Chirurgia Bucharest
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Chirurgia Bucharest · Jan 2009
Comparative StudyGlasgow coma scale and APACHE II system data--are they normally distributed?
To verify whether the Glasgow Coma Scale (GCS) and APACHE II system scores are normally distributed. ⋯ We demonstrated that GCS data do not follow the normal distribution, and thus nonparametric tests should be employed when dealing with such data. Furthermore, APACHE II data follow the normal distribution, and parametric tests could be considered, even though nonparametric tests are still preferred.
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Mediastinoscopy has the potential to bring under view the upper mediastinum, the area most difficult to dissect during transhiatal esophagectomy. The aim of the present study was to evaluate in an animal model the feasibility of the gas-chamber mediastinoscopy technique for dissection of the upper esophagus. ⋯ The technique of gas-chamber mediastinoscopy is feasible. It allows a fair amount of freedom of movement for the working instruments and offers a good view on the operative field for a controlled and accurate dissection. Further evaluation in experimental and clinical studies is required to establish the role of this procedure in esophageal surgery.
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Chirurgia Bucharest · Nov 2008
Comparative StudyLaparoscopic suture repair of perforated duodenal peptic ulcer for patients without risk factors.
Suture repair became the standard treatment for perforated duodenal ulcer (PDU) due to the efficacy of modern anti-ulcer therapy. This study compared short-term outcomes of open versus laparoscopic suture repair of PDU in patients without risk factors. ⋯ We believe that suture repair with omental patch associated with anti-ulcer medical therapy is the standard therapeutic solution in PDU for young patients without risk factors.
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Chirurgia Bucharest · Sep 2008
ReviewComplications of clavicle fracture and acromioclavicular joint rupture. What the general surgeon should know.
Fractures of the clavicle and acute dislocations of the acromioclavicular joint are common seen in the emergency room. Displaced or comminuted clavicle fractures and acromioclavicular joint ruptures (types III-VI) are associated with complications, such as subclavian vessels injury, hemopneumothorax, scapula-thoracic dissociation or brachial plexus paresis. Herein we discuss the usually complications seen after these injuries and underline whatever a trauma surgeon should know in order to avoid fatal situations.