This systematic review dives into the world of surgical skills, focusing on the transferability between laparoscopic and robot-assisted surgery. Out of 33 studies that explored the shift from laparoscopy to robotic procedures, 17 found a positive transfer, while 15 did not. Interestingly, only three out of 11 studies examined the reverse transition from robot-assisted to […]
Author: STITCHES Newsletter
Low Adherence to Guidelines in Acute Appendicitis Surgery Reveals Impact on Outcomes
This study delves into the challenges of applying international clinical practice guidelines (CPG) for acute appendicitis (AA). Researchers found that adherence to CPG is alarmingly low, particularly concerning peritoneal irrigation, abdominal drains, and antibiotic stewardship. Non-compliance, especially in complicated cases and technically challenging laparoscopic surgeries, leads to increased complications and higher costs. The study emphasizes […]
Long-Term Success of Laparoscopic SADI-S for Weight Loss and Comorbidity Resolution
A systematic review of 10 studies explored the extended outcomes of duodeno-ileostomy with sleeve gastrectomy (SADI-S) for over 3 years. Findings indicate SADI-S delivers lasting results, with 80.4% excess weight loss at the 10-year mark and impressive comorbidity remission rates. Although some patients experienced late complications like malabsorption and gastroesophageal reflux disease, SADI-S proves to […]
Identifying Lifestyle Patterns in Patients 5+ Years After Bariatric Surgery
The study delves into the behaviors of patients who had metabolic bariatric surgery (MBS) more than 5 years ago. Analyzing various factors like diet, physical activity, sleep, smoking, and alcohol consumption, researchers uncovered two distinct lifestyle patterns. One pattern linked processed foods, risky alcohol consumption, and smoking, while the other associated with unprocessed foods and […]
Using Allogeneic Vessels in Pancreaticoduodenectomy: Risk of Portal Vein Thrombosis and Impact on Prognosis
This study delves into the use of allogeneic vessels (AV) in pancreaticoduodenectomy (PD) with portal vein resection (PVR) and its relationship with portal vein thrombosis (PVT). The findings reveal that PVT is notably prevalent, especially in cases involving AV reconstructions. Independent risk factors for PVT include diabetes, the surgical procedure performed, and AV reconstruction. Furthermore, […]
Pelvic Exenteration Effectiveness for Chronic Fistulating Pelvic Sepsis Post-Multimodal Pelvic Cancer Treatment
This study focuses on pelvic exenteration as a solution for chronic fistulating pelvic sepsis, a rare complication stemming from pelvic cancer treatment. The research includes 19 patients who underwent radical resection after previous pelvic cancer treatments. Promisingly, the procedure proved safe and effective, with no intraoperative or postoperative deaths. While some patients faced major complications […]
Effectiveness of High Ligation of Inferior Mesenteric Artery in Left-Sided Colon and Rectal Cancer Surgery
This study assessed the success rates and outcomes of high ligation of the inferior mesenteric artery (IMA) in left-sided colon and rectal cancer surgery. Results showed that high ligation was technically successful in the majority of cases, with 61.5% of operative reports indicating high ligation. However, there was no significant difference in patient outcomes between […]
Successful Laparoscopic Management of Iatrogenic Colon Perforation: A Promising Approach
Iatrogenic colon perforation, a rare but serious complication of colonoscopy, was studied to determine effective treatment approaches. Out of 51 cases, 84% required surgery. Notably, laparoscopic surgery was performed in 88% of cases, demonstrating its safety and feasibility. Laparoscopic primary suturing was successful in 80% of cases, with a high recovery rate of 96%. The […]
Timely Closure of Ileostomies: A Regional Australian Hospital’s Experience
This study explores the timing and reasons for delaying loop ileostomy closure in regional Australian hospitals. Of the 123 patients who received loop ileostomies between 2010 and 2020, 86.2% had their stomas reversed. Patients with rectal cancer experienced a median time to closure of 8.5 months, while non-rectal cancer patients had a median closure time […]
How Compensation Models Influence Academic Surgeons
This qualitative study delves into the world of academic surgeons, exploring how compensation structures, whether based on clinical productivity incentives or fixed salaries, impact their experiences. While incentivizing high-quality patient care, education, and innovation is the ideal aim, the interplay between compensation models and clinical activities, practice development, and surgeon well-being has remained uncharted territory. […]