Annals of surgery
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To analyze the effects of surgical, anesthetic, and nursing teamwork skills on technical outcomes. ⋯ Detailed analysis of team interactions and dimensions is feasible and valuable, yielding important insights into relationships between nontechnical skills, technical performance, and operative duration. These results support the concept that interventions designed to improve teamwork and communication may have beneficial effects on technical performance and patient outcome.
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Review Meta Analysis
Continuous positive airway pressure for treatment of respiratory complications after abdominal surgery: a systematic review and meta-analysis.
We evaluated the potential benefit of continuous positive airway pressure (CPAP) to prevent postoperative pulmonary complications (PPCs), atelectasis, pneumonia, and intubation in patients undergoing major abdominal surgery. ⋯ This systematic review suggests that CPAP decreases the risk of PPCs, atelectasis, and pneumonia and supports its clinical use in patients undergoing abdominal surgery.
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Randomized Controlled Trial Comparative Study
Bar-coding surgical sponges to improve safety: a randomized controlled trial.
A randomized, controlled trial was performed to evaluate a computer-assisted method for counting sponges using a bar-code system. ⋯ Use of automated counting using bar-coded surgical sponges improved detection of miscounted and misplaced sponges and was well tolerated by surgical staff members.
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We analyze, on a nationwide basis, the risk of re-reoperation with reference to previous inguinal hernia repair technique. ⋯ Laparoscopic repair is recommended for reoperation of a recurrence after primary open Lichtenstein repair.
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Comparative Study
Laparoscope use and surgical site infections in digestive surgery.
To compare surgical site infection (SSI) rates in open or laparoscopic appendectomy, cholecystectomy, and colon surgery. To investigate the effect of laparoscopy on SSI in these interventions. ⋯ When feasible, a laparoscopic approach should be preferred over open surgery to lower the risks of SSI.