Canadian journal of surgery. Journal canadien de chirurgie
-
Meta Analysis Comparative Study
A meta-analysis of laparoscopic versus open appendectomy in patients suspected of having acute appendicitis.
To determine if any significant differences exist between laparoscopic appendectomy (LA) and open appendectomy (OA). ⋯ This meta-analysis suggests that operating room time is significantly longer, hospital stay is unchanged but return to normal activities is significantly earlier with LA.
-
Hypothermia has profound effects on every system in the body, causing an overall slowing of enzymatic reactions and reduced metabolic requirements. Hypothermic, acutely injured patients with multisystem trauma have adverse outcomes when compared with normothermic control patients. Trauma patients are inherently predisposed to hypothermia from a variety of intrinsic and iatrogenic causes. ⋯ Severe hypothermia has allowed remarkable survivals in the course of accidental circulatory arrest. The selective application of mild hypothermia in severe traumatic brain injury is an area with promise. Deliberate circulatory arrest with hypothermic cerebral protection has also been used for seemingly unrepairable injuries and is the focus of ongoing research.