The British journal of surgery
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Comment Letter Randomized Controlled Trial Clinical Trial
Rectus sheath bupivacaine analgesia after aortic surgery.
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Randomized Controlled Trial Comparative Study Clinical Trial
Randomized controlled trial with sequential design of laparoscopic versus conventional appendicectomy.
A prospective study including 272 patients with suspected appendicitis was performed. The aims were to evaluate the representativity of the study group and to compare diagnostic and therapeutic laparoscopy with conventional appendicectomy. ⋯ The laparoscopic procedure is at least as good as conventional appendicectomy. Initial laparoscopy reduces the rate of misdiagnosis.
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Comment Letter Randomized Controlled Trial Clinical Trial
Prospective randomized trial comparing sequential avulsion with stripping of the long saphenous vein.
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Comment Letter Randomized Controlled Trial Clinical Trial
Prospective randomized trial comparing postoperative pain and return to physical activity after transabdominal preperitoneal, total preperitoneal or Shouldice technique for inguinal hernia repair.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Radical surgery and postoperative radiotherapy as combined treatment in rectal cancer. Final results of a phase III study of the European Organization for Research and Treatment of Cancer.
There is controversy whether adjuvant radiotherapy should be given before or after surgery for locally advanced, resectable rectal cancer. Preoperative radiotherapy substantially reduces local recurrence rates but may increase postoperative complications. In addition, patients found to have early cancers are treated unnecessarily. This study is a randomized trial of postoperative radiotherapy in patients who had a potentially curative resection for locally advanced rectal carcinoma. ⋯ This trial failed to demonstrate any improvement in overall survival or local control when postoperative irradiation was given following resection of locally advanced rectal carcinoma.