The Experts below are selected from a list of 6 Experts worldwide ranked by ideXlab platform

D M Hemingway - One of the best experts on this subject based on the ideXlab platform.

  • circumferential mucosectomy stapled haemorrhoidectomy versus conventional haemorrhoidectomy randomised controlled trial
    The Lancet, 2000
    Co-Authors: M Rowsell, M Bello, D M Hemingway
    Abstract:

    Summary Background Haemorrhoidectomy is commonly an inpatient procedure because it is frequently associated with postoperative pain. Day case haemorrhoidectomy is a similar operation to that used on inpatients but with different strategies for managing postoperative pain. Circumferential mucosectomy (stapled haemorrhoidectomy) may be associated with less postoperative pain than conventional haemorrhoidectomy. We compared stapled haemorrhoidectomy with conventional haemorrhoidectomy in patients with third degree haemorrhoids. Methods We randomly assigned 22 patients to conventional haemorrhoidectomy by the diathermy dissection or to stapled haemorrhoidectomy with the use of an intraluminal stapling device. Patients were discharged when free of pain, took Cocodamol as required, completed visual analogue charts each day, and were assessed at 1 and 6 weeks postoperatively for symptom control. Findings All patients received the assigned treatment. Mean inpatient stay was lower in the group assigned to stapled as opposed to conventional haemorrhoidectomy (1·09 [0·3] vs 2·82 [0·09] nights, p vs 16·9 [2·33] days, p Interpretation Stapled haemorrhoidectomy is an effective treatment for third degree haemorrhoids with significant advantages for patients compared with conventional haemorrhoidectomy.

M Rowsell - One of the best experts on this subject based on the ideXlab platform.

  • circumferential mucosectomy stapled haemorrhoidectomy versus conventional haemorrhoidectomy randomised controlled trial
    The Lancet, 2000
    Co-Authors: M Rowsell, M Bello, D M Hemingway
    Abstract:

    Summary Background Haemorrhoidectomy is commonly an inpatient procedure because it is frequently associated with postoperative pain. Day case haemorrhoidectomy is a similar operation to that used on inpatients but with different strategies for managing postoperative pain. Circumferential mucosectomy (stapled haemorrhoidectomy) may be associated with less postoperative pain than conventional haemorrhoidectomy. We compared stapled haemorrhoidectomy with conventional haemorrhoidectomy in patients with third degree haemorrhoids. Methods We randomly assigned 22 patients to conventional haemorrhoidectomy by the diathermy dissection or to stapled haemorrhoidectomy with the use of an intraluminal stapling device. Patients were discharged when free of pain, took Cocodamol as required, completed visual analogue charts each day, and were assessed at 1 and 6 weeks postoperatively for symptom control. Findings All patients received the assigned treatment. Mean inpatient stay was lower in the group assigned to stapled as opposed to conventional haemorrhoidectomy (1·09 [0·3] vs 2·82 [0·09] nights, p vs 16·9 [2·33] days, p Interpretation Stapled haemorrhoidectomy is an effective treatment for third degree haemorrhoids with significant advantages for patients compared with conventional haemorrhoidectomy.

M Bello - One of the best experts on this subject based on the ideXlab platform.

  • circumferential mucosectomy stapled haemorrhoidectomy versus conventional haemorrhoidectomy randomised controlled trial
    The Lancet, 2000
    Co-Authors: M Rowsell, M Bello, D M Hemingway
    Abstract:

    Summary Background Haemorrhoidectomy is commonly an inpatient procedure because it is frequently associated with postoperative pain. Day case haemorrhoidectomy is a similar operation to that used on inpatients but with different strategies for managing postoperative pain. Circumferential mucosectomy (stapled haemorrhoidectomy) may be associated with less postoperative pain than conventional haemorrhoidectomy. We compared stapled haemorrhoidectomy with conventional haemorrhoidectomy in patients with third degree haemorrhoids. Methods We randomly assigned 22 patients to conventional haemorrhoidectomy by the diathermy dissection or to stapled haemorrhoidectomy with the use of an intraluminal stapling device. Patients were discharged when free of pain, took Cocodamol as required, completed visual analogue charts each day, and were assessed at 1 and 6 weeks postoperatively for symptom control. Findings All patients received the assigned treatment. Mean inpatient stay was lower in the group assigned to stapled as opposed to conventional haemorrhoidectomy (1·09 [0·3] vs 2·82 [0·09] nights, p vs 16·9 [2·33] days, p Interpretation Stapled haemorrhoidectomy is an effective treatment for third degree haemorrhoids with significant advantages for patients compared with conventional haemorrhoidectomy.

J. Emembolu - One of the best experts on this subject based on the ideXlab platform.

  • Early analgesic effects of parecoxib versus ketorolac following laparoscopic sterilization: a randomized controlled trial
    2004
    Co-Authors: A. Temple, G Smith, J. Emembolu
    Abstract:

    Background. The aim of this prospective double blind randomized controlled trial was to compare the effects of ketorolac and parecoxib on early postoperative pain. Method. We studied 36 ASA I/II patients who received a standardized general anaesthetic for laparoscopic sterilization. Patients were allocated randomly to receive either parecoxib 40 mg i.v. or ketorolac 30 mg i.v., at induction. After surgery, patients were assessed on awakening and then at 1, 2, and 3 h. Abdominal pain at rest and on inspiration, in addition to nausea and sedation were assessed on a 100 mm visual analogue scale. Results. Of 36 patients, one was excluded from analysis. In the remaining patients, pain scores at rest and on inspiration were signi®cantly lower in patients given ketorolac compared with those given parecoxib. This difference was attributable to the higher pain scores on awakening and at 1 h postoperatively in the parecoxib group compared with the ketorolac group. Despite this initial difference, there was no signi®cant difference between the two groups in the number of patients receiving rescue analgesia. The median (interquartile range) time to consumption of rescue Cocodamol of 60 (46±74) min in the parecoxib group was not signi®cantly shorter than that of 100 (70±130) min in the ketorolac group. The amount of cyclizine given, nausea and sedation did not differ signi®cantly between the groups. Conclusion. We found that parecoxib 40 mg i.v. given at induction of anaesthesia was less effective than or ketorolac 30 mg i.v., in the ®rst hour after laparoscopic sterilization

A. Temple - One of the best experts on this subject based on the ideXlab platform.

  • Early analgesic effects of parecoxib versus ketorolac following laparoscopic sterilization: a randomized controlled trial
    2004
    Co-Authors: A. Temple, G Smith, J. Emembolu
    Abstract:

    Background. The aim of this prospective double blind randomized controlled trial was to compare the effects of ketorolac and parecoxib on early postoperative pain. Method. We studied 36 ASA I/II patients who received a standardized general anaesthetic for laparoscopic sterilization. Patients were allocated randomly to receive either parecoxib 40 mg i.v. or ketorolac 30 mg i.v., at induction. After surgery, patients were assessed on awakening and then at 1, 2, and 3 h. Abdominal pain at rest and on inspiration, in addition to nausea and sedation were assessed on a 100 mm visual analogue scale. Results. Of 36 patients, one was excluded from analysis. In the remaining patients, pain scores at rest and on inspiration were signi®cantly lower in patients given ketorolac compared with those given parecoxib. This difference was attributable to the higher pain scores on awakening and at 1 h postoperatively in the parecoxib group compared with the ketorolac group. Despite this initial difference, there was no signi®cant difference between the two groups in the number of patients receiving rescue analgesia. The median (interquartile range) time to consumption of rescue Cocodamol of 60 (46±74) min in the parecoxib group was not signi®cantly shorter than that of 100 (70±130) min in the ketorolac group. The amount of cyclizine given, nausea and sedation did not differ signi®cantly between the groups. Conclusion. We found that parecoxib 40 mg i.v. given at induction of anaesthesia was less effective than or ketorolac 30 mg i.v., in the ®rst hour after laparoscopic sterilization