Canadian journal of surgery. Journal canadien de chirurgie
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To develop an improved method for measuring the deformity caused by fracture of the proximal end of the proximal phalanx of the little finger in children. ⋯ The measurements of deformity made it possible to describe and classify isolated deformities and combinations of various deformities.
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Review Case Reports
Don't cry over spilled stones? Complications of gallstones spilled during laparoscopic cholecystectomy: case report and literature review.
The gallbladder is perforated and stones are spilled more frequently during laparoscopic cholecystectomy than during open cholecystectomy. Recent reports have implicated spilled gallstones as a source of infrequent but serious complications of laparoscopic of laparoscopic cholecystectomy. They can cause serious morbidity, and in most cases the patient will require open surgery for management of these complications. ⋯ Attempts at repairing gallbladder perforations are often unsatisfactory. A simple solution to this potential problem is to retrieve all stones immediately, place them in an intraperitoneal specimen bag, and "park" the bag on the liver. As soon as the gallbladder is dissected off the liver it should be placed in the specimen bag with the stones and removed through the umbilical port opening.
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Randomized Controlled Trial Comparative Study Clinical Trial
Is wound infiltration with anesthetic effective as pre-emptive analgesia? A clinical trial in appendectomy patients.
To assess the efficacy of wound infiltration with local anesthetic in reducing postoperative pain after a muscle-splitting incision for appendectomy. ⋯ Infiltration with local anesthetic before incision does not pre-empt postoperative pain from a muscle-splitting incision used for appendectomy.
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Chylothorax is a rare complication of blunt chest trauma and is associated with fracture-dislocation of the thoracic spine in only 20% of these cases. Two cases of chylothorax after blunt chest injury are described in this paper; 1 was related to a fracture of the third thoracic vertebra. Closed chest drainage and total parenteral nutrition led to resolution of the condition within 3 weeks in both cases. In general, traumatic chylothorax should be managed conservatively for at least 4 weeks before surgical intervention is considered.