Articles: patients.
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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.
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Journal of anesthesia · Apr 2000
Randomized Controlled Trial Clinical TrialNicardipine versus lidocaine for attenuating the cardiovascular response to endotracheal intubation.
The aim of this study was to compare the efficacy of nicardipine and lidocaine in attenuation of cardiovascular responses to endotracheal intubation. ⋯ Nicardipine can be used as an alternative to lidocaine in attenuation of cardiovascular response to tracheal intubation in patients without ischemic heart disease.