Langenbeck's archives of surgery
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Langenbecks Arch Surg · Jan 2014
Review Meta Analysis Comparative StudyLaparoscopic ventral hernia repair: is there an optimal mesh fixation technique? A systematic review.
The purpose of this study is to distinguish the optimal mesh fixation technique used in laparoscopic ventral hernia repair (LVHR). A particular fixation technique of the mesh to the abdominal wall is required, which should be strong enough to prevent migration of the mesh and, at the same time, keep injury to the abdominal wall minimal to prevent postoperative discomfort and pain. ⋯ None of the currently available mesh fixation techniques used for LVHR was found to be superior in preventing hernia recurrence as well as in reducing abdominal wall pain. The pain reported was remarkably high with all different fixation devices. Further research to develop solid and atraumatic fixation devices is warranted.
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Langenbecks Arch Surg · Aug 2013
Review Meta AnalysisEarly enteral nutrition after pancreatoduodenectomy: a meta-analysis of randomized controlled trials.
The aim of our study was to evaluate the safety and effectiveness of early enteral nutrition (EN) for patients after pancreatoduodenectomy (PD). ⋯ Current RCTs suggests that early EN appears safe and tolerated for patients after PD, but does not show advantages in infection and postoperative hospital stay.