Techniques in coloproctology
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Randomized Controlled Trial Comparative Study
Do we still need to restrict preoperative fluid administration in ambulatory anorectal surgery under spinal anaesthesia?
This study was undertaken to determine the effect of a restricted versus a standard intravenous fluid regimen on urinary retention and readiness for discharge after surgery for benign anorectal disease. ⋯ In minor anorectal surgery under spinal anaesthesia with ropivacaine, standard fluid regimen provides stable haemodynamic variables without urinary retention.
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Comparative Study
Early predictors of anastomotic leaks after colectomy.
An anastomotic leak after colorectal surgery is associated with significant morbidity and decreased survival. Our aim was to identify the early predictors of anastomotic leaks. ⋯ The earliest clinical predictors of an anastomotic leak are pulmonary and/or neurological. Awareness of these findings might help in early diagnosis and treatment of an anastomotic leak.