The study aimed to compare the injury severity, mortality, injury regions, and length of hospital and intensive care unit stay between obese and normal-weight motorcycle crash patients. The analysis of trauma registries from three Pennsylvania level 1 trauma centers on 1,164 adult motorcycle crash patients showed no significant difference in injury severity, mortality, or injury […]
Author: STITCHES Newsletter
Harmonizing Data Dictionaries in Colorectal Cancer Registries
Researchers conducted a mapping exercise to identify opportunities for data dictionary harmonization in colorectal cancer outcome registries. They compared data dictionaries from three major registries and developed a combined comprehensive dataset of 225 fields under seven domains. A common dataset with 38 overlapping fields was also created. The study highlighted areas of commonality and difference […]
Wittmann Patch-Assisted Closure for Open Abdomen: More Cost-Effective Than Ventral Hernia Repair
Wittmann Patch-Assisted Closure proves more clinically effective (19.43 QALYs) and cost-efficient ($7777 cost reduction) than planned ventral hernia repair. A decision tree analysis, rollback, and ICUR (-156,679.77) support Wittmann Patch’s cost-effectiveness, with a 96.8% confidence from Monte Carlo analysis. This study establishes Wittmann Patch-Assisted Closure as a superior and economically viable strategy for open abdomen […]
Improved ypStage Grouping System for Esophageal Squamous Cell Carcinoma Patients
A revised ypStage grouping system was proposed for esophageal squamous cell carcinoma patients who underwent neoadjuvant chemoradiotherapy followed by surgery. The new system adequately addressed the limitations of the existing American Joint Committee on Cancer (AJCC) system, showing improved prognostic relevance and higher discrimination ability. The study cohort included 501 patients in the development cohort […]
Examining Surgical Team Member Adaptation to Uncertainty Using the Operating Room Black Box
Results from this observational study using the Operating Room Black Box demonstrated how surgical team members adapt their teamwork skills during instances of uncertainty, specifically when dealing with intraoperative adverse events (IAEs). Nurses exhibited increased backup behavior skills during IAEs, while surgeons and medical trainees expressed more psychological safety skills. However, all roles exhibited fewer […]
Impedance Planimetry Establishes New Diagnostic and Severity Values for Gastric Sleeve Stenosis
Impedance planimetry measurements provide objective assessments in diagnosing gastric sleeve stenosis (GSS), a common complication following sleeve gastrectomy. This retrospective analysis of 110 upper endoscopies identifies new benchmark values for the diagnosis and severity of GSS. Impedance planimetry measurements of diameter and distensibility index were significantly lower with increasing severity of GSS, regardless of balloon […]
Higher Rate of Recurrence with Hybrid Resection for Laterally Spreading Lesions of the Papilla
Hybrid resection (HR) for laterally spreading lesions of the papilla, involving hot snare papillectomy and cold snare resection, was compared to conventional hot snare resection (CR) in a study. HR was associated with a significantly higher recurrence rate of recurrent or residual adenoma (RRAs) compared to CR. The odds of recurrence were 3.6 times higher […]
Book-Binding Technique (BBT) Shows Safe Intracorporeal Gastroduodenostomy in Totally Laparoscopic Distal Gastrectomy for Gastric Cancer
The book-binding technique (BBT) is a safe and feasible method for intracorporeal gastroduodenostomy in totally laparoscopic distal gastrectomy (TLDG) for patients with gastric malignancy. This retrospective study evaluated 188 patients who underwent TLDG with BBT reconstruction, showing low rates of anastomotic stenosis and leakage. The median time to the first diet was 3.1 days, and […]
Indocyanine Green Fluorescence Navigation Enables Laparoscopic Anatomic Bi-segmentectomy
The study demonstrates that laparoscopic anatomic bi-segmentectomy using Takasaki’s approach and indocyanine green fluorescence navigation is technically feasible and safe, serving as a valuable alternative to formal right hepatectomy in select cases. The report describes a successful case of a 58-year-old male with hepatitis B virus-related hepatocellular carcinoma (HCC), where the laparoscopic procedure resulted in […]
Neoadjuvant Radiation Therapy Shows Marginal Impact on Outcomes of Mucinous Rectal Carcinoma
The impact of neoadjuvant radiation therapy on the outcomes of patients with stage II-III mucinous rectal carcinoma was assessed using data from the national cancer database. After propensity-score matching, it was found that patients who received neoadjuvant radiation therapy had marginal downstaging of the disease, fewer examined and positive lymph nodes, and similar overall survival […]