American journal of surgery
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Review Meta Analysis Comparative Study
A systematic review comparing laparoscopic vs open adhesiolysis in patients with adhesional small bowel obstruction.
To evaluate whether surgical outcomes differ between laparoscopic vs open approach for adhesiolysis in patients presenting with adhesional small bowel obstruction (ASBO). ⋯ Laparoscopic adhesiolysis for ASBO seems to have clinically proven advantage over open approach.
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Review Meta Analysis
A systematic review of the treatment for abdominal cutaneous nerve entrapment syndrome.
Abdominal cutaneous nerve entrapment syndrome (ACNES) is a frequently overlooked cause of chronic abdominal pain. We aim to outline the current available literature concerning the treatment of patients diagnosed with ACNES. ⋯ There is significant pain relief after injections and anterior neurectomy. Awareness of the diagnosis is important. The validity of currently used diagnostic criteria needs to be evaluated in additional studies.
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Comparative Study
Hypoalbuminemia at admission is associated with increased incidence of in-hospital complications in geriatric trauma patients.
Elderly patients are at an increased risk of protein-energy malnutrition (PEM) which increases the risk of morbidity/mortality. We evaluated the association between hypoalbuminemia at the time of emergency department (ED) admission and in-hospital complications among geriatric trauma patients. ⋯ Serum albumin level at ED admission, but not prealbumin level, is a significant predictor of in-hospital complications in geriatric trauma patients.
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Little is known about intraoperative adverse events (iAEs) in emergency surgery (ES). We sought to describe iAEs in ES and to investigate their clinical and financial impact. ⋯ In ES, iAEs are independently associated with significantly higher postoperative morbidity and prolonged LOS.