The British journal of surgery
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Disordered coagulation complicates many diseases and their treatments, often predisposing to haemorrhage. Conversely, patients with cardiovascular disease who demonstrate antiplatelet resistance may be at increased thromboembolic risk. Prompt identification of these patients facilitates optimization of haemostatic dysfunction. Point-of-care (POC) tests are performed 'near patient' to provide a rapid assessment of haemostasis and platelet function. ⋯ POC haemostasis testing is a growing field in surgical practice. Such testing can be correlated with improved clinical outcome.
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Review Meta Analysis
Meta-analysis of intravenous lidocaine and postoperative recovery after abdominal surgery.
Continuous intravenous administration of lidocaine may decrease the duration of ileus and pain after abdominal surgery. ⋯ Continuous intravenous administration of lidocaine during and after abdominal surgery improves patient rehabilitation and shortens hospital stay.
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Randomized Controlled Trial Comparative Study
Randomized clinical trial of stapled haemorrhoidopexy performed under local perianal block versus general anaesthesia.
The aim was to assess the feasibility of performing stapled haemorrhoidopexy under local anaesthesia. ⋯ ISRCTN19930199 (http://www.controlled-trials.com).
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Data on enhanced recovery programmes after pancreatic surgery are sparse. This retrospective cohort study, using historical controls, aimed to evaluate the impact of a fast-track programme after pancreaticoduodenectomy (PD). ⋯ A fast-track programme after PD improves gastric emptying and reduces postoperative stay.