In the selected group of clinicians lateral anal sphincterotomy remains the procedure of choice in both sexes. Pre-operative assessment using endoanal ultrasound and anorectal physiology is used selectively especially in postpartum women. Anal dilatation remains a subjective procedure and though used selectively, is performed without pre-operative endoanal ultrasound and/or anorectal physiology in majority of cases.
Neostigmine is frequently used to reverse muscle relaxation at the end of colonic surgery. However, the drug should be used with caution as it has been implicated as a cause of early anastomotic disruption.
Historical, placename and archaeological evidence have been brought together at Corsankell Farm to indicate that the search for medieval settlement in the west of Scotland can bear fruit. Archaeological excavation found evidence of later medieval settlement remains, and the historical and placename research suggests a date for the settlement of Corsankell back into the 12th century or earlier. The focus of the settlement has shifted at least twice in the history of Corsankell, and physical remains from the 12th century were not found, but this work demonstrates that medieval settlement can be revealed by examining modern-day farms.
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