An observed case of metastasized carcinoma of the large intestine with very severe pain is presented. Pain disappeared after continuous subarachnoid analgesia using a Lazorthes reservoir.
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Prospective, randomized study comparing clinical results between small and large colonic J-pouch following coloanal anastomosis.
Dis Colon Rectum
December 1997
Department of General and Digestive Surgery, Purpan Hospital, Toulouse, France.
Purpose: Improved functional results can be obtained by construction of a colonic J-pouch after coloanal anastomosis. Variability in pouch size following coloanal anastomosis is prevalent in current literature. In this study, the authors compare clinical bowel function after complete rectal excision with coloanal anastomosis for patients with rectal carcinoma using either a small 6-cm or a large 10-cm colonic J-pouch anastomosis.
View Article and Find Full Text PDFLate clinical outcome in a randomized prospective comparison of colonic J pouch and straight coloanal anastomosis.
Br J Surg
October 1997
Department of General and Digestive Surgery, Purpan Hospital, Toulouse, France.
Background: Functional outcome after rectal excision with coloanal anastomosis is improved by construction of a colonic J pouch. Present prospective randomized studies lack follow-up beyond 1 year. The aim of this study was to assess the clinical outcome at both short- and long-term follow-up.
View Article and Find Full Text PDFTo remedy the loss of the rectal reservoir after resection of the rectum and colo-anal anastomosis, Lazorthes et al. and Parc et al. have proposed adding a J-shaped colic reservoir.
View Article and Find Full Text PDFThe stability of morphine in isobaric and hyperbaric solutions in a drug delivery system.
J Pharm Pharmacol
September 1988
Laboratoire de Pharmacie Galénique, Faculté des Sciences Pharmaceutiques, Université Paul Sabatier, Toulouse, France.
Intrathecal preparations of morphine for use in intractable pain must contain no preservatives. They are generally formulated in saline (isobaric) or dextrose (hyperbaric) which raises questions of stability. The behaviour of morphine in hyperbaric and isobaric solutions stored in a reservoir for implantation has been examined and the effect of temperature and the time of contact of morphine with the different components of the reservoir as well as the sterilization procedure have been investigated.
View Article and Find Full Text PDFRectal resection with colo-anal anastomosis was performed in 65 patients with carcinoma of the lower rectum. In 20 a pelvic colonic reservoir was constructed while in 45 a direct anastomosis was carried out. There were no postoperative deaths and morbidity was comparable in the two groups.
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