The British journal of surgery
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Randomized Controlled Trial Multicenter Study
Randomized clinical trial of postoperative chewing gum versus standard care after colorectal resection.
Chewing gum may stimulate gastrointestinal motility, with beneficial effects on postoperative ileus suggested in small studies. The primary aim of this trial was to determine whether chewing gum reduces length of hospital stay (LOS) after colorectal resection. Secondary aims included examining bowel habit symptoms, complications and healthcare costs. ⋯ ISRCTN55784442 (http://www.controlled-trials.com).
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The aim was to evaluate the applicability of laparoscopic surgery in the treatment of primary rectal cancer in a training unit. ⋯ Supervised trainees can perform routine laparoscopic rectal cancer resection.
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Radiation-induced fibrosis (RIF) is a late complication of radiotherapy that results in progressive functional and cosmetic impairment. Autologous fat has emerged as an option for soft tissue reconstruction. There are also sporadic reports suggesting regression of fibrosis following regional lipotransfer. This systematic review aimed to identify cellular mechanisms driving RIF, and the potential role of lipotransfer in attenuating these processes. ⋯ Understanding how lipotransfer causes regression of RIF remains unclear; there are a number of new hypotheses for future research.