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In addition to chemotherapy, surgery has proven to be effective in selected cases [ 37]. 1) In order to prevent the selection of resistant M. tuberculosis mutants it is essential to treat with more than one effective drug and a minimum of four effective drugs.
This procedure for reconstruction of ventral hemiscrotum by using a flap of prepucial skin in non-circumcised persons has proved effective in selected cases.
Surgical revision of the roux-en-Y anastomosis is a complex procedure but can be effective in selected cases.
Surgical management of spinal metastases has been shown to be effective in selected cases that were operated on utilizing an approach according to surgeons' discretion [ 1].
24– 41 Surgical resection can be very effective in selected cases if the metastases are solitary or few in number, or if they are sequential in their clinical appearance, 9– 11 but this is unpredictable with recurrence being commonplace.
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It is generally well tolerated, and is capable of achieving a cure, delayed progression, or effective palliation in selected cases.
The evidence suggests that lifestyle modifications and exercise therapy are as effective as pharmacological treatment in selected cases.
Intravenous thrombolysis (IVT) has proven effective in the treatment of acute cerebral ischaemic attack in selected cases.
The safest and most effective treatment is ovariohysterectomy (OHE) but purely medical treatment can be used in selected cases [ 8].
Hence, the still effective antibiotics need to be reserved for the severe cases in tertiary hospitals and in selected cases with troublesome resistance patterns.
However, re-treatment seemed to be safe and effective (resulting in clinical improvement similar to the state before withdrawal in all patients), giving the opportunity in selected cases to interrupt the treatment.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com