American journal of surgery
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Comparative Study Observational Study
Improved perioperative and short-term outcomes of robotic versus conventional laparoscopic colorectal operations.
Robotic assistance may offer unique advantages over conventional laparoscopy in colorectal operations. ⋯ Compared with conventional laparoscopy, some types of robotic-assisted colorectal operations may offer advantages regarding postoperative length of stay and perioperative complications.
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The investigators designed a sustained, surgeon-directed, iterative project to improve the quality of breast cancer surgery in south central Ontario. ⋯ This project highlights the feasibility of a surgeon-directed, iterative quality improvement strategy in breast cancer surgery. Interim results demonstrate consistent improvements in a key selected quality indicator.
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Incisional hernia (IH) remains a very frequent postoperative complication. The 2 techniques most frequently used are the onlay repair and sublay repair. However, it remains unclear which technique is superior. ⋯ Although the majority of the included studies were retrospective studies, sublay repair seems the preferred technique for IH repair.
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Multicenter Study
Successful interventions to reduce first-case tardiness in Dutch university medical centers: results of a nationwide operating room benchmark study.
First-case tardiness is still a common source of frustration. In this study, a nationwide operating room (OR) Benchmark database was used to assess the effectiveness of interventions implemented to reduce tardiness and calculate its economic impact. ⋯ Nationwide benchmarking can be applied to identify and measure the effectiveness of interventions to reduce first-case tardiness in a university hospital OR environment. The implemented interventions in 4 centers were successful in significantly reducing first-case tardiness.