Teres Ligament Patch Reduces Relevant Morbidity After Distal Pancreatectomy (the DISCOVER Randomized Controlled Trial)

Objective:The aim of this study was to analyze the impact of teres ligament covering on pancreatic fistula rate after distal pancreatectomy (DP).Background:Postoperative pancreatic fistula (POPF) represents the most significant complication after DP. Retrospective studies suggested a benefit of covering the resection margin by a teres ligament patch.Methods:This prospective randomized controlled study (DISCOVER trial) included 152 patients undergoing DP, between October 2010 and July 2014. Patients were randomized to undergo closure of the pancreatic cut margin without (control, n = 76) or with teres ligament coverage (teres, n = 76). The primary endpoint was the rate of POPF, and the secondary endpoints included postoperative morbidity and mortality, length of hospital stay, and readmission rate.Results:Both groups were comparable regarding epidemiology (age, sex, body mass index), operative parameters (operation time [OP] time, blood loss, method of pancreas transection, additional operative procedures), and histopathological findings. Overall inhospital mortality was 0.6% (1/152 patients). In the group of patients with teres ligament patch, the rate of reoperations (1.3% vs 13.0%;P = 0.009), and also the rate of readmission (13.1 vs 31.5%;P = 0.011) were significantly lower. Clinically relevant POPF rate (grade B/C) was 32.9% (control) versus 22.4% (teres, P = 0.20). Multivariable analysis showed teres ligament coverage to be a protective factor for clinically relevant POPF (P = 0.0146).Conclusions:Coverage of the pancreatic remnant after DP is associated with less reinterventions, reoperations, and need for readmission. Although the overall fistula rate is not reduced by the coverage procedure, it should be considered as a valid measure for complication prevention due to its clinical benefit

Brand resurrection through brand heritage : time orientation, cognitive and affective paths

Solex, DS, Mako Moulages, Jean Patou… Nombreuses sont les marques qui renaissent après avoir (presque) disparu du marché. Lors de leur résurrection, ces marques s’adressent à la fois à des consommateurs qui les ont connues avant leur mort et à un nouveau public qui ignore encore tout d’elles. Grâce à trois études qualitatives et à une expérimentation, nous montrons comment les marques ressuscitées utilisent leur patrimoine de marque pour revenir sur le devant de la scène. Nous montrons notamment le rôle de l’orientation temporelle du consommateur dans la perception du patrimoine de la marque ressuscitée. Nous révélons également comment l’activation du patrimoine de marque génère des réactions cognitives et affectives chez le consommateur.Solex, DS, Mako Moulages, Jean Patou… Many brands that (nearly) disappeared years ago are back and thriving on the market. Brand resurrection implies appealing both to consumers who knew these brands before they died and to new consumers who know nothing about them. Through three qualitative studies and one experiment, we show how brands can resurrect through brand heritage. Our results reveal how time orientation affects consumers’ perception of brand heritage. We also show how brand heritage affects consumers’ cognitive and affective responses

Brand resurrections: How past and present narrations impact consumer reactions towards resurrected utilitarian brands

International audienceIn the context of brand resurrections, we do not know how past and present narrations influence consumers’ reactions towards resurrected brands. Based on the concepts of “there-being” (Dasein) and “becoming” (Zukommen) we conducted two experiments focused on two utilitarian brands and manipulating past and present narrations (three scenarios). Because a resurrected utilitarian brand implicitly refers to both an authentic “there-being” and to the usefulness of the product/service, the results show that the single use of high present narration triggers more positive consumer reactions than the single use of high past narration. In parallel, the mix of past and present narrations generates more positive brand reactions than the single use of high present narration or the single use of high past narration. Moreover, the present research suggests that in order to explain consumers' reactions towards utilitarian brand resurrections, managers should ensure the brand credibility, since it is a stronger lever than brand nostalgia