Resultados de Búsqueda
Current evidence on the safety and efficacy of bioprosthetic plug insertion for anal fistula is adequate to support the use of this procedure provided that standard arrangements are in place for ...
NICE
National Institute for Health and Clinical Excellence (NICE)
The procedure should only be done by a surgeon experienced in managing anal fistulas.
ver más ... 2019Refer people with a confirmed diagnosis of primary hyperparathyroidism to a surgeon with expertise in parathyroid surgery if they have: symptoms of hypercalcaemia such as thirst, frequent or ...
NICE
National Institute for Health and Clinical Excellence (NICE)
Consider referral to a surgeon with expertise in parathyroid surgery for people with a confirmed diagnosis of primary hyperparathyroidism even if they do not have the features listed in recommendation 1.3.1.
ver más ... 2019Current evidence on the safety and efficacy of collagen paste for closing an anal fistula is inadequate in quantity and quality. Therefore, this procedure should only be used in the context of ...
NICE
National Institute for Health and Clinical Excellence (NICE)
Further research should report details of patient selection, the type of fistula treated, how the internal fistula opening was closed, and long-term outcomes including recurrence and the need for reoperation.
ver más ... 2019For people with a probable diagnosis of primary hyperparathyroidism, measure vitamin D and offer vitamin D supplements if needed.
NICE
National Institute for Health and Clinical Excellence (NICE)
To differentiate primary hyperparathyroidism from familial hypocalciuric hypercalcaemia, measure urine calcium excretion using any one of the following tests: 24-hour urinary calcium excretion random renal calcium:creatinine excretion ratio random calcium:creatinine clearance ratio.
ver más ... 2019Current evidence on endoscopic ablation for an anal fistula raises no major safety concerns and the evidence on efficacy is adequate in quality and quantity.
NICE
National Institute for Health and Clinical Excellence (NICE)
Therefore, this procedure can be used provided that standard arrangements are in place for clinical governance, consent and audit.
ver más ... 2019