World journal of surgery
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World journal of surgery · Mar 2013
Randomized Controlled Trial Comparative StudyEfficacy of cholestyramine ointment in reduction of postoperative pain and pain during defecation after open hemorrhoidectomy: results of a prospective, single-center, randomized, double-blind, placebo-controlled trial.
The aim of the present study was to evaluate the efficacy of cholestyramine ointment (15 %) in reducing postoperative pain at rest and during defecation after open hemorrhoidectomy. ⋯ Compared with placebo, cholestyramine ointment (15%) reduced postoperative pain at rest and on defecation, and consequently lowered the analgesic requirement after open hemorrhoidectomy.
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World journal of surgery · Mar 2013
Multicenter Study Comparative StudyPatient Satisfaction, chronic pain, and functional status following laparoscopic ventral hernia repair.
Ventral hernia repairs are one of the most common surgeries performed. Symptoms are the most common motivation for repair. Unfortunately, outcomes of repair are typically measured in recurrence and infection rather than patient focused results. We correlated factors associated with decreased patient satisfaction, chronic pain, and diminished functional status following laparoscopic ventral hernia repair (LVHR) METHODS: A retrospective study of 201 patients from two affiliated institutions was performed. Patient satisfaction, chronic abdominal pain, pain scores, and Activities Assessment Scale results were obtained in 122 patients. Results were compared with univariate and multivariate analysis. ⋯ One-fourth of patients have poor quality outcome following LVHR. These outcomes are affected by perception of cosmesis, eventration, chronic pain, hernia type, recurrence, mesh type, and patient characteristics/co-morbidities. Closing central defects and judicious mesh selection may improve patient satisfaction and function. Focus on patient-centered outcomes is warranted.
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World journal of surgery · Mar 2013
ReviewMortality pattern in surgical wards of a university teaching hospital in southwest Nigeria: a review.
There are many reports from different parts of the world addressing different aspects of surgical mortality. There are few reports from our country, however, and most of them have dealt with mortality in the emergency room. The aim of this study was to determine the prevalence of mortality associated with surgical care and the trends in prevalence of surgical mortality. We used our results as benchmarks to identify areas of improvement. ⋯ The pattern of surgical mortality is not directly related to surgical procedures as most of the deaths occurred in the nonoperative care group. Trauma-associated deaths topped the list.
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World journal of surgery · Mar 2013
Comparative StudyPercutaneous radiofrequency ablation versus partial hepatectomy for small centrally located hepatocellular carcinoma.
It is not known whether percutaneous radiofrequency ablation (PRFA) could get the same treatment efficacy and fewer complications as partial hepatectomy (PH) in patients with small centrally located hepatocellular carcinoma (HCC). The present study was designed to evaluate the efficacy of PH and PRFA in the treatment of small centrally located HCC. ⋯ Based on the data obtained, we concluded that PRFA might be equal to PH for the treatment of small centrally located HCC. However, PRFA has the benefits of shorter hospital stay as well as a lower rate of complications.