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The Laparoscopic Procedure |
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A. The researchers in this study are looking to see if there is a difference between the early postoperative outcomes of laparoscopic gastric bypass surgery and open gastric bypass surgery. The problem is stated clearly. The problem is important to nursing in that the laparoscopic procedure resulted in shorter hospital stays and in terms of the types of complications seen after the two types of surgeries. The problem was a very simplistic one, which merely involved assessing the early outcomes of the two types of procedures. and was very simple to study because all it involved was determining the number and type of complications suffered by each group of patients, their length of hospital stay, time to return to normal function, and outcome in terms of weight loss produced. B. The stated purpose of the study was to evaluate the early postoperative outcomes of laparoscopic gastric bypass surgery with open gastric bypass surgery using a matched pair analysis. The purpose of the study was clearly stated. Very little background is given regarding the study except to say that there are very few scientifically controlled studies in the literature, and that with the widespread dissemination of information over the internet, it would be very difficult to get patients to volunteer to be randomly assigned to open surgery for this procedure when it can be performed laparoscopically, and now that laparoscopic surgery is the treatment of choice for morbid obesity.
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d degree of depression and anxiety); social functioning; and mental health (measures and individual's perception of his/her overall health).
The worst score (0) represents poor health and the best score (100) represents good health. Two summary scores, one for physical component score (PCS) and one for mental component score (MCS) were calculated, with a score of 60 representing optimal health. Data for all patients was analyzed on an intention to treat basis. Statistical analysis was carried out using the SPSS software program. Continuous data was presented as mean + standard deviation with a median calculated for non-normally distributed data. Continuous data were analyzed for differences between pairs using Wilcoxon Signed Ranks. Categorized, discrete data were analyzed for differences among pairs by the McNemar test. Statistical significance was considered if P<0.05.
This design is appropriate, considering the topic of the study. It is a simple study, and does not need any complex design. It is unethical to perform sham operations as controls, or to carry out the procedure on non-obese individuals as controls. There can be no control group in this type of study. It is simply a comparison between two techniques.
Category: Medical - T
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, Survey SF-36, Ranks Categorized, gastric bypass, gastric bypass surgery, bypass surgery, laparoscopic gastric bypass, literature review, laparoscopic gastric, hospital stay, bypass patients, gastric bypass patients, length hospital stay, postoperative outcomes, length hospital, limitations daily, 1 3, analyzed differences pairs,
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= 9 (250 words per page)
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