World journal of surgery
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Camel-related injuries have been less well studied than other animal-related injuries. We aimed to study prospectively the incidence, mechanism, distribution of injury, and outcome of patients admitted to hospital with camel-related injuries in Al-Ain, United Arab Emirates. ⋯ Understanding the biomechanisms and patterns of injury and correlating them with the behavior of the camel is important for identification and prevention of camel-related injuries.
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World journal of surgery · Oct 2012
Randomized Controlled Trial Comparative StudyEffect of anesthetic methods on cerebral oxygen saturation in elderly surgical patients: prospective, randomized, observational study.
Intraoperative cerebral oxygen desaturation was reported to be associated with postoperative cognitive dysfunction in elderly patients. The effect of the anesthesia method on regional cerebral oxygen saturation (rSO(2)) is still a question under debate. The purpose of this study was to compare the effects of three common anesthesia methods on intraoperative rSO(2) changes in elderly patients. ⋯ Spinal anesthesia is associated with more frequent cerebral desaturation than general anesthesia; and it was aggravated when combined with midazolam sedation. The cerebral effects of anesthesia should be considered when managing high-risk elderly patients.
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In recent years, fast-track or enhanced recovery after surgery (ERAS) colorectal pathways have been utilized to achieve faster recovery and discharge from hospital with swift resumption of normal activities of daily living without an increase in complications or readmissions. Despite the large body of evidence available, however, adoption of the fast-track methodology in current surgical practice has been slow and sporadic. As outlined by a recent Cochrane review, practice uptake has mostly focused on individual component uptake. Therefore, instead of repeating what already has been established in the literature pertaining to colorectal fast-track surgery, the aim of this article is to interrogate the evidence concerning the individual components of ERAS pathways as they relate to a contemporary surgical department to determine the most relevant critical components for patients undergoing colorectal surgery in modern surgical practice.
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World journal of surgery · Oct 2012
Review Meta Analysis Comparative StudyPreservation versus division of ilioinguinal nerve on open mesh repair of inguinal hernia: a meta-analysis of randomized controlled trials.
Chronic groin pain after inguinal hernia repair, a serious problem, is caused by entrapment of the ilioinguinal nerve either by mesh or development of fibrosis. Division of the ilioinguinal nerve during hernioplasty has been found to reduce the incidence of chronic groin pain. However, the traditional approach favors preservation of the ilioinguinal nerve during open hernia repair. ⋯ Preservation of the ilioinguinal nerve during open mesh repair of inguinal hernia is associated with a decreased incidence of sensory loss at 6 and 12 months postoperatively compared with that of the division technique. No significant differences were found between the groups for chronic groin pain or numbness.
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World journal of surgery · Oct 2012
Randomized Controlled Trial Multicenter StudyEffect of triclosan-coated sutures on the incidence of surgical wound infection after lower limb revascularization surgery: a randomized controlled trial.
Surgical wound infection (SWI) is a common complication after peripheral vascular surgery. In a prospective study, triclosan-coated sutures were reported to decrease the incidence of surgical site infection after various surgical procedures. The aim of our study was to test the hypothesis that use of triclosan-coated sutures decreases the incidence of SWI after lower limb vascular surgery. ⋯ The use of triclosan-coated sutures does not reduce the incidence of SWI after lower limb vascular surgery.