The British journal of surgery
-
Randomized Controlled Trial Clinical Trial
Randomized placebo-controlled trial of local anaesthetic infusion in day-case inguinal hernia repair.
This study investigated the efficacy of local anaesthetic wound perfusion following day-case inguinal hernia repair. ⋯ A portable infusion pump for the delivery of local anaesthetic reduced pain after day-case inguinal hernia repair.
-
Application of laparoscopy to the resection of malignancy has been followed by a literature describing cases of metastatic involvement at laparoscopic port sites. These include patients who underwent surgery for early stage carcinoma and instances following laparoscopic procedures during which tumours were not dissected. ⋯ Further research in this area is urgent. Until the issue is better understood, patients undergoing laparoscopic surgery for malignancy should be entered into clinical trials.
-
Randomized Controlled Trial Clinical Trial
Randomized trial of early versus delayed laparoscopic cholecystectomy for acute cholecystitis.
The aim of this prospective randomized study was to define the optimum management between early and delayed laparoscopic cholecystectomy for patients with acute cholecystitis. ⋯ Early laparoscopic cholecystectomy is safe and feasible for acute cholecystitis with the additional benefit of shorter total hospital stay. Apart from a shorter operating time, treating patients with delayed laparoscopic cholecystectomy does not offer additional benefit.
-
Multicenter Study
Results of aortic screening in the brothers of patients who had elective aortic aneurysm repair.
Brothers of patients with an abdominal aortic aneurysm (AAA) are at high risk. In the present study brothers of patients who underwent elective AAA surgery were invited for aneurysm screening and the psychological consequences studied. ⋯ The prevalence of AAA in brothers of patients with AAA is far higher than in the overall male population of the same age. Screening does not seem to have a negative influence on psychological well-being.
-
Postoperative mortality after oesophagectomy for oesophageal cancer depends largely on the preoperative physiological status of the patient. ⋯ The risk of death after oesophagectomy for oesophageal cancer can be assessed objectively before surgery and quantified by a composite risk score. This score provides a useful tool for refining the criteria of patient selection for resection or the choice of procedure.