Magyar sebészet
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Randomized Controlled Trial Multicenter Study Clinical Trial
[Results of ventral hernia repair: comparison of suture repair with mesh implantation (onlay vs sublay) using open and laparoscopic approach--prospective, randomized, multicenter study].
Incisional hernias is a frequent complication following abdominal surgery, it develops in 11-20% of patients who had laparotomies. Different operative techniques are used for repair but results are often poor. In the absence of valid scientific data, there is no general agreement on the best surgical treatment. ⋯ Postoperative outcome, complications and recurrence are recorded. The study will run for five years. All collected data are sent to the coordinating center via internet to be entered into database.
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Randomized Controlled Trial Clinical Trial
[Preemptive analgesia--preoperative diclofenac sodium for postoperative analgesia in general surgery].
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Clinical Trial Controlled Clinical Trial
[Continuous postoperative epidural analgesia in abdominal surgery using ropivacain].
We studied the selective block on patients receiving epidural Ropivacain (R) infusion for postoperative analgesia after major abdominal surgery. Twenty patients received R and twenty patients received Bupivacain (B) via peridural catheter during and after surgery. The patients' age ranged between 40 and 80 and they belonged to ASA I, II and III risk group. ⋯ The infusion rate was often decreased because of the unwanted motor block caused by 0.25% B leading to insufficient postoperative analgesia. Because of this fact patients receiving B required opioid addition more often. Our conclusion is that R/B relative dose ratio is 1.2 suggesting that these local anaesthetics have different analgesic potency.
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Predicting outcome in critical care remains difficult. One factor making the task difficult is, that the time elapsed between the onset of symptoms and admission to the intensive care unit is often unknown. The aim of this study is to evaluate the early course and predictive value of organ dysfunction monitored by Multiple Organ Dysfunction Score (MODS) and serum procalcitonin (PCT), microalbuminuria (M:Cr) following oesophageal tumor resection. ⋯ The PaO2/FiO2 ratio gave clear differentiation between survivors and non-survivors. It seems to be a sensitive measurement for predicting outcome following oesophagectomy. Routine measurement of serum PCT in the postoperative period may help predicting outcome but further studies are required.