Canadian journal of surgery. Journal canadien de chirurgie
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Comparative Study
Drilling sounds are used by surgeons and intermediate residents, but not novice orthopedic trainees, to guide drilling motions.
The purpose of our study was to investigate the impact of distracting noise on the performance on a simulated orthopedic bone drilling skill when that noise blocks routine auditory feedback associated with the sounds of the drill. ⋯ Distracting noise impairs orthopedic bone drilling performance, and the ability to use drilling sounds to guide drilling motions is part of surgical expertise.
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Comparative Study
Laparoscopic compared with open adrenalectomy for resection of pheochromocytoma: a review of 47 cases.
We conducted a retrospective cohort study to determine whether laparoscopic adrenalectomy (LA) is a safe and effective therapy for the management of pheochromocytoma, as compared with open adrenalectomy (OA). ⋯ LA is safe and effective for the management of pheochromocytoma.
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Tibial fractures are the most common long bone fracture. The standard of care for the treatment of diaphyseal tibial fractures is an intramedullary nail (IMN). Implant removal is one of the most common procedures in bone and joint surgery, and criteria for implant removal are typically left to the treating surgeon. Currently, no clear criteria exist to guide a surgeon's decision to remove implanted tibial IMNs after healing. ⋯ Sex and litigation are positive predictive factors for patient requests to have tibial IMNs removed after healing.