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Related Concept Videos

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Psychosurgery

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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
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Updated: Nov 23, 2025

A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
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[Randomized trials and progress in surgery].

A L Akopov1, D Yu Artyukh2

  • 1Pavlov First St. Petersburg Medical University, St. Petersburg, Russia.

Khirurgiia
|January 4, 2021
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Summary
This summary is machine-generated.

Evidence-based surgery faces challenges as randomized trial (RT) data often conflicts with clinical experience. Surgical decisions rely more on experience and market factors than on RT results for individual patient care.

Keywords:
clinical experienceevidencesrandomized trialssurgery

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Area of Science:

  • Surgical Practice
  • Evidence-Based Medicine

Background:

  • Surgical decision-making is rarely purely evidence-based.
  • Randomized trials (RTs) represent the highest level of evidence but often contradict clinical experience.

Purpose of the Study:

  • To analyze the applicability of RT data in surgical practice.
  • To evaluate the influence of evidence-based medicine principles in surgery.

Main Methods:

  • Analysis of large-scale randomized trials (RTs) in various surgical fields.
  • Review of surgical decision-making processes in clinical practice.

Main Results:

  • RT data, while valuable, is not always definitive for surgical decisions.
  • Clinical experience and market dynamics frequently outweigh scientific evidence in surgical choices.
  • Surgeons' desire for new techniques can influence decisions more than patient outcomes.

Conclusions:

  • RT results are essential for surgical training but have limited direct impact on individual patient treatment.
  • Optimal surgical decisions result from collaborative discussions where experience and evidence are equally valued.