Effect of Controlled Breathing on Pain Tolerance during Local Anesthesia at Donor Site in Hair Transplant Strip Surgery—A Preliminary Study

2021 ◽  
Vol 31 (3) ◽  
pp. 90-92
Author(s):  
Venkataram N. Mysore ◽  
Manoj GK ◽  
Aniketh Venkataram
2002 ◽  
Vol 28 (12) ◽  
pp. 1189
Author(s):  
JAMES M. SWINEHART

2002 ◽  
Vol 28 (12) ◽  
pp. 1189-1189
Author(s):  
James M. Swinehart

2012 ◽  
Vol 2012 ◽  
pp. 1-12 ◽  
Author(s):  
Isaac A. Rodriguez ◽  
Parthasarathy A. Madurantakam ◽  
Jennifer M. McCool ◽  
Scott A. Sell ◽  
Hu Yang ◽  
...  

The current bone autograft procedure for cleft palate repair presents several disadvantages such as limited availability, additional invasive surgery, and donor site morbidity. The present preliminary study evaluates the mineralization potential of electrospun polydioxanone:nano-hydroxyapatite : fibrinogen (PDO : nHA : Fg) blended scaffolds in different simulated body fluids (SBF). Scaffolds were fabricated by blending PDO : nHA : Fg in the following percent by weight ratios: 100 : 0 : 0, 50 : 25 : 25, 50 : 50 : 0, 50 : 0 : 50, 0 : 0 : 100, and 0 : 50 : 50. Samples were immersed in (conventional (c), revised (r), ionic (i), and modified (m)) SBF for 5 and 14 days to induce mineralization. Scaffolds were characterized before and after mineralization via scanning electron microscopy, Alizarin Red-based assay, and modified burnout test. The addition of Fg resulted in scaffolds with smaller fiber diameters. Fg containing scaffolds also induced sheet-like mineralization while individual fiber mineralization was noticed in its absence. Mineralized electrospun Fg scaffolds without PDO were not mechanically stable after 5 days in SBF, but had superior mineralization capabilities which produced a thick bone-like mineral (BLM) layer throughout the scaffolds. 50 : 50 : 0 scaffolds incubated in either r-SBF for 5 days or c-SBF for 14 days produced scaffolds with high mineral content and individual-mineralized fibers. These mineralized scaffolds were still porous and will be further optimized as an effective bone substitute in future studies.


2010 ◽  
Vol 10 (1) ◽  
pp. 66-72 ◽  
Author(s):  
Mustafa Hiroš ◽  
Mirsad Selimović ◽  
Hajrudin Spahović ◽  
Sabina Sadović ◽  
Ediba Spužić-Čelić

We have evaluated objectively pain tolerance in transrectal ultrasound-guided prostate biopsy (TRUS) using local periprostatic per rectal anesthesia as compared to the conventional method. From November 2008 to May 2009, 90 patients underwent transrectal ultrasound-guided prostate biopsy at Department of Urology, Clinical Center University Sarajevo. 90 patients who fulfilled the inclusion criteria were randomized into 3 groups of 30 patients each. Group 1 received periprostatic local anesthesia with 2% lidocaine, group 2 received Voltaren supp placed in rectum an hour before biopsy while group 3 received no local anesthesia. Pain scale responses were analyzed for each aspect of the biopsy procedure with a visual analog scale of 0-none to 10-maximal. There was no difference between the 3 groups in pain scores during digital rectal examination, intrarectal injection and probe insertion. The mean pain scores during needle insertion in group 1 receiving periprostatic nerve block and in group 2 receiving Voltaren supp were 3,10 ± 2,32 and 5,15 ± 2,01 respectively. In group 3 (no local anesthesia), mean pain scores were 6,06 ± 2,95 which was found to be significantly different (p < 0,001). However, morbidity after the biopsy was not statistically different between all 3 groups. TRUS-guided prostate biopsy is a traumatic and painful experience, but the periprostatic blockage use is clearly associated with more tolerance and patient comfort during the exam. It is an easy, safe, acceptable and reproducible technique and should be considered for all patients undergoing TRUS biopsy regardless of age or number of biopsies.


2015 ◽  
Vol 73 (1) ◽  
pp. 184-193 ◽  
Author(s):  
Alessandro Baj ◽  
Nicola Lovecchio ◽  
Alessandro Bolzoni ◽  
Andrea Mapelli ◽  
Aldo Bruno Giannì ◽  
...  

2017 ◽  
Vol 57 ◽  
pp. 212
Author(s):  
Ilaria Pacifici ◽  
Ludovica Pallotta ◽  
Alessandro Bolzoni ◽  
Giada Beltramini ◽  
Matteo Zago ◽  
...  

Author(s):  
Marco Malahias ◽  
Edward Ackling ◽  
Omer Zubair ◽  
Natasha Harper ◽  
Haytham Al-Rawi ◽  
...  

Abstract Background Cutaneous malignancies are on the rise, associated with an increased number in scalp cancers that require wide local excision (WLE) to ensure clearance; the inelastic nature of the scalp poses a particular challenge when dealing with such large defects. Case presentation A series of 68 cases with large scalp defects following WLE for the clearance of squamous cell carcinoma, atypical fibroxanthoma, dermatofibrosarcoma protuberans, and melanoma skin cancers are presented. These cases were treated in one center under local anesthesia and underwent extended scalp flaps to close the resulting defect primarily without the use of skin grafts for the flap donor site on the scalp. Conclusion Extended scalp flap is a safe and reproducible solution for extensive scalp defects, which results in quicker wound healing with cosmetically superior results, and can be performed safely and comfortably under local anesthesia in the day case setting.


2009 ◽  
Vol 42 (01) ◽  
pp. 032-035
Author(s):  
Chetan Satish ◽  
Sunit Nema

ABSTRACTThumb pulp defects are commonly due to avulsion injuries. It is very important to reconstruct these defects using sensate flaps as the thumb pulp needs to be sensate for implementing the various functions of the thumb. A very good option for coverage of these defects is the islanded first dorsal metacarpal artery flap. Our study was done over a period of 2 years and involved 9 consecutive cases of thumb pulp defects treated at our institution. The patients included 8 males and 1 female, ranging in age from 16 to 51 years old. The flap size ranged from 2 × 1.5 cm to 5 × 3 cm. We had only one complication in the form of partial flap necrosis, which fortunately healed following debridement without the need for a secondary procedure. All our cases were done under local anesthesia with tourniquet control. All the patients had good fine touch and average two-point discrimination of 6 mm, which was satisfactory. Our good results further reinforce the islanded first dorsal metacarpal artery flap as one the best flaps for sensate reconstruction of thumb pulp defects. It replaces the soft tissue loss at the thumb pulp with minimal donor site morbidity and with good return of thumb pulp sensation.


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