Diseases of the colon and rectum
-
Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of handsewn with stapled loop ileostomy closures.
The aim of this study was to determine if a stapled side-to-side closure of an ileostomy results in decreased length of hospital stay compared with a handsewn closure. ⋯ Handsewn and stapled closures of loop ileostomy are not significantly different with respect to day of first stool, day until solid diet, or discharge day. Complications were similar in the two groups. Stapled closure is significantly quicker than handsewn closure.
-
Randomized Controlled Trial Clinical Trial
Recall of informed consent after endoscopic procedures.
The aim of this study was to determine if recall of informed consent is affected by the timing of obtaining informed consent before endoscopic procedures. ⋯ Recall of informed consent is similar whether consent is obtained immediately or several days before endoscopic procedures.
-
Randomized Controlled Trial Clinical Trial
Transdermal fentanyl improves management of postoperative hemorrhoidectomy pain.
Outpatient postoperative hemorrhoidectomy pain remains a difficult problem. The purpose of this study is to evaluate the use of transdermal fentanyl for analgesia following hemorrhoidectomy. ⋯ Results indicate that use of transdermal fentanyl provides an effective analgesic alternative that improves the transition to noninvasive outpatient pain management in the hemorrhoidectomy patient.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Which technique for treatment of pilonidal sinus--open or closed?
After excision of the pilonidal sinus, some surgeons leave the wound open, and others close the wound primarily. The aim of this study is to compare length of hospital stay, length of time to return to work, wound infection rate, and recurrence rate in chronic pilonidal sinus patients, after modification of both closed and open techniques. ⋯ Because both techniques have very low complication rates, treatment of chronic pilonidal sinus should be based on patient preference and characteristics, especially employment status.
-
Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Perineal wound management after abdominoperineal rectal excision for carcinoma with unsatisfactory hemostasis or gross septic contamination: primary closure vs. packing. A multicenter, controlled trial. French Association for Surgical Research.