Annals of surgery
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Review Meta Analysis
Continuous positive airway pressure for treatment of respiratory complications after abdominal surgery: a systematic review and meta-analysis.
We evaluated the potential benefit of continuous positive airway pressure (CPAP) to prevent postoperative pulmonary complications (PPCs), atelectasis, pneumonia, and intubation in patients undergoing major abdominal surgery. ⋯ This systematic review suggests that CPAP decreases the risk of PPCs, atelectasis, and pneumonia and supports its clinical use in patients undergoing abdominal surgery.
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We analyze, on a nationwide basis, the risk of re-reoperation with reference to previous inguinal hernia repair technique. ⋯ Laparoscopic repair is recommended for reoperation of a recurrence after primary open Lichtenstein repair.
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Randomized Controlled Trial Comparative Study
Bar-coding surgical sponges to improve safety: a randomized controlled trial.
A randomized, controlled trial was performed to evaluate a computer-assisted method for counting sponges using a bar-code system. ⋯ Use of automated counting using bar-coded surgical sponges improved detection of miscounted and misplaced sponges and was well tolerated by surgical staff members.
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To analyze the effects of surgical, anesthetic, and nursing teamwork skills on technical outcomes. ⋯ Detailed analysis of team interactions and dimensions is feasible and valuable, yielding important insights into relationships between nontechnical skills, technical performance, and operative duration. These results support the concept that interventions designed to improve teamwork and communication may have beneficial effects on technical performance and patient outcome.