Retrospective study found a newly developed through-the-needle injection-capable electrosurgical knife achieved successful en-bloc resection in 82.1% of gastrointestinal lesions. Good safety profile and curative resection rates were observed, with a median ESD time of 1.0 hour. Notably, success rates were lower in patients with submucosal fibrosis. The study highlights the effectiveness of the new knife […]
Author: STITCHES Newsletter
AI Platform Outperforms CT in Diagnosing Acute Appendicitis
Researchers validated an artificial intelligence platform for diagnosing acute appendicitis. The platform demonstrated high sensitivity (92.2%), specificity (97.2%), and negative predictive value (98.7%), outperforming CT scanning in accuracy metrics. Decision curve analysis showed a substantial net benefit, indicating the platform’s clinical utility in decision-making. The AI platform may assist clinicians in cases where access to […]
Improved Resident Well-being Through Palliative Care Curriculum
A palliative care curriculum was shown to reduce moral injury symptoms in surgical residents, with over 50% reporting guilt and functional impairment pre-intervention. Post-intervention, 30% experienced improvements. The curriculum focused on self-reflection, communication skills, and peer support, offering a practical and impactful tool for enhancing resident well-being in surgical training programs. Journal Article by Koti […]
Analgesia efficacy of erector spinae plane block in laparoscopic abdominal surgeries
Erector spinae plane block (ESPB) effectively reduces postoperative opioid consumption, intraoperative opioid consumption, nausea, vomiting, and pain scores in laparoscopic abdominal surgeries. Subgroup analysis on laparoscopic colorectal surgeries further supports these findings. The study concludes that ESPB is a valuable technique for optimizing pain control, minimizing opioid requirements, and potentially promoting faster postoperative recovery. Journal […]
Primary Suturing for CBD Stone Removal: Safe and Effective
Primary suturing after microincision of the cystic duct confluence is safe and effective for treating CBD stones in patients with a normal CBD diameter. A retrospective study on 104 patients with gallstone complications showed no significant differences in perioperative outcomes between normal and dilated CBD groups, with no biliary tract injuries or laparotomy conversions. This […]
Braun Anastomosis Improves Recovery in Laparoscopic Gastrectomy
Patients undergoing laparoscopic distal gastrectomy with billroth-ii braun reconstruction had a shorter hospital stay and quicker post-op recovery compared to billroth-ii reconstruction. Additionally, they experienced fewer complications, weight loss, and postoperative syndrome symptoms such as reflux esophagitis. This technique offers better nutritional status, electrolyte balance, and enhances overall quality of life for gastric cancer patients. […]
Preoperative Education Improves Adherence and Outcomes in Colorectal Surgery
Preoperative education significantly increases adherence to enhanced recovery program components among colorectal surgery patients, leading to improved surgical outcomes. A retrospective cohort study of 997 patients revealed higher adherence rates in those who received preoperative education, particularly in areas like fasting protocols. This study underscores the importance of incorporating preoperative education as a key element […]
Stigma Affects Parental Leave for Non-Childbearing Surgery Residents
Stigma surrounding parental leave impacts non-childbearing general surgery resident parents’ experiences. Interviews with 20 participants revealed themes of policy, cultural climate, support, and dissatisfaction with leave experiences. Participants underused leave due to perceived lack of access and stigma, potentially leading to negative outcomes. Urgent need for cultural and policy changes to support parents and improve […]
Post-Bariatric Surgery Statin Discontinuation and ASCVD Risk
Post-bariatric surgery statin discontinuation poses significant risks for ASCVD events, particularly in patients with prior ASCVD and certain demographics like Hispanics. Primary prevention patients have an 82% reduced risk of post-statin cessation ASCVD events compared to secondary prevention patients. Individualized healthcare strategies are needed, especially for those over age 40 with diabetes. Comprehensive cardiovascular evaluations […]
Adjuvant Chemotherapy Improves Survival in Rectal Cancer Patients with Pathological Complete Response
Adjuvant chemotherapy significantly improves overall survival in rectal cancer patients who achieve a pathological complete response after neoadjuvant chemoradiotherapy and surgery. A meta-analysis of 31,558 patients showed favorable outcomes with adjuvant therapy compared to those without it. The findings support the recommendation for clinicians to consider administering adjuvant chemotherapy in this patient population for better […]