Archives of surgery (Chicago, Ill. : 1960)
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To determine the attributable costs associated with surgical site infection (SSI) following breast surgery. ⋯ Surgical site infection after breast cancer surgical procedures was more common than expected for clean surgery and more common than SSI after non-cancer-related breast surgical procedures. Knowledge of the attributable costs of SSI in this patient population can be used to justify infection control interventions to reduce the risk of infection.
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Penetrating trauma to the face and upper zone III of the neck may present unique challenges when the parotid gland and associated neurovascular structures are involved. We report a case of massive hemorrhage from penetrating neck trauma that necessitated emergency parotidectomy for vascular exposure. Facial nerve repair was also necessary, underscoring the importance of this approach not only for successful vascular control but also for preservation of nearby vital structures. The management of penetrating trauma to the parotid region,and relevant anatomy, are discussed.
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Randomized Controlled Trial
Acute postoperative pain management using massage as an adjuvant therapy: a randomized trial.
Adjuvant massage therapy improves pain management and postoperative anxiety among many patients who experience unrelieved postoperative pain. Pharmacologic interventions alone may not address all of the factors involved in the experience of pain. ⋯ Massage is an effective and safe adjuvant therapy for the relief of acute postoperative pain in patients undergoing major operations.