The British journal of surgery
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Mortality and morbidity are considerable after treatment for perforated peptic ulcer (PPU). Since 2003, a Danish nationwide quality-of-care (QOC) improvement initiative has focused on reducing preoperative delay, and improving perioperative monitoring and care for patients with PPU. The present study reports the results of this initiative. ⋯ This nationwide quality improvement initiative was associated with reduced preoperative delay and improved perioperative monitoring in patients with PPU. A non-significant improvement was seen in 30-day mortality.
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Clinical guidelines recommend that, where clinically appropriate, laparoscopic tumour resections should be available for patients with colorectal cancer. This study aimed to examine the introduction of laparoscopic surgery in the English National Health Service. ⋯ Laparoscopic surgery was used more frequently in low-risk patients.
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Randomized Controlled Trial Multicenter Study Comparative Study
Randomized clinical trial of self-gripping mesh versus sutured mesh for Lichtenstein hernia repair.
Many patients develop discomfort after open repair of a groin hernia. It was hypothesized that suture fixation of the mesh is a cause of these symptoms. ⋯ NCT00815698 (http://www.clinicaltrials.gov).