Long-term results after laparoscopic adjustable gastric banding: a mean fourteen year follow-up study.

Background: For over a decade, the laparoscopic adjustable gastric band (LAGB) was 1 of the most performed bariatric procedures in Europe. This study is a retrospective analysis with prospectively collected data of the experience in 1 specialized Dutch center with the adjustable gastric band over 14 years.

Methods: Between 1995 and 2003, 201 patients underwent an LAGB for morbid obesity in our hospital.

Long-term effects of laparoscopic Roux-en-Y gastric bypass on diabetes mellitus, hypertension and dyslipidaemia in morbidly obese patients.

Background: Severely obese patients have an increased risk for developing metabolic complications such as type 2 diabetes mellitus (T2DM), dyslipidaemia (DL) and hypertension (HT). The aim of the present study is to research the effect of a primary laparoscopic Roux-en-Y gastric bypass (LRYGB) on T2DM, HT and DL in the long-term.

Methods: Fifty-two out of 89 (58 %) adult severely obese patients with T2DM who had received a LRYGB between January 2000 and December 2008 were evaluated.

[A brief history of the inguinal hernia operation in adults].

Late into the 19th century, treatment for inguinal hernias consisted of repositioning the hernia with trusses or using 'softening agents' such as warm herbal baths and moist bandages. Surgical resection or cauterisation, often combined with hemicastration, was only considered for cases ofstrangulated hernia that could not be repositioned. Bassini (1844-1924) is credited with developing the precursor to the modern inguinal hernia operation at the end of the 19th century.

[Quality of a non-subsidised multicentre randomised trial in non-academic hospitals; an audit].

Objective: To determine whether a randomised clinical trial in general hospitals can be performed in a reliable way without financial support.

Design: Descriptive.

Method: The trial involved 1040 patients in whom an inguinal hernia had been corrected with a propylene mat in the period 1998-2003.

Inguinal hernia surgery in The Netherlands: a baseline study before the introduction of the Dutch Guidelines.

Background: In 2003 the Dutch Guidelines for treatment of inguinal hernia (IH) were published. For treatment of IH in adults, the evidence-based guidelines recommend the use of a mesh repair technique. In order to be able to evaluate the effects of these guidelines, a baseline analysis of inguinal hernia surgery before the introduction of these guidelines had to be performed.