Prospective randomized controlled trial investigating the type of sutures used during hepatectomy.
Norifumi Harimoto,Ken Shirabe,Tomoyuki Abe,Takafumi Yukaya,Eiji Tsujita,Tomonobu Gion,Kiyoshi Kajiyama,Takashi Nagaie +7 more
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TL;DR: The incidence of SSI in patients receiving absorbable sutURES and silk sutures is not significantly different in this randomized controlled study; however, the period for recovery in patients with SSI was significantly shorter for absorbableSutures.
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Abstract: AIM: To determine whether absorbable sutures or non-absorbable sutures are better in preventing surgical site infection (SSI), in this paper we discuss the results of a randomized clinical trial which examined the type of sutures used during hepatectomy.
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Citations
Management of post-hepatectomy complications
TL;DR: The safety profile of hepatectomy probably can be improved if the surgeons and medical staff involved have comprehensive knowledge of the expected complications and expertise in their management.
241
Methods to decrease blood loss during liver resection: a network meta‐analysis
Elisabetta Moggia,Benjamin Rouse,Constantinos Simillis,Tianjing Li,Jessica Vaughan,Brian R. Davidson,Kurinchi Selvan Gurusamy +6 more
TL;DR: Of the primary outcomes, the only one with evidence of a difference from more than one trial under the pair-wise comparison was in the number of adverse events (complications), which was higher with radiofrequency dissecting sealer than with the clamp-crush method.
95
Postoperative complications are predictive of poor prognosis in hepatocellular carcinoma
Norifumi Harimoto,Ken Shirabe,Toru Ikegami,Tomoharu Yoshizumi,Takashi Maeda,Kiyoshi Kajiyama,Takeharu Yamanaka,Yoshihiko Maehara +7 more
TL;DR: In patients with HCC, posthepatectomy complications are predictive of a worse overall survival, even when adjustments have been made for other known predictors.
60
Continuous versus interrupted skin sutures for non-obstetric surgery.
TL;DR: The benefits and harms of continuous compared with interrupted skin closure techniques in participants undergoing non-obstetric surgery are compared and the continuous suture technique with absorbable suture does not require suture removal and provides support for the wound for a longer period of time.
51
Risk Factors for Incisional and Organ Space Surgical Site Infections After Liver Resection are Different
TL;DR: High ASA scores, anemia, chronic hepatitis or liver cirrhosis, and prolonged operations increased therisk of incisional SSIs; concomitant bowel surgery increased the risk of organ/space SSI.
References
Guideline for Prevention of Surgical Site Infection, 1999 ☆ ☆☆ ★ ★★
Alicia J. Mangram,Teresa C. Horan,Michele L. Pearson,Leah Christine Silver,William R. Jarvis +4 more
TL;DR: The guidelines for the prevention of surgical wound infections (SSI) were published by the Centers for Disease Control and Prevention (CDC) in 1999 as discussed by the authors, with the goal of reducing infectious complications associated with these procedures.
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Guideline for Prevention of Surgical Site Infection, 1999
Alicia J. Mangram,Teresa C. Horan,Michele L. Pearson,Leah Christine Silver,William R. Jarvis +4 more
TL;DR: The “Guideline for Prevention of Surgical Site Infection, 1999” presents the Centers for Disease Control and Prevention's recommendations for the prevention of surgical site infections (SSIs), formerly called surgical wound infections, and replaces previous guidelines.
Bile Leakage After Hepatic Resection
Yo-ichi Yamashita,Takayuki Hamatsu,Tatsuya Rikimaru,Shinji Tanaka,Ken Shirabe,Mitsuo Shimada,Keizo Sugimachi +6 more
TL;DR: Patients with bile leakage from the hepatic hilum and postoperative uncontrollable ascites tend to have a poor prognosis, especially when a high-risk surgical procedure is performed in patients with liver cirrhosis, and more careful surgical procedures and use of an intraoperative biles leakage test are recommended.
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Risk Factors and Management of Bile Leakage after Hepatic Resection
Yasuhiko Nagano,Shinji Togo,Kuniya Tanaka,Hidenori Masui,Itaru Endo,Hitoshi Sekido,Kaoru Nagahori,Hiroshi Shimada +7 more
TL;DR: The aim of this study was to identify the perioperative risk factors for postoperative bile leakage after hepatic resection and to propose a treatment strategy for such leakage when it does occur, and to show that patients with involvement of the proximal bile duct were slower to heal than those with no demonstrable biles duct involvement.
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