Comparison of First 50 and Subsequent 74 Surgeries of Transcanalicular Laser Dacryocystorhinostomy Performed by a Surgeon TeamReportar como inadecuado




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Purpose: To compare perioperative and postoperative outcomes of the firstand following 50 cases of transcanalicular laser dacryocystorhinostomyperformed by a surgeon team. Methods: Results of 124 eyes of 115 patients whohad a diagnosis of distal obstruction of the lacrimal drainage system and underwenttranscanalicular laser dacryocystorhinostomy procedures were retrospectivelydetected. Initial 50 eyes were considered as group 1; 74 following eyes wereaccepted as group 2. Groups were compared regarding age, gender, total surgicaltime, time for creation of osteotomy, pain score, bleeding score, anatomic andfunctional success rates. Results: The average total surgical time was 43.2 ±6.0 minutes range: 31 to 65 minutes in group 1, and 30.0 ± 6.4 minutesrange: 21 to 57 minutes in group 2 p < 0.001. Laser osteotomy creationrequired 25.0 ± 4.2 minutes range: 14 to 34 minutes in group 1, and 14.6 ±3.6 months range: 9 to 28 minutes p < 0.001. Intraoperative pain andbleeding scores were significantly better in group 2 p < 0.001 and p <0.001 respectively. Success rate was 54.0% in group 1, and 85.1% in group 2 p< 0.001. Conclusion: The results of current study clearly showed that increasedexperience of a surgeon results with improvement of better surgical outcomes.Initial studies about a novel technique should make clear if the study casesare the beginning cases of the authors.

KEYWORDS

Transcanalicular Laser Dacryocystorhinostomy, Learning Curve, Surgical Outcomes

Cite this paper

Karahan, E. , Tuncer, I. , Er, D. and Ulkumen, B. 2016 Comparison of First 50 and Subsequent 74 Surgeries of Transcanalicular Laser Dacryocystorhinostomy Performed by a Surgeon Team. Open Journal of Ophthalmology, 6, 80-85. doi: 10.4236-ojoph.2016.62011.





Autor: Eyyup Karahan1, Ibrahim Tuncer2*, Duygu Er3, Burak Ulkumen4

Fuente: http://www.scirp.org/



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