Annals of surgery
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To evaluate the suitability of microvascular flaps for the reconstruction of extensive full-thickness defects of the chest wall. ⋯ Extensive chest wall resections are possible with acceptable results. In patients with breast cancer, the surgery may offer valuable palliation and in those with sarcomas it can be curative.
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Biography Historical Article
David C. Sabiston, "The Man," on the education of medical students: thereby comes the future of surgery.
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Randomized Controlled Trial Comparative Study Clinical Trial
A prospective randomized study in 100 consecutive patients undergoing major liver resection with versus without ischemic preconditioning.
To evaluate the protective effects of ischemic preconditioning in a prospective randomized study involving a large population of unselected patients and to identify factors affecting the protective effects. ⋯ This study establishes ischemic preconditioning as a protective strategy against hepatic ischemia in humans. The strategy is particularly effective in young patients requiring a prolonged period of inflow occlusion, and in the presence of steatosis, and is possibly related to preservation of ATP content in liver tissue. Other strategies are needed in older patients.
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Comparative Study Clinical Trial Controlled Clinical Trial
Laparoscopic Roux-en-Y gastric bypass, but not rebanding, should be proposed as rescue procedure for patients with failed laparoscopic gastric banding.
To define whether laparoscopic rebanding or Roux-en-Y gastric bypass represents the best approach for failed laparoscopic gastric banding in patients with morbid obesity. ⋯ Laparoscopic conversion to a gastric bypass as well as laparoscopic rebanding are feasible and safe. Conversion to gastric bypass offers a significant advantage in terms of further weight loss after surgery. Therefore, this procedure should be considered as the rescue therapy of choice after a failed laparoscopic gastric banding.