Virtual reality (VR) is more effective than standard iPad use in decreasing pain after surgery in pediatric patients. A randomized controlled study found that patients using VR experienced lower pain scores and decreased opioid consumption compared to those using iPads. Younger patients benefited more from VR intervention during the immediate postoperative period. Journal Article by […]
Author: STITCHES Newsletter
Effectiveness of Endoscopic Ultrasound in Predicting Colorectal Invasion of Pelvic Masses
The study evaluated the effectiveness of endoscopic ultrasound (EUS) in predicting colorectal invasion in patients with pelvic masses. EUS showed high diagnostic accuracy with sensitivity of 83.3% and specificity of 97.8%. It is recommended for preoperative diagnosis by gynecologists to determine suitable surgical methods and avoid unexpected situations during surgery. Journal Article by She Y, […]
SKA3 – A Potential Therapeutic Target in Cancer Precision Surgery
Researchers explored the role of spindle and kinetochore-associated complex subunit 3 (SKA3) in cancer. SKA3, a key component in chromosomal segregation and cell division, has been identified as having oncogenic properties contributing to tumor development. This review integrates bibliometric analysis, pan-cancer studies, and narrative summary to assess SKA3’s role in cancer. The authors also identify […]
Organizational Factors of New Pancreas Units: Insights from Surgical Leaders
Pancreas units, a new model of care, rely on multidisciplinary meetings, team leadership, and performance metrics as key organizational factors. Surgical leaders stress the importance of involving clinical professionals and patients in decision-making. Non-technical skills like ethics and teamwork are valued, with mentoring and training as crucial facilitating factors. Trust in functional leaders, key performance […]
Early Recurrence Prediction in Hepatocellular Carcinoma Patients
Pre-operative enhanced MRI combined with clinical features can predict early recurrence of hepatocellular carcinoma after radical resection. Patient age, microvascular invasion, tumor boundary, and large vessel invasion were identified as independent predictive factors. The combined predictors had an area under the curve of 0.861, suggesting a reasonable predictive model for early recurrence of HCC. Journal […]
Management of Nontraumatic Spontaneous Renal Hemorrhage through Robotic-Assisted Laparoscopic Nephrectomy
Researchers described three cases of Wünderlich Syndrome (nontraumatic spontaneous renal hemorrhage) treated with robot-assisted laparoscopic nephrectomy. The patients, aged 44 to 53, presented with flank pain and were diagnosed with Wünderlich Syndrome via CT scan. Each patient underwent a retroperitoneal robotic-assisted nephrectomy after conservative treatment failed. Pathological examination revealed angiomyolipoma in one case and renal […]
Acupuncture Point Stimulation Improves Tolerance in Non-Sedated Upper GI Endoscopy
Researchers conducted a double-blinded, randomized controlled trial to examine the effects of transcutaneous electrical nerve stimulation of acupuncture points (acu-tens) during non-sedated oesophagogastroduodenoscopy (OGDS). The trial included 348 subjects undergoing elective diagnostic OGDS. The success rate of OGDS was significantly higher with acu-tens (77.8%) than with placebo (68.0%; OR 1.64, 95% CI 1.01-2.66, p = 0.043). Acu-tens […]
Comparing Gastrointestinal Stromal Tumor Outcomes Between Geriatric and Non-Geriatric Patients
Population-based analysis shows lower overall 5-year survival rates in geriatric gastrointestinal stromal tumor patients compared to non-geriatric patients. Surgery significantly improves survival rates in both groups, with geriatric patients having higher hazard death ratio. Clinical management for geriatric patients may benefit from large prospective studies. Journal Article by Singh A, Chitti B (…) Parashar B […]
Standardized Key Procedural Steps for Endoscopic Sleeve Gastroplasty
Experts established 21 key steps for safe and effective endoscopic sleeve gastroplasty (ESG) through a modified Delphi method. Consensus was reached on the importance of full-thickness bites and the use of a helix device in tissue swirling, although opinions varied on minor details like fundus inclusion. This standardized protocol will enhance ESG training and adoption […]
Effectiveness and Safety of Endoscopic Resection for Gastric Gastrointestinal Stromal Tumors
Researchers investigated the efficacy and safety of endoscopic resection (ER) for gastric gastrointestinal stromal tumors (GISTs) originating from the muscularis propria (MP). The study included 233 patients who underwent ER, with a median tumor size of 12 mm. The complete resection rate was 93.1%, with complications occurring in 4.7% of cases, including perioperative perforations (1.7%) […]