Abstract Objective Transanal hemorrhoidal artery ligation with mucopexy (ligation anopexy [LA]) and open hemorrhoidectomy (OH) can both be performed under local anesthesia. The aim of the present study was to analyze impact cost-effectiveness performing these techniques in an ambulatory setting Italian academic center on postoperative outcome. Methods A series 122 consecutive patients grades II...

. One of the most important tasks of general physicians is the management of outpatients in health centers and clinics. Bedside teaching and ambulatory traiing are however, limited to hospital clinics in short courses without enough supervision. This study aimed to evaluate the attitude of general practitioners working in health centers of Guilan University of medical sciences toward ambulatory...

BACKGROUND Early in the 20th century, thyroid surgery was performed using local anesthetic techniques. When general anesthesia became safer, surgeons started performing thyroidectomy exclusively under general anesthesia. However, recent descriptions of thyroidectomy under local anesthesia claim similar results to thyroidectomy under general anesthesia. Surgery conducted under local anesthesia c...

PURPOSE A multicenter study was undertaken to evaluate the safety, efficacy and cost of electromotive drug administration of intravesical lidocaine to produce bladder local anesthesia as an alternative to traditional methods of spinal or general anesthesia. MATERIALS AND METHODS A total of 94 patients were enrolled in the study who had either a history of bladder tumor that required cold cup ...

PURPOSE This retrospective study documented the frequency of various complications associated with outpatient anesthesia. PATIENTS AND METHODS A questionnaire was mailed to the 157 active members of the Massachusetts Society of Oral and Maxillofacial Surgeons (MSOMS) and all members responded. Morbidity data were obtained for the calendar year 1999. Mortality data included 1999 and the preced...

In the maintenance of biomedical technology minimum medical equipment for qualification ambulatory surgery, a deficient organization and execution preventive is evidenced, which diminishes availability increases stops costs in health provider organization. This methodology seeks guiding management surgery focused on availability. The proposed takes into account operational global impact, damage...

BACKGROUND AND OBJECTIVES Surgical procedures previously considered too lengthy for the ambulatory surgery setting are now being performed during spinal anesthesia. The complete recovery profile of tetracaine and bupivacaine are now of interest but are not available in the literature. This study was conducted to compare times to ambulation, voiding, and complete block resolution, as well as the...

A regional anesthesia service offers significant advantages for patients and healthcare providers. Improved perioperative pain control directly benefits the patient while facilitating the work of the anesthesiologist and the surgeon. In recent years, ultrasound (US) guidance has undoubtedly played a prominent role in the evolution of pain control as evidenced by the growing number of clinical i...

BACKGROUND Spinal anesthesia is considered as a reasonable anesthetic option in lower abdominal and lower limb surgery. This study was to determine the dose-response of intrathecal ropivacaine in patients with scarred uterus undergoing cesarean delivery under combined spinal-epidural anesthesia. METHODS Seventy-five patients with scarred uterus undergoing elective cesarean delivery under comb...

The carpal tunnel syndrome is one of the most common entrapment neuropathies found in humans. Currently, the gold standard is surgical treatment using different modalities. The minimally invasive strategy with high resolution capacity and less morbidity is still a challenge. Methods. Prospective nonrandomised clinical trial in which a minimally invasive microsurgical approach was used following...