Diseases of the colon and rectum
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Randomized Controlled Trial Clinical Trial
Transdermal fentanyl improves management of postoperative hemorrhoidectomy pain.
Outpatient postoperative hemorrhoidectomy pain remains a difficult problem. The purpose of this study is to evaluate the use of transdermal fentanyl for analgesia following hemorrhoidectomy. ⋯ Results indicate that use of transdermal fentanyl provides an effective analgesic alternative that improves the transition to noninvasive outpatient pain management in the hemorrhoidectomy patient.
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Randomized Controlled Trial Comparative Study Clinical Trial
Which technique for treatment of pilonidal sinus--open or closed?
After excision of the pilonidal sinus, some surgeons leave the wound open, and others close the wound primarily. The aim of this study is to compare length of hospital stay, length of time to return to work, wound infection rate, and recurrence rate in chronic pilonidal sinus patients, after modification of both closed and open techniques. ⋯ Because both techniques have very low complication rates, treatment of chronic pilonidal sinus should be based on patient preference and characteristics, especially employment status.
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Clinical Trial
Selection criteria for anterior rectal wall repair in symptomatic rectocele and anterior rectal wall prolapse.
This study was undertaken to determine the outcome and changes produced by an endorectal anterior wall repair in objective functional parameters using anorectal manometry and defecography and to asses their usefulness in the selection of patients for the operation. ⋯ The anterior rectal wall repair positively influences rectal sensation in patients with incontinence and/or obstructed defecation caused by a rectocele and/or an anterior rectal wall prolapse. Anorectal manometry was useful in studying the beneficial physiologic effects of the endorectal repair. In patients with no previous pelvic surgery, a large urge to defecate volume is a good predictor of a good clinical outcome.
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Perineal wound management after abdominoperineal rectal excision for carcinoma with unsatisfactory hemostasis or gross septic contamination: primary closure vs. packing. A multicenter, controlled trial. French Association for Surgical Research.
This study was designed to compare the results of two methods on the rate of postoperative perineum healing. ⋯ Primary closure associated with drainage after abdominoperineal resection for carcinoma expedites perineal healing but morbidity is higher.
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This study was designed to document the operative colorectal experience of members and fellows of The American Society of Colon and Rectal Surgeons. ⋯ Despite the limitations associated with this type of study, the information is useful in assessing practice patterns and experience level.