The British journal of surgery
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The aim of this study was to examine the effect of preoperative smoking cessation interventions on postoperative complications and smoking cessation itself. ⋯ Surgical patients may benefit from intensive preoperative smoking cessation interventions. These include individual counselling initiated at least 4 weeks before operation and nicotine replacement therapy.
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Review Meta Analysis
Meta-analysis of standard, restrictive and supplemental fluid administration in colorectal surgery.
Optimal fluid therapy for colorectal surgery remains uncertain. ⋯ Using standardized definitions, this meta-analysis suggests that restrictive rather than standard fluid amount according to current textbook opinion, and goal-directed fluid therapy rather than fluid therapy guided by conventional haemodynamic variables, reduce morbidity after colorectal resection.
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Randomized Controlled Trial Comparative Study
Randomized clinical trial of concomitant or sequential phlebectomy after endovenous laser therapy for varicose veins.
The management of residual varicosities following endovenous laser therapy (EVLT) for varicose veins is contentious. Ambulatory phlebectomy may be performed concomitantly with the initial EVLT, or sequentially as a secondary procedure. This randomized trial compared these two approaches. ⋯ Concomitant phlebectomy with EVLT prolonged the procedure, but reduced the need for secondary procedures and significantly improved quality of life and the severity of venous disease.
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Randomized Controlled Trial Comparative Study
Randomized clinical trial of Entonox versus midazolam-fentanyl sedation for colonoscopy.
Intravenous sedation for colonoscopy is associated with cardiorespiratory complications and delayed recovery. The aim of this randomized clinical trial was to compare the efficacy of Entonox (50 per cent nitrous oxide and 50 per cent oxygen) and intravenous sedation using midazolam-fentanyl for colonoscopy. ⋯ Entonox provides better pain relief and faster recovery than midazolam-fentanyl and so is more effective for colonoscopy.
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There is a lack of valid patient-reported outcome (PRO) measures for hepatectomy or palliative treatment of colorectal hepatic metastases. This study examined the validity and reliability of the European Organization for Research and Treatment of Cancer Quality of Life questionnaire liver module (QLQ-LMC21) in patients with liver metastases from colorectal cancer. ⋯ The EORTC QLQ-LMC21 is a valid and reliable questionnaire module to use with the QLQ-C30 in assessing PROs in hepatectomy or palliative treatment for colorectal liver metastases.