La Tunisie médicale
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La Tunisie médicale · Feb 2014
Case ReportsUltrasound-guided spinal anesthesia in an obese patient.
We describe the case of 62-year-old man with a body mass index of 53, hypertension, diabetes mellitus and obstructive sleep apnea that was proposed for transurethral resection of prostate under spinal anesthesia. The surface landmark-guided approach was difficult and was abandoned after many unsuccessful attempts. Spinal anesthesia was achieved in one attempt with ultrasound guidance using the midline approach at the identified level. The trajectory was determined from the transducer angle.
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La Tunisie médicale · Feb 2014
Observational StudyIncidence and risk factors of postpartum anal incontinence: a prospective study of 503 cases.
Background: Anal incontinence is a devastating functional postpartum complication. it can cause deep deterioration in the quality of life. ⋯ Preventive measures must be implemented in patients with PPAI risk factors.