World journal of surgery
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World journal of surgery · Apr 2010
Randomized Controlled TrialEnabling, implementing, and validating training methods in laparoscopic surgery.
The challenges of teaching and learning technical skills for laparoscopic surgery have limited the use of laparoscopy for complex abdominal surgery. In an attempt to facilitate learning these skills, surgical educators are using simulators, but there is little conclusive evidence that simulators can predict improved performance by surgical trainees receiving training on them (predictive validity). ⋯ Although predictive validity for the virtual simulator was not conclusively established, reasons for this failure are discussed. Based on the evidence that training on simulators results in some task performance improvement, future studies are justified to better define more effective use of the simulator.
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World journal of surgery · Apr 2010
C-reactive protein is an early predictor of septic complications after elective colorectal surgery.
Nowadays, most patients who undergo colorectal surgery are discharged early. An early predictor of septic complications could avoid readmissions and decrease morbidity. CRP could be a good predictor allowing a safe discharge. ⋯ C-reactive protein is a simple way to ensure a safe discharge from hospital after elective colorectal surgery. Patients with CRP values >125 mg/l on the fourth postoperative day should not be discharged.
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World journal of surgery · Apr 2010
The incidence and success of treatment for severe chronic groin pain after open, transabdominal preperitoneal, and totally extraperitoneal hernia repair.
Chronic groin pain (CGP) is a significant cause of postoperative morbidity after inguinal hernia repair. Open, transabdominal preperitoneal (TAPP), and totally extraperitoneal (TEP) repair are all commonly performed methods of herniorrhaphy. The aim of this study was to compare the frequency of attendance at a chronic pain clinic (CPC) for CGP after open, TAPP or TEP repair. ⋯ In contrast to previous reports, laparoscopic hernia repair is associated with a greater frequency of attendance at CPC than open repair, a finding that merits further investigation. Of those requiring treatment, the majority were discharged pain-free after an average of 1 year.
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World journal of surgery · Apr 2010
Trauma evaluation of patients with chest injury in the 2008 earthquake of Wenchuan, Sechuan, China.
The purpose of the present study was twofold: to summarize the characteristics of trauma patients with thoracic injury in the 2008 earthquake of Wenchuan, Sichuan, China, and to validate the accuracy of the Injury Severity Score (ISS), the New Injury Severity Score (NISS), and the Chest Injury Index (CII) in prediction of respiratory failure. ⋯ Chest injury in earthquake is often accompanied with multiple injuries. The incidence of respiratory failure is high. The NISS can accurately predict the development of respiratory failure in chest injury patients. We recommend that NISS should be considered as a useful tool for trauma evaluation.