Intraoperative superior hypogastric plexus block for pain relief after a cesarean section: a case-control study

Aim To investigate the efficacy of intraoperative superior hypogastric plexus (SHP) block for postoperative pain relief in patients undergoing a cesarean section. Methods One hundred and fifteen pregnant women scheduled for an elective cesarean under general anesthesia were randomly divided into an SHP block (n=65) and a control group (n=50). SHP block was administered with bupivacaine injection. The controls received saline injection in the SHP area. Postoperative pain was assessed by the 10-cm visual analog scale (VAS). The presence of side effects and complications, including opioid or non-steroidal anti-inflammatory drugs (NSAID) requirement, gastrointestinal function, nausea, and vomiting were evaluated. Results The SHP block group had significantly lower VAS scores 2, 6, 24, and 48 hours postoperatively (P<0.001) and required a significantly lower rescue dose of NSAID or opioids (P=0.003, P<0.05, respectively). Conclusions SHP block may be an effective and safe pain relief treatment after a cesarean section

Weathering properties of scots pine treated with some chemicals

This study was aimed to investigate the gloss, surface hardness, surface roughness, and color changes of Scots pine that was treated with some chemicals after six months of weathering exposure. Chromated copper boron (CCB), vacsol aqua, and imersol aqua were used as the impregnation chemicals. Scots pine wood specimens were impregnated with 3% aqueous solutions of the chemicals according to ASTM standards. The results showed that while chemical treatment caused a decrease in surface hardness, gloss, and lightness of wood specimens, it increased the surface roughness of the wood before weathering. While the gloss values of all treated Scots pine specimens increased after weathering, the gloss loss was observed for the untreated specimen after weathering. All of the treated and untreated Scots pine wood surfaces were softened after weathering. The chemical treatment caused a decrease of surface roughness of wood after weathering. While in terms of the gloss, surface hardness, and surface roughness changes, the vacsol aqua-treated pine specimens gave the best results. The CCB-treated Scots pine showed the best color stability after weathering

Surface characteristics of heated and varnished oriental beech after accelerated weathering

This study was performed to investigate some surface characteristics such as surface hardness, surface roughness, and color changes of heated and varnished Oriental beec (Fagus orientalis Lipsky) after accelerated weathering. Heat treatment of Oriental beech wood was carried out by hot air in an oven for 0.5, 1, and 1.5 h at 210, 220, and 230°C. After heat treatment, Oriental beech wood specimens were varnished using a polyurethane varnish. The results showed that accelerated weathering generally caused increase of surface hardness of Oriental beech. Surface roughness and total color changes of heated and varnished Oriental beech were lower than only varnished (control) Oriental beech after accelerated weathering. Heated and varnished Oriental beech wood gave better surface characteristics than only varnished oriental beech after accelerated weathering.No sponso

Malignant Mesothelioma of the Tunica Vaginalis: Presenting with Intermittent Scrotal Pain and Hydrocele

Paratesticular mesotheliomas are very rare tumors. In this paper, we present the management of a 38-year-old male patient with paratesticular malignant mesothelioma who was initially misdiagnosed and treated as recurrent epididymitis. After the final pathology report defining paratesticular mesothelioma during scrotal exploration, he underwent radical orchiectomy and hemiscrotal excision as a complementary, secondary procedure. His metastatic workup did not show any dissemination. Therefore, he did not receive any adjuvant treatment and remained disease-free for more than 2 years

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P &lt; 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

The Role of Early Period ERCP in Acute Biliary Pancreatitis?

Objective: Acute pancreatitis;It can be defined as a clinical picture that occurs as a result of non_bacterial inflammation of the pancreas and may progress with pathological findings. For years, various studies have been conducted on the use of Endoscopic Retrograde Cholangiopancreotography and Endoscopic Sphincterotomy for therapeutic purpose in Acute Pancreatitis. For years, various studies have been conducted on the use of Endoscopic Retrograde Cholangiopancreotography and Endoscopic Sphincterotomy for therapeutic purpose in Acute Pancreatitis. In our study, we aimed to examine either the effectiveness of Endoscopic Retrograde Cholangiopancreotography and Endoscopic Sphincterotomy in patients with mild severity, and how the endoscopic procedure affects the course of the disease. Methods: In this study, patients with mild pancreatitis were selected among the patients who applied to the Department of General Surgery, of Ataturk University Faculty of Medicine and diagnosed with acute biliary pancreatitis (ABP). After the patients were separated according to the mild pancreatitis, early (within 72 hours) and late period, they were randomly selected to be performed Endoscopic Retrograde Cholangiopancreotography and Endoscopic Sphincterotomy. 59 patients were detected in this way. Results: Twelve (20.3%) of the patients included in our study were male, and 47 (79.7%) were female, and their ages were between 25-75 years (mean 64.3 years). Two groups were created in order to perform ERCP/ES in the early and late periods. All patients had acute onset abdominal pain and serum amylase levels have been ranging between (1012-7660 UI/L). Conclusions: In patients with mild acute biliary pancreatitis, there is no significant difference in the early (first 72 hours) ERCP/ES results compared to the results of patients with ERCP/ES in the late period.WOS:00068972950001

Trifurcation of the left common carotid artery

BACKGROUND: Trifurcation of the common carotid artery is an unusual variation. CASE REPORT: We report a case of left common carotid artery trifurcation in a 74-year-old man. The left common carotid artery divided into the internal carotid, external carotid and facial arteries. Herein, the anatomy of the carotid arteries and the Doppler sonography and CT angiography findings of the left common carotid artery trifurcation were described with images. CONCLUSIONS: The variations of the carotid arteries should be known to avoid and reduce the complications during the invasive procedures

A comparison of inverted spinal traction and conventional traction in the treatment of lumbar disc herniations

The purpose of this investigation of lumbar disc herniation patients was to compare the efficacy of the inversion spinal traction and the conventional mechanical spinal traction on several clinical parameters and computed tomography. This investigation consisted of 29 patients with low back pain and sciatica due to lumbar disc herniation. Patients were randomly assigned into two groups: an inversion spinal traction that was applied to 15 patients, and a conventional traction that was applied to 14 patients for ten sessions. The efficacy of the treatments was evaluated based upon clinical parameters before, immediately after, and three months after the treatment. Computed tomographic (CT) investigation was done before and immediately after the treatment. Both methods of traction were found to be clinically effective. Although there was no statistically significant difference between the two groups based upon the clinical parameters, CT findings of the conventional traction group tended to show more improved parameters than the inverted spinal traction group. Reasons for better results of the conventional traction are discussed and the necessity for further investigations on this topic is emphasized

Biküspit aort kapaklı hastada geçici kalp bloğu: Olgu sunumu

Bicuspid aortic valve is a common congenital cardiovascular malformation. We present a case with bicuspid aorta and ascending aortic aneurysm developing transient complete heart block. This case is the first in literature to report the concurrence of bicuspid aortic valve and ascending aortic dilatation with transient complete heart block.Biküspit aort kapak sık görülen doğumsal kardiyovasküler bozukluktur. Sunduğumuz vaka biküspit aort kapak ve çıkan aort anevrizmasında gelişen geçici tam kalp bloğudur. Bu vaka biküspit aort ve çıkan aort genişlemesine geçici kalp bloğunun eşlik ettiği literatürdeki ilk vakadı

STATIC BENDING STRENGHT OF WOOD TREATED WITH FIRE RETERDANT AND WATER REPELLENT PRESERVATION CHEMICALS

This study has designed for determination of static bending strenght of mainly boron impregnated scots pine and east beech wood. Other chemicals used as control are polyethylene glycole (PEG-400) and some commercial preservatives such as Vacsol (V), Ammonıum sulphate (AS) and Diammonium phospate (DAP) were used by secondary process on the boron or PEG treated wood by the aim of improving static bending strenght and avoiding the leachability of both chemicals. Result indicated that static bending strenght of scots pine wood were reduced by acidic solutions of salts. In beech wood static bending strenght were also affected by neutral pH of the solution. Water repellent , surprisingly don't show their aspected protective properties of static bending strength, in general