Articles: surgery.
-
The present study examines the relationship between different psychological variables (including anxiety, depression, locus of control, expectations of pain intensity and social support) and postoperative pain, analgesic consumption and satisfaction with the pain management in a study sample of 67 patients. ⋯ While pain experience could be predicted by stable psychological traits, satisfaction was associated with the state variables, like anxiety and depression. It is precisely satisfaction with the pain therapy that could be improved by special preoperative psychological training and/or general information about the postoperative pain intensity.
-
Am. J. Obstet. Gynecol. · Jun 2000
Comparative StudyAcceptability of suction curettage and mifepristone abortion in the United States: a prospective comparison study.
We sought to compare the acceptability of suction curettage abortion with that of medical abortion with mifepristone and misoprostol in American women. ⋯ Women receiving mifepristone and misoprostol were more satisfied with their method and more likely to choose the same method again than were subjects undergoing surgical abortion. Failure of a medical abortion and increased anxiety during surgical abortion were associated with preference for the alternative technique in a future procedure.
-
Ned Tijdschr Geneeskd · May 2000
Review Historical Article[Fifty years of plastic surgery in the Netherlands. VI. Microsurgery].
Use of the operating microscope created many new possibilities in plastic, reconstructive and hand surgery. Initially most work was done in digital replantation and, somewhat later, in transfers of toes for reconstruction of amputated thumbs. Microvascular surgery, however, appeared to be a technique suitable for more applications. ⋯ With free flap surgery single-stage and complex reconstructions could be achieved leading to earlier mobilization and better restoration of function with a shorter hospital stay. Today, microvascular free tissue transfer is an essential part of plastic and reconstructive surgery. Further advances in microsurgery and free tissue transfers deserve to be mentioned: pre-fabrication of free flaps, reduction of donor site morbidity, development of artificial conduits and instrumentation and finally homologous transplantations.
-
Mund Kiefer Gesichtschir · May 2000
Historical Article[History of the German Society of Oromaxillofacial Surgery].
The German Society of Oral and Maxillofacial Surgery was founded by Martin Wassmund in 1951. One of the main reasons was the need for scientific representation in the council at a medical convention. The Society, originally composed of 52 members, was first called "The German Society of Maxillofacial Surgery". ⋯ The presidents, convention locations, topics, and prizewinners are listed in a table. Since the founding of the Society of Oral and Maxillofacial Surgery, close cooperation has existed with the National Association of German Oral and Maxillary-Facial Surgeons (Bundesverband der Deutschen Arzte für Mund-Kiefer-Gesichts-Chirurgie). In order to intertwine scientific and political interests, a fusion of these two organizations is planned for the year 2000.
-
Prolapsing haemorrhoids and rectal mucosal prolapse are commonly seen in colorectal practice. Conventional treatment of haemorrhoids and mucosal prolapse by variations of the ligation-excision technique can achieve good results in expert hands. However, post-operative complications are well recognized and may result in prolonged in-patient stay. The aim of this study was to evaluate prospectively a submucosal resection anoplasty technique using a circular stapling device in a consecutive series of patients requiring surgery for haemorrhoids or mucosal prolapse, and to assess the suitability of this technique for day case surgery. ⋯ Transanal stapled anoplasty achieves good functional results and patient satisfaction in the surgical management of haemorrhoids and mucosal prolapse. With careful surgical technique, strict attention to haemostasis and adequate post-operative analgesia this procedure can feasibly be carried out on a day case basis. Minor complications are similar to those of conventional surgery. Though longer-term follow up is required, no major complications were observed in this consecutive series.