Laparoscopic liver resection was associated with less blood loss compared to enucleation in patients with high portal phase enhancement ratio. For patients with a portal phase enhancement ratio higher than 38.9%, the liver resection approach is recommended for giant hepatic hemangioma, while both approaches showed similar outcomes in patients with low portal phase enhancement ratio. […]
Author: STITCHES Newsletter
Equal Safety Outcomes of Intracorporeal Mechanical Gastrogastrostomy in Laparoscopic Gastric Cancer Surgery
Equal incidences of anastomosis-related complications between intracorporeal mechanical gastrogastrostomy (img) and extracorporeal hand-sewing gastrogastrostomy (ehg) were found in laparoscopic pylorus-preserving gastrectomy for middle gastric cancer. In addition, img had a lower wound infection rate. These results support the safety and feasibility of img in this patient population. Journal Article by Harada H, Eto K (…) […]
Optimal Parameters for Tissue Welding in Small Bowel Anastomosis
High-frequency electric welding technology for intestinal end-to-end anastomosis shows promise. In vitro and in vivo experiments revealed that a compression pressure of 250 kpa, voltage of 60 V, and 15-second duration resulted in the highest anastomotic strength with minimal thermal damage. Experimental pigs showed no adverse reactions, achieving a 100% survival rate. This technology could […]
Medium-Term Outcomes of One Anastomosis Gastric Bypass in Australia
This case series of 1000 patients undergoing one anastomosis gastric bypass in Australia showed a mean total weight loss of 33.6% with 74% achieving type 2 diabetes remission at 1-year post-op. Complication rates, including bile reflux and marginal ulceration, were low, with no cases of internal herniation reported. Results support the efficacy and safety of […]
Incidence of Venous Thromboembolic Events After Metabolic and Bariatric Surgery
Systematic review/meta-analysis of 87 studies and 2,731,797 patients shows low cumulative incidence of VTE after metabolic and bariatric surgery. In-hospital VTE rates were 0.15%, increasing to 0.78% at 12 months. Open approach surgeries had higher incidence than laparoscopic. 60% of VTE occurred within first month post-discharge. North American and earlier studies had higher incidence. Extended […]
Radiofrequency Ablation Combined with Sorafenib for Liver Cancer with Portal Hypertension
Radiofrequency ablation combined with sorafenib significantly improves liver function and survival rates in liver cancer patients with portal hypertension. Among 100 patients, the combined therapy group showed a higher total effective rate (82.00%) compared to the control group (56.00%). Prognostic factors include Child-Pugh grade, tumor size (6-10 cm), hepatitis history, sorafenib use, cancer stage (IIIC), […]
High Rate of Emergency Surgery for Sigmoid Diverticulitis in France
This study from 41 French hospitals reveals a 33% rate of emergency surgery for sigmoid diverticulitis, significantly associated with patient age, BMI
Improved Surgical Site Infection Identification using Explainable Long Short-term Memory Network
A long short-term memory network with an attention layer was proposed for surgical site infection identification, achieving higher sensitivity and area under the receiver operating characteristic curve compared to traditional models. The model’s top features included procedure codes and laboratory values, offering explainability. This innovative approach could enhance automated surveillance and replace manual chart review […]
Addressing Gaps in Prehospital Emergency Training in LMICs
Prehospital first responders in low- and middle-income countries lack adequate training and education, hindering emergency medical services. Programs vary widely in content and evaluation methods, lacking international consensus. The training of trainers model and modular curricula offer potential solutions for adapting training to local contexts and improving program effectiveness. Opportunities exist for further development in […]
Enhancing Emergency Response in LMICs through Dispatch Technologies
Addressing communication challenges, this study emphasizes the importance of standardized Emergency Medical Dispatch (EMD) systems in coordinating emergency response in low and middle-income countries (LMICs). While relying on layperson first responders (LFRs) equipped with mobile phones, EMD implementation becomes crucial to ensure timely prehospital intervention, especially in regions lacking formal Emergency Medical Services (EMS). The […]