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Repair of Tympanic Membrane Perforation Using Tachosil Under Local Anesthesia

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Tympanoplasty is the gold standard treatment for tympanic membrane perforation. It is done under general anesthesia in the following form: Incision in the post auricular area, harvesting of fascia and cartilage from the concha of the pinna . In Trans ear canal approach starting with debridement of

Comparison of Ultrasound Guided Genicular Nerve Block and Periarticular Infiltration in Knee Arthroplasty

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Total knee arthroplasty (TKA), one of the most commonly performed operations in orthopaedic department, has been a successful intervention for patients with end-stage knee arthritis. Rehabilitation after total knee arthroplasty (TKA) routinely starts immediately after surgery on the postoperative

Local Infiltration Analgesia Vs. Interscalene Block in Total Shoulder Arthorplasty

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1. SELECTION OF SUBJECTS • Inclusion Criteria: Adult patients (18 years of age or greater) undergoing primary anatomic or reverse total shoulder arthroplasty secondary to osteoarthritis, cuff tear arthropathy, or massive irreparable rotator cuff tear. • Exclusion Criteria : - Narcotic dependent -

Erector Spinae Block Versus PECS Block Type II for Breast Surgeries

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This prospective, randomized controlled trial will include 30 adult female patients below 65 years of age scheduled for surgery for breast cancer. Inclusion criteria will include also American Society of Anesthesiologists (ASA) physical status I-II and unilateral surgery. Exclusion criteria will

Optimizing Recovery in Abdominoplasty

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Postoperative pain, nausea, and vomiting can be frustrating sequelae of elective surgery. Poorly managed postoperative pain can lead to increased opioid use, increased postoperative nausea and vomiting (PONV), delayed return to work and usual activities, unplanned hospital admissions, surgical

Study of Analgesic Efficacy of Nerve Blocks on Otoplastic Surgery

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Patients are randomly allocated to one of three groups: receiving intercostal nerve block under direct vision (DV-ICNB group) or receiving intercostal nerve block under ultrasound guidance (UG-ICNB group) or receiving thoracic paravertebral block (PV group) with a block of 6 and 1:1 allocation

Effectiveness of Fast-track Clinical Pathway on Minimally-invasive Total Hip Arthroplasty Surgery in NTUH

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Study subjects: We conducted a prospective comparative study to investigate 50 patients receiving an ERAS pathway incorporated with pre-operative physical therapy and education for MIS-THA and 25 patients receiving conventional MIS-THA. We included the patients with advanced osteonecrosis of femoral

Compare the Outcomes of Zone 2 Flexor Tendon Repair of the Hand Under General Anesthesia Versus WALANT

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Cut Flexor is common injury ,has unique characters as they cannot heal without surgical treatment, unique anatomy of the tendons running through flexor tendon sheaths to function and postoperative management &mobilization to prevent adhesions and improve gliding but risk of rupture. The hand is

Does The Combined Use Of Local And Intravenous Tranexamic Acid Offer Better Surgical Field Quality During Functional Endoscopic Sinus Surgery? A Placebo-Controlled Clinical Trial

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After obtaining local ethical committee approval and written informed consent from the patients, 90 adult patients of both sex, aged between 18 and 50 years, ASA I-II, scheduled for elective functional endoscopic sinus surgery in Ain Shams University hospitals will be enrolled in this randomized,

Erector Spinae Plane Block Versus Intercostal for VATS

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In recent years, Video-Assisted Thoracic surgeries (VATS) has become the preferred approach for thoracic surgeries over thoracotomies, due to its clear advantages, such as improved pulmonary function, rapid recovery and reduced pain scores postoperatively. Although pain is reduced in VATS when

Comparing Two Regional Anesthesia Interventions for Knee Arthroplasty.

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Introduction Osteoarthritis of the knee is a common disease of the elderly and knee arthroplasty (TKA) is indicated in severe cases to improve long term pain and function. Inadequate perioperative pain control is a strong predictor of persistent pain beyond 3 months. Analgesic modalities for TKA

the Role of Popliteal Plexus Block in Pain Management After Anterior Cruciate Ligament Reconstruction.

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This study will be performed in Fayoum university Hospital from january 2019 to january 2021 on 58 adult patients undergoing ACL operation after obtaining approval of the Scientific and Ethical Committee of El Fayoum University Hospitals, and written informed consent from the patients. Randomization

IV Ketorolac on Platelet Function Post-Cesarean Delivery

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Cesarean delivery has become the most common surgical procedure in the US, with over 1.2 million cesarean deliveries performed each year. The addition of non-steroidal anti-inflammatory drugs (NSAIDs) to a post-cesarean analgesic regimen has been shown to improve the quality of post-cesarean

Intravenous Ketamine for Pain Control During First Trimester Surgical Abortion

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Rationale: At present, the gold standard for pain control during first trimester abortion is the combination of a paracervical block with moderate intravenous (IV) sedation. Paracervical blocks are routinely done with lidocaine, with or without epinephrine or vasopressin. Moderate sedation is

Lumbar Erector Spinae Plane Block for Back Surgery

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In this prospective randomized double blind placebo controlled clinical trial we would like to assess the efficacy of a bilateral lumbar erector spinae block on the 24h morphine consumption after posterior lumbar interbody fusion surgery. Patients scheduled for 1-2 level PLIF surgery will be

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