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Appendectomy

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3 papers 0 to 25 followers
https://www.readbyqxmd.com/read/26779980/long-term-results-of-a-randomized-double-blinded-prospective-trial-of-a-lightweight-ultrapro-versus-a-heavyweight-mesh-prolene-in-laparoscopic-total-extraperitoneal-inguinal-hernia-repair-tulp-trial
#1
RANDOMIZED CONTROLLED TRIAL
Josephina P J Burgmans, Charlotte E H Voorbrood, Rogier K J Simmermacher, Nelleke Schouten, Niels Smakman, GeertJan Clevers, Paul H P Davids, EgbertJan M M Verleisdonk, Marije E Hamaker, Johan F Lange, Thijs van Dalen
OBJECTIVE: The aim of the randomized clinical trial was to compare the 2 years of clinical outcomes of a lightweight (Ultrapro) vs a heavyweight (Prolene) mesh for laparoscopic total extraperitoneal (TEP) inguinal hernia repair. BACKGROUND: Lightweight meshes reduce postoperative pain and stiffness in open anterior inguinal hernia repair. The discussion about a similar benefit for laparoscopic repair is ongoing, but concerns exist about higher recurrence rates. METHODS: Between March 2010 and October 2012, male patients who presented with a primary, reducible unilateral inguinal hernia who underwent day-case TEP repair were eligible...
May 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27547961/management-of-the-open-abdomen-clinical-recommendations-for-the-trauma-acute-care-surgeon-and-general-surgeon
#2
Luis G Fernández
Traditionally, the surgical approach to managing abdominal injuries was to assess the extent of trauma, repair any damage and close the abdomen in one definitive procedure rather than leave the abdomen open. With advances in medicine, damage control surgery using temporary abdominal closure methods is being used to manage the open abdomen (OA) when closure is not possible. Although OA management is often observed in traumatic injuries, the extension of damage control surgery concepts, in conjunction with OA, for the management of the septic patient requires that the general surgeon who is faced with these challenges has a comprehensive knowledge of this complex subject...
September 2016: International Wound Journal
https://www.readbyqxmd.com/read/27502367/interval-appendectomy-finding-the-breaking-point-for-cost-effectiveness
#3
Lara Senekjian, Raminder Nirula, Brandon Bellows, Richard Nelson
BACKGROUND: Patients with phlegmonous appendicitis can be managed nonoperatively, yet debate continues about the need for interval appendectomy (IA), given the low risk of recurrence or neoplasm. We sought to determine for which patient age interval appendectomy is cost-effective. METHODS: Using TreeAge software, a cost-effectiveness model was developed. Two strategies were compared, IA and no interval appendectomy (NIA). Interval appendectomy patients were modeled with probability of benign pathology, cancer or inflammatory bowel disease, and possible operative complications...
October 2016: Journal of the American College of Surgeons
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