Surgical proctologic emergency in isolated sea-based environment: how it is performed in the French navy
| Autor: | Hervé Thouard, Emmanuel Hornez, Patrice Ramiara, Stéphane Bourgouin, Faye Rozwadowski, Bruno Palmier, Julien Pontis |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Pilonidal abscess Military medicine medicine Humans Local anesthesia Anesthesia Digestive System Surgical Procedures Anus Diseases business.industry Incidence Perianal Abscess Public Health Environmental and Occupational Health General Medicine Surgical procedures Surgery Navy Military Personnel Thrombosed external hemorrhoids Acute Disease Midazolam France Emergencies business Colorectal Surgery medicine.drug |
| Zdroj: | Military medicine. 178(4) |
| ISSN: | 1930-613X |
| Popis: | Proctologic emergency are very common and are a true challenge for a general practitioner (GP) in a sea-based environment. Performing simple surgical procedures could be essential for the management of these patients. Thrombosed external hemorrhoids are very painful and necessitate the extraction of the blood clot under local anesthesia. The perianal abscess and the pilonidal abscess are also painful entities and represent a significant septic risk. The surgical management of the latter two is simple but requires general anesthesia. Using ketamine and midazolam with these procedures offers a very high level of anesthetic safety. This short article describes the mentioned procedures that are richly illustrated. |
| Databáze: | OpenAIRE |
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