Experimental application of surgical technique for perineal urethrostomy in male cats

2018 ◽  
Vol 17 (03) ◽  
pp. 22-28
Author(s):  
Thong Q. Le
Keyword(s):  
Pain Scale ◽  
Healing Time ◽  
Short Term ◽  
Pain Scores ◽  
Post Operative Pain ◽  
Experienced Pain ◽  
Average Pain ◽  
Assessment Time ◽  
Post Operation ◽  
Wound Healing Time

The objective of this study was to evaluate the efficiency of PU in male cats. The perineal urethrostomy (PU) was performed in 10 home-breed male cats, in which 9 cats were healthy and 1 cat had cystolith (2.5 ± 0.5 kg BW), from May 2017 to April 2018 at the Department of Clinical Veterinary Science of Nong Lam University, Ho Chi Minh City. The criteria for evaluating the experiment included the successful rate, wound healing time, post-operative pain assessment, time of return to normal urination and defecation and post-operative short-term complications. The results showed that 9 out of 10 cats completely recovered their urinating ability in approximately 14 days post-operation, in which 2 cats experienced wound infection and required a surgical intervention. One cat died due to unknown causes at the 10th day post operation. The average pain scores based on the Feline Glasgow Composite Measure Pain Scale (CMPS - Feline) in the first 5 days were relatively high (scored as 11) and gradually decreased; until 14 days post-operation, 100% of cats recovered had no sign of pain (scored as 1). It was recorded that all cats experienced pain and difficulty in urination and defecation for a few days after the surgery. After removing the urinary catheter, the cats needed 3 to 5 days to get used to the new urethral stoma and normally self-urinated ability. In general, the successful rate of this surgical method was 90% (9 out of 10 fully recovered cats) in which most of the cats were healthy and returned to normal urination after 14 days post-operation

scholarly journals Efficacy of Ruiyun procedure for hemorrhoids combined simplified Milligan–Morgan hemorrhoidectomy with dentate line-sparing in treating grade III/IV hemorrhoids: a retrospective study

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Qiuxiang Yu ◽  
Congcong Zhi ◽  
Lansi Jia ◽  
Hui Li
Keyword(s):  
Wound Healing ◽  
Postoperative Complications ◽  
Recurrence Rate ◽  
Dentate Line ◽  
Healing Time ◽  
Post Operation ◽  
Time Required ◽  
Wound Healing Time ◽  
Normal Work ◽  
Grade Iii

Abstract Background Hemorrhoids are common. Hemorrhoidectomy should typically be offered to patients whose symptoms result from external hemorrhoids or combined internal and external hemorrhoids with prolapse (grades III/IV). However, none of the currently used surgical methods could be considered an ideal surgical option that is effective, safe, and painless. We hypothesized that a combination of Ruiyun procedure for hemorrhoids (RPH) and simplified Milligan–Morgan hemorrhoidectomy (sMMH) will increase the safety and effectiveness of surgical treatment hemorrhoids. This study aimed to evaluate the efficacy of Ruiyun procedure for hemorrhoids combined simplified Milligan–Morgan hemorrhoidectomy with dentate line-sparing (RPH + sMMH) to treat grade III/IV hemorrhoid. Methods Total 452 patients with hemorrhoids of grade III/IV were retrospectively reviewed in China-Japan Friendship Hospital, 244 cases were assigned to RPH + sMMH group, and 208 cases in MMH group. The primary efficacy outcome was rate of curative at 3 month after operation, and the recurrence rate within 12 months post operation. Secondary efficacy outcomes included wound healing time, time required to resume normal work, constipation symptom, quality of life, and pain post operation was also evaluated. The safety outcome included postoperative complications. Results There were no differences between the two groups in demographic characteristics. There was no statistically significant difference between the two groups in the curative rate. The recurrence rate after 12 months post operation in the RPH + sMMH (3.0%) was significantly lower than the sMMH group (7.8%) (P = 0.032). The wound healing time was significantly shorter in RPH + sMMH group than that in MMH group (P < 0.001). The time required to resume normal work in the RPH + sMMH group was significantly shorter than MMH group (P < 0.001). Compared with the MMH group, the RPH + sMMH therapy preserve better life quality and lower constipation symptom (all P < 0.05). Patients who underwent RPH + sMMH had significantly less postoperative pain than MMH therapy. The total rate of patients with postoperative complications in the RPH + sMMH group (8.6%) was significant lower than the MMH group (16.3%) (P = 0.012). Conclusion RPH + sMMH may more effective in treating patients with III/IV hemorrhoids, which indicated lower recurrence rate, lower postoperative complications and pain, shorter recovery and return to normal life.

Does meloxicam provide adequate pain management as a post-operative analgesic in canine ovariohysterectomy patients?

2020 ◽  
Vol 11 (4) ◽  
pp. 192-197
Author(s):  
Gavin Goldsbrough ◽  
Helen Reynolds
Keyword(s):  
Pain Management ◽  
Pain Score ◽  
Pain Scale ◽  
Short Term ◽  
Post Surgery ◽  
Pain Scores ◽  
Significant Difference ◽  
Time Frames ◽  
Adequate Pain Management

Background: Meloxicam is an analgesic agent with anti-inflammatory properties, commonly used in veterinary practices to treat a variety of different long-term medical conditions and is also used as a short-term pain relief following particularly traumatic surgeries. Aims: An observational study was conducted to determine whether meloxicam provides adequate pain management as a post-operative analgesic for canine ovariohysterectomies. Methods: 13 canines were admitted for ovariohysterectomy. Each patient was assessed using the Glasgow composite pain scale (CMPS) prior to surgery during the admission procedure, 15 minutes post-operatively, at discharge and at their post-operative check (POC) 3–5 days after surgery. Results: Data were statistically analysed to determine the overall effectiveness of meloxicam in reducing pain following canine ovariohysterectomy. The results showed a statistically significant difference (Kruskal-Wallis test: H3 =12.98, p=0.005) in pain scores between admission, 15 minutes post operatively, discharge and 3–5 days POC. The greatest decrease in pain score was between 15 minutes post-operatively and POC (Mann-Whitney U test: W=236, n=13, 13, p=0.0014) and between discharge and POC (Mann-Whitney U test: W=227, n=13, 13, p=0.0060). Overall, this demonstrated that there was an improvement in pain suggesting meloxicam is effective between these time frames. In addition, 69.2% (n=9) of patients in the study showed a pain score of 0, indicating an absence of pain, on their final POC. Statistical analysis was also used to determine if there was any difference in pain score between the 3, 4 or 5 day POC pain score. The results show there was no significant difference (Kruskal-Wallis test: H2 =0.090, p=0.638) suggesting that meloxicam's effectiveness was similar across this range of time post surgery. Conclusion: The results from the study indicate that meloxicam is an effective post-operative analgesic for canine patients undergoing an ovariohysterectomy.

Regular use of a verbal pain scale improves the understanding of oncology inpatient pain intensity.

1994 ◽  
Vol 12 (12) ◽  
pp. 2751-2755 ◽  
Author(s):  
E Au ◽  
C L Loprinzi ◽  
M Dhodapkar ◽  
T Nelson ◽  
P Novotny ◽  
...  
Keyword(s):  
Primary Care Physicians ◽  
Pain Perception ◽  
Assessment Tool ◽  
Pain Scale ◽  
Oncology Patients ◽  
Educational Effort ◽  
Pain Scores ◽  
Pain Status ◽  
Average Pain ◽  
Average Pain Score

PURPOSE This study was undertaken to determine if the daily use of a verbal pain scale could improve the correlation of pain perception between hospitalized oncology patients and their caregivers. PATIENTS AND METHODS Hospitalized oncology patients were asked to rate verbally their average pain over the past 24 hours on a scale ranging from 0 to 10. The patients' primary-care physicians and nurses were asked the same question on the same morning after they had evaluated their patients. RESULTS During a baseline study, only 64% of caregivers' pain scores were within two points of the respective patient's score. Caregivers tended to underestimate patients' pain scores. Caregivers were alerted to these poor results and then requested to ask each patient daily for the average pain score and record this score on the patient's medical record. Nonetheless, correlation between patients' and caregivers' pain scores remained poor (68% within two points of each other) during a second study. The major reason for the poor results appeared to be because caregivers did not routinely ask patients for pain scores. Subsequently, a renewed, more intensive educational effort was undertaken and a third study was conducted. During the third study, 85% of caregivers' and patients' pain scores were within two points of each other (P = .001 when compared with baseline). CONCLUSION The enforced use of a simple verbal pain assessment tool appears to improve caregiver's understanding of the pain status of hospitalized oncology patients.

scholarly journals ANALGESIA

2006 ◽  
Vol 13 (03) ◽  
pp. 391-395
Author(s):  
FAYYAZ HUSSAIN ◽  
MOHAMMAD SIDDIQUE ◽  
AMRAN HAFIZ
Keyword(s):  
Mefenamic Acid ◽  
Study Groups ◽  
Pain Scale ◽  
Pain Scores ◽  
Post Operative Pain ◽  
Safe Strategy ◽  
Group A ◽  
Inflammatory Drugs ◽  
C 50 ◽  
Group B

Pain following tonsillectomy in childrenis a significant problem that tends to be underestimated. Nonsteroidal anti-inflammatory drugs are effective in themanagement of mild to moderate post-operative pain in children. They can decrease or even eliminate the need foropioid analgesia, thus reducing the opioid-induced side effects. In this study, I used paracetamol alone and acombination of paracetamol with either mefenamic acid or ibuprofen and examined the analgesia produced by all thesethree regimens by using Wong and Baker facial pain scale. Patients and method: The study comprised of three groupsA, B, and C (50 patients in each group selected by non probability convenient method and randomly divided). Analgesiawas achieved in group A with paracetamol 20mg/kg, with paracetamol 20mg/kg plus mefenamic acid 10mg/kg in groupB and paracetamol 20mg/kg plus ibuprofen 5mg/kg in group C orally in syrup form. Post-operative pain was assessedby Wong & Baker faces pain scale at recovery, 4, 8, 12 and 24 hours. Supplementary analgesia was given with oralmefenamic acid (10 mg/kg) in-group B and ibuprofen (5mg/kg) in-group C; otherwise regular oral paracetamol (20mg/kg-6 hourly) was given routinely in all three-study groups post-operatively. Results: Pain score was significantlyhigher in paracetamol group as compared to mefenamic acid or ibuprofen groups (P<0.05), however there was nosignificant difference in pain scores between mefenamic acid and ibuprofen groups. Conclusion: Although there is stillneed for improving analgesia for tonsillectomy pain in children but I can acclaim that a combination of mefenamic acidor ibuprofen with paracetamol is still the most useful, cheap and safe strategy in children, which avoids all opioids sideeffects.

A COMPARATIVE STUDY OF CONVENTIONAL INCISION AND DRAINAGE VERSUS INCISION AND DRAINAGE WITH PRIMARY CLOSURE OF THE WOUND IN ACUTE ABSCESSES

2021 ◽  
pp. 44-46
Author(s):  
T. Babu Antony ◽  
S. Thirunavukkarasu ◽  
Karthick Chandran ◽  
Gowtham G. ◽  
Sudhishnaa S.
Keyword(s):  
Primary Closure ◽  
Tertiary Care ◽  
Healing Time ◽  
Open Drainage ◽  
Tertiary Care Centre ◽  
Time Duration ◽  
Incision And Drainage ◽  
Secondary Intention ◽  
Post Operative Pain ◽  
Wound Healing Time

Acute abscesses are a surgical emergency and almost always require drainage, especially from supercial sites. This is a study among 100 patients in a tertiary care centre in South India to compare the efcacy of two methods of management of supercial – skin and soft tissue- abscesses in terms of post operative pain, wound healing time, duration of inpatient treatment and recurrence of abscess at primary site. The rst method was the conventional Incision and Open drainage and healing by secondary intention. The second method involved Incision and Drainage and primary closure of the wound with a negative pressure drain. The latter method was found to be signicantly superior to the conventional method in all the above mentioned outcomes. Hence, this method can be promoted along with the use of appropriate antibiotics to lessen the inconveniences of the patients.

scholarly journals Comparison of post operative pain in tonsillectomy: a three year prospective study

2020 ◽  
Vol 6 (12) ◽  
pp. 2189
Author(s):  
Akshay Jain ◽  
Smruti Milan Tripathy
Keyword(s):  
Prospective Study ◽  
Pain Scale ◽  
Visual Analogue Pain Scale ◽  
Bipolar Cautery ◽  
Visual Analogue Pain ◽  
Pain Scores ◽  
Post Operative Period ◽  
Post Operative Pain ◽  
Significant Difference ◽  
Cold Dissection

<p><strong>Background:</strong> Tonsillectomy is the oldest surgery performed by otorhinolaryngologists worldwide. Through ages different techniques have been tried to improve the post surgical outcome and reduce morbidity among patients. Aim of the current study was to compare the post-operative pain among the patients undergoing tonsillectomy by cold dissection, bipolar cautery dissection and coblation dissection.</p><p><strong>Methods:</strong> 142 Patients undergoing tonsillectomy in ENT department of TMMC during the period of 3 year were included in the study. Patients were randomly distributed to undergo different techniques of tonsillectomy. The post-operative pain in patients was assessed using the pre-standardized visual analogue pain scale and results were analyzed.</p><p><strong>Results:</strong> No statistically significant difference was found among the groups undergoing tonsillectomy by cold dissection, bipolar dissection and coblator dissection as the p&gt;0.05. The immediate post-operative pain was found to be slightly higher among the group undergoing tonsillectomy by coblator dissection and the analgesics dose needed in the post-operative period remained the same for all for patients of all the three groups.</p><p><strong>Conclusions:</strong> No statistically significant difference was found in the post-operative pain scores of patients undergoing tonsillectomy by CD, BD and CBD techniques.</p>

A randomised controlled trial of coblation, diode laser and cold dissection in paediatric tonsillectomy

2015 ◽  
Vol 129 (11) ◽  
pp. 1058-1063 ◽  
Author(s):  
M R Elbadawey ◽  
H M Hegazy ◽  
A E Eltahan ◽  
J Powell
Keyword(s):  
Blood Loss ◽  
Diode Laser ◽  
Operative Time ◽  
Controlled Trial ◽  
Pain Scale ◽  
Recurrent Tonsillitis ◽  
Pain Scores ◽  
Post Operative Pain ◽  
Randomised Controlled ◽  
Cold Dissection

AbstractObjective:This study aimed to compare the efficacy of diode laser, coblation and cold dissection tonsillectomy in paediatric patients.Methods:A total of 120 patients aged 10–15 years with recurrent tonsillitis were recruited. Participants were prospectively randomised to diode laser, coblation or cold dissection tonsillectomy. Operative time and blood loss were recorded. Pain was recorded on a Wong–Baker FACES®pain scale.Results:The operative time (10 ± 0.99 minutes), blood loss (20 ± 0.85 ml) and pain were significantly lower with coblation tonsillectomy than with cold dissection tonsillectomy (20 ± 1.0 minutes and 30 ± 1.0 ml;p= 0.0001) and diode laser tonsillectomy (15 ± 0.83 minutes and 25 ± 0.83 ml;p= 0.0001). Diode laser tonsillectomy had a shorter operative time (p= 0.0001) and less blood loss (p= 0.001) compared with cold dissection tonsillectomy. However, at post-operative day seven, the diode laser tonsillectomy group had significantly higher pain scores compared with the cold dissection (p= 0.042) and coblation (p= 0.04) tonsillectomy groups.Conclusion:Both coblation and diode laser tonsillectomy are associated with significantly reduced blood loss and shorter operative times compared with cold dissection tonsillectomy. However, we advocate coblation tonsillectomy because of the lower post-operative pain scores compared with diode laser and cold dissection tonsillectomy.

Selective scalp block decreases short term post-operative pain scores and opioid use after craniotomy: A case series

2021 ◽  
Vol 93 ◽  
pp. 183-187
Author(s):  
Kunal S. Patel ◽  
Matthew Z. Sun ◽  
Shelby L. Willis ◽  
Mahlet Alemnew ◽  
Russell De Jong ◽  
...  
Keyword(s):  
Case Series ◽  
Opioid Use ◽  
Short Term ◽  
Pain Scores ◽  
Post Operative Pain ◽  
Scalp Block

The Acupunture Treatment of Low Back Pain: A Randomized Controlled Study

1980 ◽  
Vol 08 (01n02) ◽  
pp. 181-189 ◽  
Author(s):  
Ralph M. Coan ◽  
Grace Wong ◽  
Su Liang Ku ◽  
Yick Chong Chan ◽  
Lucy Wang ◽  
...  
Keyword(s):  
Back Pain ◽  
Treatment Group ◽  
Controlled Study ◽  
Short Term ◽  
Delayed Treatment ◽  
Treatment Groups ◽  
Treatment Situation ◽  
Pain Scores ◽  
Average Pain

The acupuncture treatment situation was beneficial to the majority of people with how back pain. This was shown by the use of the short-term controls and long-term controls, although the later were not intended in the study design. After acupuncture, there was a 51% pain reduction in the average pain score in the Immediate Treatment Group. This short-term controls, the Delayed Treatment Group, had no reduction whatsoever in their pain scores at the comparable followup period. Later, the Delayed Treatment Group were also treated by acupuncturists, and reported 62% less pain. When these two treatment groups were compared at 40 weeks with long-term controls (Inadequate Treatment Group), the Inadequate Treatment Group still had the same pain scores, on the average, as when they were enrolled in the study. Both treatment groups, on the average, had 30% lower pain scores. Furthermore, 58% of the treatment groups felt that they were definitely improved at 40 weeks, while only 11% of the Inadequate Treatment Group felt definitely improved at 40 weeks.

Standardized Tendon Fenestration with Injection of Autologous Blood for Treatment of Lateral Epicondylitis

2020 ◽  
Author(s):  
Chul Ki Goorens ◽  
Pascal Wernaers ◽  
Joost Dewaele
Keyword(s):  
Tennis Elbow ◽  
Autologous Blood ◽  
Lateral Epicondylitis ◽  
Pain Scale ◽  
Short Term ◽  
Shockwave Therapy ◽  
Other Substances ◽  
Injured Tendon ◽  
Satisfaction Rates

AbstractLateral epicondylitis (LE) of the elbow is often treated with conservative methods. Several techniques including injections with different substances are widely performed. No standardization exists. This prospective study describes the results of the short-term follow-up of 56 patients with mean age 48 years (range: 30–68 years) treated with the Instant Tennis Elbow Cure Medical device, which fenestrates the injured tendon in a standardized way through a holder of 12 small needles. Depth and position of the needles are determined beforehand by ultrasonography. Unprepared autologous blood was injected through the holder in the tendon. Visual analog pain scale (VAS) decreased significantly in rest by 61% and during activity by 47% after 6 weeks. VAS decreased significantly in rest by 79% and during activity by 66% after 3 months. VAS did not remain significantly different after 6 months. Satisfaction rates were 71% after 6 weeks and 82% after 6 months. This suggests that the therapeutical effect sustains and in some cases increases over time. Patient Related Tennis Elbow Evaluation score ameliorated after 3 months by 71%. Comparative studies are needed to confirm this effect versus other techniques as physiotherapy, shockwave therapy, and injections with other substances.

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