نتایج جستجو برای: planned relaparotomy
تعداد نتایج: 43310 فیلتر نتایج به سال:
Objective: To compare patient outcomes, healthcare utilization and costs of on-demand and planned relaparotomy in patients with severe secondary peritonitis. Design: Randomized, nonblinded controlled trial. Setting: Two academic and 5 regional teaching hospitals in The Netherlands. Patients: A total of 232 patients with a diagnosis of peritonitis, confirmed during an index laparotomy, and an ac...
BACKGROUND Planned relaparotomy and relaparotomy on demand are two frequently employed surgical treatment strategies for patients with abdominal sepsis. METHODS The available literature was evaluated to compare the efficacy of both surgical treatment strategies. A systematic search for studies comparing planned and on-demand relaparotomy strategies in adult patients with secondary peritonitis...
CONTEXT In patients with severe secondary peritonitis, there are 2 surgical treatment strategies following an initial emergency laparotomy: planned relaparotomy and relaparotomy only when the patient's condition demands it ("on-demand"). The on-demand strategy may reduce mortality, morbidity, health care utilization, and costs. However, randomized trials have not been performed. OBJECTIVE To ...
INTRODUCTION Results of the first randomized trial comparing on-demand versus planned-relaparotomy strategy in patients with severe peritonitis (RELAP trial) indicated no clear differences in primary outcomes. We now report the full economic evaluation for this trial, including detailed methods, nonmedical costs, further differentiated cost calculations, and robustness of different assumptions ...
BACKGROUND Complex intra-abdominal sepsis secondary to acute appendicitis is common in South Africa, and management frequently involves relaparotomy. The decision to perform relaparotomy is often difficult, and this study aimed to develop a clinical model to aid the decision-making process. METHOD The study was conducted from January 2008 to December 2012 at Edendale Hospital, Pietermaritzbur...
the emergent abdominal surgeries from either of traumatic or non traumatic causes can result in situations in which the abdominal wall cannot initially be closed. many techniques have been reported for temporary coverage of the exposed viscera, but the result of various techniques remains unclear. during 94 months, 19 critically ill patients whit an open abdomen underwent surgery using plastic ...
BACKGROUND The first aim of this study was to discuss the factors affecting mortality rate in patients with severe intraabdominal sepsis treated with planned relaparotomy. The second aim was to compare APACHEE II, P-POSSUM and SAPS II scoring systems to allow identification of high-risk patients. MATERIAL AND METHODS A series of 34 patients who had intra-abdominal sepsis and treated with plan...
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