The British journal of surgery
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Comparative Study
Surface and mechanical analysis of explanted Poly Implant Prosthèse silicone breast implants.
The recent events surrounding Poly Implant Prosthèse (PIP) breast implants have renewed the debate about the safety profile of silicone implants. The intentional use of industrial-grade instead of certified medical-grade silicone is thought to be responsible for reportedly higher frequencies of implant rupture in vivo. The differences in mechanical and viscoelastic properties between PIP and medical-grade silicone implant shells were investigated. Surface characterization of shells and gels was carried out to determine structural changes occurring after implantation. ⋯ This study demonstrated an increased weakness of PIP shells with time and therefore supports the argument for prophylactic removal of PIP breast implants.
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Faecal incontinence (FI) and constipation occur following corrective surgery for anorectal malformations (ARMs) and in children or adults with chronic constipation without a structural birth anomaly (chronic idiopathic constipation, CIC). Such symptoms may have profound effects on quality of life (QoL). This study systematically determined the burden of FI and constipation in these patients in adolescence and early adulthood, and their effect on QoL and psychosocial functioning in comparison with controls. ⋯ FI and constipation are major determinants of poor QoL in adolescents and young adults with ARMs and in those with CIC.
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Review Meta Analysis Comparative Study
Meta-analysis of glue versus sutured mesh fixation for Lichtenstein inguinal hernia repair.
Chronic pain remains a frequent complication after Lichtenstein inguinal hernia repair. As a consequence, mesh fixation using glue instead of sutures has become popular. This meta-analysis aimed to clarify which fixation technique is to be preferred for elective Lichtenstein inguinal hernia repair. ⋯ Elective Lichtenstein repair for inguinal hernia using glue mesh fixation compared with sutures is faster and less painful, with comparable hernia recurrence rates.
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Review Meta Analysis Comparative Study
Systematic review and meta-analysis of laparoscopic versus open colectomy with end ileostomy for non-toxic colitis.
This review compared short-term outcomes after laparoscopic versus open subtotal colectomy for acute, colitis medically refractory. ⋯ Where the procedure can be completed laparoscopically, there may be short-term benefits over open colectomy for colitis. These results cannot be generalized to critically ill patients in need of an emergency subtotal colectomy.