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Background: Minimally invasive surgery has achieved pre-eminence for certain operations in general surgery over the last two decades, as the reduction in surgical insult has produced faster recovery with enhanced patient satisfaction and favourable health economics. Minimally invasive techniques have been less enthusiastically adopted by the trauma surgical community, despite some evidence of efficacy...
Penetrating cardiac injuries are among the most dramatic and lethal of all injuries. High survival rates in selected reports have given the erroneous impression that the lethality of cardiac injuries has diminished in recent years. In a review of 1,198 cases of penetrating cardiac trauma from South Africa, only 6% of patients arrived at hospital alive. Many patients with proximal coronary artery injuries...
Purpose: The management of colonic injury has changed in recent years. This study sought to evaluate current surgical management of injuries to the colon in a busy urban trauma centre, in the light of our increasing confidence in primary repair and evolving understanding of the concepts and practice of damage control surgery.Methods: A retrospective analysis was made of consecutive patients presenting...
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