Surgeons must rethink pelvic organ prolapse treatment by adopting a dynamic biomechanical approach. The study identifies three key features of pelvic floor stability: a triangular support structure, a posterior fornix acting as a fulcrum, and a precise vaginal folding angle. Shifting from static to dynamic reconstruction strategies could significantly reduce recurrence rates for patients. This […]

Colorectal cancer patients with a muscle loss phenotype face significantly worse postoperative outcomes. Muscle loss nearly triples the risk of complications (odds ratio 2.99) and doubles the chance of unfavorable discharge (odds ratio 2.42). Prolonged hospital stays are common, with an odds ratio of 4.34, leading to higher total costs by over $70 per hospitalization. […]

Current literature shows significant variability in the definitions of colon cancer segments, affecting treatment and outcomes. Only 10% of studies provide clear definitions for colon segments, risking inconsistent outcomes. The majority of defined segments are for the splenic flexure (58.5%) and transverse colon (42.9%), while others like the cecum and ascending colon are severely lacking. […]

The TROPIS procedure shows promise for treating high complex anal fistulas with strong outcomes. One-time cure rate stands at 80% with a final cure rate of 89%. Recurrence rate after initial surgery is low at 20%, with no reported adverse events. Consider adopting TROPIS as a viable option in surgical practice for this challenging condition. […]

Multimodal prehabilitation significantly enhances outcomes for colorectal cancer patients undergoing surgery by lowering complications and improving recovery. Multimodal prehabilitation cut postoperative complications by 53% (odds ratio: 0.47). It also shortened hospital stays by an average of 1.17 days. This integrated approach improves physical function, shown by a 27-meter increase in the 6-minute walk test pre-surgery, […]