Comparative assessment of the life quality of patients surgically operated using computer automated diagnostics (cad) and harmonic scalpel
DOI:
https://doi.org/10.11603/2414-4533.2019.3.10543Keywords:
appendectomy, laparoscopic surgery, quality of life, computer diagnostics, harmonic scalpelAbstract
The aim of the work: to compare the quality of life of patients undergoing traditional laparoscopic appendectomy and appendectomy with the use of CAD and a harmonic ultrasound scalpel.
Materials and Methods. 95 patients after traditional laparoscopic (TL) appendectomy and 73 patients appenectomized in the course of CAD and harmonic scalpel exploration were under observation. QL was investigated using MOS-SF-36 questionnaire in 6 months from the moment of operation.
Results and Discussion. The number of good and excellent results in the group of patients with TL was 69.5 % (66 out from 95 patients), while in the group with CAD and harmonic scalpel exploration the analogous index was equal to 89.0 % – 65 out from 73 patients (Р<0.01). It was established that in patients with good result after laparoscopic treatment with CAD and harmonic scalpel the improvement of QL was registered on all scales of MOS-SF-36 questionnaire, while in patients with good results after traditional treatment the improvement determined by physical functioning and psychological health scales was absent. Satisfactory results of treatment after laparoscopic surgery with CAD and harmonic scalpel were characterized by the improvement on five out from eight scales (such scales as personal physical functioning, general and psychological health have been excluded). In patients with satisfactory results after traditional surgery the improvement was noted only on pain and vital activity scales.
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