International journal of surgery
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This article reviews the important developments, recent and historical, in burn fluid resuscitation. Modern managements, debates, and research directions are discussed, with a key question of how to transcend the current therapeutic plateau.
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Randomized Controlled Trial Comparative Study
Tension-free repair versus Bassini technique for strangulated inguinal hernia: A controlled randomized study.
By Evidence Based Medicine (EBM) principles, several meta-analyses concluded that use of mesh is superior to the non-mesh operations in inguinal hernia surgery. Wound infection is a potential complication of all hernia repairs and deep-seated infection involving an inserted mesh may result in chronic groin sepsis. In the event of incarcerated or strangulated hernias, however; placement of prosthetic material is presumed to increase that risk of infection. ⋯ The use of Lichtenstein "tension-free" technique in emergency treatment of strangulated inguinal hernia is safe, effective with an acceptably low rate of postoperative complications and without recurrence.
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To study the management of complete renal artery occlusion in multiple trauma patients so as to develop a management algorithm. ⋯ Conservative management is advised in the treatment of unilateral complete blunt renal artery thrombosis. These patients need close follow-up for the risk of hypertension. Blunt renal artery thrombosis in multiple trauma patients indicates severe injury. Surgeons should critically assess the added risk of mortality against chances of recovering the renal function.