Appendix, Gallbladder and Surgical Emergencies · 24 February 2024

Higher Severity and Costs of Scooter Injuries Compared to Bicycle Injuries in the US: 2016 to 2020

Researchers found that scooter-related injuries have significantly increased, with patients more likely to be under 18 and require major operations compared to bicycle-related injuries. Scooter injuries were associated with higher risks of long bone fractures and paralysis. Both types of injuries had similar hospitalization durations and costs. These findings highlight the need for targeted interventions to reduce the burden of scooter-related injuries on the healthcare system.

Journal Article by Cho NY, Kim S (…) Benharash P et 5 al. in J Am Coll Surg

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Selected penetrating renal injuries avoid exploration

Selected patients with grade III–IV penetrating renal injuries retained their kidneys with conservative management or interventional radiology, without operative exploration.

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Negative pressure wound therapy cuts infections after emergency laparotomy, with a caveat

Use it selectively, for high-risk emergency laparotomy wounds, not as routine closed-incision dressing until larger trials confirm the infection benefit.

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Diagnosis and Management of Acute Cholangitis

Early biliary drainage and same-admission cholecystectomy remain the core of care for acute cholangitis, but the timing of drainage is still debated.

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