Annals of surgery
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Multicenter Study
Hospital length of stay after admission for traumatic injury in Canada: a multicenter cohort study.
To describe acute care length of stay (LOS) over all consecutive hospitalizations for the injury and according to level of care [intensive care unit (ICU), intermediate care, general ward], compare observed and expected LOS, and identify predictors of LOS. ⋯ Results suggest that acute care LOS after injury is underestimated when only information on the index hospitalization is used and that ICU or intermediate care constitute an important part of LOS. This information should be used to inform the development of an informative and actionable quality indicator.
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Randomized Controlled Trial
A randomized, controlled, crossover study of sacral nerve stimulation for irritable bowel syndrome.
To investigate whether sacral nerve stimulation reduces irritable bowel syndrome (IBS)-specific symptoms by a randomized, controlled, crossover study. ⋯ Sacral nerve stimulation significantly reduces symptoms and improves quality of life of highly selected patients with IBS.
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The aim of this study was to determine whether the genetic background of the disease should be incorporated into treatment decision making. ⋯ Mutations in the SDHB gene are associated with worse disease-free survival after resection in patients with carotid body paragangliomas despite earlier intervention. This suggests that a more aggressive surgical approach is warranted in patients with SDHB mutations.
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To assess the impact of revisional surgery after laparoscopic adjustable gastric banding (LAGB) on weight loss at 12 and 24 months. ⋯ Reoperation for pouch-related problems after LAGB is safe and effective. Weight loss is maintained after reoperation.
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Preoperative predictors of incidental gallbladder cancer (iGBC) have been poorly defined despite the frequency with which cholecystectomy is performed. The objective of this study was to define the incidence of and consider risk factors for iGBC at cholecystectomy. ⋯ Surgeons' suspicion for GBC should be heightened when they are performing or converting from LC to OC and when patients are older, Asian or African American, female, and have an elevated alkaline phosphatase level.