OBJECTIVES The objectives of this randomised controlled study were to determine if pre-admission patient education affects post-operative pain levels, domiciliary self-care capacity and patient recall following a laparoscopic cholecystectomy (LC). Participants were randomised to receive the standard preadmission program (SP) or an individualised, education intervention (El). DESIGN A pre-oper...

The development of persistent post-operative pain after implant placement for aesthetic or reconstructive breast surgery can lead to significant patient morbidity. Although there are many etiologies for post-operative pain, the diagnosis of an intercostal neuroma is important as this can be treated surgically. We describe three cases of an intercostal neuroma in patients with breast implants. A...

BACKGROUND Prior study has shown that right paracolic adhesions are found in 90% of patients with chronic pelvic pain and less frequently in pain-free patients. We set out to determine whether paracolic adhesiolysis will reduce site-specific pain. METHODS This was a prospective, randomized trial of right paracolic adhesiolysis at the time of diagnostic and operative laparoscopy for chronic pe...

The Effect of Intravenous Dexamethasone versus Ketamine on Operative Pain in Patients Undergoing Cesarean Section

BACKGROUND The study was designed to compare local anaesthesia and conscious sedation for outpatient bipolar operative hysteroscopy in terms of pain control and patients' satisfaction. METHODS A prospective multicentre randomized study was carried out in university hospitals and in a private endoscopy unit. A total of 166 women with surgically treatable lesions associated with infertility or ...

PURPOSE To test the hypothesis that needlescopic cholecystectomies (NC) offer superior outcomes in comparison to common laparoscopic cholecystectomies (LC). METHODS Sixty consecutive patients with gallbladder disease undergoing either LC or NC were evaluated with respect to differences in operative time, frequency of per-operative incidents, post-operative pain, late postoperative symptoms, l...

hemorrhoid is one of the most common surgical diseases and different methods are available for its treatment. this study is a comparison between two methods of treatment of internal hemorrhoid, monopolar low voltage instrument (ultroid) and rubber band ligation. this method has been carried out prospectively in which 50 patients who were treated with rubber band ligation and 50 patients with ul...

Introduction: Frenectomy is an oral surgical procedure usually performed with a scalpel. Several authors recently reported the interest of laser, as minimally invasive and efficient alternative tool to perform frenectomy. This study aimed compare perioperative management patients requiring frenectomy using scalpel versus laser. Materials methods: A systematic review literature has been carried ...

The goal of this work is to determine whether sonographic measures of tendon thickness correlate with post-operative functional parameters or re-tear rates. 53 consecutive patients with supraspinatus tears on MRI were examined by an orthopedic surgeon to determine: preand post-operative patient pain (via Constant-Murley scale), night time pain, maximum force production by the affected arm (in p...

PURPOSE There is ongoing debate about the management of medial epicondyle fractures in the pediatric population. This systematic review evaluated non-operative versus operative treatment of medial epicondyle fractures in pediatric and adolescent patients over the last six decades. METHODS A systematic review of the available literature was performed. Frequency-weighted mean union times were u...