Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Ambulatory surgery has been recently gaining popularity owing to the increasing constraints on public-sector health care resources. Inguinal hernia repair is one of the most common day-case operations. This study was conducted to audit the early outcomes of 271 consecutive day-case inguinal hernia repairs performed at the Day Surgery Centre of the Tung Wah Hospital from 1 December 1995 through 31 December 1998. No patients died on the day of their surgery; in 265 (97.8%) cases, patients were discharged home on the day of their operation. Two patients required readmission because of fever and urinary retention, and the postoperative morbidity rate was approximately 5% (14/271 cases). Wound complication was the most common morbidity encountered and pain was the most common discomfort experienced by patients at home. These results suggest that ambulatory hernia repair can be performed safely in a day centre and yields excellent early outcomes.
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PMID:An audit of the early outcomes of ambulatory inguinal hernia repair at a surgical day-care centre. 1089 47

Inpatient low-pressure pneumoperitoneum laparoscopic cholecystectomy (LPLC) has been shown to have less postoperative pain (especially shoulder-tip pain). No report so far has documented the use of lower-pressure pneumoperitoneum in outpatient laparoscopic cholecystectomy (LC). A prospective randomized trial was conducted in Tung Wah Hospital, Day Surgery Centre from January 2004 to December 2004. A total of 40 patients were recruited and 20 of whom were allocated to each arm. Outcome measures included operation time, treatment-related morbidity, mortality, postoperative pain (eg, shoulder-tip pain), consumption of analgesics, and level of satisfaction. All patients in both groups could be discharged on the same day. Patients' demographics and operation time were comparable in both groups. There were no treatment-related morbidity and mortality, nor was there any significant difference in postoperative pain. Less shoulder-tip pain was observed in the LPLC group though without significant difference (5% vs. 20%; P=0.151). Three patients in the LPLC group needed higher insufflation pressure (12 mm Hg) because of inadequate exposure and adhesions, and the operations were successful in all of them. Otherwise, no conversion to open procedure was noted in both groups. The consumption of analgesics was minimal and a high level of satisfaction was achieved in both groups of patients. The present study demonstrated no difference in LPLC and standard-pressure pneumoperitoneum laparoscopic cholecystectomy in the outcomes of outpatient LC. Routine use of lower-pressure pneumoperitoneum in outpatient LC would not be recommended unless in selected straightforward cases.
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PMID:Prospective randomized trial on low-pressure versus standard-pressure pneumoperitoneum in outpatient laparoscopic cholecystectomy. 1727 53