Publications by authors named "N Muscat"
Laparoscopic cholecystectomy is a widely performed procedure, with securing the cystic duct being a critical step to prevent bile leakage. Traditional metal clips are commonly used, but alternative methods, such as non-absorbable polymer clips, absorbable clips, sutures, and ultrasonic shears, are also utilized. This systematic review and meta-analysis evaluates the safety and efficacy of various cystic duct securing techniques.
View Article and Find Full Text PDFIntroduction: Burn wound management is challenging, especially in paediatric patients when optimising outcomes. Superficial burns are generally managed conservatively with dressings; however, frequent dressing changes can be a source of pain and discomfort. Cellulose dressings mitigate these problems, and current reports in the literature have demonstrated positive outcomes when compared against routine dressing types.
View Article and Find Full Text PDFArticle Synopsis
- Effective fluid management is crucial for patients undergoing damage control laparotomy (DCL) due to trauma or sepsis, with hypertonic saline (HTS) proposed as a better alternative to isotonic fluids.
- A systematic review found that HTS significantly improved early primary fascial closure (EPFC) rates and reduced the time to fascial closure compared to isotonic fluids, while also requiring less total fluid.
- Although HTS led to higher peak sodium levels, no significant differences were noted in renal function or mortality rates between the two fluid types.