Intestinal Obstruction due to Bilateral Strangulated Femoral Hernias.

Introduction. Femoral hernias are at high risk of strangulation due to the narrow femoral canal and femoral ring. This can lead to symptoms of obstruction or strangulation requiring emergency surgery and possible bowel resection.

Morphine delays discharge following ambulatory surgery: a prospective institutional study.

Introduction: Morphine is used regularly in day surgery despite its known side-effects. We assessed whether this delayed discharge.

Patients And Methods: 100 patients were divided into 2 groups: 50 patients received morphine and 50 patients received non-morphine analgesia.

Risk assessment for severe postoperative hypocalcaemia after neck exploration for primary hyperparathyroidism.

Background And Aims: A further development of the risk profile for severe postoperative hypocalcaemia after surgery for primary hyperparathyroidism (pHPT) was made with the aim of expanding the group of patients who can be discharged safely after 23 hours.

Methods: Prospective study with 156 consecutive pHPT patients (158 operations) during 2001 and 2002. Risk factors for postoperative severe hypocalcaemia (ionised calcium < 1 mmol/L), were (1) preoperative concentration of parathyroid hormone (PTH) > 35 pmol/L (five times the upper reference value, reference range 1.

Preoperative assessment of small tumours in women with breast cancer.

Background And Objectives: In patients with breast cancer, planning of the surgical strategy may rely on preoperative tumour size. The optimal method for assessment of small tumours has not been established. We compared findings from preoperative mammography and ultrasonography with histopathological tumour size in patients treated with breast-conserving surgery.