Israel journal of medical sciences
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Between March 1981 and September 1982, 178 patients with first- to third-degree bleeding hemorrhoids were treated by injection sclerotherapy and rubber band ligation, as outpatients. Of the treated patients 85 to 90% were asymptomatic during 1 year of follow-up. Complications, ranging from mild to moderate, occurred in only 5.6% of the patients. We conclude that injection sclerotherapy and rubber band ligation, when properly used, are efficient, inexpensive and safe methods for the treatment of bleeding hemorrhoids.
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Comparative Study
Anesthetic management of 646 consecutive cesarean section cases.
A retrospective analysis of 646 consecutive cesarean deliveries during a 1-year period was performed. The indications for cesarean section, techniques of anesthesia, fetal and maternal outcome, and complications were evaluated. Of 646 cesarean deliveries, 153 (23.7%) were elective and 493 (76.3%) nonelective. ⋯ Maternal complications were few and reversible. In 96% of the newborns the Apgar score was greater than or equal to 7 at 5 min. These results suggest that regional block is the preferred anesthetic technique for cesarean section.
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Our experience in the use of computerized tomography (CT) in the evaluation and treatment of combat-related penetrating missile injuries of the head in 12 cases is summarized. Advantages observed in the use of CT include accurate delineation of in-driven bony and metallic fragments, the relation of hematomas to the missile tract and detection of brain abscesses. The availability of a CT scanner for use in military medicine may further reduce the mortality and morbidity due to combat-related cranial missile injuries.