Annals of surgery
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Randomized Controlled Trial Clinical Trial
Colon and rectal surgery without mechanical bowel preparation: a randomized prospective trial.
To assess whether elective colon and rectal surgery can be safely performed without preoperative mechanical bowel preparation. ⋯ These results suggest that elective colon and rectal surgery may be safely performed without mechanical preparation.
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Clinical Trial Controlled Clinical Trial
Gene expression patterns in skeletal muscle of thermally injured children treated with oxandrolone.
To analyze gene expression patterns in skeletal muscle from burned children. ⋯ DNA microarray technology will help identify molecular changes that can serve as targets for new therapies to attenuate muscle wasting in severely burned children and thus improve recovery and early rehabilitation.
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To determine whether subtumoral injection of radiocolloid is useful for lymphoscintigraphic visualization of the internal mammary node and in sentinel lymph node (SLN) biopsy of the axilla in breast cancer patients. ⋯ These results suggest the presence of a retromammary lymphatic pathway from the deep portion of the breast to both axillary and internal mammary basins, which is distinct from the superficial pathway. Therefore, SLN biopsy with a combination of subtumoral and other (peritumoral, dermal, or areolar) injections of radiocolloid will improve both axillary and internal mammary nodal staging.
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To discuss the difficulties in dealing with infected or exposed ventral hernia mesh, and to illustrate one solution using an autogenous abdominal wall reconstruction technique. ⋯ Removal of infected mesh and autogenous flap reconstruction is a safe, reliable, and one-step surgical solution to the problem of infected abdominal wall mesh.