Arch Surg Chicago
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To determine if patients with severe chronic obstructive pulmonary disease can tolerate thoracoscopic partial lung resection. ⋯ Patients with severe chronic obstructive pulmonary disease can tolerate thoracoscopic partial lung resection but an effort should be made to reduce local recurrence.
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Clinical Trial
Heparin-protamine mismatch. A controllable factor in bleeding after open heart surgery.
To test the effect of a new system designed to reduce heparin-protamine mismatch on bleeding after open heart surgery. ⋯ A reduction in protamine dose was associated with significant decreases in blood product use and postoperative bleeding. Excess protamine warrants consideration as both an important and a controllable factor in coagulopathy after open heart surgery.
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To review the outcomes of patients with open pelvic fractures. ⋯ Management of open pelvic fractures requires a well-coordinated group using several techniques. Selected patients with open pelvic fractures do not require fecal diversion. Incisions for orthopedic surgery should be considered when decisions are made regarding fecal diversion.