Canadian journal of surgery. Journal canadien de chirurgie
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To study the effectiveness of treatment and the outcome in trauma patients, and to correlate these with trauma scoring systems. ⋯ The TRISS method for analysing blunt trauma is comparable to other trauma scoring systems. The correlation of outcome analysis with other scoring systems is affected by exclusion rates, pre-referral resuscitation and single- versus multiple-injury mix of cases.
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To assess the efficacy and safety of a new technique for carpal tunnel release. ⋯ Endoscopic carpal tunnel release was effective in relieving symptoms and had a low complication rate. The technique was associated with early return to work and minimal palmar pain.
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To compare three methods of surgical treatment for infected nonunion of tibial fractures. ⋯ In terms of union and function, the best surgical treatment for infected nonunion of tibial fractures in this series was bone grafting and intramedullary rod fixation, after adequate débridement and antibiotic therapy.
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To study the outcome of conservative and surgical management of spontaneous pneumothorax. ⋯ Conservative treatment, including tube thoracostomy, was effective for primary and secondary spontaneous pneumothorax. Open surgery was effective in preventing recurrence in 95% of cases in both groups.
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During the initial operation on victims of multisystem trauma, life-threatening hypothermia, metabolic acidosis and coagulopathy occasionally develop. Without the immediate control of active bleeding and correction of these abnormalities, the intraoperative death rate is high. ⋯ The patient's initial surgery was abbreviated to allow the aggressive correction of hypothermia and coagulopathy before definitive reconstruction of bowel injuries. Abbreviated laparotomy for damage control should be a part of the surgical armamentarium in the management of severe abdominal trauma.