Canadian journal of surgery. Journal canadien de chirurgie
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Multicenter Study
Ministernotomy for aortic valve replacement: a study of the preliminary experience.
The aim of the study was to evaluate the technical feasibility and the postoperative course of aortic valve replacement through a ministernotomy. ⋯ We conclude that aortic valve replacement can be done through a ministernotomy approach with perioperative results similar to those obtained through a conventional sternotomy.
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To determine what proportion of abdominal computed tomography (CT) scans ordered after blunt trauma are positive and the applicability and accuracy of existing clinical prediction rules for obtaining a CT scan of the abdomen in this setting. ⋯ The assessment of the abdomen in blunt trauma remains a challenge. Accuracy in predicting positive scans in equivocal cases is poor. Retrospective application of an existing clinical prediction rule was found to be highly accurate in identifying patients with positive CT findings. Prospective use of such a rule could reduce the number of CT scans ordered without missing significant injuries.