World journal of surgery
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Nonoperative management (NOM) of kidney gunshot injuries as an alternative to surgical exploration is rarely reported. The aim of this study was to assess the feasibility and safety of selective NOM of such injuries. ⋯ Selective NOM of patients with kidney gunshot injuries is a feasible, safe, effective alternative to routine exploration.
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World journal of surgery · Mar 2009
Review Meta AnalysisCarotid artery stenting versus carotid endarterectomy: systematic review and meta-analysis.
The aim of this study was to evaluate and investigate the complications of carotid endarterectomy (CEA) and carotid artery stenting (CAS) by performing a meta-analysis based on prospective randomized controlled trials (RCTs). ⋯ CAS is equal to CEA with regard to the incidence of stroke/death. These procedures may be considered complementary rather than competing modes of therapy, each of which can be optimized with careful patient selection. CAS with an EPD may be appropriate in certain patients, and in general CAS should be considered cautiously in symptomatic patients.
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World journal of surgery · Mar 2009
Randomized Controlled Trial Comparative StudyA prospective randomized trial comparing traditional and fast-track patient care in elective open infrarenal aneurysm repair.
Fast-track recovery programs have led to reduced patient morbidity and mortality after major surgery. In terms of elective open infrarenal aneurysm repair, no evidence is available about such programs. To address this issue, we have conducted a randomized prospective pilot study. ⋯ An optimized patient care program in open infrarenal aortic aneurysm repair shows favorable results concerning need for postoperative assisted mechanical ventilation, time to full enteral feeding, and incidence of medical complications. Further ranomized multicentric trials are necessary to justify broad implementation (clinical trials. gov identifier NCT 00615888).
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World journal of surgery · Mar 2009
Comparative StudySafety of laparoscopic appendectomy during pregnancy.
Use of laparoscopic appendectomy (LA) remains controversial during pregnancy because data regarding procedure safety are limited. The outcome of LA in pregnant women was evaluated and compared to results of open surgery. ⋯ Laparoscopic appendectomy is safe and effective during pregnancy and is associated with good maternal and fetal outcome.