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Insufflation Pressure Above 25 Mm Hg Confers No Additional Benefit Over Lower Pressure Insufflation During Posterior Retroperitoneoscopic Adrenalectomy: a Retrospective Multi-centre Propensity Score-matched Analysis
Abstract: Background Insufflation pressures of or in excess of 25 mm Hg CO2 are routinely used during posterior retroperitoneoscopic adrenalectomy (PRA) in most centres. A critical analysis of the surgical literature provides limited evidence to support this strategy. Objective To determine whether high pressure (≥ 25 mm Hg) compared with lower pressure ( 25 mm Hg) retroperitoneoscopy reduces operating time and complications.brbrMethodsbrA multi-centre retrospective cohort study was performed using data collected over a period of almost one decade (1st November 2008 until 1st February 2018) from surgical centres in Germany. A total of 1032 patients with benign adrenal tumours were identifi...
The Medical Register
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Starve Acre
The worst thing possible has happened. Richard and Juliette Willoughby's son, Ewan, has died suddenly at the age of five. Starve Acre, their house by the moors, was to be full of life, but is now a haunted place. Juliette, convinced Ewan still lives there in some form, seeks the help of the Beacons, a seemingly benevolent group of occultists. Richard, to try and keep the boy out of his mind, has turned his attention to the field opposite the house, where he patiently digs the barren dirt in search of a legendary oak tree. Starve Acre is a devastating new novel by the author of the prize-winning bestseller The Loney. It is a novel about the way in which grief splits the world in two and how, in searching for hope, we can so easily unearth horror.
Dark Matter
A terrifying 1930s ghost story set in the haunting wilderness of the far north. January 1937. Clouds of war are gathering over a fogbound London. Twenty-eight year old Jack is poor, lonely and desperate to change his life. So when he's offered the chance to join an Arctic expedition, he jumps at it. Spirits are high as the ship leaves Norway: five men and eight huskies, crossing the Barents Sea by the light of the midnight sun. At last they reach the remote, uninhabited bay where they will camp for the next year. Gruhuken. But the Arctic summer is brief. As night returns to claim the land, Jack feels a creeping unease. One by one, his companions are forced to leave. He faces a stark choice. Stay or go. Soon he will see the last of the sun, as the polar night engulfs the camp in months of darkness. Soon he will reach the point of no return - when the sea will freeze, making escape impossible. And Gruhuken is not uninhabited. Jack is not alone. Something walks there in the dark...
Foe
'Reads like a house on fire' - the extraordinary new novel by Iain Reid, the acclaimed author of I’m Thinking of Ending Things You think you know everything about your life. Long-married couple Junior and Henrietta live a quiet, solitary life on their farm, where they work at the local feed mill and raise chickens. Their lives are simple, straightforward, uncomplicated. Until everything you think you know collapses. Until the day a stranger arrives at their door with alarming news: Junior has been chosen to take an extraordinary journey, a journey across both time and distance, while Hen remains at home. Junior will be gone for years. But Hen won't be left alone. Who can you trust if you c...
The Magic Toyshop
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Some Will Not Sleep
Adam Nevill's best early horror stories are collected here for the first time.
Devil's Day
"A gripping and unsettling new novel by the award-winning author of The Loney that asks how much we owe to tradition, and how far we will go to preserve it"--
Cases and Materials on the Law of Restitution
Written by leading experts who have shaped and defined the law of restitution, the book provides an authoritative and scholarly guide to the subject. The second edition of this seminal title continues the formula of the first edition by combining a comprehensive coverage of cases with extracts from leading academic authorities.
The Heliand
Mariana Scott, poet and translator of Hofmannsthal, Meyrink, Celan, and others, translates the eight-century Old Saxon Heliand into its original meter in this work originally published in 1966. This anonymous masterpiece presents the life of Christ and affords an excellent insight into medieval life.
