BACKGROUND Conservative surgical treatment has been the treatment of choice for early breast cancer. It allows feasible oncological treatment with a satisfactory cosmetic approach and fast recovery. However, in some cases mastectomy is necessary. This study proposes a surgical approach with only one surgical access through the same incision, which is in line with precepts mentioned abov...

OBJECTIVE To determine whether the faster recovery after early surgery for sciatica compared with prolonged conservative care is attained at reasonable costs. DESIGN Cost utility analysis alongside a randomised controlled trial. SETTING Nine Dutch hospitals. PARTICIPANTS 283 patients with sciatica for 6-12 weeks, caused by lumbar disc herniation. INTERVENTIONS Six months of prolonged co...

BACKGROUND Cervical radicular syndrome (CRS) due to a herniated disc can be safely treated by surgical decompression of the spinal root. In the vast majority of cases this relieves pain in the arm and restores function. However, conservative treatment also has a high chance on relieving symptoms. The objective of the present study is to evaluate the (cost-) effectiveness of surgery versus prolo...

Spontaneous intracerebral hemorrhage (sICH) is one of the most dangerous cerebrovascular diseases, especially when in deep brain. The treatment of spontaneous deep supratentorial intracerebral hemorrhage is still controversial. We conducted a retrospective case-control study using propensity score matching to compare the efficacy of surgery and conservative treatment for patients with deep surp...

Abstract: Background: Flexible idiopathic flatfoot is the most common form of flatfoot. First line treatments are parental reassurance and conservative measures. However, surgical treatment may be needed in some cases. A number of surgical techniques with varying results have been described in the literature. Here, we present our clinical and radiological outcomes of calcaneal lengthening osteo...

ED FROM Peul WC, van den Hout WB, Brand R, et al. Prolonged conservative care versus early surgery in patients with sciatica caused by lumbar disc herniation: two year results of a randomised controlled trial. BMJ 2008;336:135528. Correspondence to: Dr W C Peul, Leiden University Medical Centre, Leiden, The Netherlands; [email protected] Sources of funding: Netherlands Organisation for Health Re...

Conservative Mastectomies provide removal of the entire breast parenchyma, saving the outer covering of the mammary gland with the possibility of performing an immediate reconstruction preserving women body image. With the oxymoron “conservative mastectomies”, we indicate Skin-Sparing Mastectomies (SSM), Nipple-Areola Complex-Sparing Mastectomies (NSM) and Skin-Reducing Mastectomies (SRM). Even...