International journal of surgery
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Comparative Study
Conventional wound management versus a closed suction irrigation method for infected laparotomy wound--a comparative study.
The aim of this study was to evaluate the efficacy of a closed suction irrigation method for the management of infected laparotomy wounds. ⋯ Encouraging results were obtained with the use of the closed suction irrigation method for infected laparotomy wounds. The closed suction irrigation method decreased hospital stay and allowed early rehabilitation. The findings of our study need to be substantiated in large-scale randomized controlled trials.
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Abnormal muscle response (AMR) to the electrical stimulation of a branch of facial nerve is a specific electrophysiological feature of primary hemifacial spasm (HFS). The aim of this study was to evaluate the value of AMR monitoring during microvascular decompression surgery (MVD), and the correlation between the AMR changes and the clinical outcomes. ⋯ Intraoperative AMR monitoring was an effective assistant for a successful MVD for the patient with HFS. It is worth being routinely employed during the operation.
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The root exit zone (REZ) of the seventh cranial nerve has been the target of microvascular decompression surgery (MVD) while searching the neurovascular conflict for treatment of hemifacial spasm for long time. Recently, increasing cases regarding the offending vessel beyond the REZ have been reported. To verify whether a thorough dissection of the nerve may give rise to a better postoperative result without enhancing complications, we conducted a parallel investigation. ⋯ These findings suggested that the entire-root-decompression technique is recommended while performing MVDs in patients with hemifacial spasm.
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Randomized Controlled Trial
Pain after surgery: can protective analgesia reduce pain? A randomised clinical trial.
To improve the patients postoperative pain experience using protective analgesia for patients undergoing third molar surgery under day case general anaesthesia. ⋯ There was no difference in the protective analgesia group compared with conventional analgesia group in improving postoperative pain experience. A different protective analgesia regime may be necessary, which employs a more aggressive and multimodal strategy for postoperative pain management.