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Post operatory pain

Cristiano Linck Pazeto, Fábio José Nascimento, Lucila Heloisa Simardi Santiago, Sidney Glina
CONTEXT: Polyacrylate-polyalcohol copolymer is a synthetic product, non-biodegradable, with low rate of therapeutic failure and lower incidence of reactions at the site of injection, when compared to biodegradable agents. We report an unprecedent, exuberant and persistent inflammatory reaction following injection of that substance. PATIENT: A 17 years-old patient with vesico-ureteral reflux and complete pyelocaliceal right duplication was submitted to treatment with polyacrylate-polyalcohol copolymer (STING technique)...
March 9, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
C Maiorana, L Pivetti, F Signorino, G B Grossi, A S Herford, M Beretta
BACKGROUND: When keratinized tissue width around dental implants is poorly represented, the clinician could resort to autogenous soft tissue grafting. Autogenous soft tissue grafting procedures are usually associated with a certain degree of morbidity. Collagen matrices could be used as an alternative to reduce morbidity and intra-operatory times. The aim of this study was to assess the efficacy of a xenogeneic collagen matrix as a substitute for soft tissue grafting around dental implants...
January 10, 2018: International Journal of Implant Dentistry
M Petrini, M Ferrante, P Trentini, G Perfetti, G Spoto
BACKGROUND: The extraction of impacted third molars is commonly associated to pain, edema, trismus, limited jaw opening and movements. The aim of this retrospective study is to verify if pre-surgical low-level laser therapy (LLLT) associated with the extraction of impacted lower third molars could add benefits to the postoperative symptoms respect LLLT performed only after surgery. MATERIAL AND METHODS: Data from 45 patients subjected to a surgical extraction of lower third molars were pooled and divided into three groups...
July 1, 2017: Medicina Oral, Patología Oral y Cirugía Bucal
Davide Zanchi, Gregory Cunningham, Alexandre Lädermann, Mehmet Ozturk, Pierre Hoffmeyer, Sven Haller
Shoulder apprehension is more complex than a pure mechanical problem of the shoulder, creating a scar at the brain level that prevents the performance of specific movements. Surgery corrects for shoulder instability at the physical level, but a re-dislocation within the first year is rather common. Predicting which patient will be likely to have re-dislocation is therefore crucial. We hypothesized that the assessment of neural activity at baseline and follow-up is the key factor to predict the post-operatory outcome...
March 29, 2017: Scientific Reports
Nidhi Agarwal, Jayata Dhawan, Dipanshu Kumar, Ashish Anand, Karan Tangri
INTRODUCTION: Topical anaesthetic agents enable pain free intraoral procedures, symptomatic pain relief for toothache, superficial mucosal lesions and pain related to post extraction time. Most common anxiety provoking and fearful experience for children in dental operatory is administration of local anaesthesia because on seeing the needle, children usually become uncooperative. One of recent trend of behaviour management technique is using non-aversive techniques out of which audiovisual distraction has emerged as a very successful technique for managing children in dental settings...
January 2017: Journal of Clinical and Diagnostic Research: JCDR
Alexandre H Lopes, Laura Brandolini, Andrea Aramini, Gianluca Bianchini, Rangel L Silva, Ana C Zaperlon, Waldiceu A Verri, José C Alves-Filho, Fernando Q Cunha, Mauro M Teixeira, Marcello Allegretti, Thiago M Cunha
The activation of CXCR1/2 has been implicated in the genesis of inflammatory and postoperative pain. Here, we investigated a novel orally acting allosteric inhibitor of CXCR1/2 (DF2755A) and evaluated its antinociceptive effect in several models of inflammatory and post-operatory pain. DF2755A was tested in vitro for efficacy in the chemotaxis assay, selectivity and toxicity. In vivo, C57Bl/6 mice were treated orally with DF2755A and the following experiments were performed: pharmacokinetic profile; inflammatory hyperalgesia models using electronic pressure meter test; neutrophil migration assay assessed by myeloperoxidase assay...
January 2016: Pharmacological Research: the Official Journal of the Italian Pharmacological Society
I Predescu, D Predescu, S Constantinoiu
INTRODUCTION: The keystone of the rate of postoperative complications and functional outcome in oesophageal reconstruction is the technique method of performing cervical anastomosis.Despite new technologies and improved technique in specialized centres, post-anastomosis complications have not significantly improved. PURPOSE: The goal of our study is to analyse the causes that make anastomosis with the oesophagus hypopharynx a particular case. If anatomical and morphological aspects cannot be adjusted (poor histological structure and vascularity etc...
March 2015: Chirurgia
Jaya Pamboo, Manoj-Kumar Hans, Bangalore-Niranjan Kumaraswamy, Subhash Chander, Sajeev Bhaskaran
OBJECTIVES: The study had twin objectives: to assess the incidence of flare-ups (a severe problem requiring an unscheduled visit and treatment) among patients who received endodontic treatment in the Department of Conservative Dentistry and Endodontics in Vyas Dental college and hospital, Jodhpur during a period of one year, and also to examine the correlation with pre-operative and operative variables. MATERIAL AND METHODS: Data was collected from 1023 teeth from 916 patients who had received endodontic treatment over a 12- month period...
December 2014: Journal of Clinical and Experimental Dentistry
S Cervi, A Fioruzzi, L Bisogno, C Fioruzzi
AIM OF THE STUDY: The Reverdin-Isham percutaneous osteotomy is indicated in the treatment of mild to moderate hallux valgus. The aim of this study is to evaluate the technique itself after a relevant experience. METHODS: From January 2010 to January 2012 we have done 213 percutaneous osteotomy. The patients were evaluated clinically and with imaging after a minimum 5 months and a maximum 2 years follow up. For the clinical evaluation it was used the American Orthopaedic Foot and Ankle Society score...
September 24, 2014: Acta Bio-medica: Atenei Parmensis
G Vermet, S Degoutin, F Chai, M Maton, M Bria, C Danel, H F Hildebrand, N Blanchemain, B Martel
The aim of the study was to develop a polyester visceral implant modified with a cyclodextrin polymer for the local and prolonged delivery of ropivacaine to reduce post operatory pain. Therefore, we applied a coating of an inguinal mesh with a crosslinked polymer of hydroxypropyl-β-cyclodextrin (HPβCD) whose specific host-guest complex forming properties were expected to improve the adsorption capacity of the implant toward anesthetic, and then to release it within a sustained period. The modification reaction of the textile with cyclodextrin was explored through the study of the influence of the pad/dry/cure process parameters and the resulting implant (PET-CD) was characterized by solid state NMR and SEM...
December 10, 2014: International Journal of Pharmaceutics
O Musat, Uliana Ochinciuc, Tatiana Gutu, T R Cristescu, Corina Coman
We present the case of a 65 years old pacient which was admitted for the sudden decrease of visual acuity in the left eye, accompanied by ocular pain and conjunctival hiperemia, simptoms appeared after an ocular trauma. After the clinical and paraclinical examination we determined the diagnosis of OS: Penetrating ocular trauma with retention of a foreign body; posttraumatic cataract. Surgical treatement was warrented and we performed OS : Facoemulsification + PFK implant in sulcus + 23 Ga posterior vitrectomy + peeling of the posterior hyaloid membrane + extraction of the foreign body + LASER endofotocoagulation + transscleral cryotherapy + SF6 gas injection...
2012: Oftalmologia
Gaetano Gulino, Alfonso D'Onofrio, Giuseppe Palermo, Michele Antonucci, Fabrizio Presicce, Marco Racioppi, Pier Francesco Bassi
The ideal method for treatment of varicocele is still controversial. The techniques of inguinal and sub-inguinal ligation, although less invasive than "high" abdominal ligations (Palomo, Ivanissevich), have been less popular than the former ones. Up to now most authors have considered as mandatory microsurgical techniques for the ligation of spermatic veins at inguinal or sub-inguinal level, or at least instruments of optical magnification in order to preserve testicular arterial supply of the spermatic and cremasteric artery at groin and to prevent testicular atrophia or gonadic ischemia...
June 2011: Archivio Italiano di Urologia, Andrologia
Graziella Ferreira Barros, Cláudia da Silva Santos, Fernanda Boromello Granado, Patrícia Tatiane Costa, Renán Prado Límaco, Giulliano Gardenghi
OBJECTIVES: 1) To demonstrate the impaired ventilatory capacity during the post operatory period, in patients submitted to coronary arterial bypass graft surgery (CABG). 2) To test the hypothesis that the respiratory muscle training (RMT), performed after the surgery, may increase the ventilatory capacity in this population. METHODS: Thirty-eight patients (age: 65 ± 7 years, 29 male), whose underwent CABG with extra-corporeal circulation. Patients were randomized in two groups: 23 patients in the RMT group and 15 in the control group (CO)...
October 2010: Revista Brasileira de Cirurgia Cardiovascular
C Castillo-Rangel, G Reyes-Soto, R Mendizábal-Guerra
We report the case of a 36 year old woman that was hurt in the head with a lost bullet while walking through the street when she was 9 years old. On admission, the patient was fully conscious with no neurological deficits. Skull radiography showed the intracranial bullet but she was dispatched after 24 hours of observation without neurological deterioration. Six months later she suddenly presented quadriplegia and after one year of rehabilitation she recovered the mobility and strength in all her limbs. 25 years latter she began with thoracic pain (dermatomal sensory changes), constipation, paresthesias and weakness in the lower extremities; the X-Ray showed a bullet caliber 9 mm in the thoracic canal at T4 level...
August 2010: Neurocirugía
Rodica Fanea, Maria Voroneanu
Numerous studies have addressed the issue of postoperative development, and nonetheless remains an question still open: "Why only certain patients install "postoperatory disease". Another question that must take into consideration concerns the following issue: "Is the post-operative disease a natural predictable, evolution, an iatrogenia or a case of malpraxis?" To establish the boundary between these definitions is essential to identify the factors that compete in emerging postsurgery disease: Evolution natural, predictable, up to a threshold, dependent or not the presence of risk factors? Iatrogenia caused by ignorance of the risk factors? Malpraxis produced by ignoring risk factors? We thought as logical and essential step identifying specific percentages of factors determining the involvement of patient in installation of specific postsurgery manifestations...
October 2008: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
Victor C Eyenga, Joseph Eloundou Ngah, René Atangana, Marcellin Ngowe Ngowe, Maurice Sosso
BACKGROUND: Spinal neurinomas and neurofibromas are poorly studied in Sub-Saharan Africa. AIM: The objective of this study was to report the results of the surgical management of these tumours in Yaoundé. METHODS: This was a retrospective study done at the Yaoundé General and Yaoundé Central Hospitals from the 1st of January 1995 to the 1st of January 2005. The inclusion criteria: medical files which had the results of pre and post operatory clinical examinations, neuroradiologic and histopathologic examinations, the post operatory report...
July 2008: La Tunisie Médicale
João Florêncio de Abreu Baptista, Danilo Nagib Salomão Paulo, Isabel Cristina Andreatta Lemos Paulo, Marcos Célio Brocco, Rafael Rodolfo Serafim, Diego Colodeti, Alcino Lázaro da Silva
PURPOSE: To study the safety and efficiency of two anesthetic blockages in hemorrhoidectomy and the effect of clonidine on analgesia. METHODS: 80 patients were studied, randomly divided into four groups: l (n=19)- peridural with a 0,75% ropivacaine; 2 (n=21)-peridural with a 0,75% ropivacaine and 150 microg of clonidine; 3 (n=19)- subarachnoid with a 0,5% bupivacaine; 4 (n=21)- subarachnoid with a 0,5% bupivacaine and 50 microg of clonidine. The intensity of pain was evaluated by the visual analogical scale 8, 12 and 24 hours after surgery...
November 2008: Acta Cirúrgica Brasileira
Antonio De Martino, Walter Testi, Daniela Cirianni, Carmen Staffieri, Riccardo Malatesti, Francesco Maria Consiglio
AIMS OF THE STUDY: With the increasing of the middle age, more and more elderly patients with incarcerated inguinal hernia have to be surgically treated with lower operatory time and lower anesthesiological stress. The Authors present a personal tension-free hernioplastic technique. MATERIALS AND METHODS: Thirthy-seven male patients (range 80-92 years) recovered for incarcerated inguinal hernia (Gilbert II tipe) without vascular injury, underwent to tension-free hernioplastic technique without inguinal canal opening, in local anaesthesia...
May 2007: Annali Italiani di Chirurgia
E Târcoveanu, V Filip, R Moldovanu, G Dimofte, C Lupaşcu, N Vlad, A Vasilescu, Oana Epure
Abdominal tuberculosis is a rare disease, with non-specific findings. Peritoneal tuberculosis is a frequent cause of low gradient ascites. The records of 22 patients (Il males, 11 females, mean age 41,17 years, and range 17-74 years) diagnosed with abdominal tuberculosis (TBC) in First Surgical Clinic, "St. Spiridon" University Hospital Iaşi between 1995 and 2006 were analyzed retrospectively and the literature was reviewed. From these 22 patients diagnosed with abdominal tuberculosis, there were: peritoneal TBC in 16 cases, intestinal TBC in 5 cases, mesenteric lymph nodes TBC in 1 case...
May 2007: Chirurgia
Cesare Gregoretti, Daniela Decaroli, Antonio Miletto, Alice Mistretta, Rosario Cusimano, V Marco Ranieri
Medical and surgical treatment of the trauma patient has evolved in the last decade. Treatment of pain from multiple fractures or injured organs and surgical anesthesia with regional anesthesia techniques have been used to reduce post-traumatic stress disorder and reduce the adverse effects of general anesthesia. Neuraxial blocks and peripheral nerve block techniques should be practiced by trained emergency and operatory room staff. This article reviews recent publications related to the role of regional anesthesia in trauma patients in the prehospital, emergency, and operatory room settings...
March 2007: Anesthesiology Clinics
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