The British journal of surgery
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Liver failure is the principal cause of death after hepatectomy. Its progression towards death and its relationship with sepsis are unclear. This study analysed predictors of mortality in patients with liver dysfunction and the role of sepsis in the death of these patients. ⋯ Sepsis plays a key role in the death of patients with liver dysfunction after hepatectomy. Early recognition and aggressive treatment of sepsis may reduce mortality.
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Multicenter Study
Development and validation of a model for prediction of mortality in patients with acute burn injury.
The objective was to develop a user-friendly model to predict the probability of death from acute burns soon after injury, based on burned surface area, age and presence of inhalation injury. ⋯ An accurate model was developed to predict the probability of death from acute burn injury based on simple and objective clinical criteria.
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Multicenter Study
Initial experience with a multimodal enhanced recovery programme in patients undergoing liver resection.
Accelerated recovery from surgery has been achieved when patients are managed within a multimodal Enhanced Recovery After Surgery (ERAS) protocol. This study evaluated the benefit of an ERAS programme for patients undergoing liver resection. ⋯ The ERAS fast-track protocol is safe and effective for patients undergoing liver resection. It allows early oral intake, promotes faster postoperative recovery and reduces hospital stay.
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Multicenter Study
Validation of an Inguinal Pain Questionnaire for assessment of chronic pain after groin hernia repair.
Long-term pain is an important outcome after inguinal hernia repair. The aim of this study was to test the validity and reliability of a specific Inguinal Pain Questionnaire (IPQ). ⋯ This study found good validity and reliability for the IPQ, making it a useful instrument for assessing pain following groin hernia repair.
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Multicenter Study
Changing trends in the decision-making preferences of women with early breast cancer.
Previous studies have indicated a predominance of passive decision-making styles among women with early-stage breast cancer in the UK offered a choice between breast-conserving surgery (BCS) and mastectomy. The aim of this study was to determine current decision-making styles and establish their association with operation choice and breast unit mastectomy rate. ⋯ More women chose an active decision-making style than in previous UK studies. The provision of greater treatment selection autonomy to women suitable for BCS may not reduce mastectomy rates.