Abstract:
BACKGROUND:Early accurate assessment of burn depth is important to determine the optimal treatment of burns. The method most used to determine burn depth is clinical assessment, which is the least expensive, but not the most accurate.Laser Doppler imaging (LDI) is a technique with which a more accurate (>95%) estimate of burn depth can be made by measuring the dermal perfusion. The actual effect on therapeutic decisions, clinical outcomes and the costs of the introduction of this device, however, are unknown. Before we decide to implement LDI in Dutch burn care, a study on the effectiveness and cost-effectiveness of LDI is necessary. METHODS/DESIGN:A multicenter randomised controlled trial will be conducted in the Dutch burn centres: Beverwijk, Groningen and Rotterdam. All patients treated as outpatient or admitted to a burn centre within 5 days post burn, with burns of indeterminate depth (burns not obviously superficial or full thickness) and a total body surface area burned of ≤ 20% are eligible. A total of 200 patients will be included. Burn depth will be diagnosed by both clinical assessment and laser Doppler imaging between 2-5 days post burn in all patients. Subsequently, patients are randomly divided in two groups: 'new diagnostic strategy' versus 'current diagnostic strategy'. The results of the LDI-scan will only be provided to the treating clinician in the 'new diagnostic strategy' group. The main endpoint is the effect of LDI on wound healing time.In addition we measure: a) the effect of LDI on other patient outcomes (quality of life, scar quality), b) the effect of LDI on diagnostic and therapeutic decisions, and c) the effect of LDI on total (medical and non-medical) costs and cost-effectiveness. DISCUSSION:This trial will contribute to our current knowledge on the use of LDI in burn care and will provide evidence on its cost-effectiveness. TRIAL REGISTRATION:NCT01489540.
journal_name
BMC Surgjournal_title
BMC surgeryauthors
Hop MJ,Hiddingh J,Stekelenburg C,Kuipers HC,Middelkoop E,Nieuwenhuis MK,Polinder S,van Baar ME,LDI study group.doi
10.1186/1471-2482-13-2subject
Has Abstractpub_date
2013-02-01 00:00:00pages
2issn
1471-2482pii
1471-2482-13-2journal_volume
13pub_type
杂志文章,多中心研究,随机对照试验相关文献
BMC Surgery文献大全abstract:BACKGROUND:Over the last few years, there has been increasing attention on surgical procedures to treat haemorrhoids. The Milligan-Morgan haemorrhoidectomy is still one of the most popular surgical treatments of haemorrhoids. The aim of the present work is to assess postoperative pain, together with other early and lat...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/1471-2482-9-16
更新日期:2009-10-24 00:00:00
abstract:BACKGROUND:Suspected acute appendicitis is the most frequent cause for emergency operations in visceral surgery worldwide. In approximately twenty percent of all cases however, the diagnosis is incorrect and patients undergo surgery without having acute appendicitis. Operations of bland appendices put patients at risk ...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/1471-2482-2-2
更新日期:2002-04-10 00:00:00
abstract:BACKGROUND:Necrotising Fasciitis is a life threatening soft tissue infection which requires aggressive, early surgical management. CASE PRESENTATION:We present a rare case of a retroperitoneal perforation of a carcinoma of the caecum presenting as a necrotising fasciitis of the anterior abdominal wall. CONCLUSION:Thi...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/1471-2482-6-11
更新日期:2006-09-29 00:00:00
abstract:BACKGROUND:Laparoscopic appendectomy is not yet unanimously considered the "gold standard" in the treatment of acute appendicitis because of its higher operative time, intra-abdominal abscess risk, and costs compared to open appendectomy. This study aimed to compare outcomes and cost of laparoscopic and open appendecto...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/1471-2482-14-14
更新日期:2014-03-19 00:00:00
abstract:BACKGROUND:Morgagni's hernia (MH) is a rare type of congenital diaphragmatic hernia with limited available literature. Late presentations are infrequent and the ones complicated due to gastric volvulus are even rarer. Another uncommon association of MH is with small bowel diverticulosis. We herein discussed a case of g...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/s12893-018-0399-y
更新日期:2018-08-29 00:00:00
abstract:BACKGROUND:Intestinal ischemia is an abdominal emergency that accounts for approximately 2% of gastrointestinal illnesses. It represents a complex of diseases caused by impaired blood perfusion to the small and/or large bowel including acute arterial mesenteric ischemia (AAMI), acute venous mesenteric ischemia (AVMI), ...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/1471-2482-13-S2-S51
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Restorative proctocolectomy is increasingly being performed minimal invasively but a totally laparoscopic technique has not yet been compared to the standard open technique in a randomized study. METHODS/DESIGN:This is a two armed, single centre, expertise based, preoperatively randomized, patient blinded s...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/1471-2482-6-13
更新日期:2006-11-24 00:00:00
abstract:BACKGROUND:To compare the safety and accuracy of the 3D-printed operation guide template technique and the free-hand technique in the placement of the S2-alar-iliac (S2AI) screw. METHODS:We conducted a retrospective analysis of 47 patients undergoing S2AI screw placement in our hospital, divided into the 3D-printed op...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/s12893-020-00930-5
更新日期:2020-10-29 00:00:00
abstract:BACKGROUND:The National Comprehensive Cancer Network (NCCN) and the American Society of Clinical Oncology (ASCO) provide guidelines regarding axillary nodal evaluation in ductal carcinoma in situ (DCIS), but data regarding national compliance with these guidelines remains incomplete. METHODS:We conducted a retrospecti...
journal_title:BMC surgery
pub_type: 杂志文章,多中心研究
doi:10.1186/s12893-017-0210-5
更新日期:2017-02-07 00:00:00
abstract:BACKGROUND:One of the potential benefits of surgical audit is improved hospital cost-efficiencies arising from lower resource consumption associated with fewer adverse events. The aim of this study was to estimate the potential cost-savings for Australian hospitals from improved surgical performance for colorectal surg...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/1471-2482-10-4
更新日期:2010-01-27 00:00:00
abstract:BACKGROUND:Overall cancer incidence rates decreased in the most recent time period in both men and women, largely due to improvements in surgical therapeutic approaches (tertiary prevention) and screening programs (secondary prevention), but differences in cancer incidence and survival according to socioeconomic status...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/1471-2482-13-S2-S17
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Gastric cancer with synchronous liver metastasis remains a clinical treatment challenge. There has been a longstanding debate on the question whether surgical resection could be beneficial to long-term survival. This study is to investigate the effectiveness and prognostic factors of combined curative resect...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/1471-2482-12-20
更新日期:2012-10-12 00:00:00
abstract:BACKGROUND:Complex proximal humerus fractures with metaphyseal comminution remain challenging regarding reduction and stability. In most fracture patterns the hard bone of the bicipital groove remains intact. In this case series, we describe a novel technique of hybrid double plate osteosynthesis of complex proximal hu...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/s12893-016-0125-6
更新日期:2016-03-12 00:00:00
abstract:BACKGROUND:Implant breakage after the fixation of traumatic fractures is rare; however, when it occurs, it is debilitating for the patients and a challenge for surgeons. The purpose of this study was to analyze and identify the independent risk factors for implant breakage of traumatic fractures treated with plate oste...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/s12893-017-0244-8
更新日期:2017-04-21 00:00:00
abstract:BACKGROUND:Our aim is to elucidate the true preoperative risk factors for postoperative pancreatic fistula (POPF) after pancreaticoduodenectomy (PD), making it possible to select POPF high-risk patients preoperatively regardless of intraoperative pancreatic consistency judged by the surgeon's hand. METHODS:Among the 2...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/s12893-020-00785-w
更新日期:2020-06-11 00:00:00
abstract:BACKGROUND:The present study aimed to compare the perioperative safety and long-term survival of patients with synchronous colorectal liver metastases undergoing sequential resection (SeR), delayed resection (DeR) and simultaneous resection (SiR). METHODS:From January 2007 to December 2016, data from patients undergoi...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/s12893-020-0681-7
更新日期:2020-01-17 00:00:00
abstract:BACKGROUND:Bacteraemia of the donor is not considered to be contraindication of organ procurement. On the other hand, infection of solid organ transplant recipients remains to be a major cause of their morbidity and mortality. When using organs from bacteraemic donors, individual risks need to be assessed and the appro...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/s12893-019-0574-9
更新日期:2019-08-14 00:00:00
abstract:BACKGROUND:Epidemiological data demonstrate that the worldwide prevalence of chronic obstructive pulmonary disease is increasing. These patients have an increased risk of mortality and morbidity and have constant limitations in airflow. Comparing laparoscopic cholecystectomy (LC) in patients with chronic obstructive pu...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/s12893-018-0396-1
更新日期:2018-08-20 00:00:00
abstract:BACKGROUND:A laryngocele is usually a cystic dilatation of the laryngeal saccule. The etiology behind its occurrence is still unclear, but congenital and acquired factors have been implicated in its development. CASE PRESENTATION:We present a rare case of laryngocele occurring in a 77-year-old Caucasian woman. The pat...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/1471-2482-6-14
更新日期:2006-11-27 00:00:00
abstract:BACKGROUND:Prophylactic central neck lymph-nodes dissection is still a topic of major debate in Literature. There is a lack of randomized controlled trials proving advantages in its application in terms of overall survival and local recurrence. Due to the recent rapid increase of elderly population, differentiated tumo...
journal_title:BMC surgery
pub_type: 杂志文章,多中心研究
doi:10.1186/s12893-018-0433-0
更新日期:2019-04-24 00:00:00
abstract:BACKGROUND:This report describes a new technique of sphincter saving anorectoplasty (SSARP) for the repair of anorectal malformations (ARM). METHODS:Twenty six males with high ARM were treated with SSARP. Preoperative localization of the center of the muscle complex is facilitated using real time sonography and comput...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/1471-2482-7-20
更新日期:2007-09-24 00:00:00
abstract:BACKGROUND:Lower urinary tract symptoms (LUTS) are associated with great emotional costs to individuals and substantial economic costs to society. This study seeks to evaluate the effect of a new natural compound "Tradamixina plus Serenoa Repens" in order to improve lower urinary tract symptoms. METHODS:100 patients (...
journal_title:BMC surgery
pub_type: 临床试验,杂志文章,收录出版
doi:10.1186/1471-2482-12-S1-S22
更新日期:2012-01-01 00:00:00
abstract::Descending necrotizing mediastinitis is a life-threatening complication of an oropharyngeal infection that requires prompt and aggressive medical and surgical therapy. Herein, we report unusual case of man suffering of sub-acute mediastinal infection due to odontoiatric abscess which exacerbated at 3 months after its ...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/1471-2482-13-S2-S31
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Neuralgia due to iliohypogastric nerve entrapment from sutures and mesh after inguinal hernioplasty is a rare entity in clinic. Its' awareness and management remain a clinical challenge. CASE PRESENTATION:We report a case of 54-year-old male who presented with post-operative pain after 1 month and sensory d...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/s12893-018-0391-6
更新日期:2018-08-16 00:00:00
abstract:BACKGROUND:The robotic system has advantages of high-definition three-dimensional vision and articular instruments with high dexterity, allowing more precise dissection in the deep and narrow pelvic cavity. METHODS:We enrolled 95 patients with stage I-III rectal cancer (adenocarcinoma) who underwent totally robotic-as...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/s12893-017-0315-x
更新日期:2017-12-05 00:00:00
abstract:BACKGROUND:To evaluate whether the neutrophil-to-lymphocyte ratio (NLR), as a prognostic indicator, in patients can differentiate between simple and severe cholecystitis. METHODS:A database of 632 patients who underwent cholecystectomy due to cholecystitis during approximately a seven-year span in a single institution...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/1471-2482-14-100
更新日期:2014-11-27 00:00:00
abstract:BACKGROUND:Subchondral bone is commonly affected in cases of giant cell tumour (GCT) of the proximal tibia. Numerous studies have stated that retaining a sufficient subchondral bone layer could decrease the possibilities of postoperative degenerative changes and mechanical failure of the knee joint. However, the most c...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/s12893-019-0491-y
更新日期:2019-02-28 00:00:00
abstract:BACKGROUND:Primary amyloidosis of the breast is an unusual benign disease that mostly occurs in postmenopausal elderly women. Amyloidosis is the deposition of amorphous protein within tissues. Breast biopsy is necessary to make a definite diagnosis in order to avoid unnecessary surgical methods. Localized primary amylo...
journal_title:BMC surgery
pub_type: 杂志文章,评审
doi:10.1186/s12893-016-0178-6
更新日期:2016-09-13 00:00:00
abstract:BACKGROUND:Acute abdominal wall hernia complications usually require a prompt surgical treatment. The aim of this case series is to report our experience with some unusual cases of apparent acute and subacute hernia complications not requiring surgical treatment, changing the classical paradigm of immediate surgical ap...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/s12893-020-00899-1
更新日期:2020-10-15 00:00:00
abstract:BACKGROUND:The bare area was reportedly formed by direct adhesion between the liver and diaphragm, meaning that the bare area lacked serosal components. This study aimed to analyze the structure of the bare area by an integrated study of surgical and laparoscopic images and pathological studies and describe surgical pr...
journal_title:BMC surgery
pub_type: 杂志文章
doi:10.1186/s12893-020-00830-8
更新日期:2020-07-31 00:00:00