Type: Randomized multicenter trial – FinnMesh Study.
Three groups were randomised: glue fixation vs. self-gripping mesh vs. suture fixation of mesh in Lichtenstein hernia repair
The duration of surgery was different: 34 min with glue, 32 min with self-gripping, and 38 min with sutured mesh (P<0⋅001). The postoperative pain, pain killer requirement, complication rate or quality of life were not different.
Ann Surg 2015; 262: 714–720.
Level of Evidence: randomised controlled trial.
A 126 procedures were included. The primary patency at 3 months improved when patients have had the procedure done under brachial plexus block, compared to local anaesthesia alone (84% vs. 62%, P=0⋅005).
Lancet 2016; 388: 1067–1074.
Level of evidence: Randomised, double-blind, placebo-controlled trial
Intravenous dexmedetomidine given to patients over 65 in the first 24 hours who are admitted to ITU following a major surgery can significantly reduce the risk of delirium (9% vs 23%, P<0⋅0001)
Lancet 2016; 388: 1893–1902.
