Annals of surgery
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Randomized Controlled Trial Comparative Study Clinical Trial
Tension-free inguinal hernia repair: TEP versus mesh-plug versus Lichtenstein: a prospective randomized controlled trial.
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Comparative Study
Prognostic factors following curative resection for pancreatic adenocarcinoma: a population-based, linked database analysis of 396 patients.
To analyze prognostic factors influencing pancreatic cancer survival following curative resection, using prospectively collected, population-based data. ⋯ Although biologic characteristics remain important predictors of survival for patients with resected pancreatic cancer, the most powerful determinant is postoperative adjuvant chemoradiation therapy. An interesting finding that warrants further investigation is the effect of socioeconomic status on both the likelihood of receiving adjuvant treatment and subsequent survival, indicating a possible relationship between the quality of care delivered and outcomes.
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Comment Comparative Study
Surgical treatment of severe obesity with a low-pressure adjustable gastric band: experimental data and clinical results in 625 patients.
To evaluate the use of a low-pressure gastric band in the treatment of severe obesity in a prospective study. ⋯ SAGB is a safe and effective new method in the management of severe obesity. Long-term follow-up (>3 years) is necessary to confirm its effectiveness and safety.
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Comparative Study
Have outcomes of incisional hernia repair improved with time? A population-based analysis.
To determine if certain outcomes of incisional hernia repair have improved in recent eras. ⋯ Incisional hernia repair is associated with high cumulative rates of reoperative repairs. The expectation that important measures of adverse outcome have improved in recent eras is not supported by the results of this large population-based study.
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To assess the oncologic and cosmetic outcomes in women with breast carcinoma who were treated with breast-conserving therapy using oncoplastic techniques with concomitant symmetrization of the contralateral breast. ⋯ The use of oncoplastic techniques and concomitant symmetrization of the contralateral breast allows extensive resections for conservative treatment of breast carcinoma and results in favorable oncologic and esthetic outcomes. This approach might be useful in extending the indications for conservative therapy.