The British journal of surgery
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Randomized Controlled Trial Multicenter Study Clinical Trial
Prospective randomized multicentre study of laparoscopic versus open appendicectomy.
A prospective randomized multicentre study was performed to compare the outcome of laparoscopic and open appendicectomy in patients with suspected acute appendicitis. ⋯ Laparoscopic appendicectomy is as safe as open appendicectomy and has the advantage of allowing a quicker recovery.
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Randomized Controlled Trial Clinical Trial
Prospective randomized controlled trial of preservation of the intercostobrachial nerve during axillary node clearance for breast cancer.
Complications of axillary surgery occur due to severance of the intercostobrachial nerve (ICBN). The feasibility and benefit of preserving the ICBN to prevent sensory loss was studied prospectively. ⋯ Preserving the ICBN reduces the incidence of sensory deficit (but not symptoms) in patients after axillary clearance.
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Randomized Controlled Trial Clinical Trial
Controlled trial of preperitoneal local anaesthetic for reducing pain following laparoscopic hernia repair.
A prospective randomized trial was performed to determine whether local anaesthetic solutions injected into the preperitoneal space may provide additional pain relief following transabdominal preperitoneal laparoscopic hernia repair. ⋯ This study suggests that instilling local anaesthetic into the preperitoneal space has no significant effect on postoperative pain relief requirement following laparoscopic hernia repair. Other methods of reducing postoperative pain should be sought that may facilitate day-case laparoscopic hernia surgery.
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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.
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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.