The British journal of surgery
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Randomized Controlled Trial Comparative Study
Short-term morbidity and quality of life from a randomized clinical trial of close rectal dissection and total mesorectal excision in ileal pouch-anal anastomosis.
Posterior rectal dissection during ileal pouch-anal anastomosis (IPAA) can be performed in the total mesorectal excision (TME) or close rectal dissection (CRD) plane. The aim of this study was to compare morbidity and quality of life (QoL) in patients having TME or CRD during proctectomy followed by IPAA for benign disease. ⋯ CRD led to a lower severe complication rate and better short-term QoL than wide TME.
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Randomized Controlled Trial Multicenter Study
Randomized clinical trial of the effect of gum chewing on postoperative ileus and inflammation in colorectal surgery.
Postoperative ileus (POI) is a common complication following colorectal surgery that delays recovery and increases length of hospital stay. Gum chewing may reduce POI and therefore enhance recovery after surgery. The aim of the study was to evaluate the effect of gum chewing on POI, length of hospital stay and inflammatory parameters. ⋯ NTR2867 (http://www.trialregister.nl).
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Randomized Controlled Trial Comparative Study
Randomized clinical trial comparing neurological outcomes after carotid endarterectomy or stenting.
Silent infarction in the brain can be detected in around 34 per cent of patients after carotid endarterectomy (CEA) and 54 per cent after carotid angioplasty and stenting (CAS). This study compared the risk of new infarctions in the brain in patients undergoing CEA or CAS. ⋯ NCT01591005 ( http://www.clinicaltrials.gov).