Publications by authors named "B de Goede"
Article Synopsis
- Chylothorax is a rare condition where lymphatic fluid leaks into the pleural space, often due to trauma, such as in a bicycle accident involving rib and spine fractures.
- A 60-something male patient experienced this after a biking accident, leading to surgery for a fractured vertebra and subsequent complications requiring a chest tube and extensive fluid management.
- Treatment involved dietary adjustments, surgical intervention to clip the thoracic duct, and ultimately resolved the chylous leakage over eight weeks.
Background: Inguinal hernia belongs to the most common surgical pathology worldwide. Approximately, one third is asymptomatic. The value of watchful waiting (WW) in patients with asymptomatic or mildly symptomatic inguinal hernia has been established in a few randomised controlled trials (RCTs).
View Article and Find Full Text PDFPurpose: To establish optimal management of patients with an umbilical hernia complicated by liver cirrhosis and ascites.
Methods: Patients with an umbilical hernia and liver cirrhosis and ascites were randomly assigned to receive either elective repair or conservative treatment. The primary endpoint was overall morbidity related to the umbilical hernia or its treatment after 24 months of follow-up.
Objective: To compare if watchful waiting is noninferior to elective repair in men aged 50 years and older with mildly symptomatic or asymptomatic inguinal hernia.
Background: The role of watchful waiting in older male patients with mildly symptomatic or asymptomatic inguinal hernia is still not well-established.
Methods: In this noninferiority trial, we randomly assigned men aged 50 years and older with mildly symptomatic or asymptomatic inguinal hernia to either elective inguinal hernia repair or watchful waiting.
Purpose: Inguinal hernia repair is frequently performed in premature infants. Evidence on optimal management and timing of repair, as well as related medical costs is still lacking. The objective of this study was to determine the direct medical costs of inguinal hernia, distinguishing between premature infants who had to undergo an emergency procedure and those who underwent elective inguinal hernia repair.
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