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Results for “PULMONARY EMBOLISM AND THROMBOSIS”

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PubMed1992

Effect of epidural and general anaesthesia compared with general anaesthesia alone in large bowel anastomoses. A prospective study.

OBJECTIVE: To find out whether patients did better after operations that entailed a large bowel anastomosis if they were given combined epidural and general anaesthesia with spontaneous ventilation rather than standard general anaesthesia with muscle relaxation and ventilation. DESIGN: Prospective randomised trial. SETTING: Specialist unit, teaching hospital. SUBJECTS: 80 patients undergoing large bowel anastomoses. MAIN OUTCOME MEASURES: Incidence of chest infection, wound infection, anastomotic breakdown, urinary tract infection, deep vein thrombosis, pulmonary embolism, median hospital stay and death. RESULTS: There were no differences between the groups, but the results were better during the trial period (1985-89) than during the period 1978-83. CONCLUSION: Factors that influence anastomotic healing are complex and improved surgical techniques, postoperative monitoring and patient care may account for the improvement in results compared with the earlier period.

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