Annals of surgery
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This study aimed at demonstrating the effects and learning curve of utilizing combined intermittent and continuous recurrent laryngeal nerve (RLN) monitoring for lymphadenectomy during esophagectomy. ⋯ CNM helped improve bilateral RLN lymphadenectomy. Lymph node harvesting was increased with reduction of VC palsy after a learning curve.
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To determine the effect of nonchronic, periodic preoperative opioid use on prolonged opioid fills after surgery. ⋯ Patients with nonchronic, periodic opioid use before surgery are vulnerable to persistent postoperative opioid use. Identifying opioid use before surgery is a critical opportunity to optimize care after surgery.
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Randomized Controlled Trial Multicenter Study
Open Preperitoneal Inguinal Hernia Repair, TREPP versus TIPP in a Randomized Clinical Trial: Abstract provisionally accepted for ESA congress May 2021 Cologne, titled 'Chronic inguinal pain after the TransREctus sheath preperitoneal method compared to the TransInguinal preperitoneal technique. A randomized clinical trial'.
The aim of this study was to compare chronic postoperative inguinal pain (CPIP) in patients with an inguinal hernia after the TransREctus Sheath PrePeritoneal (TREPP) and the TransInguinal PrePeritoneal Technique (TIPP). ⋯ Both the TREPP and TIPP technique resulted in a low incidence of CPIP after 1-year follow-up. The TREPP method can be considered a solid method for inguinal hernia repair if expertise is present. The learning curve of the TREPP techniques needs further evaluation.
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Randomized Controlled Trial Multicenter Study
Hypothermic Oxygenated Machine Perfusion (HOPE) Reduces Early Allograft Injury and Improves Post-Transplant Outcomes in Extended Criteria Donation (ECD) Liver Transplantation from Donation After Brain Death (DBD): Results from a Multicenter Randomized Controlled Trial (HOPE ECD-DBD).
The aim of this study was to evaluate peak serum alanine aminotransferase (ALT) and postoperative clinical outcomes after hypothermic oxygenated machine perfusion (HOPE) versus static cold storage (SCS) in extended criteria donation (ECD) liver transplantation (LT) from donation after brain death (DBD). ⋯ This multicenter RCT demonstrates that HOPE, in comparison to SCS, significantly reduces early allograft injury and improves post-transplant outcomes in ECD-DBD liver transplantation.
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Randomized Controlled Trial Multicenter Study
Efficacy and Safety of Non-Antibiotic Outpatient Treatment in Mild Acute Diverticulitis (DINAMO-study): A Multicentre, Randomised, Open-Label, Non-Inferiority Trial.
Mild AD can be treated safely and effectively on an outpatient basis without antibiotics. ⋯ Nonantibiotic outpatient treatment of mild AD is safe and effective and is not inferior to current standard treatment.