When comparing long-term indwelling plastic stents (LTIS) to standard stent removal (SSR) after resolving pancreatic fluid collections (PFC) with endoscopic transmural drainage (ETD), LTIS showed significantly lower recurrence rates (3% vs. 23%). LTIS also decreased the need for further interventions. This meta-analysis of 16 studies and 1285 patients indicates that LTIS is safer and more […]
Author: STITCHES Newsletter
Impact of Bariatric Surgery on Incontinence Improvement in Asian Women
Bariatric surgery significantly improved urinary incontinence scores among obese Asian women, with age and gynecological history influencing the degree of improvement. Among 200 participants, 50.5% reported UI symptoms before surgery, with an average weight loss of 29 kg and a mean BMI drop of 11.2 kg/m. Limited studies on this topic in Asian countries were […]
Surgeons and surgeon trainees in Canada demonstrate higher levels of divergent thinking but lower originality
Surgeons and surgeon trainees in Canada showed higher levels of divergent thinking compared to the adult norm, with increased fluency and flexibility in generating ideas. However, their ability to produce original ideas was below average. Female participants had higher divergent thinking scores. The study also found that surgical training did not significantly impact creative potential. […]
Agile Scores Highly Accurate in Predicting Liver-Related Events in Masld Patients
Researchers found that agile 3+ and agile 4 scores from vibration-controlled transient elastography had the highest discriminatory power in predicting liver-related events in patients with metabolic dysfunction-associated steatotic liver disease. These scores accurately categorized patients between high and low risk categories, with a decrease in agile 3+ score by more than 20% linked to a […]
Post-ERCP Cholecystitis: Incidence, Characteristics, and Outcomes
The study describes 17 cases of post-ERCP cholecystitis out of 4428 patients undergoing ERCP (incidence 0.38%). Cover metal stenting resulted in a higher incidence of cholecystitis (1.50%). Symptoms appeared at a median of 5 days post-ERCP. Management strategies included cholecystectomy and endoscopic stent removal. These findings can help in understanding procedural risks and guiding treatment […]
High Success Rate of Colonic-Enteric Lumen-Apposing Metal Stents for Small-Bowel Obstruction
Colonic-enteric lumen-apposing metal stents (LAMS) showed high technical success (100%) and clinical success (92.3%) in managing small-bowel obstruction (SBO) in patients who are not surgical candidates due to malignancy. Adverse events occurred in 15.4% of patients, including bleeding, diarrhea, and postprocedure sepsis. Patients were able to resume enteral nutrition in 84.6% of cases. Further research […]
Female Surgeons Experience More Ergonomic Discomfort Than Males
Surgeons across specialties experience musculoskeletal discomfort, with new techniques adding complexity. Gender disparities in surgeon ergonomics are not well understood. Female surgeons, especially pregnant ones, suffer more ergonomic discomfort than males. To address this, the study suggests: 1) improved education on ergonomic injury prevention, 2) institutional support for ergonomic solutions, 3) collaborations with industry, and […]
Improved Pancreatic Cancer Surgery with SMA-First Approach and Triangle Operation
Utilizing the SMA-first approach in robotic pancreaticoduodenectomy (RPD) resulted in notable improvements in surgery for pancreatic cancer. The technique involved early dissection of the superior mesenteric artery (SMA) from the posterior aspect, facilitating a more systematic mesopancreatic dissection. The approach, demonstrated in a video, included a standardized SMA-first technique and triangle clearance, showing promising results […]
Substantial Increase in Gastric Surgery Volume During General Surgery Residency Training in the US
General surgery residents in the US have experienced a significant increase in gastric surgery volume from 2009 to 2022, mainly driven by a rise in laparoscopic gastric reduction for morbid obesity. There was also a notable growth in laparoscopic partial gastric resections, repair of gastric perforation, and “other major stomach procedures,” while open gastrostomy, open […]
Ultrasound-guided robotic surgical procedures enhance surgical precision and efficiency
Ultrasound-guided robotic procedures offer significant advantages in general and oncological surgeries, including precise tumor localization, feasibility testing, and comparison with laparoscopic probes. The systematic review of 20 studies highlights the potential of robotic intraoperative ultrasound to support surgeons, reduce procedure times, and improve outcomes in various surgical fields. Robotic instrumentation’s ergonomics and dexterity make it […]