نتایج جستجو برای: surgical ethics

تعداد نتایج: 425214  

2012
Soren Thorgaard Skou Ewa M Roos Mogens Berg Laursen Michael Skovdal Rathleff Lars Arendt-Nielsen Ole Simonsen Sten Rasmussen

INTRODUCTION It is recommended that non-operative treatment of knee osteoarthritis (KOA) should be individually tailored and include multiple treatment modalities. Despite these recommendations, no one has yet investigated the efficacy of combining several non-surgical treatment modalities in a randomised controlled study. The purpose of this randomised controlled study is to examine if an opti...

2018

INTRODUCTION Patients presenting with right iliac fossa (RIF) pain are a common challenge for acute general surgical services. Given the range of potential pathologies, RIF pain creates diagnostic uncertainty and there is subsequent variation in investigation and management. Appendicitis is a diagnosis which must be considered in all patients with RIF pain; however, over a fifth of patients und...

Journal: :BMJ open 2016
Brigid M Gillespie Joan Webster David Ellwood Helen Stapleton Jennifer A Whitty Lukman Thalib Nicky Cullum Kassam Mahomed Wendy Chaboyer

INTRODUCTION Obese women are more likely to develop a surgical site infection (SSI) following caesarean section (CS) than non-obese women. Negative pressure wound therapy (NPWT) is increasingly being used to reduce SSI with limited evidence for its effectiveness. OBJECTIVES To determine the clinical and cost-effectiveness of using NPWT in obese women having elective and semiurgent CS. METHO...

2017
Frances Rapport Patti Shih Rebecca Mitchell Armin Nikpour Andrew Bleasel Geoffrey Herkes Sanjyot Vagholkar Virginia Mumford

INTRODUCTION One-third of patients with refractory epilepsy may be candidates for resective surgery, which can lead to positive clinical outcomes if efficiently managed. In Australia, there is currently between a 6-month and 2-year delay for patients who are candidates for respective epilepsy surgery from the point of referral for surgical assessment to the eventual surgical intervention. This ...

Journal: :iranian journal of otorhinolaryngology 0
amin rahpeyma assistant professor oral and maxillofacial surgery, oral and maxillofacial diseases research center, faculty of dentistry, mashhad university of medical sciences, mashhad, iran saeedeh khajehahmadi assistant professor oral and maxillofacial pathology, dental research center, faculty of dentistry, mashhad university of medical sciences, mashhad, iran vahid reza hosseini department of oral and maxillofacial surgery, dental research center, faculty of dentistry, mashhad university of medical sciences, mashhad, iran hamidreza azimi department of oral and maxillofacial surgery, dental research center, faculty of dentistry, mashhad university of medical sciences, mashhad, iran

introduction: coverage of bone grafts is very important in reconstructive surgery. in edentulous alveolar ridges this coverage is particularly important for supporting dental prostheses. here we present the case of a patient with a large deficient maxillary anterior region that was reconstructed with a bilateral palatal submucosal periosteal connective tissue flap: a soft tissue reserve for upp...

Journal: :acta medica iranica 0
masoud yavari department of hand and microvasculer surgery, panzdeh-e-khordad hospital, shaheed beheshti university of medical sciences, tehran, iran. mohammad reza ghazisaidi department of hand and microvasculer surgery, panzdeh-e-khordad hospital, shaheed beheshti university of medical sciences, tehran, iran. shokufeh hoseini zahmatkesh department of hand and microvasculer surgery, panzdeh-e-khordad hospital, shaheed beheshti university of medical sciences, tehran, iran. ramin jahadi department of hand and microvasculer surgery, panzdeh-e-khordad hospital, shaheed beheshti university of medical sciences, tehran, iran.

the coverage of soft- tissue defects of the hand specially volar side needs special consideration. although certain local flaps have been described and used for resurfacing the palm, extensive injury requires distant or free flaps for coverage. abdominal pedicle flap has been traditionally used for extensive hand injuries, however there is no doubt that one of the ideal tissues for resurfacing ...

2016
Dean A Harris Kymberley Thorne Hayley Hutchings Saiful Islam Gail Holland Olivia Hatcher Sarah Gwynne Ian Jenkins Peter Coyne Michael Duff Melanie Feldman Des C Winter Simon Gollins Phil Quirke Nick West Gina Brown Deborah Fitzsimmons Alan Brown John Beynon

INTRODUCTION There are 11 500 rectal cancers diagnosed annually in the UK. Although surgery remains the primary treatment, there is evidence that preoperative radiotherapy (RT) improves local recurrence rates. High-quality surgery in rectal cancer is equally important in minimising local recurrence. Advances in MRI-guided prediction of resection margin status and improvements in abdominoperinea...

2012
Michelle Ghert Benjamin Deheshi Ginger Holt R Lor Randall Peter Ferguson Jay Wunder Robert Turcotte Joel Werier Paul Clarkson Timothy Damron Joseph Benevenia Megan Anderson Mark Gebhardt Marc Isler Sophie Mottard John Healey Nathan Evaniew Antonella Racano Sheila Sprague Marilyn Swinton Dianne Bryant Lehana Thabane Gordon Guyatt Mohit Bhandari Michelle Ghert Benjamin Deheshi Mohit Bhandari Gordon Guyatt Ginger Holt Jay Wunder Peter Ferguson Lehana Thabane Tim O'Shea Lor Randall Ben Deheshi Nathan Evaniew Antonella Racano Marilyn Swinton Sheila Sprague Lisa Buckingham Peter Rose Brian Brigman Vikram Venkateswaran Robert Turcotte Joel Werier Paul Clarkson Timothy Damron Joseph Benevenia Megan Anderson Mark Gebhardt R. Lor Randall Marc Isler Sophie Mottard John Healey

INTRODUCTION Limb salvage with endoprosthetic reconstruction is the standard of care for the management of lower-extremity bone tumours in skeletally mature patients. The risk of deep postoperative infection in these procedures is high and the outcomes can be devastating. The most effective prophylactic antibiotic regimen remains unknown, and current clinical practice is highly varied. This tri...

Journal: :Annals of surgery 2015
Rachel Rosenthal Benjamin Kasenda Salome Dell-Kuster Erik von Elm John You Anette Blümle Yuki Tomonaga Ramon Saccilotto Alain Amstutz Theresa Bengough Joerg J Meerpohl Mihaela Stegert Kari A O Tikkinen Ignacio Neumann Alonso Carrasco-Labra Markus Faulhaber Sohail Mulla Dominik Mertz Elie A Akl Dirk Bassler Jason W Busse Ignacio Ferreira-González Francois Lamontagne Alain Nordmann Viktoria Gloy Kelechi K Olu Heike Raatz Lorenzo Moja Shanil Ebrahim Stefan Schandelmaier Xin Sun Per O Vandvik Bradley C Johnston Martin A Walter Bernard Burnand Matthias Schwenkglenks Lars G Hemkens Heiner C Bucher Gordon H Guyatt Matthias Briel

OBJECTIVE To investigate the prevalence of discontinuation and nonpublication of surgical versus medical randomized controlled trials (RCTs) and to explore risk factors for discontinuation and nonpublication of surgical RCTs. BACKGROUND Trial discontinuation has significant scientific, ethical, and economic implications. To date, the prevalence of discontinuation of surgical RCTs is unknown. ...

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