Outcomes between primary anastomosis and end colostomy following emergency sigmoid colectomy for sigmoid volvulus were compared using ACS-NSQIP data. Results showed no significant differences in major complications, mortality, hospital stay, or readmission rate. Patients with colostomy had a higher likelihood of being discharged to a care facility. Overall, there were no statistically significant disparities in […]
Author: STITCHES Newsletter
Optimizing Total Neoadjuvant Therapy for Rectal Cancer
Despite therapeutic advancements, disease-free survival and overall survival have not improved in patients with locally advanced rectal cancer due to distant metastases. Total neoadjuvant therapy (TNT) is now standard to prevent local recurrence and distant metastases. Patients with high-risk features may benefit, but non-responsive patients have poor prognosis. Integrated multi-omics analysis and AI may predict […]
Similar Weight Loss and Psychological Health in Bariatric Surgery Patients with Chronic Pain
Patients with chronic pain syndromes showed similar improvements in weight and psychological wellbeing after bariatric metabolic surgery (BMS) compared to patients without pain. However, the relationship between weight loss and improved self-efficacy to control eating behaviors was weaker in patients with chronic pain. Further research is needed to understand the mechanism underlying pain and postoperative […]
Medicaid Insurance Linked to Increased Postoperative Care Encounters for Patients on Long-Term Opioid Therapy
Patients on long-term opioid therapy with Medicaid insurance had a higher likelihood of experiencing postoperative unplanned care encounters compared to those with private insurance after abdominopelvic surgery. The study, involving 1212 patients in Michigan, found a 4.5 percentage point higher probability of such encounters among Medicaid-insured individuals within 30 days post-discharge. This suggests disparities in […]
Overprescribing opioids for emergency surgery patients does not improve postoperative outcomes
Patients undergoing emergency surgery in Michigan were prescribed an average of 9.6 opioid pills, but only consumed 4.6 pills on average. Larger prescriptions were associated with higher consumption, but did not lead to reduced pain, higher satisfaction, improved quality of life, or less regret about undergoing surgery. These findings suggest that opioids may be excessively […]
Robotic Liver Surgery Achieves Higher Textbook Outcome Rates Than Laparoscopic Surgery
Robotic liver surgery (RLS) showed higher rates of textbook outcome in liver surgery (TOLS) and TOLS+ compared to laparoscopic liver surgery (LLS), with lower blood loss, transfusions, morbidity, and higher R0 resection margins, despite longer operative times. In subgroup analyses, RLS tended to have higher TOLS rates for minor and major resections. Journal Article by […]
Long-term Pancreatic Complications from Trauma: Unique Pathology in Focal Duct Stenosis
Patients with focal stenosis of the main pancreatic duct without pancreatic cancer may have unique pathology including fibrosis, inflammation, and calcifications. Blunt trauma, such as from motor vehicle accidents, can cause long-term complications in the pancreas, leading to obstructive changes. Awareness of this distinctive pathology is crucial for pathologists to accurately diagnose and understand the […]
Minimally Invasive Techniques Improve Quality of Life in Pilonidal Surgery
Minimally invasive surgery in pilonidal disease treatment shows better quality of life, less pain, fewer complications, and quicker return to normal activities compared to major excisional surgery. However, it also has a higher risk of treatment failure. Complications were common, with 25% reporting unhealed wounds and 10% unable to resume normal activities at the study […]
Validation of Genetic and Morphological Evaluation Score for Patients with Colorectal Liver Metastases
Researchers validated the genetic and morphological evaluation score as a prognostic tool for patients with colorectal liver metastases, showing that the high-risk group had significantly lower median relapse-free survival and overall survival compared to the low-risk group. The histopathological, clinical, and molecular score was also developed, including variables such as age, tumour burden score, and […]
Increased Odds of Post-Operative Endoscopic Retrograde Cholangiography in Subtotal Cholecystectomy Patients
Researchers conducted a retrospective review of laparoscopic cholecystectomies at a large center. Among 1222 cases, 7% were subtotal cholecystectomies (SC). SC patients were more likely to be male, older, have higher ASA class, and experience longer hospital stays. SC increased the odds of requiring endoscopic retrograde cholangiography (ERC) postoperatively. Reconstituting SC lowered the odds of […]