Annals of surgery
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A preoperative weight-reducing regimen is usually adhered to in most centers performing bariatric surgery for obesity. The potential to reduce postoperative complications by such a routine is yet to be defined. ⋯ Weight loss before bariatric surgery is associated with marked reduction of risk of postoperative complications. Moreover, the degree of risk reduction seems to be related to amount of weight lost and patients in the higher range of BMI are likely to benefit most from preoperative weight reduction.
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Randomized Controlled Trial
Randomized controlled trial of the use of a large-pore polypropylene mesh to prevent incisional hernia in colorectal surgery.
To reduce the incidence of incisional hernia (IH) in colorectal surgery by implanting a mesh on the overlay position. ⋯ The incidence of IH is high in patients undergoing elective or emergency surgery for colorectal diseases. The addition of a prophylactic large-pore polypropylene mesh on the overlay position decreases the incidence of IH without adding morbidity.
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We sought to determine the reliability of surgeon-specific postoperative complication rates after colectomy. ⋯ The vast majority of surgeons do not perform enough colectomies to generate a reliable surgeon-specific complication rate. Risk-adjusted complication rates should be viewed with caution when evaluating surgeons with low operative volume, as statistical noise is a large determinant in estimating their surgeon-specific complication rates.
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Review
Vascularized lymph node transfer for treatment of lymphedema: a comprehensive literature review.
A comprehensive literature review of VLNT with updates and comparisons on current application, techniques, results, studies and possible future implications. ⋯ Although the results with the use of VLNT for treatment of lymphedema have been largely positive, further exploration into standardized protocols for diagnosis, treatment optimization, and patient outcomes assessment is needed.
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Randomized Controlled Trial
A randomized controlled study to evaluate the role of video-based coaching in training laparoscopic skills.
This study evaluates whether video-based coaching can enhance laparoscopic surgical skills performance. ⋯ Despite equivalent exposure to practical laparoscopic skills training, video-based coaching enhanced the quality of laparoscopic surgical performance on both VR and porcine LCs, although at the expense of increased time. Video-based coaching is a feasible method of maximizing performance enhancement from every clinical exposure.