34 research outputs found
Postoperative complications after procedure for prolapsed hemorrhoids (PPH) and stapled transanal rectal resection (STARR) procedures
Procedure for prolapsing hemorrhoids (PPH) and stapled transanal rectal resection for obstructed defecation (STARR) carry low postoperative pain, but may be followed by unusual and severe postoperative complications. This review deals with the pathogenesis, prevention and treatment of adverse events that may occasionally be life threatening. PPH and STARR carry the expected morbidity following anorectal surgery, such as bleeding, strictures and fecal incontinence. Complications that are particular to these stapled procedures are rectovaginal fistula, chronic proctalgia, total rectal obliteration, rectal wall hematoma and perforation with pelvic sepsis often requiring a diverting stoma. A higher complication rate and worse results are expected after PPH for fourth-degree piles. Enterocele and anismus are contraindications to PPH and STARR and both operations should be used with caution in patients with weak sphincters. In conclusion, complications after PPH and STARR are not infrequent and may be difficult to manage. However, if performed in selected cases by skilled specialists aware of the risks and associated diseases, some complications may be prevented
Public image and governance of epidemics: Comparing HIV/AIDS and SARS
10.1016/j.healthpol.2006.03.002Health Policy802253-27
Ethnicity and Parenting Styles Among Singapore Families
Marriage and Family Review353-463-8
AIDS and us: are we failing to prevent a highly preventable disease?
Singapore Medical Journal335484-48
The Social Significance of Marriage and Parenthood in Singapore
The Social Significance of Marriage and Parenthood in Singapor
In pursuit of health: Pragmatic acculturation in everyday life
10.5172/hesr.451.17.4.419Health Sociology Review174419-42
Health Policy and Traditional Medicine in Singapore
Social Science and Medicine2149-156SSCM
Beyond the known terrain: Sociology in Singapore
10.1007/BF02692358The American Sociologist26488-10
Traditional healing systems and the ethos of science
10.1016/S0277-9536(03)00078-9Social Science and Medicine57101997-201