Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Mar 2014
Meta AnalysisKetorolac does not increase perioperative bleeding: a meta-analysis of randomized controlled trials.
Postoperative pain control is essential for optimal patient outcomes. Ketorolac is an attractive alternative for achieving pain control postoperatively, but concerns over postoperative bleeding have limited its use. ⋯ Therapeutic, II.
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Plast. Reconstr. Surg. · Dec 2013
Review Meta AnalysisSystematic review and meta-analysis on the work-related cause of de Quervain tenosynovitis: a critical appraisal of its recognition as an occupational disease.
The authors systematically reviewed all of the etiopathologic factors discussed in the literature to verify the classification of de Quervain tenosynovitis on the list of occupational diseases. ⋯ Risk, III.
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Plast. Reconstr. Surg. · Sep 2011
Review Meta AnalysisRisk factors for complications of tissue expansion: a 20-year systematic review and meta-analysis.
Tissue expansion is a widespread and accepted concept in plastic and reconstructive surgery and burn treatment but is also associated with a variety of complications. Most research does not reveal the risk factors for multiple complications of tissue expansion. To determine the risk factors for tissue expansion complications and to evaluate average complication rates, the authors performed a systematic review and meta-analysis of observational studies exploring risk factors for complications of tissue expansion. ⋯ Risk, II.
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Plast. Reconstr. Surg. · Feb 2004
Meta Analysis Clinical TrialA prospective study to assess the outcome of steroid injections and wrist splinting for the treatment of carpal tunnel syndrome.
Surgery is the definitive treatment for carpal tunnel syndrome. Conservative treatments, such as wrist splinting and steroid injections, are also effective for the relief of carpal tunnel symptoms, but their use remains controversial because they only offer long-term relief in a minority of patients. A prospective study was performed to assess the role of steroid injections combined with wrist splinting for the management of carpal tunnel syndrome. ⋯ Symptom duration of less than 3 months and absence of sensory impairment at presentation were predictive of a lasting response to conservative treatment. It is suggested that selected patients (i.e., with no thenar wasting or obvious underlying cause) presenting with mild to moderate carpal tunnel syndrome receive either a single steroid injection or wear a wrist splint for 3 weeks. This will allow identification of the 10 percent of patients who respond well to conservative therapy and do not need surgery.