Search results

Effectivity of local bupivacaine infusion in the prevention of postoperative ileus

Aim: Inflammation is the predominant factor in the development of gastrointestinal dysmotility or postoperative ileus although dissection and neurological

and inflammatory factors secondary to intestinal manipulation have been blamed. In this study, we investigated the effectivity of local bupivacaine infusion for

prevention of postoperative ileus. Material and Method: This retrospective study included patients that underwent median laparotomy and received conventional

analgesia alone or conventional analgesia followed by local bupivacaine. Patients that received conventional analgesia (nonsteroidal anti-inflammatory

drugs [NSAIDs] + opioids) followed by local bupivacaine infusion (15 mg/h during 48h) with Pain buster pump system were classified as Group 1 (n=30) and

the patients that received conventional analgesia alone ( [NSAIDs] + opioids) were classified as Group 2 (n=31). Results: The groups were similar in terms of

age, gender, preoperative ASA score, surgical technique, and operative time. The Visual Analog Scale (VAS) scores during the periods 8-24 and 24-48 h and

the analgesic requirement during the periods 0-8, 8-24, and 24-48 h were significantly decreased in Group 1 compared to Group 2 (p<0.05). In Group 1, active

postoperative bowel sounds started earlier (38 vs. 47 h) and mean time to first flatus/defecation was significantly lower than in Group 2 (64.13 ± 9.06 vs. 77.90

± 10.25 h) (p<0.05). Discussion: Transfascial bupivacaine infusion appears to be an effective technique since it reduced early postoperative pain and postoperative

analgesic requirement and also provided favorable effects in the prevention of postoperative ileus, thereby leading to shorter intensive care unit stay.

Download attachments:

Does hepatic visualisation show residual/metastatic thyroid tissue in differentiated thyroid cancer?

Aim: Diffuse homogen hepatic uptake in whole-body scan (WBS) after radioiodine remnant ablation (RRA) suggests that there is occult or visible remnant

thyroid tissue and/or tumor tissue. It is thought that the reason is hepatic metabolization of radioiodine (131I) marked thyroglobulin fragments which are

secreted by remnant/tumor tissue. The aims of this study were to investigate whether the hepatic visualisation after radioiodine remnant ablation showed the

presence of metastatic or residual disease in patients with differentiated thyroid cancer and also to investigate whether early or late WBS after RRA (RxWBS)

had an effect on the physiological hepatic uptake. Material and Method: 201 DTC patients were evaluated (F/M: 152/49; mean age: 49.61±13 years (range:

18–85 years)) who referred for RRA. The therapeutic 131I dose ranged from 100mCi to 200mCi. RxWBS was performed earlier (in 1-4th-day after RRA) in 106

patients (Group 1) and was performed later (in 5-9th-day after RRA) in 95 patients (Group 2). Results: Diffuse hepatic uptake were seen only in three patients

(2.8%) and was not seen in 103 patients (97.2%) in Group 1. However, in Group 2 diffuse hepatic uptake was seen in 93 patients (97.9%) (p<0.05) and not seen

only in 2 patients (2.1%). There is not a statistically significant relationship between the hepatic uptake and serum Tg, LT4 and TSH level. There is a statistically

significant relationship between anti-Tg level and hepatic uptake. Discussion: Physiological diffuse hepatic uptake of radioiodine in WBS after RRA may

not be seen during the early WBS. Thus, metastatic foci may be missed with early scanning. We conclude that RxWBS after RRA should be done in late period.

Download attachments:

The effects of kinesio tape and stretching on hamstring muscles flexibility

Aim: Kinesio Tape (KT) is a dynamic treatment approach which is used for pain relief, painless movement, soft tissue healing, and edema by increasing the

circulation. The aim of this study is to investigate the effects of stretching exercises with KT on hamstring flexibility in young females. Material and Method:

Thirty healthy young females participated in this study. The right leg hamstring muscles were stretched using PNF contract-relax technique and taped using

KT (Group I; n=30), the left leg hamstring muscles were stretched by PNF contract-relax technique but they were not taped using KT (Group II; n=30). All the

subjects were examined before and after the interventions (four weeks) with the active knee extension and modified sit and reach test. Results: Range of motion

(ROM) and flexibility increased in both groups. When we compared the two interventions, there were significant differences in terms of the active knee

extension test scores. But there was no difference in results in a comparison of the modified sit and reach test scores (p>0.05). The improvements in Group

I subjects were significantly greater compared to those of Group II (p=0.0001). Discussion: The results indicate that KT increased the effect of stretching

exercises of hamstring muscles and improved ROM of the knee joint in healthy female subjects.

Download attachments:
Page 9 of 477