An essential paper...
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Lumbar discectomy is one of the most common procedures performed, however the efficacy of the procedure relative to non-operative care remains controversial.
Otosclerosis is the commonest cause of acquired deafness in young adults. The development of the stapedectomy operation in 1956 by Dr John Shea has transformed the outcomes for these patients.
This is a great article for all those interested in vascular surgery! And helps explain why >5.5cm is the cut off point for AAA repair. This landmark study by the UK NHS clearly shows that early surgical intervention for small abdominal aortic aneurysms confers no survival benefit over surveillance.
Supracondylar humerus fractures are the most common elbow fracture in children, with displaced fractures generally requiring surgical management with closed reduction and percutaneous pinning as the first line treatment option. Whether you are a budding orthopod or otherwise you will without doubt encounter the child with a painful elbow following FOOSH, make sure you always consider a supracondylar fracture and are familiar with assessing X-rays of the elbow joint – look for a posterior fat pad sign and/or displacement of the anterior humeral line which is often the giveaway!
The NSABP B-06...
The SYNTAX trial is the landmark RCT for cardiothoracic surgeons. CABG versus PCI. In this international trial 1800 patients with three-vessel or left main coronary artery disease were randomly assigned to either revascularisation with CABG or PCI. Those undergoing PCI were found to be more likely to reach the primary end point of death from any cause, stroke, AMI, or repeat revascularisation.
Open or laparoscopic surgery for acute appendicitis? Why and what is your evidence?! –
As promised, this is the follow up article to our post on watchful waiting vs repair of inguinal hernias.