The British journal of surgery
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There are few data on intermittent and continuous intraoperative nerve monitoring (IONM) during thyroidectomy in children. ⋯ Continuous IONM measures nerve electrophysiology more accurately than intermittent IONM during thyroidectomy in children.
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Recent reviews suggest that the way in which surgeons prepare for a procedure (warm up) can affect performance. Operating lists present a natural experiment to explore this phenomenon. The aim was to use a routinely collected large data set on surgical procedures to understand the relationship between case list order and operative performance. ⋯ There is a robust relationship between operating list composition and surgical performance (indexed by duration of operation). An evidence-based approach to structuring a theatre list could reduce the total operating time.
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The intraoperative classification of appendicitis dictates the patient's postoperative management. Prolonged antibiotic prophylaxis is recommended for complex appendicitis (gangrenous, perforated, abscess), whereas preoperative prophylaxis suffices for simple appendicitis. Distinguishing these two conditions can be challenging. The aim of this study was to assess interobserver variability in the classification of appendicitis during laparoscopy. ⋯ There is considerable variability in the intraoperative classification of appendicitis and the decision to prescribe postoperative antibiotic treatment.