1,721,168 research outputs found
Stump invagination increases the risk of postoperative ileus after open appendicectomy for uncomplicated appendicitis: evidence from a meta-analysis
No full textPneumoretroperitoneum, pneumomediastinum and subcutaneous emphysema of the neck after stapled hemorrhoidopexy
No full text[No abstract available
A prospective randomized trial between subcutaneous lateral internal sphincterotomy with radiofrequency bistoury and conventional Parks' operation in the treatment of anal fissures
No full textBackground: Anal fissure is a frequent proctologic disease. There are many and various treatments adopted to cure this disease. In this study we applied radiofrequencies to the subcutaneous lateral internal sphincterotomy and we compared the techniques in a randomised trial. Methods: Patients have been randomized in two groups: in group A 18 patients underwent subcutaneous lateral internal sphincterotomy using radiofrequency bistoury while in group B 17 patients underwent the conventional lateral internal sphincterotomy described by Parks. Results: The mean values for operative time were 6.6 min for group A and 9.1 min for group B. According to pain score, patients' mean values were 1.8 for group A and 1.9 for group B. Healing of the wound was faster in group A than group B, while healing of the anal fissure was approximately the same. Conclusion: Lateral subcutaneous sphincterotomy is the most advantageous operation for the treatment of the idiopathic anal fissure. The radiofrequency bistoury easies the procedure, lessens operating times and healing process of the surgical wounds
Radiofrequency Y-V anoplasty in the treatment of anal stenosis
No full textBACKGROUND: Anal stenosis is a common proctologic disease often caused from hemorrhoids surgery. Treatments adopted are many and varied. In this study we applied radiofrequencies to the classic Y-V anoplasty operation and reported results obtained.
METHODS: Eligibility criteria consisted of patients affected by anal stenosis. Exclusion criteria were those with contraindications to the surgical operation: pregnant patients or American Society of Anaesthesiologists Score III or IV.
RESULTS: From January 2002 to December 2004 we operated 7 patients, 4 of them were males. Mean age at the time of diagnosis was 46 years. All patients referred obstructive defecation, painful evacuation or bleeding. Mean values for operative time were 30 min. Postoperative pain was 3.9 at day 1 and 3.0 at 7th day (VAS scale). Patient satisfaction rate was 6.6 at three weeks and 8.3 at 6 and 12 months. No recurrences were observed after 1 year.
CONCLUSION: Radiofrequency Y-V anoplasty is a feasible and effective for the treatment of anal stenosis. The radiofrequency bistoury easies the procedure, lessens operating times and the healing process of surgical wounds
A meta-analytic approach to ilioinguinal nerve excision or preservation during open inguinal hernia repair
No full textNo abstrac
A rare case of cystic variety of angiomatoid fibrous histiocytoma
No full textA rare case of cystic angiomatoid fibrous histiocytoma of the thigh in a 13-years-old girl is reported. Final diagnosis was made only after surgical excision. A review of the literature with a discussion of the particularity of this case are also examined in order to achieve the best surgical strategy and the lower risk of recurrence
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