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Sleep Aid herbal formula - natural sleep aid||Herbal Breath - herbs for bad breath problems.||
Weight loss herbal formula||Ginkgo biloba||
Colon cleansing, Laxative for constipation relief, laxative, and colon cleansing||ViaVita, Lecithin for healthy liver
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Ugeskr Laeger. 1999 Jan 18;161(3):253-6.
[Treatment of anal incontinence and constipation with transanal irrigation]
[Article in Danish]
Krogh K, Kvitzau B, Jorgensen TM, Laurberg S.
Arhus Universitetshospital, Skejby Sygehus, urinvejskirurgisk afdeling.
The Enema Continence Catheter (ECC) consists of a rectal catheter with an inflatable balloon. The balloon keeps the catheter in the rectum, while enemas are administered. Results from 25 adult patients and 12 children treated with the ECC were evaluated by telephone interviews or by information drawn from patient records. The ECC reduced the frequency of incontinence episodes in four of nine (44%) adult patients suffering from faecal incontinence due to spinal cord lesions, myelomeningocele, complicated anal sphincter lesions or anorectal surgery and irradiation therapy. Among 16 adult patients suffering from constipation or obstructed defecation, the ECC reduced symptoms in three (19%). Furthermore, the ECC procedure reduced symptoms in 10 of 11 (91%) children with colorectal dysfunction, mainly due to spina bifida. In conclusion, the ECC can reduce symptoms in most children suffering from faecal incontinence or constipation, and in some adults with faecal incontinence. However, the method is less effective among adults with constipation or obstructed defecation.
online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10025223&dopt=Abstract
Br J Surg. 1999 Jan;86(1):61-5. ["Cited in Books","window.top.location='/entrez/query.fcgi?tool=pmcited&cmd=search&db=books&term=10027361[pmid]'","",""],
Dynamic graciloplasty in the treatment of patients with faecal incontinence.
Sielezneff I, Malouf AJ, Bartolo DC, Pryde A, Douglas S.
Department of Surgery, Royal Infirmary of Edinburgh, UK.
BACKGROUND: Dynamic graciloplasty is a recent innovation in the surgical management of faecal incontinence. This study reports further experience with this procedure in a series of consecutive patients. METHODS: Between July 1994 and February 1998, 21 dynamic graciloplasties were performed in 18 patients with total faecal incontinence. The two most recent patients were excluded because of follow-up less than 6 months. Continence scores and manometric data were collected before operation and 6 months afterwards. Subsequent clinical data were obtained at regular outpatient review. Seven patients had a three-stage procedure (vascular delay and stoma creation; gracilis transposition and implantation of stimulator and leads; stoma closure), four patients had a two-stage procedure (stoma, with transposition and implantation; stoma closure) and five underwent a one-stage procedure without defunctioning stoma. RESULTS: Mean(s.d.) follow-up was 20(10.2) months, and was complete in all patients. Eight of the 16 patients had postoperative morbidity. Thirty-three subsequent admissions and 23 reoperations were required to treat complications, to correct technical problems or to manage outcome failures. A defunctioning stoma did not protect wounds from infection (P = 0.6) or reduce the postoperative morbidity rate (P = 0.14). Continence scores were improved by the procedure (P < 0.001) and anal canal pressure increased with stimulation (mean increase 35.9 cmHO, P < 0.001). Two patients required revisional surgery for perielectrode fibrosis. Five patients had revisional surgery for electrical device failure. Thirteen of the 16 patients were either improved or fully continent after operation, and satisfied with the result of the procedure. Ultimate failure (n = 3) occurred in patients with chronic preoperative constipation or diarrhoea, or abnormal rectal sensitivity. CONCLUSION: Dynamic graciloplasty is an effective procedure in selected cases of end-stage faecal incontinence. Patient motivation is essential given the necessity for close follow-up.
online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10027361&dopt=Abstract
J Pediatr Surg. 1999 Jan;34(1):148-51; discussion 152.
Transanal one-stage Soave procedure for infants with Hirschsprung's disease.
Langer JC, Minkes RK, Mazziotti MV, Skinner MA, Winthrop AL.
Department of Surgery, Washington University School of Medicine, St Louis, MO, USA.
PURPOSE: Many centers perform a one-stage pull-through procedure for Hirschsprung's disease (HD) diagnosed in infancy. The authors have developed a one-stage pullthrough procedure using a transanal approach that eliminates the need for intraabdominal dissection. METHODS: Nine children aged 3 weeks to 18 months with biopsy-proven HD underwent a transanal pull-through procedure over a 13-month period. A rectal mucosectomy was performed starting 0.5 cm proximal to the dentate line, and extending proximally to the level of the intraperitoneal rectum. In the first eight children, intraperitoneal position was confirmed with a laparoscope placed through a 3- to 5-mm port in the base of the umbilicus. The muscular sleeve was divided circumferentially to allow full-thickness mobilization of the rectosigmoid junction. Manual transanal traction permitted direct visualization and division of mesenteric vessels with transanal mobilization above the transition zone. Ganglion cells were confirmed by frozen section, and the bowel was transected. The rectal muscular cuff was divided longitudinally, and the anastomosis was completed. The laparoscope confirmed orientation and adequate hemostasis. In a ninth patient, the identical procedure was performed, but with the laparoscope used only for confirmation at the end of the procedure. RESULTS: Operative time, including frozen sections, averaged 194 minutes (range, 169 to 250 minutes), and the average length of bowel resected was 12 cm (range, 7.5 to 22 cm). Four of the nine patients were discharged on postoperative day (POD) 1, four on POD 2, and one patient with Down's syndrome was discharged on POD 6. Median follow-up was 6 months (range, 3 to 14 months). One death occurred 2.5 months postoperatively secondary to sudden infant death syndrome. Complications included postoperative apnea spells (n = 1), mild enterocolitis (n = 2), constipation (n = 1), anastomotic stricture(n = 1), and muscularcuff narrowing (n = 1); each responded to nonoperative management. Stool output has ranged from four to eight per day. CONCLUSION: A one-stage pull-through for HD can be performed successfully using a transanal approach without intraperitoneal dissection. This procedure is associated with excellent clinical results and permits early postoperative feeding, early hospital discharge, and no visible scars.
online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10022161&dopt=Abstract
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Lutein ||
Progesterone Cream ||
Natural herbal formula for hair loss problems ||