Pre-operative intravenous fluid supplements: a simple and inexpensive methods to reduce post-operative nausea and vomiting among patients underwent laparoscopic cholecystectomy

The aim of this study is to explore the effect of supplemental pro-operative fluids on the incidence of nausea and vomiting that occur post-operatively. We studied sixty patients, ASA I-II, undergoing laparoscopic cholecystectomy. Patients were randomly divided into groups A and B; group A [n=30 patients] received no intravenous fluids pro-operatively, whereas group B [n=30 patients] received supplemental fluids [10ml/kg of lactated Ringer's solution] one hour before induction of anaesthesia. During the first twenty four hours post-operatively, nausea and vomiting occurred in 21 patients [70%] from group A and only in 8 patients [27%] from group B [supplemental fluid group]. Post-operative nausea and vomiting can be reduced by the use of pre-operative supplemental lactated Ringer's solution, which is a cheap and safe therapy

Endoscopic laser therapy of advanced rectal tumors a retrospective study at Monklands Hospital

This retrospective study reported the results of endoscopic laser treatment for rectal tumors at Monklands Hospital. Ten patients were included in the study, the indications for laser therapy were either tumor-related [locally or distally advanced], patient-related or a combination of both, where definitive surgery had no benefit over laser at the time of referral. The aim of therapy was to alleviate the patients local symptoms. Nd: YAG laser was used. The overall success rate was 90%, a failure occurred in one patient and there were no procedure-related complications or deaths, where four patients were still alive at the time of data collection