Results 21 to 30 of about 7,250 (186)
Optimizing the design of invasive placebo interventions in randomized controlled trials
There are challenges in RCTs of invasive interventions with a placebo control. The DITTO framework outlines five stages to optimize invasive placebo design and delivery: deconstruction of the treatment intervention, identification (and removal) of the critical surgical element from the proposed placebo, consideration of risk, feasibility and the role ...
S. Cousins +9 more
wiley +1 more source
During the learning curve, the transanal total mesorectal excision procedure is associated with a high multifocal local recurrence rate, which appears to be related to suboptimal execution rather than the technique, and necessitates prolonged proctoring, optimization of the technique avoiding spillage, participation in controlled clinical trials with ...
S. E. van Oostendorp +21 more
wiley +1 more source
Reintervention or mortality within 90 days of bariatric surgery: population‐based cohort study
This population‐based study in five Nordic countries, including 49 977 patients, showed that older age and co‐morbidity increased the risk of reintervention or death within 90 days after bariatric surgery. Sex, surgical approach and hospital volume did not appear to influence this risk, but female sex and laparoscopic approach were associated with ...
J. H. Kauppila +10 more
wiley +1 more source
This study highlights the impact of MRI pelvimetry in predicting surgical difficulty in laparoscopic rectal surgery. Multivariable analysis identified that surgical difficulty was significantly associated with four variables: BMI, tumour size, anorectal angle and pelvic outlet.
T. Yamamoto +6 more
wiley +1 more source
Outcomes for high‐risk hepatoblastoma in a resource‐challenged setting
The outcomes of children with high‐risk hepatoblastoma were assessed in the setting of a resource‐challenged nation, where access to organized chemotherapy and liver transplantation remains limited for the underprivileged. Excellent results were demonstrated.
A. Rammohan +6 more
wiley +1 more source
The outcomes of 586 procedures performed or attended by surgeons certified by the Endoscopic Surgical Skill Qualification System (ESSQS) were compared with 842 procedures performed by surgeons without the ESSQS qualification. Attendance of ESSQS‐qualified surgeons led to superior outcomes in terms of duration of surgery, and operative complication and ...
N. Ichikawa +15 more
wiley +1 more source
Bariatric surgery: evidence-based practical recommendations [PDF]
[Resumen] La obesidad mórbida es, habitualmente, refractaria a los tratamientos convencionales, por lo que la modificación de hábitos dietéticos y de actividad física y/o el uso de fármacos consiguen pérdidas de peso parciales con habitual recuperación ...
Ahmad +174 more
core +2 more sources
Laparoscopic proximal gastrectomy with double‐flap technique is different from laparoscopic subtotal gastrectomy in terms of preventing problems involving the small intestine and anaemia after surgery for proximal early gastric cancer. However, these procedures are comparable for other outcomes, even though they are opposing procedures.
Y. Kano +6 more
wiley +1 more source
With a local quality assurance programme, significant improvement in local recurrence rates for cancer of the upper rectum was achieved by focusing on preoperative selection of type of surgery and the extent and completeness of mesorectal excision.
P. Bondeven +3 more
wiley +1 more source
Trainee performance in radical gastrectomy and its effect on outcomes
This study of 272 D2 gastrectomies investigated whether trainee involvement was associated with adverse outcomes. No significant difference in morbidity, mortality, operating time, number of nodes resected, hospital stay or predicted 5‐year survival was noted, demonstrating that outcomes are not compromised by supervised trainee involvement.
M. Navidi +6 more
wiley +1 more source

