Publications by authors named "O Brehant"
Background: Day-case appendectomy (DCA) for acute appendicitis has been suggested as a valuable alternative to traditional appendectomy but many surgeons are reluctant to apply this technique in adults. The aim of the present review is to discuss the feasibility of DCA in adults.
Methods: Three reviewers independently searched the Pubmed and Embase databases for articles on DCA.
Article Synopsis
- This study investigates the long-term effects of using self-expanding metallic stents (SEMS) as a temporary solution for patients with left-sided malignant colonic obstruction (LMCO) compared to immediate surgical treatment. !* -
- A retrospective analysis of 48 patients treated with SEMS and 39 patients who underwent surgery showed that those in the SEMS group had significantly lower overall survival and higher cancer-specific mortality after five years. !* -
- The findings suggest that, particularly for patients without metastases or perforations at admission, SEMS insertion may lead to worse overall survival outcomes than immediate surgery for LMCO patients. !*
Purpose: Surgical site infection (SSI) is a major concern in colorectal surgery (CRS). It accounts for 60 % of all postoperative complications and has an incidence of between 10 and 30 %. The gentamicin-collagen sponge (GCS) was developed to help avoid SSI.
View Article and Find Full Text PDFIntroduction: Open tension-free hernioplasty using prosthetic meshes dramatically reduced recurrence rates after hernia or incisional hernia repair and has become the rule. Mesh infections (MI) are the major complication of prosthetic material. The aim of this study was to assess the efficacy of partial removal of mesh (PRM) therapy in the treatment of MI.
View Article and Find Full Text PDFBackground: Short-stay laparoscopic appendectomy for acute appendicitis (AA) has not yet been validated. This study was designed to prospectively evaluate the hospital length of stay (LOS) after laparoscopic appendectomy for AA and to determine predictive factors for successful short-stay surgery (LOS <24 h).
Methods: Between January and December 2010, all consecutive adults admitted for AA were prospectively treated with LOS <24 h as a patient management goal.