Langenbeck's archives of surgery
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Langenbecks Arch Surg · Jun 2014
Review Comparative StudyManagement of persistent postsurgical inguinal pain.
Severe persistent pain is a major postsurgical complication affecting 2-4 % of patients following inguinal hernia repair and may cause critical physical and socioeconomic disability. This review introduces relevant criteria and analyses the current evidence base underlying recommended management strategies. ⋯ There is a need for improved study designs and, launching of large multicenter collaborative studies supplying the necessary long-term data for recommendation of future management strategies.
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Langenbecks Arch Surg · Jun 2014
Comparative StudyInfluence of preoperative biliary drainage on surgical outcome after pancreaticoduodenectomy: single centre experience.
Controversy prevails on the impact of preoperative biliary drainage (PBD) on postoperative complications and clinical outcome of pancreatic cancer. We determined whether PBD is associated with increased morbidity and mortality rates after pancreaticoduodenectomy. ⋯ With the exception of the classical indications, PBD should be carefully evaluated in patients with resectable pancreatic cancer.
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Langenbecks Arch Surg · Jun 2014
Surgery for incarcerated hernia: short-term outcome with or without mesh.
Incarcerated hernias represent about 5-15 % of all operated hernias. Tension-free mesh is the preferred technique for elective surgery due to low recurrence rates. There is however currently no consensus on the use of mesh for the treatment of incarcerated hernias, especially in case of bowel resection. ⋯ Morbidity after surgery for incarcerated hernia remains high and depends on comorbidities and surgical presentation. The use of mesh could become current practice even in case of bowel resection.