Khirurgiia
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Randomized Controlled Trial Multicenter Study
[Surgical Site Infections after Open Appendectomy and Effectiveness of Complex Approach to Their Prevention].
To assess an incidence rate of surgical site infections (SSI) after open appendectomy and effectiveness of combined preventive measures (CPM). ⋯ SSI after an open appendectomy remains an important problem. In order to determine a true incidence of SSI, it is necessary to improve the national nosocomial infection surveillance system. The CMP used in the study have showed a trend to significant SSI risk reduction and may be recommended to maximize patient protection. Further large studies are needed to confirm effectiveness of the proposed CMP.
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Randomized Controlled Trial
[Total mesorectal excision in rectal cancer management: laparoscopic or transanal?].
To evaluate and compare intraoperative features, early surgical outcomes, quality of excised specimen after laparoscopic and transanal total mesorectal excision (LA-TME and TA-TME). ⋯ Preliminary data show comparable early outcomes after transanal and laparoscopic techniques. Laparotomy and associated compications are avoided in case of transanal extraction of specimen. Further researches are necessary to study functional and long-term results.
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Development of delirium in critically ill patients is considered complication of basic disease which increases patients' hospital stay, mortality rate and the cost of treatment. Despite wide prevalence delirium often remains undiagnosed by physicians in ICU. Routine use of screening scales permits to diagnose delirium timely. Multicomponent preventive strategy with intermittent sedation and dexmedetomidine improves the results of treatment.