The British journal of surgery
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Peroperative identification and subsequent division or preservation of the inguinal nerves during open hernia repair may influence the incidence of chronic postoperative pain. ⋯ The nerves should probably be identified during open hernia repair. Division of and preservation of the ilioinguinal nerve show similar results.
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Review Meta Analysis Comparative Study
A meta-analysis comparing suprapubic and transurethral catheterization for bladder drainage after abdominal surgery.
Although bladder drainage is widely used for general surgical patients undergoing laparotomy, there is little consensus on whether suprapubic or transurethral catheterization is better. ⋯ The suprapubic route for bladder drainage in general surgery is more acceptable to patients and reduces microbiological morbidity.
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Review Meta Analysis
Systematic review of laparoscopic versus open surgery for colorectal cancer.
This study compares the efficacy and safety of laparoscopic surgery (LS) and open surgery (OS) for colorectal cancer. ⋯ LS takes longer than OS but offers several short-term benefits. However, complication rates are similar for both procedures and no differences were found in long-term outcomes.
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Review Meta Analysis Comparative Study
Meta-analysis of pancreaticojejunostomy versus pancreaticogastrostomy reconstruction after pancreaticoduodenectomy.
Pancreaticoduodenectomy is the primary treatment for periampullary cancer. Associated morbidity is high and often related to pancreatic anastomotic failure. This paper compares rates of pancreatic fistula, morbidity and mortality after pancreaticoduodenectomy in patients having reconstruction by pancreaticogastrostomy with those in patients having reconstruction by pancreaticojejunostomy. ⋯ Current literature suggests that the safer means of pancreatic reconstruction after pancreaticoduodenectomy is pancreaticogastrostomy, but much of the evidence comes from observational cohort study data.
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Review Meta Analysis
Systematic review and meta-analysis of the effectiveness of antibiotic prophylaxis in prevention of wound infection after mesh repair of abdominal wall hernia.
The aim was to determine whether systemic antibiotic prophylaxis prevented wound infection after repair of abdominal wall hernia with mesh. ⋯ Antibiotic prophylaxis did not prevent the occurrence of wound infection after groin hernia surgery. More trials are needed for complete evidence in other areas of abdominal wall hernia.