86,931 research outputs found
Acute appendicitis: Position paper, WSES, 2013
No full textAppendectomy is one of the most frequently performed operative procedures in general surgery departments of every size and category. Laparoscopic Appendectomy - LA - as compared to Open Appendectomy - OA - was very controversial at first but has found increasing acceptance all over the World, although the percentage of its acceptance is different in the various single National setting. Various meta-analyses and Cochrane reviews have compared LA with OA and different technical details. Furthermore, new surgical methods have recently emerged, namely, the single-port/incision laparoscopic appendectomy and NOTES technique. Their distribution among the hospitals, however, is unclear. Using laparoscopic mini-instruments with trocars of 2-3.5 mm diameter is proposed as a reliable alternative due to less postoperative pain and improved aesthetics. How to proceed in case of an inconspicuous appendix during a procedure planned as an appendectomy remains controversial despite existing study results. But the main question still is: operate or not operate an acute appendicitis, in the meaning of an attempt of a conservative antibiotic therapy. Therefore, we have done a literature survey on the performance of appendectomies and their technical details as well as the management of the intraoperative finding of an inconspicuous appendix in order to write down - under the light of the latest evidence - a position paper. © 2014 Agresta et al.; licensee BioMed Central Ltd
Improved immediate postoperative pain following laparoscopic inguinal herniorrhaphy using self-adhering mesh. The importance of clinical practice guidelines
No full textOver the past decades, clinical guidelines have increasingly been accepted as a fundamental tool to improve the quality of care received by patients. We recognize the important contributions made by Hernia in helping surgeons at the bedside become more efficient, through the publication of the most recent international guidelines for groin hernia managemen
Psicoterapia analitica, tecniche di rilassamento corporeo, approccio familiare e farmacoterapia: Gianni e la “sua” rettocolite ulcerosa
No full textImproved immediate postoperative pain following laparoscopic inguinal herniorrhaphy using self-adhering mesh: the importance of clinical practice guidelines
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Acute cholecystitis: WSES position statement
No full textBackground: The management of acute calculous cholecystitis still offers room for debate in terms of diagnosis, severity scores, treatment options and timing for surgery. Material and methods: A systematic review about the treatment of acute cholecystitis has been completed. The recommendations of recent guidelines have also been examined taking into account the results of the review. Results: The evidence available in the literature supports the recommendation about laparoscopic cholecystectomy as treatment of choice for acute cholecystitis. Surgery should be performed as soon as possible after the diagnosis because early treatment reduces total hospital stay and does not increase complication or conversion rates. The antibiotics can play different roles and attention should be posed to the risk of emerging resistance. A surgical or percutaneous drainage of the gallbladder is advocated by some authors in the advanced forms of inflammation or patients with severe co-morbidities; however, the available evidence does not support it, and further studies are necessary to clarify its role
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