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| 1 | Successful surgical management of ruptured umbilical hernias in cirrhotic patients显示文摘Acute umbilical hernia rupture in patients with hepatic cirrhosis and ascites is an unusual,but potentially lifethreatening complication,with postoperative morbidity about 70% and mortality between 60%-80% after supportive care and 6%-20% after urgent surgical repair.Management options include primary surgical repair with or without concomitant portal venous system decompression for the control of the ascites.We present a retrospective analysis of our centre's experience over the last 6 years.Our cohort consisted of 11 consecutive patients(median age:53 years,range:36-63 years) with advanced hepatic cirrhosis and refractory ascites.Appropriate patient resuscitation and optimisation with intravenous fluids,prophylactic antibiotics and local measures was instituted.One failed attempt for conservative management was followed by a successful primary repair.In all cases,with one exception,a primary repair with non-absorbable Nylon,interrupted sutures,without mesh,was performed.The perioperative complication rate was 25% and the recurrence rate 8.3%.No mortality was recorded.Median length of hospital stay was 14 d(range:4-31 d).Based on our experience,the management of ruptured umbilical hernias in patients with advanced hepatic cirrhosis and refractory ascites is feasible without the use of transjugular intrahepatic portosystemic shunt routinely in the preoperative period,provided that meticulous patient optimisation is performed. | Nikolaos A Chatzizacharias J Andrew Bradley Simon Harper Andrew Butler Asif Jah Emmanuel Huguet Raaj K Praseedom Michael Allison Paul Gibbs | 2015 | World Journal of Gastroenterology2015，21，10： | 4 |
| 2 | Cohesive zone length in numerical simulations of composite delamination 显示文摘 | Paul W Harper Stephen R | 2008 | Engineering Fracture Mechanics2008，75，： | 1 |
| 3 | Multiwavelength fiber laser using a spatial mode beating filter显示文摘 | Poustie Alistair J Finlayson Nell Harper Paul | 1994 | Opt Lett1994，19，10： | 1 |
| 4 | A fatigue degradation law for cohesive interface elements – Development and application to composite materials显示文摘 | Paul W. Harper Stephen R. Hallett | 2010 | International Journal of Fatigue2010，，11： | 1 |
| 5 | Cohesive zone length in numerical simulations of composite delamination显示文摘 | Paul W. Harper Stephen R. Hallett | 2008 | Engineering Fracture Mechanics2008，，16： | 1 |
| 6 | Lipoprotein predictors of the severity of coronary artery disease in men and women显示文摘 | MICHAEL F. REARDON PAUL J. NESTEL IAN H. CRAIG RICHARD W. HARPER | 1985 | Circulation1985，，5： | 1 |
| 7 | Investigation of gene expression profiles before and after embryonic genome activation and assessment of functional pathways at the human metaphase II oocyte and blastocyst stage显示文摘 | Georgia Kakourou Souraya Jaroudi Pinar Tulay Carleen Heath Paul Serhal Joyce C. Harper Sioban B. SenGupta | 2012 | Fertility and Sterility2012，，： | 1 |
| 8 | Cohesive zone length in numerical simulations of composite delamination 显示文摘 | Harper Paul W Hallett Stephen R | 2008 | Engineering Fracture Mechanics2008，75，16： | 1 |
| 9 | Assessment of chemical coverage of kinome space and its implications for kinase drug discovery显示文摘 | Bamborough Paul Drewry David Harper Gavin | 2008 | Journal of medicinal chemistry2008，51，24： | 1 |
| 10 | Switching to Sirolimus-Based Immune Suppression After Liver Transplantation Is Safe and Effective: A Single-Center Experience显示文摘 | Simon J. F. Harper William Gelson Ines G. Harper Graeme J. M. Alexander Paul Gibbs | 2011 | Transplantation2011，，1： | 1 |
| 11 | Causes of the Cambrian Explosion显示文摘 | M. Paul Smith David A. T. Harper | 2013 | Science2013，，6152： | 1 |
| 12 | 三星美术馆显示文摘总规划面积27 000m2的三星美术馆项目由OMA于1997年设计完成。综合体坐落于市中心附近的汉南洞住宅区,由OMA、马里奥·博塔和让·努维尔分别设计的三座建筑构成。OMA设计的大楼总面积达13 100m2,包括临时当代展览、媒体和办公空间。三座大楼汇聚于中央多功能室,形成大厅和问询处。 | Shiro Ogata Torsten Schroder Mark Watanabe Victoria Willocks Charles Berman Daan Ooievaar Paul Burgstaller James Harper Minsuk Cho | 2014 | 城市环境设计2014，，6： | 0 |
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