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Protocol of a clinical trial on the effectiveness of pudendal nerve block with and without neurostimulation in reducing posthemorroidectomy pain.
Rev Esp Anestesiol Reanim (Engl Ed)
October 2024
Departamento de Cirugía, Hospital Universitario Nuestra Señora de Candelaria, Tenerife, Spain.
Introduction: Hemorrhoidal pathology is the most frequent proctological problem with a prevalence of 44% of the adult population. The most effective treatment is surgery but it also has the highest postoperative pain rate with moderate to severe pain rates of 30-40% during the first 24-48 hours. Here lies the importance of seeking measures to improve this situation, such as the pudendal nerve block with local anesthetic.
View Article and Find Full Text PDFGlobal International Society of University Colon and Rectal Surgeons in collaboration with European Society of Coloproctology audit on office-based and surgical treatment of haemorrhoidal disease: Study protocol.
Colorectal Dis
June 2024
Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Article Synopsis
- The study focuses on haemorrhoidal disease (HD), a common anal disorder, and seeks to examine variations in treatment approaches, patient demographics, and satisfaction rates among surgeons from ISUCRS and ECSP.
- A questionnaire will be sent electronically to members of both societies to gather data on their treatment preferences and outcomes over a two-month period starting in April 2024.
- The results from this global audit are expected to enhance understanding of HD and identify areas that require further research in treatment and diagnosis.
General anesthesia with local infiltration reduces urine retention rate and prolongs analgesic effect than spinal anesthesia for hemorrhoidectomy.
Front Surg
January 2024
Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Introduction: Postoperative pain and complications pose significant challenges following a hemorrhoidectomy. Attaining effective anesthesia with minimal complications is crucial. The ideal anesthesia method for ambulatory hemorrhoidectomy remains uncertain.
View Article and Find Full Text PDFOmission of perioperative morphine reduces postoperative pain in proctological interventions: a single-center analysis.
Updates Surg
January 2024
Clarunis, Department of Visceral Surgery, University Center for Gastrointestinal and Liver Diseases, St. Clara Hospital and University Hospital Basel, Postfach, 4002, Basel, Switzerland.
There is an increase in outpatient procedures and this trend will continue in the future. For hemorrhoidectomy, it is the standard of treatment in many health care systems. Perioperative management including adequate pain control is of paramount importance to ensure successful ambulatory surgery.
View Article and Find Full Text PDF[Statutory provisions, aims, motives, attitudes and thinking on the outpatient operation profile of general and abdominal surgery].
Chirurgie (Heidelb)
October 2023
Klinik für Allgemein‑, Gefäß- und Viszeralchirurgie, HELIOS Klinik Jerichower Land, Burg, Deutschland.
Aim: The aim of the manuscript is to discuss and assess the implications and opportunities as well as dangers of "outpatientization" of surgical and inpatient services for general and abdominal surgery.
Method: Narrative overview with literature reference based on a PubMed search with the search terms: outpatient operations and inpatient interventions, AOP catalog, hybrid DRG, outpatient hernia surgery, outpatient proctological surgery, selective sector-equal reimbursement and day-care forms of care. RESULTS (KEY POINTS): - In the Anglo-American area, the treatment of inguinal hernias is predominantly carried out on an outpatient clinic basis.
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