RESUMO
Objective: to compare the outcome of local anesthesia versus spinal anesthesia in intestinal stoma reversal
Material and Methods: it was randomized clinical trial with 64 patients, undergoing reversal of ileostomies and colostomies. Procedure was performed either under local anesthesia plus sedation [n=32] or spinal anesthesia [n=32]. The duration of the operation, conversion or supplementation of the anesthetic technique, time spent in the post-anesthesia recovery room, postoperative complications and length of hospital stay were analyzed
Results: duration of operation and time spent in post-operative recovery room was less in patients operated under local anesthesia. Conversion to general anesthesia was only needed in spinal anesthesia group. Post-operative complications were less in local anesthesia group. Mean length of hospital stay was almost equal in both groups
Conclusion: intestinal stoma reversal under local anesthesia and sedation is safe and more effective than same procedure under spinal anesthesia
RESUMO
Background: A descriptive study was conducted at SIMS from December. 2002 to November 2005 to see the results of exposed skin grafting in various surgical conditions
Method: One hundred patients underwent exposed skin grafting. Most of the patients had surgical wound after excision of carbuncle, diabetic foot debridement, due to trauma and due to burn these wounds are dressed daily until they became clean, red granulation. We applied split thickness skin graft
Results: In this study 56 were male and 44 were female with a median age 42.6 years in male and 43.3 years in females. Thirty five percent [35%] had surgical wound after excision of carbuncle. Twenty five percent [25%] had surgical wound after debridement of diabetic foot and 25% had wound after trauma. Eleven percent [11%] had wound after burn. In all these patient we performed delayed exposed grafting and results are alright without any rejection. Early exposed skin grafting performed in 3% of cases after release of contracture and after mastectomy in 1 male patient. One patient after mastectomy had partial rejection
Conclusion: Exposed skin grafting is a simple and cheap method and can be done in both de/aye granulating wound and early surgical wound