American journal of surgery
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Oncoplastic breast surgery refers to a wide range of techniques with a parallel goal of safely removing all malignant breast tissue while achieving the best possible esthetic outcome. We report the results of our oncoplastic breast operations from 2005 to 2007. ⋯ Oncoplastic breast surgery offers tools for breast conservation in patients otherwise destined for mastectomy or poor esthetic outcome. Despite the high proportion of patients in this series with large-volume ductal carcinoma in situ (DCIS) or extensive intraductal component, the use of oncoplastic techniques achieved negative margins with acceptable cosmetic results in the majority (84%) of patients.
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There are few studies that compare the incidence of incisional hernia following elective laparoscopic colon resection to open colectomy and determine the risk factors for its development. ⋯ Laparoscopic colectomy does not reduce the development of incisional hernia.
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Randomized Controlled Trial Comparative Study
Randomized comparison of Limberg flap versus modified primary closure for the treatment of pilonidal disease.
The best surgical technique for sacrococcygeal pilonidal disease is still controversial. The aim of this randomized prospective trial was to compare both the results of Limberg flap procedure and primary closure. ⋯ Our results do not show a clear benefit for surgical management by Limberg flap or primary closure. Limberg flap showed less convalescence and wound infection; our technique of tension-free primary closure was a day case procedure, less painful, and shorter than Limberg flap.
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Surgical safety and quality initiatives have now moved to the front of the agenda for contemporary surgery. ⋯ Surgeon-initiated efforts have led to marked improvements in multiple specialties and in many small and large hospitals and academic training centers.