American journal of surgery
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Pancreatic stone is a rare disease, and it may be associated with obstructive jaundice. We recorded clinical data and accurate images of the pancreatic stone. Whipple operation was performed to relieve the obstructive jaundice. The pancreatic stone is an uncommon entity with obstructive jaundice and may require surgical management if endoscopy or extracorporeal shock wave lithotripsy failed.
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Exsanguination from hepatic trauma is exacerbated by the lethal triad of acidosis, coagulopathy, and hypothermia. We evaluated the application of a modified chitosan dressing in a hypothermic coagulopathic model of grade V liver injury. ⋯ Modified chitosan dressings provide simple rapid treatment of life-threatening liver injuries.
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Comparative Study
Comparison of laparoscopy-assisted and open pylorus-preserving pancreaticoduodenectomy for periampullary disease.
Although many reports have described laparoscopic pancreatic surgery, pancreaticoduodenectomy (PD) has not been widely accepted. The present study aimed to compare laparoscopy-assisted and open pylorus-preserving pancreaticoduodenectomy (PPPD) to investigate the feasibility, safety, and tumor clearance. ⋯ Laparoscopy-assisted PPPD is on the same level with conventional open surgery in terms of perioperative outcomes or treatment efficacy.
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Randomized Controlled Trial Comparative Study
Inguinal hernia repair with porcine small intestine submucosa: 3-year follow-up results of a randomized controlled trial of Lichtenstein's repair with polypropylene mesh versus Surgisis Inguinal Hernia Matrix.
The aim of this study was to evaluate the safety and efficacy of Lichtenstein's hernioplasty using Surgisis Inguinal Hernia Matrix (SIHM; Cook, Bloomington, Indiana) compared with polypropylene (PP; Angiologica, Pavia, Italy). ⋯ SIHM hernioplasty seems to be a safe and effective procedure.
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Multicenter Study
The 90-day mortality and the subsequent renal recovery in critically ill surgical patients requiring acute renal replacement therapy.
Particular attention should be paid to postoperative patients that suffer from severe acute kidney injury (AKI) requiring renal replacement therapy (RRT). ⋯ The development of AKI requiring RRT in postoperative critical patients represents a substantial risk for mortality and morbidity.