The British journal of surgery
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Review Meta Analysis
Meta-analysis of prognostic factors for amputation following surgical repair of lower extremity vascular trauma.
Lower extremity vascular trauma (LEVT) is a major cause of amputation. A clear understanding of prognostic factors for amputation is important to inform surgical decision-making, patient counselling and risk stratification. The aim was to develop an understanding of prognostic factors for amputation following surgical repair of LEVT. ⋯ A significant proportion of patients who undergo lower extremity vascular trauma repair will require secondary amputation. This meta-analysis describes significant prognostic factors needed to inform surgical judgement, risk assessment and patient counselling.
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Review Meta Analysis
Meta-analysis of internal herniation after gastric bypass surgery.
The aim of this study was to provide a systematic and quantitative summary of the association between laparoscopic Roux-en-Y gastric bypass (LRYGB) and the reported incidence of internal herniation (IH). The route of the Roux limb and closure of mesenteric and/or mesocolonic defects are described as factors of influence. ⋯ The present systematic review includes a random-effects meta-analysis. The antecolic procedure, with closure of both the mesenteric and Petersen defects, has the lowest internal herniation incidence following laparoscopic Roux-en-Y gastric bypass.
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Randomized Controlled Trial Multicenter Study Comparative Study
Randomized clinical trial of skin closure by subcuticular suture or skin stapling after elective colorectal cancer surgery.
The best suture method to prevent incisional surgical-site infection (SSI) after clean-contaminated surgery has not been clarified. ⋯ UMIN000004001 (http://www.umin.ac.jp/ctr).
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Multicenter Study
Recurrence rate after absorbable tack fixation of mesh in laparoscopic incisional hernia repair.
The mesh fixation technique in laparoscopic incisional hernia repair may influence the rates of hernia recurrence and chronic pain. This study investigated the long-term risk of recurrence and chronic pain in patients undergoing laparoscopic incisional hernia repair with either absorbable or non-absorbable tacks for mesh fixation. ⋯ Absorbable tack fixation of the mesh was associated with a higher risk of recurrence than non-absorbable tacks for laparoscopic mesh repair of incisional hernia, but did not influence chronic pain.
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Randomized Controlled Trial Comparative Study
Randomized double-blind trial comparing the cosmetic outcome of cutting diathermy versus scalpel for skin incisions.
Controversy exists about whether cutting diathermy for skin incisions leads to a cosmetically inferior scar. Cosmetic outcomes were compared between skin incisions created with cutting diathermy versus scalpel. Wound infection rates and postoperative incisional pain were also compared. ⋯ NCT01496404 ( http://www.clinicaltrials.gov).