Medical principles and practice : international journal of the Kuwait University, Health Science Centre
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The transversus abdominis plane (TAP) block and local anaesthetic infiltration (LAI) of port sites provide adequate analgesia after laparoscopic cholecystectomy (LC). Little is known if the two techniques affect the day-case (DC) rate of LC. We tested the appropriateness of the research design in view of a larger randomised controlled trial (RCT) - laparoscopic-assisted right subcostal TAP block plus local anaesthetic wound infiltration (STALA) versus LAI. ⋯ The laparoscopically guided right subcostal TAP block provided no additional benefit to LAI on pain control after LC and DC rate. Despite the appropriate design, our findings do not support a larger RCT.
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Randomized Controlled Trial
Comparative Evaluation of Clinical Efficacy of Leukocyte-Rich Platelet-Rich Fibrin (L-PRF) with Advanced Platelet-Rich Fibrin (A-PRF) in Management of Gingival Recession Defects - A Randomized Controlled Trial.
The aim of this research was to determine and compare the clinical efficacy of leukocyte platelet-rich fibrin (L-PRF) and advanced platelet-rich fibrin (A-PRF) in combination with coronally advanced flap (CAF) in the treatment of gingival recession defects. ⋯ Based on the findings of this study, both L-PRF and A-PRF may be suggested as viable treatment options for the management of gingival recession in maxilla.
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Randomized Controlled Trial
Effect of Phentermine on Hepatic Steatosis in Bariatric Surgery: A Pilot Study.
Hepatic steatosis is associated with increased surgical complications in bariatric surgery patients. We aimed to evaluate the effect of phentermine in reducing hepatic steatosis, adipose tissue, and surgical complications in patients undergoing bariatric surgery. ⋯ Phentermine decreased the proportion of individuals with hepatic steatosis by 19% and promoted a more significant fat mass loss in kilograms among candidates for bariatric surgery.
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Randomized Controlled Trial
Nasal Polyposis and Its Association with Cardiac Functions.
The aim of the study was to ascertain the effect of nasal polyposis on cardiac functions. ⋯ Nasal polyp affects cardiac functions, and this needs further evaluation and research through studies on large samples.
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Randomized Controlled Trial
Evaluating the Outcome of Two Different Regimes in Adhesive Capsulitis: A Prospective Clinical Study.
Adhesive capsulitis or frozen shoulder is a painful condition affecting up to 5% of the general population. We conducted this study with the aim of evaluating the results of physiotherapy plus intra-articular methylprednisolone injection versus physiotherapy alone in idiopathic frozen shoulder. ⋯ The results demonstrate the advantages of physiotherapy plus intra-articular steroid injection in idiopathic frozen shoulder. The predictability of results with physiotherapy plus intra-articular steroid injection in selected patients is excellent, and it is a better modality of treatment compared to physiotherapy alone.