Annals of surgery
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Randomized Controlled Trial
Randomized controlled trial to reduce bacterial colonization of surgical drains after breast and axillary operations.
To determine whether bacterial colonization of drains can be reduced by local antiseptic interventions. ⋯ Simple and inexpensive local antiseptic interventions with a chlorhexidine disc and hypochlorite solution reduce bacterial colonization of drains. Based on these data, further study of drain antisepsis and its potential impact on surgical site infection rate is warranted (ClinicalTrials.gov Identifier: NCT01286168).
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Randomized Controlled Trial Comparative Study
Objective outcomes 14 years after laparoscopic anterior 180-degree partial versus nissen fundoplication: results from a randomized trial.
To investigate late objective outcomes 14 years after laparoscopic anterior 180-degree partial versus Nissen fundoplication. ⋯ At 14 years after randomization, this study demonstrated that acid, weakly acidic, liquid and mixed reflux episodes are more common after anterior 180-degree fundoplication than after Nissen fundoplication. On the contrary, gas reflux and gastric belching and patient satisfaction are similar for both procedures. Mean LES resting and relaxation nadir pressure are lower after anterior fundoplication. Overall, these findings suggest less effective reflux control after anterior 180-degree partial fundoplication, offset by less dysphagia, leading to a clinical outcome that is equivalent to Nissen fundoplication at late follow-up.
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Randomized Controlled Trial Multicenter Study Comparative Study
Endovascular repair versus open repair of ruptured abdominal aortic aneurysms: a multicenter randomized controlled trial.
Randomized comparison of endovascular repair (EVAR) with open repair (OR) in patients with a ruptured abdominal aortic aneurysm (RAAA). ⋯ This trial did not show a significant difference in combined death and severe complications between EVAR and OR. Mortality for OR both in randomized patients and in cohort patients was lower than anticipated, which may be explained by optimization of logistics, preoperative CT imaging, and centralization of care in centers of expertise.
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Multicenter Study Controlled Clinical Trial
A total laparoscopic approach reduces the infertility rate after ileal pouch-anal anastomosis: a 2-center study.
To assess the infertility rate after laparoscopic ileal pouch-anal anastomosis (IPAA). ⋯ The infertility rate appears to be lower after laparoscopic IPAA than after open surgery.
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Multicenter Study
Pathohistological subtype predicts survival in patients with intraductal papillary mucinous neoplasm (IPMN) of the pancreas.
To investigate different subtypes of intraductal papillary mucinous neoplasms (IPMNs) of the pancreas and their prognostic value. ⋯ Evaluation of IPMN subtypes supports postoperative patient prognosis prediction. Therefore, subtype differentiation could lead to improvements in clinical management. Potentially identifying subgroups with the need for adjuvant therapy may be possible.