American journal of surgery
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Comparative Study
Donor/recipient algorithm for management of the middle hepatic vein in right graft live donor liver transplantation.
The aim of this study was to delineate an algorithm for donor and recipient criteria and middle hepatic vein (MHV) management in right-graft live-donor liver transplantation (LDLT) on the basis of computerized 3-dimensional computed tomographic image analysis. ⋯ The proposed algorithm favored the inclusion of the MHV with the right grafts. It also allowed for the procurement of grafts that were potentially small for size without compromising donor or recipient safety.
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Most thymectomies are performed via sternotomy. Minimally invasive thymectomy (MIT) has been described but its potential benefits and drawbacks remain unclear. ⋯ MIT can be performed with similar morbidity and efficacy as transsternal thymectomy. Patients require fewer narcotics and can be discharged earlier.
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Comparative Study
Perioperative management and outcome of general and abdominal surgery in hemophiliacs.
The aim of the current study was to investigate perioperative management and outcome of surgery in hemophiliacs. ⋯ This study found no significant differences in perioperative data and postoperative outcome in hemophiliacs compared with nonhemophiliacs due to the excellent perioperative interdisciplinary management at our Hemophilia Center with prolonged hospital stay in hemophiliacs.
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Comparative Study
Splenectomy leads to a persistent hypercoagulable state after trauma.
It was hypothesized that splenectomy following trauma results in hypercoagulability. ⋯ A significant difference in deep venous thrombosis formation was noted, and coagulation assays indicated persistent hypercoagulability following splenectomy for trauma.
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Adults with cancer may be considered for extracorporeal life support (ECLS) as a means of support if failing conventional therapy. ⋯ Adults with cancer can be offered ECLS with a small but real expectation for survival. Impaired pulmonary status and the development of infections are associated with death.