Interpreting the evidence for chlorhexidine wound irrigation in contaminated abdominal surgery [0.03%]
氯己定伤口冲洗在污染腹部手术中的证据解读
Imen Ben Ismail,Mariem Marzouki
Imen Ben Ismail
Kultanaruangnonth et al. recently reported a well-conducted double-blind randomized trial comparing intraoperative irrigation with 0.05% aqueous chlorhexidine gluconate (CHG) against normal saline for the prevention of surgical site infecti...
Outcomes of anterior versus posterior rib fractures and surgical treatment: analysis of 249 patients [0.03%]
前肋骨折与后肋骨折的预后及手术治疗：249例分析
Ya-Fu Cheng,Chang-Lun Huang,Yu-Jun Chang et al.
Ya-Fu Cheng et al.
Background: Traditionally, rib fracture severity has been quantified by fracture count and radiographic displacement. However, emerging evidence indicates that the outcomes following rib fractures widely vary and are not ...
Evaluation of a redesigned two-day trauma course incorporating blended learning compared with the traditional three-day trauma course: a retrospective non-inferiority study [0.03%]
评估一种新型两天创伤课程（结合混合教学法）相较于传统三天创伤课程的效果：一项回顾性非劣效性研究
Marly Iskander,Frederike J C Haverkamp,Leo M G Geeraedts et al.
Marly Iskander et al.
Background: During the multidisciplinary Definitive Surgical and Anesthetic Trauma Care (DSATC) course, trauma specialists are trained to apply damage control principles to polytrauma patients. The course was redesigned i...
Association of lifesaving versus non-lifesaving extracranial surgery with long-term outcome after severe traumatic brain injury: a prospective CENTER-TBI cohort analysis [0.03%]
颅脑创伤后体外手术与预后的关联：前瞻性研究
Angelo Guglielmi,Francesca Graziano,Anna Fornoni et al.
Angelo Guglielmi et al.
Background: Patients with traumatic brain injury (TBI) frequently undergo extracranial surgery (ES). These procedures may be lifesaving (LS), such as haemorrhage or damage-control interventions, or non-lifesaving (NLS), i...
Pathophysiology, prevention and treatment of postoperative peritoneal adhesions: a WSES narrative [0.03%]
术后腹膜粘连的病理生理、预防和治疗：WSES 剽窃叙事评论
Joreen Wen Qi Neo,Richard P G Ten Broek,Sachin Mathur et al.
Joreen Wen Qi Neo et al.
Background: Adhesions are a common complication following surgery, and they can cause significant morbidity. However, adhesions are not easily diagnosed with imaging, and often only become apparent when they cause intesti...
Igor A Kryvoruchko
Igor A Kryvoruchko
A recent meta-analysis by Fanchulli et al. concluded that cholecystectomy (CC) is associated with lower mortality and readmission than percutaneous cholecystostomy (PC) for acute cholecystitis, but this interpretation is limited by confound...
Short-term relief or long-term solution? A comparison between endoscopic stenting and gastrojejunostomy for malignant gastric outlet obstruction [0.03%]
短期缓解还是长期解决？内镜支架与胃空肠吻合治疗恶性幽门梗阻的比较研究
Stephanie Cheng,Xin Yan Lim,Crystal Jin Yang Sia et al.
Stephanie Cheng et al.
Introduction: Malignant gastric outlet obstruction is the consequence of advanced cancer resulting in mechanical obstruction to gastric emptying. Traditionally, surgical bypass (GJ) is performed and is known for its durab...
Congenital band as a rare cause of small bowel obstruction: a case series and review of the literature [0.03%]
先天性带状畸形所致小肠梗阻的病例系列及文献复习
Souhaib Atri,Mahdi Hammami,Amine Sebai et al.
Souhaib Atri et al.
Introduction: Small bowel obstruction (SBO) is a common surgical emergency, most often caused by adhesions, whereas congenital peritoneal bands (CPBs) represent a rare etiology in adults. Limited contemporary data exist, ...
Comparison of short-term outcomes in open versus endovascular management of traumatic axillosubclavian arterial injuries in the contemporary era: a systematic review and meta-analysis [0.03%]
当代开放手术与血管内介入治疗创伤性腋锁动脉损伤近期疗效的系统评价和 Meta 分析
Shang-Yu Tsai,Shao-Kai Sum,Tzu-Yen Huang et al.
Shang-Yu Tsai et al.
Background: Traumatic axillosubclavian arterial injuries are rare but associated with high morbidity and mortality. Endovascular repair (ER) has emerged as an alternative to open surgery (OS), yet comparative outcome data...
Comparative efficacy of intraoperative wound irrigation with aqueous chlorhexidine versus normal saline to prevent surgical site infections: a double-blind randomized controlled trial [0.03%]
氯己定溶液与生理盐水冲洗手术切口预防手术部位感染的疗效比较：一项双盲随机对照试验
Metasist Kultanaruangnonth,Lalita Chatrung,Amarit Tansawet et al.
Metasist Kultanaruangnonth et al.
Background: Surgical site infections (SSIs) remain a major concern after abdominal surgery, with incidences of 15-22%. Intraoperative wound irrigation (IOWI) before closure is routinely performed to reduce bacterial conta...