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By Benjamin Chandler I'm a curious vascular fellow!
Timo W Hakkarainen, Nicole M Kopari, Tam N Pham, Heather L Evans
No abstract text is available yet for this article.
August 2014: Current Problems in Surgery
Eva Angenete, Anders Thornell, Jakob Burcharth, Hans-Christian Pommergaard, Stefan Skullman, Thue Bisgaard, Per Jess, Zoltan Läckberg, Peter Matthiessen, Jane Heath, Jacob Rosenberg, Eva Haglind
OBJECTIVE: To evaluate short-term outcomes of a new treatment for perforated diverticulitis with purulent peritonitis in a randomized controlled trial. BACKGROUND: Perforated diverticulitis with purulent peritonitis (Hinchey III) has traditionally been treated with surgery including colon resection and stoma (Hartmann procedure) with considerable postoperative morbidity and mortality. Laparoscopic lavage has been suggested as a less invasive surgical treatment. METHODS: Laparoscopic lavage was compared with colon resection and stoma in a randomized controlled multicenter trial, DILALA (ISRCTN82208287)...
January 2016: Annals of Surgery
Bharati Kochar, Venkata S Akshintala, Elham Afghani, B Joseph Elmunzer, Katherine J Kim, Anne Marie Lennon, Mouen A Khashab, Anthony N Kalloo, Vikesh K Singh
BACKGROUND: Data regarding the incidence and severity of post-ERCP pancreatitis (PEP) are primarily from nonrandomized studies. OBJECTIVE: To determine the incidence, severity, and mortality of PEP from a systematic review of the placebo or no-stent arms of randomized, controlled trials (RCTs). DESIGN: MEDLINE, EMBASE, and Cochrane databases were searched to identify RCTs evaluating the efficacy of drugs and/or pancreatic stents to prevent PEP...
January 2015: Gastrointestinal Endoscopy
Brett A Fair, John C Kubasiak, Imke Janssen, Jonathan A Myers, Keith W Millikan, Daniel J Deziel, Minh B Luu
BACKGROUND: Surgery is indicated for acute uncomplicated appendicitis but the optimal timing is controversial. Recent literature is conflicting on the effect of time to intervention. METHODS: We queried the American College of Surgeons National Surgical Quality Improvement Project dataset for patients undergoing laparoscopic and open appendectomy between 2007 and 2012. Logistic regression was used to evaluate 30-day morbidity and mortality of intervention at different time periods, adjusting for preoperative risk factors...
March 2015: American Journal of Surgery
Shahid Shafi, Sunni A Barnes, Nadine Rayan, Rustam Kudyakov, Michael Foreman, H Gil Cryer, Hasan B Alam, William Hoff, John Holcomb
BACKGROUND: State health departments and the American College of Surgeons focus on the availability of optimal resources to designate hospitals as trauma centers, with little emphasis on actual delivery of care. There is no systematic information on clinical practices at designated trauma centers. The objective of this study was to measure compliance with 22 commonly recommended clinical practices at trauma centers and its association with in-hospital mortality. STUDY DESIGN: This retrospective observational study was conducted at 5 Level I trauma centers across the country...
August 2014: Journal of the American College of Surgeons
George C Velmahos
No abstract text is available yet for this article.
February 2014: Surgical Clinics of North America
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