Long-term mesh-related complications from minimally invasive intraperitoneal onlay mesh for small to medium-sized ventral hernias are extremely low, with only a 0.62% rate of reoperation due to mesh complications up to 6 years postoperatively. This study of 325 patients showed that intraperitoneal mesh remains a safe and durable option for hernia surgeons, with the majority […]
Author: STITCHES Newsletter
Laparoscopic vs. Open Surgery After Colorectal Stent in Obstructive Cancer
Comparing laparoscopic and open surgery in obstructive colorectal cancer patients following stent placement, a meta-analysis of 12 cohort studies found no difference in 30-day mortality rates. While laparoscopic surgery had less blood loss, longer operation time, and shorter hospital stay, open surgery had more complications. Although not statistically significant, some data suggest favorable long-term outcomes […]
Association of Irish Selection Performance with Future Surgical Training Success
Trainees with higher composite scores at Irish selection had higher odds of progressing to higher specialist training. Technical aptitude scores were positively correlated with future operative performance in both workplace and simulated environments. Interpersonal skills assessed during selection were associated with future performance in communication skill assessments. Multimodal assessment during selection was predictive of future […]
Low Colorectal Cancer Risk After Resection of High-Risk Pedunculated Polyps
CRC incidence is significantly higher in patients with high-risk adenomas (HRAs) diagnosed at colonoscopy, with a 1.53-fold increase in risk. However, patients with only distal pedunculated polyps without high-grade dysplasia do not have an increased CRC risk. The presence of certain risk factors explains most of the excess CRC risk in the HRA group, indicating […]
Gasless Endoscopic Thyroidectomy Improves Quality of Life and Recovery in Female Patients with Thyroid Carcinoma
Gasless endoscopic thyroidectomy through an axillary approach shows better postoperative physical quality of life, cosmetic satisfaction, and faster recovery in psychological and emotional aspects compared to traditional open thyroidectomy in female patients with differentiated thyroid carcinoma. Journal Article by Xu T, Qin X (…) Wei T et 5 al. in Surg Endosc © 2024. The […]
Robotic distal pancreatectomy has longer operative times but shorter postoperative stays compared to laparoscopic approach
Robotic distal pancreatectomy (rdp) had longer operative times but shorter postoperative stays compared to laparoscopic distal pancreatectomy (ldp). RDP also had fewer pancreatic leaks and required fewer interventions. While RDP was more expensive than LDP, reduced hospital stays and lower reintervention rates partially offset this cost difference. The study found that RDP is a viable […]
Comparison of Laparoscopic and Open Liver Resections for HCC with PVTT: Similar Clinical Outcomes
Analysis of 86 patients with hepatocellular carcinoma and portal vein tumor thrombosis showed no significant difference in overall survival and recurrence-free survival between laparoscopic and open liver resections. The only predictors of recurrence-free survival were specific pathological factors, not the type of surgery. Laparoscopic resection for HCC with PVTT provides comparable short- and long-term outcomes […]
Endoscopic Ultrasound-Guided Gastroenterostomy Superior to Enteral Stenting for Malignant Gastric Outlet Obstruction
Endoscopic ultrasound-guided gastroenterostomy was found to be superior to enteral stenting in reducing treatment failure and prolonging time until treatment failure in a propensity score-matched cohort study of patients with malignant gastric outlet obstruction. The study showed a significantly higher treatment failure rate in the enteral stenting group compared to the EUS-GE group, with longer […]
IFSO Worldwide Survey: Shifting Trends in Bariatric and Metabolic Procedures (2020-2021)
IFSO Worldwide Survey 2020-2021 shows a decrease in the number of metabolic and bariatric surgeries in 2020, but a positive trend in 2021, with sleeve gastrectomy remaining the most performed procedure. Regional protocols for surgery during COVID-19 were reported by 52% of national societies, with limited change in telemedicine and mortality data collection between 2020 […]
Cost-effectiveness of Bariatric Surgery in Treating Obesity
Researchers reviewed 15 studies on economic evaluations of bariatric surgeries and pharmacotherapy for obesity treatment in adults. They found that bariatric surgery was seen as a cost-effective approach, but there was varying opinion on the cost-effectiveness of pharmacological interventions. Most evaluations were done from healthcare system perspectives, and the researchers suggest future studies should consider […]