Appendix, Gallbladder and Surgical Emergencies · 23 December 2025

Increase in Laparoscopic Surgery for Small Bowel Obstruction

Minimally invasive surgery (MIS) for adhesive small bowel obstruction (SBO) has surged and leads to better outcomes than open surgery.

MIS usage rose from 27% to 45% from 2011 to 2021.
Complications dropped significantly with MIS (15.2% vs. 27.7% for open, p < 0.001).
Patients had shorter hospital stays with MIS (4 days vs. 8 days, p < 0.001).

Adoption of MIS is supported by these outcomes, but careful patient selection based on age and comorbidities is essential for optimal results.

Journal Article by La Riva A, Perez-Soto RH (…) Romero-Velez G et 8 al. in Surg Endosc

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J Am Coll Surg5 Nov 2026

Waiting 60 days after pulmonary embolism before emergency surgery is linked to fewer complications.

Among 3,785 patients who had emergency general surgery after acute pulmonary embolism, those operated on at least 60 days later had markedly fewer major adverse events (adjusted OR 0.45, 95% CI 0.37–0.55).

J Am Coll Surg5 Nov 2026

Waiting after pulmonary embolism cuts complications

Patients who needed emergency general surgery within 60 days of a pulmonary embolism had more major complications than those operated on later, in a national database study.

Appendix, Gallbladder and Surgical Emergencies3 Nov 2026

Emergency surgery: lung complications raise death risk

After major emergency abdominal surgery, patients who develop lung complications face much higher death risk, most sharply in the first days.

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