American journal of surgery
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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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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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Comparative Study
Laparoscopic approach of surgical treatment for primary hepatolithiasis: a cohort study.
The aim of the current study was to evaluate the perioperative and long-term outcome of a laparoscopic approach for management of primary hepatolithiasis. ⋯ In selected patients with primary hepatolithiasis, a laparoscopic approach of definitive treatment is safe and effective with good immediate and long-term outcomes.
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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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Patients with penetrating injuries are known to have worse outcomes than those with blunt trauma. We hypothesize that within each injury mechanism there should be no outcome difference between insured and uninsured patients. ⋯ Insurance status is a potent predictor of outcome in both penetrating and blunt trauma.