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Systemic warming before, during, and after major abdominal surgery reduced postoperative complications more than warming during surgery only

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Q Does systemic warming before, during, and after major abdominal surgery reduce postoperative morbidity more than warming during surgery only?


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:

blinded (healthcare providers and {data collectors}*).

Embedded ImageFollow-up period:

6–8 weeks after surgery.

Embedded ImageSetting:

a hospital in the UK.

Embedded ImagePatients:

103 adults >18 years of age (age range 20–88 y, 51% men) who were having major open abdominal surgery, mostly for colorectal cancer (69%). Exclusion criteria were laparoscopic procedures; use of corticosteroids or immunosuppressive drugs 4 weeks before surgery; recent fever or infection; serious malnutrition; and bowel obstruction.

Embedded ImageIntervention:

all patients were placed on an Inditherm® warming mattress (Inditherm, …

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  • * Information provided by author.

  • For correspondence: MrP F Wong, James Cook University Hospital, Middlesbrough, Cleveland, UK. pwong23{at}

  • Source of funding: no external funding.