The British journal of surgery
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Multicenter Study
Factors associated with delays in revascularization in patients with chronic limb-threatening ischaemia: population-based cohort study.
Prompt revascularization in patients with chronic limb-threatening ischaemia (CLTI) is important, and recent guidance has suggested that patients should undergo revascularization within 5 days of an emergency admission to hospital. The aim of this cohort study was to identify factors associated with the ability of UK vascular services to meet this standard of care. ⋯ Several factors were associated with delays in time to revascularization for patients with CLTI in the UK, most notably the weekday of admission, which reflects how services are organized. The results support arguments for vascular units providing revascularization to have the resources for a 7-day service.
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Randomized Controlled Trial
Low-pressure versus standard pressure laparoscopic colorectal surgery (PAROS trial): a phase III randomized controlled trial.
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Meta Analysis
A meta-analysis on continuous versus interrupted skin closure following appendicectomy.
The aim of this review was to analyse RCTs comparing wound-related outcomes between continuous subcuticular and interrupted transdermal wound closures for open appendicectomies in all age groups. ⋯ Continuous subcuticular open appendicectomy wound closure is not associated with an increased risk of wound infection and exploration. This method of closure has a reduced risk of wound dehiscence and better cosmetic outcomes.
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Multicenter Study Comparative Study Observational Study
A national propensity score-matched analysis of emergency laparoscopic versus open abdominal surgery.
Laparoscopy has been widely adopted in elective abdominal surgery but is still sparsely used in emergency settings. The study investigated the effect of laparoscopic emergency surgery using a population database. ⋯ In appropriately selected patients, laparoscopy is associated with superior outcomes compared with open emergency surgery.