RESUMEN
In the county of Roskilde an exception was made from the Danish legislation concerning sterilization that vasectomy should be performed in hospitals only on account of the long waiting list for this intervention. Two surgical specialists were selected to perform the operation in their practices. 88% (176/199) elected to accept the offer. All of these sterilizations were carried out within a period of six months. A questionnaire investigation did not reveal any difference in satisfaction between conduct of the intervention by the practising specialist in surgery or in hospital. Justification of the requirement that this form of sterilization can only be undertaken in hospital is discussed.
PIP: The current Danish law on sterilization specifies that the procedure may be carried out only in a hospital. Because of the long waiting time at Roskilde county hospital, the Ministry of Health granted special permission for the procedure to be carried out for a limited time in the practice of a surgical specialist. Of the 308 men on the waiting list at the hospital, 167 elected sterilization at the office. 3 months after the procedure a questionnaire was sent to the men as well as to the 18 patients who had elected to be sterilized at the hospital. The questionnaire covered satisfaction with the procedure, pain during the procedure, pains on the first day following and pain or discomfort at present. There was no significant statistical difference between the replies of the 2 groups. In the hospital setting sterilization is usually performed by young residents in the ambulatory surgical ward. The results of this investigation indicate that there is no valid medical reason for the requirement that sterilization be performed in a hospital. Long waiting lists for sterilization at hospitals ensure that patients have sufficient time to consider the operation but it would be equally effective to include a mandatory waiting period in a revision of the law. The authors recommend that the present Danish sterilization law should be administered by the Ministry of Health rather than by the Ministry of Justice and that it should revised to provide sufficient waiting time.
Asunto(s)
Procedimientos Quirúrgicos Ambulatorios , Vasectomía , Dinamarca , Humanos , Legislación Médica , MasculinoAsunto(s)
Coristoma , Páncreas , Pólipos/diagnóstico , Neoplasias Gástricas/diagnóstico , Adulto , Diagnóstico Diferencial , Femenino , Tecnología de Fibra Óptica , Gastroscopía , Humanos , MasculinoRESUMEN
Only long colonoscopes, Olympus CF-LB2 or TCF-2L, were used for the 76 pediatric colonoscopies. A combination of a thin-liquid diet and laxatives was employed for 1-2 days before all the examinations. Physiological saline enemas on the eve and the morning of the day of examination were employed as supplementary colon-cleansing measures only in larger children. A mixture consisting of chlorpromazine, promethazine and pethidine chloride supplemented with atropine sulfate was used for premedication. Diazepam and ketamine chloride given i.v., or inhalation of halothane +N2O+O2 were employed for general anesthesia. Diazepam and phentanyl citrate given intravenously were used for the sedation of older children. The "classical" and Gaisford's modification of the procedure were found to be the most suitable examination techniques in infants and children. The coecum was reached in 75% of all examinations, and we had no complications with pediatric colonoscopy.