The British journal of surgery
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Non-operative management (NOM) of blunt splenic injuries is nowadays considered the standard treatment. The present study identified selection criteria for primary operative management (OM) and planned NOM. ⋯ NOM of blunt splenic injuries has a low failure rate. Advanced age is independently associated with an increased failure rate.
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Randomized Controlled Trial
Randomized clinical trial of gut-specific nutrients in critically ill surgical patients.
Inadequate gut function is common and may adversely affect prognosis. However, it is difficult to measure and treatment options are limited. This study evaluated whether gut-specific nutrients (GSNs) could stimulate the return of gut function in critically ill patients, and assessed what effect, if any, this would have on patient outcomes. ⋯ ISRCTN61157513 (http://www.controlled-trials.com).
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The aim of this study was to review an experience with retroperitoneal endoscopic adrenalectomy (REA). This is the procedure of choice for adrenal tumours at this institution. ⋯ REA appears to be a safe and effective surgical technique for adrenal gland tumours up to 6 cm in diameter, with a minimal complication rate.
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Randomized Controlled Trial Multicenter Study Comparative Study
Randomized clinical trial of mesh versus sutured wound closure after open abdominal aortic aneurysm surgery.
Incisional herniation is a common complication of abdominal aortic aneurysm (AAA) repair. This study investigated whether prophylactic mesh placement could reduce the rate of postoperative incisional hernia after open repair of AAA. ⋯ Mesh placement significantly reduced the rate of postoperative incisional hernia after open AAA repair without increasing the rate of complications.