Annals of surgery
-
To obtain precise information on the optimal time window for surgical antimicrobial prophylaxis. ⋯ When cefuroxime is used as a prophylactic antibiotic, administration 59 to 30 minutes before incision is more effective than administration during the last half hour.
-
Comparative Study
A comparison of Roux-en-Y and Billroth-I reconstruction after laparoscopy-assisted distal gastrectomy.
The present study evaluated the efficacy of Roux-en-Y (R-Y) reconstruction and Billroth-I (B-I) reconstruction after laparoscopy-assisted distal gastrectomy (LADG). ⋯ R-Y reconstruction seems superior to B-I reconstruction for preventing both bile reflux into the gastric remnant and postoperative complications. We consider R-Y reconstruction as a feasible and safe method for LADG.
-
Inguinal hernias are very common disorders, especially in men, with inguinal herniorrhaphy being one of the most frequently performed general surgical procedures in men. Theoretically, obesity might increase the risk of groin hernia by increasing intra-abdominal pressure. The objective of the present study was to investigate whether overweight and obesity in middle age could significantly predict future groin hernia in men. ⋯ In a large community-based sample of middle-aged men overweight and obesity were associated with a lower risk for groin hernia during an extended follow-up. Obesity, in comparison with normal weight, reduced the risk of groin hernia by 43%. A reduced risk of groin hernia was also noted in heavy smokers. Obviously, hernia may be more easily detected in lean men but a true protective effect cannot be excluded.
-
To review current knowledge of hemorrhagic shock and reperfusion injury. ⋯ It is unlikely that a single treatment modality or "magic bullet" will be able to substantially block such a complex regulated process unless performed before feedback mechanisms known to be in place. Ongoing translational research will inevitably have a major impact on patient care.
-
To develop a statistically rigorous trauma mortality prediction model based on empiric estimates of severity for each injury in the abbreviated injury scale (AIS) and compare the performance of this new model with the injury severity score (ISS). ⋯ Trauma mortality models based on empirical estimates of individual injury severity better discriminate between survivors and nonsurvivors than does the current standard, ISS. One such model, the TMPM, has both superior discrimination and calibration when compared with the ISS. The TMPM should replace the ISS as the standard measure of overall injury severity.