Mortality rates among patients undergoing acute high-risk abdominal surgery were significantly higher among those with myocardial injury after surgery (MINS), defined as elevated troponin I (TNI) levels. The incidence of MINS was 23.8%, and these patients had a 30-day mortality rate of 19.8%, compared to 2.7% in patients without MINS. TNI monitoring could potentially identify […]
Author: STITCHES Newsletter
Risk factors for anastomotic dehiscence in patients receiving negative pressure wound therapy after intestinal anastomosis.
The use of negative pressure wound therapy (NPWT) during intestinal anastomosis has been controversial. A single-center cohort study was conducted to identify risk factors for anastomotic dehiscence in patients who received NPWT therapy. The study found that females, delayed fascial closure, use of vasopressors, and NPWT pressures >110 mmHg were associated with a higher risk […]
Retroperitoneoscopic Adrenalectomy Offers Safe and Excellent Outcomes
Researchers conducted a study to evaluate the perioperative outcomes of retroperitoneoscopic adrenalectomy (RPA) before and after expert intensive trainings (EITs), and compared it to other laparoscopic adrenalectomy approaches. They found that RPA, in addition to offering direct surgical access, had shorter procedure duration, hospital stay, and fewer complications compared to transabdominal lateral adrenalectomy. The study […]
Progress and Challenges in Distinguishing Malignant from Benign Causes of Liver Hilum Obstruction
This study retrospectively analyzed consecutive patients who underwent surgery for hilar obstruction and aimed to determine factors distinguishing benign from malignant causes and long-term outcomes after resection. Among 182 patients, 14% had benign disease. Significant differences were found in ca19-9 levels and cross-sectional imaging features between malignant and benign strictures. Preoperative biopsy had moderate accuracy. […]
C-Reactive Protein/Albumin Ratio is an Independent Risk Factor for Recurrence and Survival in Older Patients with Colorectal Cancer
The study investigated prognostic factors in older patients (≥70 years) and younger patients (
Optimal Time-to-Surgery Recommendations Based on Tumor Shrinkage for Resectable Esophageal Cancer
A retrospective study analyzed the outcomes of patients with resectable locally advanced esophageal squamous cell carcinoma (LA-ESCC) who underwent neoadjuvant chemoradiotherapy. Researchers found that tumor shrinkage rate is an independent prognostic factor for progression-free survival (PFS). For patients who responded to treatment, extending the time-to-surgery (TTS) improved overall survival (OS) and PFS. The optimal cutoff […]
Delayed Surgical Resection Reduces Complications and Ostomy Rate, but Increases Length of Stay and Costs in Geriatric Patients with Sigmoid Volvulus
Delaying sigmoid colectomy (>2 days) after decompression in geriatric patients with sigmoid volvulus is linked to reduced cardiac complications and a lower ostomy rate. However, it extends overall hospital length of stay and increases costs, showcasing the nuanced outcomes associated with the timing of surgical intervention. Journal Article by Arnold SC, Rafaqat W (…) Hwabejire […]
Transumbilical stapling technique for OAGB has been successfully developed.
Researchers have developed a transumbilical stapling technique specifically tailored to the unique demands of one anastomosis gastric bypass (OAGB) procedures. The study builds upon previous work and addresses the challenge of creating a slender gastric tube spanning 25 cm for OAGB. The technique, called transumbilical stapling technique, has shown promising results and could effectively overcome […]
ERAS Protocols Reduce Adverse Surgical Outcomes in Bariatric Surgery
The systematic review and meta-analysis of randomized clinical trials on enhanced recovery after surgery (ERAS) protocols in bariatric surgery revealed that ERAS programs significantly reduce postoperative nausea and vomiting, intraoperative time, time to mobilization, intensive care unit stays, hospital stay, and readmission rates compared to standard care. These findings suggest that implementation of ERAS protocols […]
Insulin-like growth factor 1 levels predict weight loss in women post laparoscopic sleeve gastrectomy
The study aimed to assess the association between insulin-like growth factor 1 (IGF-1) levels and weight loss in female patients post laparoscopic sleeve gastrectomy (SG). It included 100 patients who underwent clinical and laboratory investigations, with follow-up after one year. Results showed a significant reduction in body mass index, fasting HbA1c levels, and triglycerides, along […]