Reducing post-operative length of stay for surgical patients may not have a significant impact on cost savings, as the last day of stay contributes only a small portion to total charges. Costs are primarily concentrated on the day of surgery, emphasizing the need for cost containment efforts during the perioperative period. Journal Article by Hashmi […]
Author: STITCHES Newsletter
Heterogeneity of Postoperative Delirium: Preoperative Screening Inadequate for Hallucinatory Risk
This exploratory study on postoperative delirium in elective cancer surgery found that preoperative cognitive screening tools like the Mini-Cog and Geriatric-8 (G8) scores cannot detect hallucinatory delirium risk. Among patients who developed delirium, those with hallucinations had higher cognitive function and less frailty, indicating a subgroup not identified by conventional screening. Journal Article by Yajima […]
Flagship Hospitals Show Lower Mortality Rates Than Affiliate Hospitals
Patients undergoing inpatient general surgery at flagship system hospitals and flagship hospitals had lower 30-day mortality rates compared to control patients, while patients at flagship hospital affiliates had similar mortality rates to controls. Flagship hospitals also had lower mortality rates than affiliate hospitals, suggesting that flagship system affiliation alone does not guarantee better surgical outcomes. […]
Which Biomaterial Offers the Lowest Recurrence Rate in Congenital Diaphragmatic Hernia Repair?
Researchers reviewed 63 papers on 4598 CDH patients to evaluate patch repair outcomes. They found that goretex/marlex had the lowest recurrence rate at 3.6%. Recurrence rates were also low for teflon (4.2%) and dacron (5.6%), with goretex being the most popular patch material. Synthetic non-resorbable materials had the lowest recurrence rate (14.0%), while combined natural […]
Core data set and definition for empty pelvis syndrome after pelvic exenteration
Empty pelvis syndrome (EPS) following pelvic exenteration is poorly defined, leading to inconsistent reporting. This study established a core outcome set and descriptor set for EPS through a consensus process involving healthcare professionals and patients. The study identified seven core outcomes (e.g., bowel obstruction, chronic perineal sinus) and four core descriptors (e.g., magnitude of surgery, […]
Establishment of Patient-Derived Organoids from Pancreatic Cancer Biopsies for Personalized Medicine
A patient-derived organoid platform was successfully established from endoscopic ultrasound-guided fine needle biopsies of pancreatic ductal adenocarcinoma, with a high success rate and fast turnaround time. The organoids showed high concordance with the original tumor tissues, revealed more genetic alterations, and accurately predicted drug sensitivity in clinical correlation. This approach enables timely personalized medicine by […]
Improved Odds of Cytoreductive Surgery with HIPEC and Survival for Colorectal Peritoneal Metastases
Findings from a nationwide population-based study revealed that patients diagnosed in hipec centers had better odds of undergoing cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) and improved survival rates before 2016. However, after national efforts to increase awareness and improve referral networks, these differences were no longer present between patients diagnosed in hipec and referring […]
Preoperative Chemoradiotherapy Reduces Pancreatic Fistula Risk
Preoperative chemoradiotherapy, but not chemotherapy, was found to be associated with a reduced risk of postoperative pancreatic fistula in patients undergoing pancreatoduodenectomy for pancreatic ductal adenocarcinoma. Out of the 2,019 patients included in the study, postoperative pancreatic fistula occurred in 8.3% after immediate surgery, 4.2% after preoperative chemotherapy, and 2.0% after preoperative chemoradiotherapy. These findings […]
Placement of Gastrostomy Tubes at the Time of Pancreaticoduodenectomy: No Impact on Delayed Gastric Emptying
The study investigated the utility of gastrostomy tube placement during pancreaticoduodenectomy in reducing delayed gastric emptying. Results showed no difference in delayed gastric emptying incidence between patients with or without a gastrostomy tube. However, patients with a tube experienced higher postoperative complications, including postoperative ileus and atrial fibrillation. Overall, placement of gastrostomy tubes during pancreaticoduodenectomy […]
Endoscopic Vacuum Therapy Shortens Treatment Duration for Esophageal Perforations
Patients with traumatic esophageal perforations treated with endoscopic vacuum therapy (evt) had significantly shorter treatment duration than those treated with endoscopic self-expandable metal stent (e-sems). However, e-sems led to a shorter time of hospitalization and lower costs. Both methods had similar clinical outcomes, with high discharge rates. Journal Article by de Oliveira AT, Barreira MA […]