Annals of surgery
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Comparative Study
Minimal access retroperitoneal pancreatic necrosectomy: improvement in morbidity and mortality with a less invasive approach.
Comparison of minimal access retroperitoneal pancreatic necrosectomy (MARPN) versus open necrosectomy in the treatment of infected or nonresolving pancreatic necrosis. ⋯ This study has shown significant benefits for a minimal access approach including fewer complications and deaths compared with open necrosectomy.
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To assess the effect of components separation on abdominal volume and pulmonary function after repair of hernias with loss of domain. ⋯ The components separation repair technique acts to restore lost abdominal domain by increasing its volume, and can be performed on patients with large ventral hernias with acceptable outcomes and without measurable changes in pulmonary function.
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To identify potential determinants of compliance with the American College of Surgeons Committee on Trauma guidelines for the transfer of trauma patients. ⋯ National guidelines for the transfer of severely injured patients are followed less than half the time. Pretransfer CT scans do not improve outcomes yet increase costs.