Adrenal hemorrhage, often triggered by trauma, presents diverse clinical manifestations. A retrospective analysis of 193 cases revealed a majority of unilateral hemorrhages, with trauma as the leading cause. Notably, many adrenal nodules went undetected initially, underscoring the importance of thorough evaluation. Follow-up imaging demonstrated varied changes in hemorrhage size, suggesting the need for continued monitoring […]
Author: STITCHES Newsletter
Factors influencing postoperative opioid use in ventral and incisional hernia repair patients
One in two ventral and incisional hernia repair (VIHR) patients had preoperative opioid prescriptions. The study found that preoperative opioid tolerance, superficial wound infection, current smoking status, and opioid dispensation within 45 days of admission were significant predictors of increased postoperative opioid use. Preoperative opioid use 45 days prior to admission strongly correlated with postoperative […]
Performance of AI Chatbots in Surgical Decision-making for Gastroesophageal Reflux Disease
Large language model-linked chatbots showed varying accuracy in providing surgical management recommendations for gastroesophageal reflux disease. Google Bard had the highest accuracy, while Copilot and Perplexity had lower performance. Additional training using evidence-based health information is needed to maximize the potential of chatbots in clinical practice. Journal Article by Huo B, Calabrese E (…) Vosburg […]
Self-Gripping Mesh for Ventral Hernia Repair: 30-Day Outcomes
Self-gripping mesh for ventral hernia repair demonstrates similar 30-day rates of recurrence, surgical site infection, and surgical site occurrence compared to non-self-gripping mesh. However, self-gripping mesh is associated with significantly lower rates of surgical site occurrence requiring procedural intervention. Patient-reported outcomes at 30 days were comparable between the two groups. Journal Article by Bahraini A, […]
Reducing Seroma Incidence in Endoscopic-Assisted Repair
Introducing quilting in endoscopic-assisted repair of ventral hernias and diastasis recti significantly reduces postoperative seromas, a retrospective study of 176 patients revealed a lower incidence of type B seromas requiring multiple punctures or reoperation in the quilting group. Although operation duration slightly increased, this technique adaptation demonstrates efficacy in minimizing seroma occurrence and severity. Journal […]
Reducing Seroma Incidence in Endoscopic-Assisted Repair
Introducing quilting in endoscopic-assisted repair of ventral hernias and diastasis recti significantly reduces postoperative seromas, a retrospective study of 176 patients revealed a lower incidence of type B seromas requiring multiple punctures or reoperation in the quilting group. Although operation duration slightly increased, this technique adaptation demonstrates efficacy in minimizing seroma occurrence and severity. Journal […]
Factors influencing postoperative opioid use in ventral and incisional hernia repair patients
One in two ventral and incisional hernia repair (VIHR) patients had preoperative opioid prescriptions. The study found that preoperative opioid tolerance, superficial wound infection, current smoking status, and opioid dispensation within 45 days of admission were significant predictors of increased postoperative opioid use. Preoperative opioid use 45 days prior to admission strongly correlated with postoperative […]
Impact of Pheochromocytoma Size on Surgical Timing and Extent
Tumor size correlates with biochemical activity in pheochromocytomas, with lesions ≥2.3 cm more likely to produce levels 3 times upper limit of normal. Doubling tumor size or a ≥1 cm increase enhances biochemical activity. While paroxysmal symptoms are common, they don’t significantly correlate with tumor size or biochemical activity. These findings suggest tumor size can […]
Improved Prediction of Cervical Lymph Node Metastasis in Papillary Thyroid Carcinoma Patients Using AI
AI trained by thyroid ultrasound improved prediction of lymph node metastasis in papillary thyroid carcinoma patients. The multi-scale, multi-frame, and dual-direction deep learning model achieved AUCs of 0.85 and 0.81 in the test and validation cohorts, respectively. Radiologists’ diagnostic accuracy and sensitivity significantly improved with AI assistance. This technology can enhance preoperative predictions and assist […]
Optimizing Abdominal Wall Reconstruction: The Complex Hernia Bundle
A “Getting It Right First Time” approach to abdominal wall reconstruction (AWR) involves developing a comprehensive management pathway. The study outlines a detailed AWR pathway, integrating literature review and experiential knowledge, facilitating better patient outcomes. Referred to as the “complex hernia bundle,” this approach guides AWR teams, offering valuable insights for managing challenging hernia cases […]