Journal of the Medical Association of Thailand = Chotmaihet thangphaet
-
Randomized Controlled Trial Clinical Trial
Effect of oral pilocarpine on post-irradiation xerostomia in head and neck cancer patients: a single-center, single-blind clinical trial.
The authors determined the efficacy and safety of oral pilocarpine tablet in symptomatic relief of post-radiation xerostomia in head and neck cancer patients. ⋯ Oral pilocarpine was effective and well tolerated in the treatment of radiation-induced xerostomia symptoms.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Comparative study between computer assisted-navigation and conventional technique in minimally invasive surgery total knee arthroplasty, prospective control study.
Both Minimally Invasive surgery (MIS) and Computer-Assisted Surgery (CAS) are useful in Total Knee Arthroplasty (TKA). Minimally invasive total knee arthroplasty was associated with decreased blood loss, shorter hospital stays, and increased range of motion. Computer-assisted surgery in total knee arthroplasty was developed to improve the positioning of implants during surgery. ⋯ The use of navigation in total knee arthroplasty increases accuracy in limb and implants alignment, and does not increase complications and surgical times.
-
Randomized Controlled Trial Clinical Trial
Relieving perineal pain after perineorrhaphy by diclofenac rectal suppositories: a randomized double-blinded placebo controlled trial.
Perineal pain after episiotomy is a common problem following vaginal birth. The pain affects either physical or mental function negatively. There are many methods in perineal pain relief such as local ice pack and a bath, ultrasound, oral anesthesia, and intravenous anesthesia. Analgesic rectal suppository is one of various methods in pain relief especially in drowsy patients, or when oral preparation causes gastric discomfort, nausea or vomiting. ⋯ The present study suggested that diclofenac suppository was effective on reducing perineal pain after episiotomy, especially at 12 and 24 hours after administration.
-
Randomized Controlled Trial Clinical Trial
Ondansetron vs. metoclopramide for the prevention of nausea and vomiting after gynecologic surgery.
Postoperative nausea and vomiting (PONV) remains a very troublesome concomitant phenomenon after general anesthesia. The present study was designed to compare the efficacy and safety of ondansetron with metoclopramide for prophylaxis of PONV in patients undergoing major gynecological surgery. ⋯ Prophylactic use of ondansetron is more effective than metoclopramide for preventing PONV in patients undergoing major gynecological surgery.
-
Randomized Controlled Trial Clinical Trial
Standard whipple's operation versus pylorus preserving pancreaticoduodenectomy: a randomized controlled trial study.
A single-institution randomized controlled trial was conducted to compare the results of standard whipple operation (SW) with those of pylorus-preserving pancreaticoduodenectomy (PPPD). ⋯ SW and PPPD were comparable in terms of operation time, blood loss, operative mortality and morbidity, and survival. Although the incidence of DGE was higher in the PPPD group, the hospital stay was similar for both groups. Both surgical procedures were equally effective for the treatment of pancreatic and periampullary carcinoma.