Articles: surgery.
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A short survey about the different methods available for producing postoperative analgesia is given, the goal being to make it clear to the clinician that there are quite a number of techniques to be used although the everyday clinical practice often sticks to simple and not too effective methods of pain treatment following surgery. Initially presenting short informations about the neurophysiology of pain and the pathogenesis and causes of postoperative pain two main groups of producing analgesia are then discussed. Thefirst group deals with the systemic use of analgesics be it nonnarcotic analgesic antipyretics or narcotic analgesics (opioids). ⋯ They present clear advantages over the local anesthetic methods as there are the long lasting analgesia and the selective blockade of pain not touching motor and sympathetic nerve fibers. A delayed respiratory depression however might be a serious danger showing an incidence of 0,3% in the epidural and some 10% in the subarachnoid route. Aiming to inform the clinician once again about the vast field of possibilities available to make the postoperative course painfree it is hoped that this important task in the postoperative period will be handled with more consequence and effectivity in the future.
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The majority (72 percent) of U. S. residency programs in obstetrics and gynecology include first-trimester abortion techniques in their training. Programs affiliated with public hospitals or with private non-Catholic institutions are the most likely to provide such training, while Catholic-affiliated training programs and those at military hospitals are the least likely to do so. ⋯ Nine percent of programs report that all residents participate in first-trimester abortion training, and another 56 percent report that at least half of their residents do so. The participation rate is linked to the expectations of the program: Approximately 88 percent of programs that routinely incorporate abortion techniques in their training report that from one-half to all their residents participate, compared with about 55 percent of programs that offer the training as an option. Approximately 82 percent of programs teach abortion techniques up to at least 20 weeks' gestation.(ABSTRACT TRUNCATED AT 250 WORDS)
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Vestn. Khir. Im. I. I. Grek. · Jun 1987
[Surgical treatment of postburn deformities of the back of the hand].
The authors sum up their experience with the surgical treatment of postburn deformations of the dorsal surface of the hand in 50 patients. They describe the technique of radical dissection of all the scars of the dorsal surface of the hand and fingers and plasty of the interdigital commissures by palmar trapezoid whole thickness grafts. ⋯ Long-term results were followed up in 21 patients. All of them showed good functional and cosmetic results.
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A case of bilateral femoral neuropathy after microsurgical tuboplasty for reversal of sterilization is reported. Although the prognosis is favourable and full recovery is usually observed, the disabling effect of the neuropathy may last for several months. This report is an attempt to alert fertility surgeons to the possible occurrence of such a complication disturbing to both patient and physician, by analysing the mechanisms of injury and possible ways of its prevention.