Abstract：
BACKGROUND:The reported high incidence of 30-60% postoperative pain after an elective day surgical orchidopexy is undesirable. We evaluated the efficacy of our analgesic regimen for unilateral orchidopexy in preschool children performed as a day surgical procedure. METHODS:Between January 2004 and December 2006, 247 children (mean age: 3.3 +/- 1.6 years) underwent a unilateral orchidopexy as a day surgical procedure. They were prospectively analyzed for postoperative pain during a period of 48 h by using the Visual Analogue Scale (VAS). After standardized general anesthesia, all children had a 0.25% levo-bupivacaine hydrochloride ilio-inguinal block and a rectal diclofenac sodium suppository. Orchidopexy was performed through transverse inguinal and scrotal incisions. The wounds were infiltrated with 0.25% levo-bupivacaine hydrochloride at the end of the operation. Postoperatively acetaminophen and ibuprofen were given orally at regular intervals for 48 h. RESULTS:On first assessment in the recovery room, 148 out of 247 (60%) patients were pain-free, and 99 of 247 (40%) patients had pain: VAS score ranged from 3 to 10. By 3 h, 27 (11%) had mild-to-moderate pain, with VAS scores between 3 and 7. All children were discharged home at 4 h with no pain. At home, 95% were pain-free at 10 h and 97% by 24 h, with a declining pain score. All children were pain-free at 32, 40, and 48 h. Pain scores were unrelated to the duration of surgery (r (s) = 0.54). CONCLUSION:Clinical effectiveness of our institution analgesic regime justifies the performance of unilateral orchidopexy as a day-case procedure.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
Saeed A,Khan AR,Lee V,Aslam A,Brain J,Williams MP,Brennan L,Campbell R,Samuel Mdoi
10.1007/s00268-008-9847-7subject
Has Abstractpub_date
2009-03-01 00:00:00pages
603-6issue
3eissn
0364-2313issn
1432-2323journal_volume
33pub_type
杂志文章abstract：OBJECTIVE:The aim of this study was to investigate the feasibility of digital defog technique in 3D laparoscopic surgery for right colon cancer. METHODS:Fifty patients with right colon cancer were divided into digital defogging group and control group. The intraoperative image clarity, the surgeon's anxiety, the time ...
journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2018-06-01 00:00:00
abstract：BACKGROUND:The present study is designed to determine the feasibility and impact of the introduction of laparoscopic wedge resection as a surgical option for the treatment of suspected small/medium-sized (<7 cm) gastric gastrointestinal stromal tumors (GISTs). METHODS:The study involved a retrospective review of 53 co...
journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2010-08-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2002-03-01 00:00:00
abstract：:Calcium oxalate is a major component of renal stones, and its urinary concentration plays an important role in stone formation. Even a small increase in urinary oxalate has a significant impact on calcium oxalate saturation. Although primary hyperoxaluria is relatively uncommon, patients with calcium oxalate stones ha...
journal_title：World journal of surgery
pub_type： 杂志文章,评审
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journal_title：World journal of surgery
pub_type： 杂志文章,随机对照试验
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journal_title：World journal of surgery
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journal_title：World journal of surgery
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journal_title：World journal of surgery
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：World journal of surgery
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journal_title：World journal of surgery
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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更新日期：1980-01-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2007-03-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2015-11-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2012-11-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2015-07-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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journal_title：World journal of surgery
pub_type： 杂志文章
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journal_title：World journal of surgery
pub_type： 杂志文章
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2006-05-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2002-03-01 00:00:00
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pub_type： 历史文章,杂志文章
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更新日期：2001-12-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：1998-01-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2015-12-01 00:00:00
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journal_title：World journal of surgery
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更新日期：1992-07-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2017-08-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2019-03-01 00:00:00
