A multifaceted surgical site infection (SSI) prevention bundle effectively decreased infection rates in patients undergoing emergency general surgery (EGS). The study reported significant reductions of 48% for superficial infections, 68% for deep infections, and 55% for intra-abdominal infections. Additionally, the median hospital stay shortened from 13 to 8 days with the bundle implementation, despite a […]
Category: Appendix, Gallbladder and Surgical Emergencies
Early VTE prophylaxis significantly reduces complications in trauma patients
Initiating pharmacologic VTE prophylaxis within 24 hours of major trauma reduces the risk of venous thromboembolism (VTE) by 42% compared to later initiation. In a study comparing 3,369 early initiation patients with 3,200 late initiators, VTE incidence was 2.8% versus 7.8%, respectively. Additionally, early initiation correlated with lower intracranial hemorrhage and mortality rates. These findings […]
Cholecystectomy shows better outcomes than percutaneous cholecystostomy
A systematic review and meta-analysis examined treatment outcomes for acute cholecystitis, revealing that laparoscopic cholecystectomy (CC) significantly reduces mortality (OR=0.26) and readmission rates (OR=0.37) compared to percutaneous cholecystostomy (PC). While CC showed superior results, PC remains a viable option for high-risk patients. Studies comparing PC followed by CC to CC alone yielded mixed conclusions, indicating […]
Angioembolization use increases but in-hospital mortality remains unchanged
A comprehensive analysis of severe liver injuries revealed a stable in-hospital mortality rate of 18.7% from 2017 to 2022, despite increasing utilization of angioembolization as a treatment strategy. Compared to laparotomy, angioembolization—either alone or combined with other methods—demonstrated improved survival rates. However, observation only led to worsening outcomes over time. Findings indicate the necessity for […]
New model predicts traumatic hemorrhagic shock with high accuracy
A novel predictive model, MS-TimeXer-MoE, demonstrates significant effectiveness in forecasting traumatic hemorrhagic shock among patients. Utilizing data from 4,870 trauma cases, it successfully predicts shock occurrence with an AUC of 0.8995 and a recall rate of 0.8607. This model integrates vital signs and demographic factors, achieving greater precision compared to traditional methods. Clinicians may leverage […]
Machine learning effectively distinguishes between types of appendicitis
A multicenter study demonstrated the efficacy of machine-learning diagnostic models in differentiating uncomplicated from complicated acute appendicitis (AA). Among three developed models, the clinical-radiomics-fused model employing a random forest algorithm achieved the best area under the curve (AUC) of 0.84 in the testing cohort. This research highlights the potential of non-invasive decision-making methods, with all […]
Grading Management Model Reduces Risks in Laparoscopic Cholecystectomy
A novel grading management model for laparoscopic cholecystectomy significantly lowers the conversion to open surgery and complications. The study, conducted with two Shanghai hospitals, identified key risk factors and developed a reliable scoring system with a notable area under the curve of 0.893. Scores above 3 indicate higher surgical risk, allowing clinicians to implement tailored […]
Circulation-first approach reduces mortality in trauma patients
A systematic review and meta-analysis involving 11,855 trauma patients revealed that prioritizing circulation over airway management significantly lowers mortality rates in cases of exsanguinating injuries. The analysis demonstrated a pooled odds ratio of 3.65 for increased mortality associated with the traditional airway-breathing-circulation (ABC) approach, especially higher in prospective studies at 9.99. The findings urge a […]
Innovative endoscopic techniques enhance management of gastrointestinal defects
Endoscopic approaches have advanced significantly in managing gastrointestinal perforations, leaks, and fistulae, offering a safer alternative to traditional surgery. Recent innovations like closure devices, internal drainage, and vacuum therapy have expanded treatment options, emphasizing a customized, multidisciplinary approach. Clinicians noted that these techniques lower the risk of morbidity and mortality, though challenges remain due to […]
Approximately 20% of deaths after emergency surgery are preventable.
A significant analysis of 7 emergency general surgery procedures revealed that 18.5% of deaths were potentially preventable. Patients in this category experienced higher rates of postoperative complications and clinical management issues occurring predominantly in the preoperative phase. Specifically, 38.6% exhibited problems before surgery compared to only 7.0% of nonpreventable deaths. The findings highlight the urgent […]