The British journal of surgery
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Randomized Controlled Trial Comparative Study
Randomized clinical trial of perianal surgery performed under spinal saddle block versus total intravenous anaesthesia.
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The multifunctional image-guided therapy suite (MIGTS), a combined diagnostic and operating theatre, is currently the subject of considerable interest. This study investigated the effect of instituting a MIGTS on the emergency treatment of multiply injured patients. ⋯ NCT0072213 (http://www.clinicaltrials.gov).
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Randomized Controlled Trial Comparative Study
Adhesions and incisional hernias following laparoscopic versus open surgery for colorectal cancer in the CLASICC trial.
This study investigated adhesive intestinal obstruction (AIO) and incisional hernia (IH) in patients undergoing laparoscopically assisted and open surgery for colorectal cancer. ⋯ Although this study has not confirmed that laparoscopic surgery reduces rates of AIO and IH after colorectal cancer surgery, trends suggest that a reduction in conversion to open surgery and elimination of port-site hernias may produce such an effect. Registration number for CLASICC trial: ISRCTN74883561 (http://www.controlled-trials.com).
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High estimates of preventable death rates have renewed the impetus for national regionalization of trauma care. Institution of a specialist multidisciplinary trauma service and performance improvement programme was hypothesized to have resulted in improved outcomes for severely injured patients. ⋯ Institution of a specialist trauma service and performance improvement programme was associated with significant improvements in outcomes that exceeded national variations.
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A practical, easy to use model was developed to stratify risk groups in surgical patients: the Identification of Risk In Surgical patients (IRIS) score. ⋯ The IRIS score accurately predicted mortality after general or trauma surgery.