Journal of the Royal College of Surgeons of Edinburgh
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J R Coll Surg Edinb · Jun 2000
Randomized Controlled Trial Comparative Study Clinical TrialThoracoscopy versus open lung biopsy in the diagnosis of interstitial lung disease: a randomised controlled trial.
Some patients with diffuse lung disease require a lung biopsy for diagnosis. This study is aimed to compare the clinical results and the efficacy of video-assisted thoracoscopic lung biopsy with the open lung biopsy method for the diagnosis of interstitial lung disease. From January 1996 to December 1998, 61 patients were referred for diagnostic lung biopsy. Thirty two patients were randomly allocated to have a thoracoscopic lung biopsy and twenty nine had an open lung biopsy. Subsequently, various factors were analyzed and compared in both groups. ⋯ Thoracoscopic lung biopsy has some clinical advantages over open biopsy. These findings suggest that thoracoscopic lung biopsy is an acceptable alternative to open lung biopsy for the diagnosis of diffuse interstitial lung diseases.
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J R Coll Surg Edinb · Feb 1993
Randomized Controlled Trial Clinical TrialBupivacaine infiltration after haemorrhoidectomy.
The effect of a locally infiltrated solution of bupivacaine was studied in 30 patients undergoing haemorrhoidectomy. A standard Milligan-Morgan haemorrhoidectomy, with preoperative infiltration of adrenaline solution (1:200,000), was performed. ⋯ There was no significant difference between the groups with respect to visual analogue pain scores, analgesic requirement, time to first bowel action or duration of hospital stay. Bupivacaine as a local infiltration in this situation does not confer analgesic effect into the postoperative period.
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J R Coll Surg Edinb · Jun 1989
Randomized Controlled Trial Comparative Study Clinical TrialAnalgesia following inguinal herniotomy or orchidopexy in children: a comparison of caudal and regional blockade.
The effectiveness of postoperative analgesia was compared in 44 children undergoing inguinal surgery, 19 of whom received caudal analgesia (1 ml 0.2% bupivacaine/kg) and 25 ilioinguinal block (0.25 ml 0.5% bupivacaine/kg). The requirement for supplementary analgesia (intramuscular morphine) was less in the caudal group, although this did not reach statistical significance in the number studied. Ilioinguinal and caudal blockade both provide useful postoperative analgesia for children following ilioinguinal surgery.
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J R Coll Surg Edinb · Jul 1984
Randomized Controlled Trial Clinical TrialProphylactic povidone-iodine spray in accidental wounds.