To investigate the routine use of a skin stapling device for the closure of midline abdominal wounds, 48 patients were randomized to receive skin staples or subcuticular polydioxanone sutures. The mean (range) time for closure with staples was 8.0 (3.4-14.8) s cm-1 while subcuticular closure took 12.7 (9.6-28.0) s cm-1. The mean time saved per patient with skin staples was 77 s. Wound pain and requirements for analgesia were significantly lower in the sutured group. The mean cost per patient was 1.41 pounds for subcuticular closure and 7.72 pounds for stapling; the latter also incurred an additional cost of 6.27 pounds for staple removal. No clear benefit derives from the use of staples in the closure of abdominal wounds.
only criteria. The clear persistence of the svmptoms suggests that functional hypoglvcaemia is a clinical condition. The general failure to show chemical hypoglycaemia, however, questions the use of the term functional hypoglyvcaemia and suggests a different explanation for the phenomenon. The glycaemic threshold for onset of hypoglycaemic symptoms and release of counterregulatory hormones might be higher than in normal subjects. Further studies should test this hypothesis.In conclusion, hypoglycaemic symptoms seem to be persistent in subjects with functional hypoglycaemia but are not related to chemical hypoglycaemia. This suggests the existence of a clinical condition but questions whether the commonly used term for this condition is appropriate.
Two hundred patients treated by ileorectal anastomosis for ulcerative colitis were questioned about their opinion of the result of their operation. The vast majority of patients led normal business and social lives and their activities had been greatly altered for the better by this operation.
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