ANZ journal of surgery
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ANZ journal of surgery · Nov 2008
Randomized Controlled Trial Comparative StudyComparison between tonsillectomy with thermal welding and the conventional 'cold' tonsillectomy technique.
The aim of this study was the evaluation of length of the procedure, anaesthesia, the amount of the intraoperative fluid required, total blood loss and postoperative pain of the 'thermal welding system tonsillectomy (TWS)' compared with the conventional 'cold dissection tonsillectomy'. ⋯ When we compared TWS with the conventional 'cold' dissection tonsillectomy, we found that TWS tonsillectomy offered an innovative new tonsillectomy method with significantly reduced blood loss and reduced surgical time and without any increase in the postoperative pain. It was a useful method for tonsillectomy.
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ANZ journal of surgery · Jan 2008
Letter Randomized Controlled TrialEffect of wound infiltration with 0.5% bupivacaine on post-herniorrhaphy pain.
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ANZ journal of surgery · Aug 2005
Randomized Controlled Trial Comparative StudyRandomized, prospective comparison of postoperative pain in low- versus high-pressure pneumoperitoneum.
Reduced postoperative pain after laparoscopic cholecystectomy (LC) compared to open cholecystectomy (OC) may be able to be further optimized. To reduce pain, focus should be directed on the effects of individual components of pain. ⋯ There was no correlation between high- and low-pressure laparoscopy and postoperative pain after LC. Peritoneal stretching may be more responsible for shoulder pain but has less effect on intensity of abdominal pain or incisional pain. On the basis of these negative findings, routine use of low-pressure pneumoperitoneum for alleviation of postoperative pain following LC is not recommended.
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ANZ journal of surgery · Oct 2004
Randomized Controlled Trial Clinical TrialRandomized trial of a pain control infusion pump following inguinal hernia repair.
Continuous ambulatory analgesia following various surgical procedures is gaining popularity. The purpose of the present paper is to evaluate this form of analgesia following open anterior inguinal hernia repair by way of a pain control infusion pump (PCIP). ⋯ The PCIP provided safe and adequate analgesia following inguinal hernia repair. It provided effective analgesia especially when patients were mobilizing. This has implications for earlier discharge from hospital and associated cost-savings.
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ANZ journal of surgery · Aug 2004
Randomized Controlled Trial Comparative Study Clinical TrialTreatment of partial-thickness burns: a prospective, randomized trial using Transcyte.
The purpose of the present study was to compare the effectiveness of three burns dressings (TransCyte, a bio-engineered skin substitute; Biobrane; and Silvazine cream (silver sulphadiazine and 0.2% chlorhexidine)), in treating children with partial-thickness burns. The primary objective was to determine the days until > or =90% re-epithelialization. The secondary objectives were to evaluate the number of wounds requiring autografting and the number of dressing changes/local wound care required. ⋯ When used in partial-thickness burns in children, TransCyte promotes fastest re-epithelialization and required less overall dressings then Biobrane or Silvazine. Patients who received Silvazine or Biobrane require more autografting than those treated with TransCyte.