Dilip’s Transmucosal Internal Sphincterotomy (TMIS) simplifies the lateral internal sphincterotomy (LIS) process, offering a less invasive and more precise method for treating fissure-in-ano. With a median operative time of 7 minutes, low post-operative pain, and minimal risk of complications, TMIS presents significant benefits over traditional LIS. The innovation provides a safer, more accessible option for […]
Author: STITCHES Newsletter
Long-Segment Barrett’s Esophagus Adenocarcinoma Shows Worse Outcomes than Short-Segment
Long-segment BEA patients exhibit distinct clinicopathological features and worse treatment outcomes compared to short-segment BEA patients. Long-segment cases are associated with specific characteristics such as flat type morphology, left wall location, and higher rates of synchronous lesions. Additionally, long-segment BEA requires longer resection durations, has lower rates of submucosal invasion, negative margins, and complete resections, […]
Impact of Recurrent Weight Gain on Comorbid Conditions Progression Post-Laparoscopic Sleeve Gastrectomy
Recurrent weight gain after laparoscopic sleeve gastrectomy was studied in 122 patients over 2-7 years, showing significant weight loss and comorbidity remission rates. Diabetes, hypertension, and dyslipidemia had substantial remission rates, while a recurrent weight gain ≥ 20% of maximum weight loss indicated comorbidity progression. Healthcare providers can use these findings to implement targeted management strategies for […]
Higher Intraoperative Blood Pressure Reduces Post-Bariatric Hemorrhage
Increasing intraoperative blood pressure to 150 mmHg systolic, without staple line reinforcement, significantly reduces post-bariatric hemorrhagic complications. A retrospective study of 438 patients found a reduction in postoperative bleeding rates from 10% to 5% after implementing this intervention, with a decrease in revisional surgery for bleeding. The method shows promise in improving outcomes without additional […]
Inside Stent Placement Enhances Preoperative Biliary Drainage in Perihilar Cholangiocarcinoma
Inside stent placement for preoperative biliary drainage in perihilar cholangiocarcinoma patients showed significantly lower rates of recurrent biliary obstruction, longer stent patency, fewer replacements, and reduced hospital stays and costs compared to conventional stent placement. Additionally, inside stent placement resulted in fewer complications and lower re-intervention rates, suggesting potential benefits for both patients and the […]
The Costly Consequences of Anastomotic Leakage After Colorectal Surgery
Anastomotic leakage following colorectal surgery poses a significant financial burden on hospitals and society, with costs varying widely between countries. Hospital readmissions, intensive care stays, and reinterventions are the main drivers of these incremental expenses. Despite the high economic impact, data on societal burden and non-medical costs are lacking. Adherence to international reporting standards is […]
Tertiary Lymphoid Structures Predict Survival in Combined Hepatocellular-Cholangiocarcinoma
High intratumoural tertiary lymphoid structure (TLS) score correlated with prolonged survival, while high TLS density in adjacent tissue indicated worse prognosis in combined hepatocellular-cholangiocarcinoma. Mature TLSS linked to favorable outcomes with more CD8+ T cell infiltration. TLSS distribution and density can predict prognosis and serve as a potential immunotherapy biomarker. CXCL12 expression in tumor tissue […]
Non-Absorbable Sutures Yield Better Scars and Higher Patient Satisfaction
Non-absorbable sutures produce better scars and higher patient satisfaction compared to absorbable sutures. Results show significant advantages with non-absorbable suture in elasticity, pain, itching, color, stiffness, thickness, and overall impression at both 2 and 6 weeks post-surgery. Patients prefer non-resorptive sutures for comfort and aesthetics. This study highlights the importance of suture material choice in […]
Robotic Splenic Flexure Takedown: Single Docking Crossed-Arm Technique
Robotic splenic flexure mobilization during left-sided colon and rectal resections can be challenging, often requiring tedious re-docking and patient repositioning. Researchers introduce a single docking crossed-arm technique to facilitate splenic flexure takedown, eliminating arm collision and improving intraoperative flow. This technique significantly reduces operative time and enhances the mobility of instruments, allowing for tension-free anastomosis […]
Effectiveness of Upper Gastrointestinal ESD with Ultrathin Endoscope
Upper gastrointestinal endoscopic submucosal dissection (ESD) using an ultrathin endoscope boasts high en bloc resection rates, particularly in challenging locations like the esophagus, stomach, and duodenum. This retrospective study of 13 patients with 14 lesions reveals a 100% en bloc resection rate and a 92.9% en bloc complete resection rate. With minimal adverse events, ESD […]