Arch Surg Chicago
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Comparative Study
Long-term outcomes in laparoscopic vs open ventral hernia repair.
To investigate whether there was a difference in morbidity, recurrence rate, and length of hospital stay between patients undergoing open or laparoscopic incisional hernia repair. ⋯ Outcomes did not differ with respect to recurrence rates after long-term follow-up; however, the lower rate of major morbidity and increased outpatient-based procedure rates favor laparoscopic repair in this study.
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Thrombolytic therapy will decrease the incidence of amputation when administered within 24 hours of exposure. ⋯ Tissue plasminogen activator improved tissue perfusion and reduced amputations when administered within 24 hours of injury. This modality represents the first clinically significant advancement in the treatment of frostbite in more than 25 years.