Abstract：
BACKGROUND:Postoperative expectations after stapled hemorrhoidopexy are still being clarified. Our purpose was to evaluate how outcome is affected by staple line height (SLH) above the dentate line and specimen histology. METHODS:A prospective database identified demographics, SLH, histology, narcotic use, return to work, and resolution or recurrence of preoperative symptoms data for analysis. RESULTS:One hundred five patients were analyzed; median age was 49 years. Median RTW and narcotic use were 9 and 4 days, respectively. Patients with squamous epithelium-containing specimens had longer narcotic use (P = .038), whereas patients with SLH >20 mm had shorter narcotic use (P = .021). Preoperative pain and bleeding resolved more frequently with SLH >20 mm (P = .036) and less frequently with SLH >40 mm (P = .032). Patients with poor sphincter tone were more likely to have SLH >20 mm (P = .044). Postoperative symptoms recurred more frequently in patients with SLH >40 mm (P = .001). CONCLUSIONS:Hemorrhoidopexy SLH and histology can impact postoperative outcomes. SLH should be >20 mm yet < or =40 mm above the dentate, avoiding squamous epithelium.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Williams R,Kondylis L,Geisler D,Kondylis Pdoi
10.1016/j.amjsurg.2006.09.015subject
Has Abstractpub_date
2007-03-01 00:00:00pages
336-9; discussion 339-40issue
3eissn
0002-9610issn
1879-1883pii
S0002-9610(06)00793-8journal_volume
193pub_type
杂志文章abstract：:A quantitative endotoxin assay was applied in this study of endotoxin transport from the infected abdomen. In rats with fecal peritonitis, extremely high concentrations were found in thoracic duct lymph (approximately 400 times higher than those found in arterial and portal vein plasma). Taking flow rates into account...
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abstract：BACKGROUND:The effectiveness of the nonsteroidal anti-inflammatory drug ketorolac in reducing pulmonary morbidity after rib fractures remains largely unknown. METHODS:A retrospective cohort study was conducted spanning January 2003 to June 2011 assessing pneumonia within 30 days and potential adverse effects of ketoro...
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abstract：:Vertebral arteriovenous fistulas are rare. A report of two cases is presented with problems related to diagnosis and therapy. An alternative approach to surgical management is given. ...
journal_title：American journal of surgery
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journal_title：American journal of surgery
pub_type： 临床试验,杂志文章,随机对照试验
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abstract：:We describe our experience with a supraumbilical skin-fold incision for pyloromyotomy in infants. Our technique uses a vertical fascial incision. This approach provides excellent exposure to the pylorus, allows greater operative flexibility, and results in a superior cosmetic outcome compared to the traditional right ...
journal_title：American journal of surgery
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journal_title：American journal of surgery
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journal_title：American journal of surgery
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期：1989-11-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章
doi：10.1016/s0002-9610(05)80449-0
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journal_title：American journal of surgery
pub_type： 杂志文章,评审
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更新日期：2013-05-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章,评审
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journal_title：American journal of surgery
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journal_title：American journal of surgery
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更新日期：2018-03-01 00:00:00
abstract：BACKGROUND:The role for liver resection in metastatic ovarian cancer has not been defined. The aim of the current study was to investigate the validity of hepatic resection as a treatment option in metastatic ovarian cancer. METHODS:Retrospective review of a single institution's experience of patients undergoing hepat...
journal_title：American journal of surgery
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