An international Delphi consensus study outlines management strategies for high-surgical risk patients with acute cholecystitis. Early laparoscopic cholecystectomy is preferred for those who fail conservative treatment. For severe cases, percutaneous cholecystostomy is recommended to alleviate symptoms quickly. The study emphasizes the importance of assessing surgical candidacy after infection control and designates a minimum duration for […]

Identifying 26 unique perioperative pathways in emergency laparotomy, the review highlights a significant variability in interventions among 44,055 patients. Most studies were at moderate risk of bias, and 66.6% failed to report TIDIER framework items, indicating inadequate reporting practices. Outcomes measured primarily focused on morbidity, mortality, and hospital length of stay, with 250 outcomes reported. […]

A study of 32,280 emergency general surgery patients revealed that surgical intervention led to lower risk-adjusted inpatient mortality rates compared to nonoperative management, despite the surgical group experiencing higher complication odds and longer hospital stays. Younger patients and those without preexisting conditions were more likely to undergo surgery, while a higher percentage of uninsured individuals […]

Elevated myoglobin levels in trauma patients correlate significantly with the development of coagulopathy, systemic inflammatory response syndrome (SIRS), and acute kidney injury (AKI). In a study of 312 patients, myoglobin emerged as a notable independent risk factor for these complications, particularly AKI, with a predictive accuracy of 80.4%. The research underscores the importance of routine […]

Laparoscopic cholecystectomy via the supraumbilical port significantly decreased postoperative pain compared to the subxiphoid port. In a study of 253 patients, the supraumbilical group reported lower worst pain ratings (4.24 vs. 4.91) and milder pain on the third day (3.35 vs. 3.75). Pain affected general activity, mood, walking ability, and enjoyment of life more severely […]

Food insecurity in surgical trauma patients correlates with significantly higher complication rates (41.4% vs. 12.5%) and longer hospital stays (median of 13 days vs. 5 days). Among 848 patients, 21% reported food insecurity prior to surgery, with those becoming food insecure postoperatively also facing greater risks of complications at three months. These findings underscore the […]

In a study evaluating ultrasound-guided erector spinae plane block (ESPB) for post-operative analgesia in laparoscopic cholecystectomy, researchers found that the ESPB group required significantly less tramadol within the first 24 hours compared to controls (p=0.005). Additionally, pain scores measured by visual analogue scale (VAS) were lower in the ESPB group at various intervals. The time […]

A meta-analysis of 28 studies involving 512,881 patients has revealed that preoperative in-hospital delays exceeding 24 hours significantly increase the risk of complicated appendicitis, postoperative complications, and mortality. Specifically, these delays are associated with a 60% higher risk of complicated appendicitis and a 51% increased likelihood of postoperative issues, alongside an 81% heightened risk of […]