Scientific Journal of Hamadan University of Medical Sciences, 2009
Introduction & Objective: Postoperative acute pain is a complex reaction to tissue injury , v... more Introduction & Objective: Postoperative acute pain is a complex reaction to tissue injury , visceral distention or a disease that causes harmful physiologic effects on several organs. It seems that with more epidemiologic and pathologic knowledge of postoperative pain, patients can be relieved more and hospital expenses reduced. One of the methods to reduce postoperative analgesics requirement is the preemptive analgesia. Many drugs like NSAIDs and narcotics have been used. The aim of this article was to study the effect of a single dose Indomethacin suppository given before operating colles fracture to reduce postoperative analgesics requirement. Materials & Methods: In this clinical study patients were divided into two groups randomly. The case group (55 people) received 100 mg indomethacin thirty minutes before anesthesia , while the control group (45 people) received nothing . All had the same kind of anesthesia , which lasted less than an hour for all . After operation they received NSAIDs or narcotics according to the Flacc pain scale. Results: The average NSAID received after the operation in the case group was 16.8±23.1 mg, and 30.5±33.6 mg in the control group. Studying these values with t- test illustrates that using preoperative indomethacin causes less postoperative NSAID requirement (P<0.05). The average opioid equivalent dose given in the case group was 1.3 ±2.9 mg and 6.2±8.3 mg in the control group , demonstrating less opioid requirement in the case group(P<0.05). Conclusion: Prescribing a single dose indomethacin suppository before colles fracture operation has preemptive analgesic effect and reduces postoperative analgesic requirement.
Received: 03th January 2017 Received in revised form: 24th Apr 2017 Accepted: 28th Apr 2017 Avail... more Received: 03th January 2017 Received in revised form: 24th Apr 2017 Accepted: 28th Apr 2017 Available online: 29th May 2017
Background: The majority of the cases of coccydynia occur in conjunction with either subluxated o... more Background: The majority of the cases of coccydynia occur in conjunction with either subluxated or hypermobile coccyx, and it has been proposed that this pathologic instability may cause chronic inflammatory changes. Objectives: This study was done to evaluate the effect of coccygectomy in patients with resistant coccydynia after initial conservative therapy failure. Patients and Methods: Between October 2010 and December 2013, 13 patients with coccydynia underwent coccygectomy in the hospitals of Ahvaz city after a failed conservative therapy for at least 4 - 6 months. In order to evaluate the results, a questionnaire was obtained, including the extent of relief in the painful area, improvement in quality of life, intensity of pain in the sitting position, pain during daily activities, and the need for analgesics, according to the criteria described by Bayne. Results: The patients were followed up for an average of 25.7 months. The results were good in 11 patients, excellent in 1, ...
Developmental dysplasia of the hip (DDH) is a spectrum of abnormalities associated with the abnor... more Developmental dysplasia of the hip (DDH) is a spectrum of abnormalities associated with the abnormal development of the hip that may appear during the fetal period, infancy and or childhood. It mainly manifests itself as shallow acetabulum, hip subluxation and dislocation. The main cause of DDHis unknown. Nonetheless, among the known factors affecting DDHgender, birth order, family history, intrauterine position, type of delivery, joint weakness and postnatal position can be cited. DDH is one of the most common reason for hip replacement in pa ents below 60 years of age. Treatment varies according to the age and extent of dysplasia, and DDH on the le side is reportedly3 mes more common than the right side . Ultrasound plays an important role in the diagnosis and treatment of DDH and is useful in monitoring closed reductionprocedures . The late diagnosis of DDH can lead to limping and tip walking . In the early stages of diagnosis and treatment by non-surgical method, the duration of...
Scientific Journal of Hamadan University of Medical Sciences, 2009
Introduction & Objective: Postoperative acute pain is a complex reaction to tissue injury , v... more Introduction & Objective: Postoperative acute pain is a complex reaction to tissue injury , visceral distention or a disease that causes harmful physiologic effects on several organs. It seems that with more epidemiologic and pathologic knowledge of postoperative pain, patients can be relieved more and hospital expenses reduced. One of the methods to reduce postoperative analgesics requirement is the preemptive analgesia. Many drugs like NSAIDs and narcotics have been used. The aim of this article was to study the effect of a single dose Indomethacin suppository given before operating colles fracture to reduce postoperative analgesics requirement. Materials & Methods: In this clinical study patients were divided into two groups randomly. The case group (55 people) received 100 mg indomethacin thirty minutes before anesthesia , while the control group (45 people) received nothing . All had the same kind of anesthesia , which lasted less than an hour for all . After operation they received NSAIDs or narcotics according to the Flacc pain scale. Results: The average NSAID received after the operation in the case group was 16.8±23.1 mg, and 30.5±33.6 mg in the control group. Studying these values with t- test illustrates that using preoperative indomethacin causes less postoperative NSAID requirement (P<0.05). The average opioid equivalent dose given in the case group was 1.3 ±2.9 mg and 6.2±8.3 mg in the control group , demonstrating less opioid requirement in the case group(P<0.05). Conclusion: Prescribing a single dose indomethacin suppository before colles fracture operation has preemptive analgesic effect and reduces postoperative analgesic requirement.
Received: 03th January 2017 Received in revised form: 24th Apr 2017 Accepted: 28th Apr 2017 Avail... more Received: 03th January 2017 Received in revised form: 24th Apr 2017 Accepted: 28th Apr 2017 Available online: 29th May 2017
Background: The majority of the cases of coccydynia occur in conjunction with either subluxated o... more Background: The majority of the cases of coccydynia occur in conjunction with either subluxated or hypermobile coccyx, and it has been proposed that this pathologic instability may cause chronic inflammatory changes. Objectives: This study was done to evaluate the effect of coccygectomy in patients with resistant coccydynia after initial conservative therapy failure. Patients and Methods: Between October 2010 and December 2013, 13 patients with coccydynia underwent coccygectomy in the hospitals of Ahvaz city after a failed conservative therapy for at least 4 - 6 months. In order to evaluate the results, a questionnaire was obtained, including the extent of relief in the painful area, improvement in quality of life, intensity of pain in the sitting position, pain during daily activities, and the need for analgesics, according to the criteria described by Bayne. Results: The patients were followed up for an average of 25.7 months. The results were good in 11 patients, excellent in 1, ...
Developmental dysplasia of the hip (DDH) is a spectrum of abnormalities associated with the abnor... more Developmental dysplasia of the hip (DDH) is a spectrum of abnormalities associated with the abnormal development of the hip that may appear during the fetal period, infancy and or childhood. It mainly manifests itself as shallow acetabulum, hip subluxation and dislocation. The main cause of DDHis unknown. Nonetheless, among the known factors affecting DDHgender, birth order, family history, intrauterine position, type of delivery, joint weakness and postnatal position can be cited. DDH is one of the most common reason for hip replacement in pa ents below 60 years of age. Treatment varies according to the age and extent of dysplasia, and DDH on the le side is reportedly3 mes more common than the right side . Ultrasound plays an important role in the diagnosis and treatment of DDH and is useful in monitoring closed reductionprocedures . The late diagnosis of DDH can lead to limping and tip walking . In the early stages of diagnosis and treatment by non-surgical method, the duration of...
Uploads