TITLE

Uso de dosis única de betametasona en el hemorroidectomía convencional

AUTHOR(S)
García-Nuñez, Lius Manuel; Belmonte-Montes, Carlos; Guerrero-Guerrero, Víctor Hugo
PUB. DATE
May 2007
SOURCE
Revista de Sanidad Militar;may/jun2007, Vol. 61 Issue 3, p152
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Introduction. Anorectal pain is the most common symptom in patients undergoing conventional hemmorrhoidectomy. Management with NSAID is not effective as a analgesic therapy. Steroids are very effective inhibitors of inflammatory process and anorectal pain mediators. We consider that a intramuscular unique-doses of bethametasone in patients undergoing conventional hemmorrhoidectomy has an important analgesic effect. Objective. To demonstrate that an intramuscular unique-doses of bethamesone in the immediate postoperatory period is effective to decrease anorectal pain in patients undergoing conventional hemorrhoidectomy. Methods. A total of 47% undergoing conventional hemorrhoidectomy (Ferguson's procedure) were divided in two groups. A (22 patients) with application of bethamesone as intramuscular unique-dose in the postoperative immediate period and B (25 patients) controlled with placebo. Patients were evaluated with analogue visual scale to determine postoperative anorectal measurement in 24 hours, weekly in 1st to 4th weeks and monthly in 2nd to 4th months. Results. Anorectal pain was minor in group A in all the programmed evaluations. Conclusions. Hence, we consider that a intramuscular unique doses bethamesone administered in the immediate postoperative period in patients undergoing conventional hemorrhoidectomy has important analgesic effect.
ACCESSION #
26452234

 

Related Articles

  • Foreign bodies in the rectum: An analysis of 30 patients. CALISKAN, CEMIL; MAKAY, OZER; FIRAT, OZGUR; KARACA, A. CAN; AKGUN, ERHAN; KORKUT, MUSTAFA A. // Surgery Today;Jun2011, Vol. 41 Issue 6, p795 

    Purpose: A foreign body in the rectum is a rare clinical entity. These foreign bodies can be classified under two major groups: the ones that are inserted from the anus and the ones that are swallowed and thereafter become stuck in the rectum. Methods: Data of patients admitted with a foreign...

  • Colorectal surgical mortality and morbidity in elderly patients: comparison of POSSUM, P-POSSUM, CR-POSSUM, and CR-BHOM. Gomes, António; Rocha, Ricardo; Marinho, Rui; Sousa, Marta; Pignatelli, Nuno; Carneiro, Carla; Nunes, Vitor // International Journal of Colorectal Disease;Feb2015, Vol. 30 Issue 2, p173 

    Purpose: This study aims to compare the predictive value of POSSUM, P-POSSUM, CR-POSSUM and CR-BHOM in colorectal surgical mortality and morbidity in patients over 80 years old. Methods: This is a retrospective observational longitudinal study. A total of 991 patients who underwent major...

  • Spontaneous rupture of rectum with prolapse of small gut through the anus - a case report Case Report. Ghosal, Sushil R.; Bhattacharjee, Prosanta Kr.; Dey, Kamal Krishna // Indian Journal of Surgery;Sep/Oct2004, Vol. 66 Issue 5, p291 

    A 72-year-old lady presented with prolapsed loops of small bowel through the anus without any history of local trauma or instrumentation. The event followed excessive straining during defecation. Exploratory laparotomy revealed a deep pouch of Douglas, and rent on the anterior wall of the...

  • Commented summaries.  // Techniques in Coloproctology;Apr2005, Vol. 9 Issue 1, p79 

    This article discusses two studies on anal fistula. The study "Long-Term Outcome Following Loose-Seton Technique for External Sphincter Preservation in Complex Anal Fistula," determined the long-term outcome after use of the loose-seton technique (LST) to eradicate complex fistula in ano....

  • Assessment of postoperative results in anorectal malformations. Bhatnagar, V. // Journal of Indian Association of Pediatric Surgeons;Apr-Jun2005, Vol. 10 Issue 2, p80 

    Surgery for the correction of anorectal malformations (ARM) is performed by almost all pediatric surgeons. A number of operative procedures are practiced. The posterior sagittal anorectoplasty procedure has found wide acceptability and although it provides the most accurate anatomical...

  • Common Anorectal Conditions: Part I. Symptoms and Complaints.  // American Family Physician;6/15/2001, Vol. 63 Issue 12, p2391 

    Anorectal symptoms and complaints are common and may be caused by a wide spectrum of conditions. Although most conditions are benign and may be successfully treated by primary care practitioners, a high index of suspicion for colorectal cancer should be maintained, and all patients should be...

  • Evaluation and Management of Common Anorectal Conditions. Fargo, Matthew V.; Latimer, Kelly M. // American Family Physician;3/15/2012, Vol. 85 Issue 6, p624 

    The prevalence of benign anorectal conditions in the primary care setting is high, although evidence of effective therapy is often lacking. In addition to recognizing common benign anorectal disorders, physicians must maintain a high index of suspicion for inflammatory and malignant disorders....

  • A modified technique using the Yankauer sucker and argon plasma coagulation for anorectal procedures. Quah, H. M.; Hay, D. J.; Maw, A. // Techniques in Coloproctology;Mar2004, Vol. 8 Issue 1, p47 

    Argon plasma coagulation (APC) is a useful and effective treatment for some anorectal conditions. We describe a modification of the APC instrumentation that aids the application of APC in such cases. Key words: Rectum; Anus; Surgery; Argon plasma coagulation

  • Problems of minor anal surgery: a review. Grace, Roger // Journal of the Royal Society of Medicine;Aug1980, Vol. 73 Issue 8, p576 

    The article focuses on the management of minor problems associated with anal surgery. Alternative methods in managing haemorrhoidectomy treatment have been developed. It was explained that the operation of patients with minor anorectal disease was performed by surgeons who are inexperienced in...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics