Radioactive iodine administration did not significantly improve disease-specific survival in intrathyroidal classic papillary thyroid carcinoma >4 cm, suggesting limited benefit and questioning routine use in this patient population. Age ≥55 and larger tumor size were associated with increased risk of disease-specific death, emphasizing the need for personalized treatment approaches. Journal Article by Lee-Saxton YJ, Palacardo […]
Author: STITCHES Newsletter
Comparing Robotic Hernia Repair Techniques: Perioperative Differences but Comparable Costs
Robotic incisional hernia repairs using intraperitoneal onlay mesh (ipom) showed more perioperative complications, higher postoperative pain, and readmission rates than retromuscular (rm) repairs. However, rm repairs had higher defect closure rates and lower postoperative complications. Despite higher postoperative complication costs in ipom, total costs were comparable between the techniques. Recurrence rates and hospital costs did […]
External Stents Show Promise in Reducing Postoperative Pancreatic Fistulas
Stent placement following pancreaticojejunostomy did not significantly reduce clinically relevant postoperative pancreatic fistulas (CR-POPFs). However, external stents and placement in patients with ≤3mm main pancreatic duct diameter showed reduced CR-POPFs compared to no stent placement. These findings suggest a potential benefit of external stents in reducing CR-POPFs, especially in patients with undilated pancreatic ducts. Journal […]
High Recurrence Rates and Comorbidities Post-Transversus Abdominis Release
Abdominal surgeries following transversus abdominis release are linked to substantial comorbidities and heightened hernia recurrence rates. Efforts to minimize reoperations post-tar procedure are crucial. Results reveal a 36.1% hernia recurrence rate in 1137 patients, with 4.7% undergoing non-hernia abdominal surgeries, primarily due to small bowel obstructions. Urgent or emergent surgeries predominated, highlighting the need for […]
Emotional Challenges in Older Surgical Patients
Older surgical patients faced emotional challenges before and after surgery, impacting recovery. They relied on personal and social resources to navigate these challenges, while desiring more healthcare support. Findings emphasize the importance of addressing emotional well-being in perioperative care for older adults undergoing major elective surgery. Journal Article by Kata A, Dillon EC (…) Tang […]
Preservation of Caval Flow in Complex Hepatectomy Under Total Vascular Exclusion
Hypothermic liver perfusion during hepatectomy under total vascular exclusion preserving caval flow showed excellent hemodynamical tolerance, with no 90-day mortality and stable hemodynamics. The technique avoids splanchnic congestion and reduces ischemia time, making it a promising approach for patients requiring prolonged vascular control in hepatic surgery. Journal Article by Azoulay D, Salloum C (…) Lim […]
Development of a Nomogram for Preoperative Estimation of Splenic Hilar Lymph Node Metastasis
A high-performing preoperative nomogram for predicting splenic hilar lymph node metastasis in non-greater curvature advanced proximal gastric cancer was developed. Tumor location, size, Borrmann type, and lymphadenectasis were key predictors. The nomogram showed good performance in both training and validation cohorts, aiding surgeons in making informed clinical decisions and leading to improved patient outcomes. Journal […]
Inflammatory Bowel Disease Increases Colorectal Cancer Surgery Burden
Inflammatory bowel disease negatively impacts surgery outcomes for colorectal cancer patients, leading to lower rates of surgical resection, higher postoperative complications, extended hospital stays, increased readmissions, decreased home discharges, and higher expenditures. These patients have a lower probability of achieving ideal postoperative outcomes and experience worse long-term survival after colorectal cancer resection. Journal Article by […]
Association of Cannabis Use with Venous Thromboembolism Risk After Traumatic Injury
Conflicting evidence exists on the association between cannabis (THC) use and post-traumatic deep vein thrombosis (DVT) risk. A two-center retrospective analysis of 7365 trauma patients found that THC use was not associated with increased DVT risk. Patients using THC had higher Glasgow Coma Scale scores, shorter hospital stays, and lower rates of pelvic fractures and […]
Factors influencing unplanned overnight monitoring after same day discharge in colorectal surgery
Same day discharge (SDD) in colorectal surgery is feasible, but patient factors such as operative complexity and social considerations significantly influence the need for unplanned overnight monitoring. Factors like age and type of procedure impact discharge decisions, highlighting the importance of individualized patient assessment for successful implementation of SDD protocols. Review by Holtestaul T, Vu […]