Prospective randomized study of bacteraemia in diathermyand stapled haemorrhoidectomy
| العنوان: | Prospective randomized study of bacteraemia in diathermyand stapled haemorrhoidectomy |
|---|---|
| المؤلفون: | S M Heah, Choong-Leong Tang, A Maw, K. W. Eu, R Concepcion, A L Tan, Francis Seow-Choen |
| المصدر: | British Journal of Surgery. 90:222-226 |
| بيانات النشر: | Oxford University Press (OUP), 2003. |
| سنة النشر: | 2003 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Randomization, medicine.medical_treatment, Bacteremia, Hemorrhoids, law.invention, Postoperative Complications, Randomized controlled trial, law, Surgical Stapling, Electrocoagulation, Humans, Medicine, Prospective Studies, Prospective cohort study, Aged, Aged, 80 and over, business.industry, Suture Techniques, Diathermy, Perioperative, Middle Aged, medicine.disease, Surgery, Clinical trial, Female, business, Complication |
| الوصف: | Background The incidence and consequences of bacteraemia associated with diathermy and stapled haemorrhoidectomy have not been studied previously. Methods Two hundred and five healthy patients randomized to stapled haemorrhoidectomy or diathermy haemorrhoidectomy had perioperative blood cultures taken. The clinical sequelae of bacteraemia and complications of surgery were assessed prospectively. Results Six patients were excluded for protocol violations. Eleven (11 per cent) of 101 patients with stapled and five (5 per cent) of 98 who had diathermy haemorrhoidectomy had positive blood cultures for organisms after haemorrhoidectomy, predominantly anaerobes commonly found within the bacterial flora of the anorectum (P = 0·19). Transient postoperative pyrexia in several patients did not correlate with detected bacteraemia and settled spontaneously without treatment. There were no serious complications from either operative technique, and no clinical consequences from proven bacteraemia. Conclusion Transient bacteraemia may complicate surgical haemorrhoidectomy but has no serious clinical consequences for healthy adults. |
| تدمد: | 1365-2168 0007-1323 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6e6388fe78b9cb725e9f5de9f823fa3f https://doi.org/10.1002/bjs.4057 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....6e6388fe78b9cb725e9f5de9f823fa3f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13652168 00071323 |
|---|