The British journal of surgery
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Multicenter Study Comparative Study Observational Study
Oncological outcome following anastomotic leak in rectal surgery.
The influence of anastomotic leak on local recurrence and survival remains debated in rectal cancer. ⋯ Anastomotic leak after low anterior resection did not affect oncological outcomes in these patients.
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Randomized Controlled Trial Comparative Study
Randomized clinical trial of sacral versus percutaneous tibial nerve stimulation in patients with faecal incontinence.
Sacral nerve stimulation (SNS) is a well established therapy for faecal incontinence (FI). Percutaneous tibial nerve stimulation (PTNS) is a newer, less invasive, treatment. The effectiveness and acceptability of these treatments have not been compared systematically. ⋯ In the short term, both SNS and PTNS provide some clinical benefit to patients with FI. Registration numbers: 2010-018728-15 and 10479 (http://public.ukcrn.org.uk/search/StudyDetail.aspx?StudyID=10479).
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Primary aldosteronism (PA) is the most common cause of secondary hypertension. The main aims of this paper were to review outcome after surgical versus medical treatment of PA and partial versus total adrenalectomy in patients with PA. ⋯ Recommendations for treatment of PA are hampered by the lack of randomized trials, but support surgical resection of unilateral disease. Partial adrenalectomy may be an option in selected patients.
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Multicenter Study
Long-term outcomes of sacral nerve stimulation for faecal incontinence.
Sacral nerve stimulation (SNS) has proven short- to medium-term effectiveness for the treatment of faecal incontinence (FI); fewer long-term outcomes have been presented and usually in small series. Here, the long-term effectiveness of SNS was evaluated in a large European cohort of patients with a minimum of 5 years' follow-up. ⋯ SNS remains an effective treatment for FI in the long term for approximately half of the patients starting therapy.
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Comparative Study
Introduction of laparoscopic abdominal aortic aneurysm repair.
The aim was to review a consecutive series of patients treated with laparoscopic abdominal aortic aneurysm (AAA) repair. These patients were compared with patients having elective open AAA repair. ⋯ Laparoscopic AAA repair was performed safely, and with at least equivalent outcomes to open repair, in patients unfavourable for EVAR.