The British journal of surgery
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Review Meta Analysis
Meta-analysis of intravenous lidocaine and postoperative recovery after abdominal surgery.
Continuous intravenous administration of lidocaine may decrease the duration of ileus and pain after abdominal surgery. ⋯ Continuous intravenous administration of lidocaine during and after abdominal surgery improves patient rehabilitation and shortens hospital stay.
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Disordered coagulation complicates many diseases and their treatments, often predisposing to haemorrhage. Conversely, patients with cardiovascular disease who demonstrate antiplatelet resistance may be at increased thromboembolic risk. Prompt identification of these patients facilitates optimization of haemostatic dysfunction. Point-of-care (POC) tests are performed 'near patient' to provide a rapid assessment of haemostasis and platelet function. ⋯ POC haemostasis testing is a growing field in surgical practice. Such testing can be correlated with improved clinical outcome.
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Review Meta Analysis
Systematic review of randomized controlled trials on the effectiveness of virtual reality training for laparoscopic surgery.
Surgical training has traditionally been one of apprenticeship. The aim of this review was to determine whether virtual reality (VR) training can supplement and/or replace conventional laparoscopic training in surgical trainees with limited or no laparoscopic experience. ⋯ VR training can supplement standard laparoscopic surgical training. It is at least as effective as video training in supplementing standard laparoscopic training.
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Review Meta Analysis
Meta-analysis of the effect of warm humidified insufflation on pain after laparoscopy.
Studies on the use of warmed and humidified insufflation (WHI) in laparoscopic abdominal procedures to reduce pain have been inconclusive owing to small sample sizes. ⋯ WHI reduces pain after laparoscopy.
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Publication bias occurs when statistically non-significant (negative) findings are not published. It can profoundly affect the results of systematic reviews and meta-analyses. ⋯ Accepted quality standards for the reporting of meta-analyses recommend assessment of publication bias, but currently there is no uniform standard for reporting. Quantitative methods are being used with increasing frequency. Authors should take steps to minimize publication bias, and use both qualitative and quantitative assessment methods to determine whether it is present.