Langenbeck's archives of surgery
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Langenbecks Arch Surg · Jan 2014
Review Meta Analysis Comparative StudyLaparoscopic ventral hernia repair: is there an optimal mesh fixation technique? A systematic review.
The purpose of this study is to distinguish the optimal mesh fixation technique used in laparoscopic ventral hernia repair (LVHR). A particular fixation technique of the mesh to the abdominal wall is required, which should be strong enough to prevent migration of the mesh and, at the same time, keep injury to the abdominal wall minimal to prevent postoperative discomfort and pain. ⋯ None of the currently available mesh fixation techniques used for LVHR was found to be superior in preventing hernia recurrence as well as in reducing abdominal wall pain. The pain reported was remarkably high with all different fixation devices. Further research to develop solid and atraumatic fixation devices is warranted.
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Langenbecks Arch Surg · Jan 2014
Review Meta Analysis Comparative StudyFast-track surgery in gastrectomy for gastric cancer: a systematic review and meta-analysis.
Fast-track surgery aims to attenuate the surgical stress response, reduce complications, and shorten hospital stay. The goal of the present meta-analysis is to assess the safety and effectiveness of fast-track surgery in patients undergoing gastrectomy for gastric cancer compared with conventional perioperative care. ⋯ Fast-track surgery is safe and effective in gastrectomy for gastric cancer. Further randomized trials are needed to strengthen the conclusions.