ABSTRACT
Objective: This review to show the degree of patient satisfaction and length of stay after laparoscopic appendectomy or open appendectomy. Moreover, the degree of appendicitis was considered either acute appendicitis or perforated appendicitis which can result in complications like sepsis, peritonitis and gangrene
Data sources: [PubMed, Google Scholar] have been searched for papers that addressed patient satisfaction and length of stay after appendectomy, preoperative appendicitis status and the operation used for appendectomy were considered during searching
Results: It was obvious that patient who have undergone laparoscopic appendectomy were more satisfied and had short length of stay after the operation neither than patients who have undergone open appendectomy who were less satisfied and had longer length of stay. Also, it was clear that patient with acute appendicitis were more satisfied with short length of stay neither than patients with perforated appendicitis who were less satisfied with longer length of stay
ABSTRACT
The objective of this study is to assess the dose-related effects of tramadol on a group of patients with premature ejaculation [PE]. During the period of months between June 2010 and July 2012, 180 PE patients presented to outpatient clinic of our hospital. Patients were randomized in a 1:1:1 fashion to receive different sequences of the three medications: placebo, 50 mg of tramadol and 100 mg of tramadol. Every patient received 10 doses of each medication for 2 months. Intra-vaginal ejaculatory latency time [IELT] was recorded in seconds initially and for each arm. Successful treatment of PE is defined if IELT exceeded 120 s. Side-effects of medications were reported. Of patients enrolled, 125 [69.4%] continued the study. Patients' age range was 20-55 years with PE complaint of 1 to 10 years duration. Mean IELT was 72 at presentation, 82 for placebo, 150 for tramadol 50 mg, and 272 for tramadol 100 mg [P < 0.001 for all comparisons]. PE was successfully treated in only 2.4% of patients with placebo, in contrast to 53.6% and 85.6% with 50 and 100 mg tramadol, respectively [P < 0.001 for all comparisons]. On multivariate logistic regression analysis, baseline IELT was the only predictor of successful treatment of PE with both tramadol 50 mg [odds ratio [OR]: 1.05, 95% confidence interval [CI]: 1.03-1.07, P < 0.001] and tramadol 100 mg [OR: 1.07, 95% CI: 1.04-1.11, P < 0.001]. Postmicturition dribble annoyed 12.8% of those who received 50 mg tramadol and 33.6% of those who received 100 mg tramadol [P < 0.001]. Weak scanty ejaculation was the main complaint in 7.2% versus 21.6% of those using 50 and 100 mg tramadol, respectively [P = 0.002]. Two patients discontinued tramadol 100 mg due to side-effects. Tramadol hydrochloride exhibits a significant dose-related efficacy and side-effects over placebo for treatment of PE