A Comparative Study of Effect of W-Shaped versus Linear Skin incision with respect to various complications for external dacryocystorhinostomy surgery
Journal Title: Medpulse International Journal of Ophthalmology - Year 2018, Vol 5, Issue 2
Abstract
Background: Dacryocystitis, is the inflammation of the lacrimal sac and Naolacrimal duct 1. It is usually caused due to an obstruction to flow of tears in the bony passages, that leads to stasis in the sac, which gets infected Aims and Objectives: to study Effect of W-Shaped versus Linear Skin incision with respect to various complications for external dacryocystorhinostomy surgery Methodology: After Institutional Ethical committee approval was taken, this Prospective randomized Interventional comparative studyconducted in department of ophthalmology, in a tertiary hospital. Duration of study was 18 months and all patients were subjected to a follow up period of 6 months. All patients attending ophthalmology outpatient department in our institute for the symptom of epiphora and diagnosed as primary acquired nasolacrimal duct obstruction or chronic dacryocystitis, with diagnosed for primary acquired nasolacrimal duct obstruction . Patients in the age group of 10–70 years randomly allotted into Group- 1 and Group-2 and underwent external dacryocystorhinostomy with ‘Linear’ and ‘W’ shaped skin incision by a single experienced surgeon between December 2014 and June 2016. The statistical analysis done byUnpaired t test, Chi-square test calculated by SPSS 19 version software. Result: There was no significant difference in ages between the two groups (p=0.304)In our study , youngest case was 19 year old and oldest case was 62year old, Average mean age was 39.24±11.26, Female to Male sex ratio being 2.1 : 1. Intraoperative bleeding was the Most common intraoperative complication in Both Group A (6.4%) and Group B (12.9%), the incidence of bleeding is more in Group B, but the difference is statistically insignificant (p=0.403) Wound infection was the most common postoperative complication in both Group A (9.7%) and Group B (6.5%) Incidence rate of intraoperative and postoperative complications in both the Group shows no statistically significant difference (p> 0.0.5). Conclusion: It can be concluded from our study that the disease was most common in female sex and complications were bleeding and infection in both the group and both them were similar with respect to complications are concerned .
Authors and Affiliations
Kashinath Choudhary, Sushma Kulkarni, Asma Farheen, Bhaskar Khaire, Dipali Bonde
Keywords
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