Annals of surgery
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To analyze the impact of body mass indices on postbariatric reconstructive surgery complications. ⋯ Body mass indices influence complications in postbariatric reconstructive surgery. Current BMI may impact complications in single-procedure cases, but appears to play less of a role in larger cases. Careful patient selection, assessment of surgical complexity, and recognition of the particular risks increased by residual obesity can help to optimize outcomes in this patient population.
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Comparative Study
Assessment of mortality in older trauma patients sustaining injuries from falls or motor vehicle collisions treated in regional level I trauma centers.
To compare mortality in elderly trauma patients sustaining fall or motor vehicle collision (MVC) related injuries and who are subsequently treated at regional Level I (tertiary) trauma centers. ⋯ Elderly patients sustaining fall-related injuries and treated at Level I trauma centers are at risk for excess mortality when compared with those injured in MVCs. Effective and efficient methods for treating this population must be determined.
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To study the impact of war on the workload/finances of a community hospital adjacent to the front. ⋯ Treatment of civilian/military casualties resulted in reorganization of hospital operations with significantly decreased accrued revenue. The bulk of the GSD workload shifts from the OR to the ED/wards while Orthopedic procedures and ICU beds become bottlenecks to patient flow during war.
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To describe the characteristics of patients undergoing multiple groin hernia repairs and to identify strategies that prevent further recurrence. ⋯ Laparoscopic preperitoneal repair provides the best surgical outcome in repeated groin hernia recurrence.
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To familiarize surgeons with the use of funnel plots as a control tool to assess quality in surgery. ⋯ More widespread application of funnel plots in surgery will help to overcome some of the existing difficulties in assessing and reporting performance and identifying evidence-based information. The assessment and changes in future healthcare delivery could be partly influenced by further development of funnel plot methodology.