Terms Of Less Pain Research Articles

Corticosteroids Peroperatively Diminishes Damage to the C-Fibers in Microscopic Lumbar Disc Surgery

A subgroup analysis of patient outcomes from a double-blind randomized controlled study comparing corticosteroid versus saline in microscopic lumbar disc surgery. To study if the use of corticosteroids combined with surgery alleviates the damage to the nerve fibers in lumbar disc herniation. The use of quantitative sensory testing can detect damage to the myelinated A-delta fibers (cold sense) and the unmyelinated C-fibers (warmth sense). Corticosteroids combined with surgery in lumbar disc surgery enhance the outcome after surgery in terms of less pain and more rapid rehabilitation. Analyzing quantitative sensory testing before surgery and after 2 weeks and 2 years. In the corticosteroid group, we saw a statistically significant normalization for the warmth disturbance comparing with control group, which not was detected concerning the cold disturbance. The use of corticosteroids combined with surgery seems to protect some of the damage to the C-fibers in lumbar disc herniation.

A comparison of the midvastus and paramedian approaches for total knee arthroplasty

This prospective, double-blinded evaluation of 24 osteoarthritic patients undergoing bilateral total knee replacement compared the midvastus and standard parapatellar approaches. The midvastus approach was found to offer an early advantage in terms of less pain and earlier return to function. There were no significant complications associated with the midvastus approach. This approach should be a part of the knee surgeon's armamentarium.

Thoracoscopic upper thoracic sympathectomy for primary palmar hyperhidrosis in children and adolescents

After 20 years of experience with the “open” transaxillary approach, the authors are presently performing the thoracoscopic technique for upper thoracic sympathectomy in severe primary hyperhidrosis. During a period of 14 months, 23 operations were performed and 22 patients had immediate and permanent relief of palmar sweating. The immediate postoperative course was uneventful in all cases. Hospitalization was short, and all patients returned to school and full activity 3 to 5 days after operation. These initial results compare favorably to the “open” method and, pending further experience, are actually better in terms of less pain, early discharge, quicker return to normal activity, and a smaller, less conspicuous scar.