Surgical management of duodenal web in an adult presenting with melaena; Case report and literature review.

Introduction: Duodenal web is a rare pathology presenting infrequently in adults. Diagnosis is challenging and definitive management is commonly delayed. We present a case of a patient with a late diagnosis of duodenal web, who underwent laparotomy, intraoperative gastroscopy and surgical removal of the web performed by two general surgeons.

Glutamine supplementation in acute pancreatitis: a meta-analysis of randomized controlled trials.

Background: There is emerging evidence that glutamine supplementation should be considered in patients with acute and critical illness associated with a catabolic response. There are reports of glutamine supplementation in acute pancreatitis but the results of these studies are conflicting. The aim of this study was to systematically review the randomised controlled trials (RCT) of glutamine in patients with acute pancreatitis.

Gentamicin-collagen implants to reduce surgical site infection: systematic review and meta-analysis of randomized trials.

Objective: To determine whether gentamicin-impregnated collagen sponges (gentamicin-collagen implants) decrease the incidence of surgical site infection (SSI).

Background: SSIs cause substantial morbidity and increase the costs of healthcare. Antibiotic prophylaxis is a cornerstone of SSI reduction.

Triclosan-impregnated sutures to decrease surgical site infections: systematic review and meta-analysis of randomized trials.

Objective: To determine the efficacy and safety of triclosan-impregnated sutures.

Background: Surgical-site infections (SSIs) produce considerable morbidity and increase health care costs. A potential strategy to decrease the rates of SSIs may be the use of triclosan-impregnated sutures.