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1
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Affiliation(s)
- Andrei M Beliaev
- Green Lane Cardiothoracic Surgical Unit, Auckland City Hospital, Auckland, New Zealand
| | - Peter Shapkov
- Department of General Surgery, North Shore Hospital, Auckland, New Zealand
| | - Michael Booth
- Department of General Surgery, North Shore Hospital, Auckland, New Zealand
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2
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Woodfield J, Barnett M, Shapkov P. Softball injury causing haemoperitoneum due to ruptured Meckel's mesodiverticular band. N Z Med J 2011; 124:95-97. [PMID: 22016169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
A 16-year-old male sustained an intra-abdominal haemorrhage after diving for last base during a softball game. At laparotomy a ruptured patent mesodiverticular band supplying a large Meckel's diverticulum was found. Traumatic rupture of a mesodiverticular band leading to massive intra-abdominal haemorrhage is a rare event, and has never been reported as a single injury or in the context of a sport's injury.
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Affiliation(s)
- Julie Woodfield
- North Shore Hospital, Waitemata District Health Board, Takapuna, Auckland, New Zealand
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3
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Mathur S, Plank LD, McCall JL, Shapkov P, McIlroy K, Gillanders LK, Merrie AEH, Torrie JJ, Pugh F, Koea JB, Bissett IP, Parry BR. Randomized controlled trial of preoperative oral carbohydrate treatment in major abdominal surgery. Br J Surg 2010; 97:485-94. [DOI: 10.1002/bjs.7026] [Citation(s) in RCA: 81] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Abstract
Background
Major surgery is associated with postoperative insulin resistance which is attenuated by preoperative carbohydrate (CHO) treatment. The effect of this treatment on clinical outcome after major abdominal surgery has not been assessed in a double-blind randomized trial.
Methods
Patients undergoing elective colorectal surgery or liver resection were randomized to oral CHO or placebo drinks to be taken on the evening before surgery and 2 h before induction of anaesthesia. Primary outcomes were postoperative length of hospital stay and fatigue measured by visual analogue scale.
Results
Sixty-nine and 73 patients were evaluated in the CHO and placebo groups respectively. The groups were well matched with respect to surgical procedure, epidural analgesia, laparoscopic procedures, fasting period before induction and duration of surgery. Postoperative changes in fatigue score from baseline did not differ between the groups. Median (range) hospital stay was 7 (2–35) days in the CHO group and 8 (2–92) days in the placebo group (P = 0·344). For patients not receiving epidural blockade or laparoscopic surgery (20 CHO, 19 placebo), values were 7 (3–11) and 9 (2–48) days respectively (P = 0·054).
Conclusion
Preoperative CHO treatment did not improve postoperative fatigue or length of hospital stay after major abdominal surgery. A benefit is not ruled out when epidural blockade or laparoscopic procedures are not used. Registration number: ACTRN012605000456651 (http://www.anzctr.org.au).
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Affiliation(s)
- S Mathur
- Department of Surgery, University of Auckland, Auckland, New Zealand
| | - L D Plank
- Department of Surgery, University of Auckland, Auckland, New Zealand
| | - J L McCall
- New Zealand Liver Transplant Unit, Auckland City Hospital, Auckland, New Zealand
| | - P Shapkov
- Department of Surgery, University of Auckland, Auckland, New Zealand
| | - K McIlroy
- Nutrition Services, Auckland City Hospital, Auckland, New Zealand
| | - L K Gillanders
- Nutrition Services, Auckland City Hospital, Auckland, New Zealand
| | - A E H Merrie
- Department of Surgery, University of Auckland, Auckland, New Zealand
| | - J J Torrie
- Department of Anaesthesia, Auckland City Hospital, Auckland, New Zealand
| | - F Pugh
- Department of Anaesthesia, Auckland City Hospital, Auckland, New Zealand
| | - J B Koea
- Hepatobiliary and Upper Gastrointestinal Unit, Auckland City Hospital, Auckland, New Zealand
| | - I P Bissett
- Department of Surgery, University of Auckland, Auckland, New Zealand
| | - B R Parry
- Department of Surgery, University of Auckland, Auckland, New Zealand
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5
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Mathur S, Shapkov P, McIlroy K, Gillanders L, Plank L. Pre-operative carbohydrate loading in patients undergoing major abdominal surgery: Results of a double-blind randomised controlled trial. Nutrition 2008. [DOI: 10.1016/j.nut.2008.01.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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