One hundred ninety patients with peritonitis at the time of abdominal surgery were allocated at random to systemic antibiotic treatment alone or systemic antibiotic treatment combined with topical application of antibiotics in the wound at the time of wound closure. The overall wound infection rate was 17 percent without significant difference between the two treatment groups (P greater than 0.80).
During a 5-year interval 72 consecutive patients with urethral strictures were treated by internal urethrotomy according to the method of Otis. The etiology, surgical technique, complications and postoperative management are discussed. The results after a mean followup of 29 months showed an over-all success rate of 82 per cent (95 per cent confidence limits 71 to 90 per cent). It is concluded that internal urethrotomy should be considered for primary treatment of urethral strictures, since the procedure is easy and complications are few.
Ten cancer patients treated with stable doses of epidural opioids were tested for postural stability. The postural stability was measured using a quantitative Romberg's test, performed on a computerized force-plate system. Sway tendencies in the sagittal and the transverse directions were recorded. The postural stability of the patients was compared with values obtained from healthy controls. Comparing the cancer patients with the controls, postural stability in eight out of ten patients was intact. The study suggests that long-term epidural opioid treatment has little influence on the patient's ability to stand safely.
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