World journal of surgery
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World journal of surgery · Oct 2013
Randomized Controlled Trial Comparative StudyEarly oral feeding versus traditional postoperative care after abdominal emergency surgery: a randomized controlled trial.
Early oral feeding (EOF) has been demonstrated to be safe and beneficial after abdominal elective surgery. The aim of this randomized controlled trial is to assess the safety and benefits of EOF compared to traditional postoperative care (TPC) after abdominal emergency surgery. ⋯ EOF was safe after abdominal emergency surgery. EOF was associated with more vomiting (treated easily and without patient discomfort) and less hunger than with TPC. No other EOF-related benefits could be demonstrated during this trial.
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World journal of surgery · Oct 2013
Comparative StudyShort- and long-term outcomes after laparoscopic versus open emergency resection for colon cancer: an observational propensity score-matched study.
Case series suggest the feasibility and safety of emergency resection of colon cancer by laparoscopy. The present study compares short- and long-term outcomes of laparoscopic and open resection for colon cancers treated as emergencies. ⋯ Our data suggest that selective emergency laparoscopy for colon cancer is not inferior to open surgery with regard to short- and long-term outcomes. Laparoscopy resulted in a shorter length of hospital stay.
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World journal of surgery · Oct 2013
Surgeon elective abdominal aortic aneurysm repair volume and outcomes of ruptured abdominal aortic aneurysm repair: a 12-year nationwide study.
The purpose of the present study was to examine the effects of surgeon elective abdominal aortic aneurysm repair volume on outcomes after ruptured abdominal aortic aneurysm (rAAA) repair. ⋯ Surgeon EAR volume is associated with in-hospital mortality and long-term survival after RAR.
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World journal of surgery · Oct 2013
Impact of an acute care surgery model with a dedicated daytime operating room on outcomes and timeliness of care in patients with biliary tract disease.
Although many acute care surgery (ACS) formats exist, the model established in 2006 at our academic, level 1 trauma center includes a dedicated daytime operating room. The goal of the present study was to evaluate the effect that an ACS model with a dedicated daytime operating suite would have on outcomes and timeliness of care in patients with biliary tract disease. ⋯ We observed a significant decrease in preoperative time by 10 h with increased access to a readily available operating room. Having a dedicated ACS team is important, but it is equally important to have a dedicated operating room with disposable time to care for unpredictable, emergent cases to realize the full potential benefit of the ACS model.
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World journal of surgery · Oct 2013
Usefulness of drain amylase, serum C-reactive protein levels and body temperature to predict postoperative pancreatic fistula after pancreaticoduodenectomy.
Postoperative pancreatic fistula (POPF) after pancreaticoduodenectomy (PD) is a worrisome and life-threatening complication. Recently, early drain removal has been recommended as a means of preventing POPF. The present study sought to determine how to distinguish clinical POPF from non-clinical POPF in the early postoperative period after PD to aid in early drain removal. ⋯ Male gender and BMI ≥22.5 were the independent preoperative predictive risk factors for POPF. We assume that when amylase is <750 IU/L, serum CRP is <20 mg/dL, and body temperature is <37.5 °C the drain can safely be removed, even if POPF is indicated.