The reliability of preemptive analgesia is controversial. Its effectiveness may vary among anatomical areas or surgical types. We evaluated preemptive analgesia by epidural morphine in six surgery types in a randomized, double-blind manner. Pain intensity was rated using a visual analog scale, a verbal report, and a measurement of postsurgical morphine consumption. Preemptive analgesia was effe...

Correspondence limiting screening to women over 35 years, but as there has not been an overwhelming demand for the interpretation of smears these days are past. Incidentally in our area, where the incidence of cervical cancer is falling,' there have been no fewer than five women with overt clinical cervical cancer in the past two years who were multiparous and under 30 years of age.-I am, etc.,...

conclusions laparoscopic tapp inguinal hernia repair has longer operation time and more cost than the open technique. local wound complications were more prevalent in the open repair. the postoperative pain, the hospital stay, the scrotal-related complications as well as the recurrence rates were the same in the both groups. the laparoscopy can detect and treat other intra-abdominal pathologies...

BACKGROUND Inguinal hernia repair is one of the most common operations performed worldwide. Intractable pain following this operation is a potential debilitating complication. The exact etiology of this complex pain is unknown and the treatment of chronic pain after inguinal herniorrhaphy can be a difficult task for both the patient and the clinician. OBJECTIVES The objectives of this study a...

PURPOSE In this study, we compared the skin adhesive 2-octylcyanoacrylate to subcuticular suture for closure of pediatric inguinal hernia incisions to determine if skin adhesive improves wound cosmesis, shortens skin closure time, and lowers operative costs. METHODS We prospectively randomized 134 children undergoing inguinal herniorrhaphy at our institution to have skin closure with either s...

Since the first true herniorrhaphy was performed by Bassini over 100 years ago, all modifications and surgical techniques have shared a common disadvantage: suture line tension. The anatomic, physiologic, and pathologic characteristics of hernia recurrence are examined. The prime etiologic factor behind most herniorrhaphy failures is the suturing together, under tension, of structures that are ...

Perineal hernia in dogs is very problematic and mostly requires surgical reconstruction of the weak pelvic diaphragm. Tissue or synthetic grafts have been used for the correction after failure of the conventional herniorrhaphy. Aim of this clinical trial was to assess the possible use of the autologous tunica vaginalis communis as a free graft for perineal hernia repair in intact male dogs. Sev...

Background: Nonsteroidal anti-inflammatory drugs (NSAIDs) are routinely used after surgery, especially after minor procedures such as inguinal herniorrhaphy. Local anesthetics such as marcaine are also used in many minor procedures. Objectives: The aim of this study was to examine the efficacy and safety of a commonly used NSAID, naproxen, versus wound infiltration by marcaine, on inguinal hern...