Annals of surgery
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Multicenter Study
Surgical Management of Retrorectal Tumors: A French Multicentric Experience of 270 Consecutives Cases.
To report the largest multicentric experience on surgical management of retrorectal tumors (RRT). ⋯ Both laparoscopic and Kraske modified approaches can be used for surgical treatment of RRT (according to their location and their size), with similar long-term results.
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To compare the early results of mass and layered closure of upper abdominal transverse incisions. ⋯ Layered closure of upper abdominal transverse incisions should be preferred due to lower risk of incisional-SSIs and higher SWLR, despite clinically irrelevant longer duration.
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To isolate heat exposure as a cause of cognitive impairment and increased subjective workload in burns surgical teams. ⋯ We provide causal evidence that over time, heat exposure impairs cognitive speed and accuracy, and increases subjective workload. We recommend building on this study to drive best-practices for acute burns surgery and design work to enable burns teams to maintain their cognitive stamina, lower their workload, and improve outcomes for patients and surgeons.
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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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The aim of this study was to evaluate the benefit of diverting enterostomy (DE) in patients with severe steroid-refractory (SR) gastrointestinal acute graft-versus-host-disease (GI-aGVHD) following allogeneic hematopoietic stem-cell transplantation (ASCT). ⋯ DE should be considered for severe GI-aGVHD as soon as resistance to the corticosteroid is identified.