Annals of surgery
-
Randomized Controlled Trial Comparative Study
Randomized prospective study to compare laparoscopic appendectomy versus umbilical single-incision appendectomy.
The use of single-incision laparoscopic surgery may represent an improvement over conventional laparoscopic surgery. In recent years, more and more articles have been published demonstrating the feasibility of this approach. Hence, for this reason, we present this randomized prospective study to compare the 2 techniques. ⋯ The transumbilical single-port approach is seen as a feasible technique for performing appendectomy. It does not increase the rate of complications and represents a possible alternative to conventional laparoscopic appendectomy.
-
Randomized Controlled Trial Comparative Study
A randomized stepped care intervention trial targeting posttraumatic stress disorder for surgically hospitalized injury survivors.
To test the effectiveness of a stepped care intervention model targeting posttraumatic stress disorder (PTSD) symptoms after injury. ⋯ Stepped care interventions can reduce PTSD symptoms and improve functioning over the course of the year after surgical injury hospitalization. Orchestrated investigative and policy efforts could systematically introduce and evaluate screening and intervention procedures for PTSD at US trauma centers. (
-
Randomized Controlled Trial Comparative Study
Randomized clinical trial of endovenous laser ablation versus conventional surgery for small saphenous varicose veins.
No randomized clinical trial comparing treatment options for small saphenous vein (SSV) incompetence exists, and there is no clear evidence that this axis behaves the same as the great saphenous vein after treatment. This means that the existing literature base, centered on the treatment of great saphenous vein incompetence cannot simply be extrapolated to inform the management of SSV insufficiency. This trial compares the gold standard of conventional surgery and endovenous laser ablation (EVLA) in the management of SSV incompetence. ⋯ NCT00841178.).