Randomized comparison between stapled hemorrhoidopexy and Ferguson hemorrhoidectomy for grade III hemorrhoids in Taiwan: a prospective study

Background: Steroid injection is a proven treatment for trigger digits. The time taken for resolution of triggering following an injection is a question often asked by patients and one that has not been adequately addressed in existing literature. The aim of this study was to determine the time taken for triggering to resolve after a single steroid injection in patients presenting for the first time with a trigger digit. Methods: A prospective study was conducted in patients with first presentation of a grade II or grade III trigger digit(s) that received a steroid injection. Data with regards to age, gender, digit(s) involved, duration of symptoms, trigger grade, and presence of diabetes were collected. They were given a stamped addressed postcard with instructions to fill in the date that the triggering resolved and mail the postcard back to us. If the postcard was not received at three weeks, we contacted the patient by telephone to ask for the date of resolution of trigger. Results: 56 patients with 66 trigger digits were included in the study. 52 out of 66 digits (79%) had resolution of the trigger at one month. The mean duration for resolution of trigger was 8.8 days (range 1–30 days). Conclusions: Patients can be counselled that a steroid injection is effective in resolving the trigger in 79% of trigger digits presenting for the first time and that the mean time taken for resolution of triggering is 8.8 days. It is recommended to wait for at least one month before considering another injection or alternative treatments.

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A Prospective Study of Dextran-induced Anaphylactoid Reactions in 5745 Patients

Anaesthesia and Intensive Care ◽

10.1177/0310057x8701500208 ◽

1987 ◽

Vol 15 (2) ◽

pp. 163-167 ◽

Cited By ~ 50

Author(s):

J. Paull

Keyword(s):

Cardiac Arrest ◽

Caesarean Section ◽

Prospective Study ◽

Neonatal Death ◽

Major Surgery ◽

Dextran 70 ◽

Anaphylactoid Reactions ◽

A Prospective Study ◽

Grade Iii ◽

Induced Cardiac Arrest

A prospective study of dextran-induced anaphylactoid reactions (DIAR) in 5745 gynaecological and obstetric patients who received dextran 70 solution intravenously while undergoing major surgery revealed 8 patients who had Grade I or II reactions and 7 patients who had Grade III or IV reactions. The incidence of severe reactions was 1:821 patients treated. The overall incidence of reactions per patient treated was 1:383. One neonatal death followed a dextran-induced cardiac arrest in a woman about to undergo caesarean section. The risks of dextran 70 treatment exceeded the risks of thromboembolism in these patients.

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Clinical Course in Acute Self-poisonings: A Prospective Study of 1125 Consecutively Hospitalised Adults

Human Toxicology ◽

10.1177/096032718400300204 ◽

1984 ◽

Vol 3 (2) ◽

pp. 107-116 ◽

Cited By ~ 26

Author(s):

D. Jacobsen ◽

P.S. Frederichsen ◽

K.M. Knutsen ◽

Y. Sørum ◽

T. Talseth ◽

...

Keyword(s):

Intensive Care ◽

Prospective Study ◽

Respiratory Depression ◽

Clinical Course ◽

Respiratory Arrest ◽

Toxic Agents ◽

Therapeutic Measures ◽

Unselected Group ◽

A Prospective Study ◽

Grade Iii

1 The clinical course in an unselected group of 1125 consecutively hospitalised self-poisonings was studied during 1 year in Oslo. 2 Mortality was 0.5%, but only 0.3% in those admitted without cardiac and respiratory arrest. Mortality among those in grade IV coma was 4.2%. 3 The deepest comas (grade III or IV) occurred in 25.1% of the admissions with a mean duration of the coma of 5.8 h (range 1-80). 4 Complications occurred in 21.7% of the admissions and 6.9% suffered more than one complication of which the most frequent were respiratory depression (13.5%), hypotension (5.3%), pneumonia (4.4%), and hypothermia (1.6%). The complication rate was highest in poisonings with opiates (60.7%), meprobamate (37.5%) and antihistamines (30.0%). 5 Arrhythmias and respiratory depression were closely associated with poisonings with antidepressants and opiates, respectively. Owing to frequent polydrug overdoses it was difficult to associate other complications with other main toxic agents. 6 Administration of antidotes (20.6%), cuffed intubation (4.4%) and forced alkaline diuresis (3.4%) were the most frequent special therapeutic measures taken. 7 The change in pattern of self-poisonings in Oslo focuses on antidote therapy and intensive care, especially outside hospital, but limits the need for haemodialysis and haemoperfusion which were performed in only 1.0% of the admissions.

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