RESUMO
Objective: Synechia is an important and frequently encountered complication of nasal surgery. Recurrent synechia can be seen after synechia correction surgeries. Sucralfate has recently come up with its topical use in healing epithelial wounds
Design: Retrospective analyses of prospective recorded data
Setting: Department of Otorhinolaryngology, Numune Education and Research Hospital, Ankara, Turkey
Subjects: Records of 16 patients who had previously undergone nasal surgery were investigated. Nasal synechia was detected in their controls and they underwent surgery for synechiae correction. During the synechiae correction surgery of 16 patients, topical sucralfate was used in 11 different synechiae regions in nine patients in group A and in the control group [Group B], it was not used in 9 separate regions in 7 patients
Interventions: Nine patients in group A received topical sucralfate. Seven patients in group B had surgery without topical sucralfate
Main outcome measure: We have investigated the effect of topical application of sucralfate on the success of nasal synechia correction surgery
Results: Recurrent synechia wasn't detected in group A, treated with topical sucralfate, whereas in the control group, seven patients had recurrent synechia in three of the nine separate regions. When statistically analyzed, recurrence is seen to be much lower in group A
Conclusion: In conclusion, topical use of sucralfate in synechia correction surgery applied in cases of postoperative nasal synechiae increases the success rate of surgery
RESUMO
To determine the characteristic profiles of 2 hypobaric spinal anesthetic solutions for selective spinal anesthesia in inguinal herniorrhaphy. The study took place in the general surgery room of Anesthesia Department, Ankara Numune Research and Training Hospital between May and July 2005 as a prospective, randomized and double-blind trial. Sixty-one ASA I-III patients scheduled for inguinal herniorrhaphy were randomly divided into 2 groups. Group R received combined spinal epidural anesthesia with ropivacaine 7.5 mg and group B received bupivacaine 5 mg; in both groups 25 micro g of fentanyl was added. Solutions were diluted with 1.5 ml of sterile water. A Portex 18/27 or 16/27 needle was inserted at L1-2 or L2-3 with patients sitting upright; surgery began after the sensory block reached the T6 dermatome. Sensory and motor block characteristics, hemodynamic data, side effects, recovery time, the timing of the onset of pain, and the walkout were assessed. Motor block duration was shorter in Group R [56.1 +/- 36.1 minutes versus 72.5 +/- 23.3 minutes] [p=0.013]. Complete motor block duration was shorter in Group R. There was no difference between the 2 groups. Intra-group analysis showed that hemodynamic values after anesthesia induction were lower than initial values. Ropivacaine plus fentanyl provided similar sensory anesthesia, but with a shorter duration of motor block than bupivacaine plus fentanyl when used for selective spinal anesthesia in herniorrhaphy surgery. Furthermore, we suggest that hemodynamic should be carefully monitored during surgery