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Biomedical subjects

I T Russell

Publications and source records attributed to I T Russell.

79 records · Page 5Linked to original sources
PubMed1977

Day-case surgery for hernias and haemorrhoids. A clinical, social, and economic evaluation.

Patients with inguinal hernia or haemorrhoids were randomly allocated to an experimental group expected to stay in hospital for only eight hours after surgery or a control group scheduled for discharge on the fifth or sixth day. There was no difference in clinical outcome between the two groups of hernia patients. However, complications were twice as common in haemorrhoid day-patients as in long-stay haemorhoid patients. The standard postoperative regimen for haemorrhoids has since been changed and the change has been accompanied by a fall in the complication-rate. Day-case surgery appears to have similar social effects on the patient and his family as traditional hospital care. There was no significant difference in either the additional expenditure incurred or patients' perceptions of the disruption associated with their operation and convalescence. In the hospital under study, day-case surgery was saving between 20 pounds and 29 pounds per patient. However, this conclusion should not be extrapolated to the N.H.S. as a whole without taking into account the use to which the resources released by day-case surgery will be put.

Adolescent↗
PubMed1977

Short-stay surgery for inguinal hernia. Clinical outcome of the Shouldice operation.

In 1970 a general surgical team on Teesside adopted the Shouldice operation for inguinal hernia together with a policy of short-stay surgery. Careful follow-up has established that repairs using the suture material of choice--stainless-steel wire--have an estimated 6-year recurrence-rate of 0.8%, statistically indistinguishable from that achieved by the highly specialised Shouldice Clinic. However, the recurrence-rate 2 years after suturing with an alternative polyester-based material is estimated at 8.1%--a figure much more in keeping with rates reported by general surgeons using traditional methods.

Adult↗
PubMedDate not supplied

Respiratory illness in children: do deprived children have worse coughs?

Parents of a stratified random sample of 234 children from 21 general practices in North East England were interviewed at home. All these children had been reported in a postal questionnaire as having had a cough between six and ten weeks before the interview. Interviews covered social characteristics of the family, the severity of the child's cough and the reactions of the parents to hypothetical sets of symptoms. The parents of children in materially deprived circumstances appeared to report worse coughs than other parents. We confirmed this finding by constructing a scale of perceived cough severity. However, we found no evidence that the inequality was due to exaggeration of the severity of the cough by materially deprived parents. Our conclusion that materially deprived children suffer worse respiratory illness is the more important because previous evidence suggests that the after-effects persist into adulthood.

Child↗