conventional linear closure(CLC)of ileostomy wound in patients undergoing ileostomy closure were analysed using RevMan-,and the combined outcomes were expressed as risk ratio(RR)and standardized mean difference(SMD).Results:Three randomized,controlled trials,recruiting 206 patients,were retrieved from medical electronic databases.There were 105 patients in the PSC group and 101 patients in the CLC group.There was no heterogeneity among included trials.Duration of operation(SMD:-0.18;95%CI:-0.45,0.09;z=1.28;P<0.20)and length of hospital stay(SMD:0.01;95%CI:-0.26,0.28;z=0.07;P<0.95)was statistically similar following both approaches of ileostomy wound closure.The risk of surgical site infection(OR,0.10;95%CI:0.03,0.33;z=3.78;P<0.0001)was significantly reduced when ileostomy wound was closed using PSC technique.Conclusion:PSC technique for ileostomy wound is associated with a reduced risk of surgical site infection apparently without influencing the duration of operation and length of hospital stay. | Muhammad Shafique Sajid Muhammad I.Bhatti William FA.Miles | 2015 | Gastroenterology Report2015，3，2： | 0 |
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