In a study involving 90 patients with periappendiceal abscesses, ultrasound-guided percutaneous catheter drainage (PCD) combined with antibiotics demonstrated significant advantages over emergency laparoscopic surgery (ELS). The PCD approach resulted in shorter operative times, fewer postoperative complications, and reduced hospital stays. These results highlight PCD’s efficacy as a viable alternative to surgical intervention, yielding benefits that […]
Category: Appendix, Gallbladder and Surgical Emergencies
New silicone model enhances laparoscopic appendectomy training
A novel silicone model developed for laparoscopic appendectomy training demonstrated high effectiveness among first-year surgical residents. Participants who used the model reported increased confidence and solid foundational learning. The study revealed that those with more experience using the model outperformed others, highlighting its educational value. Feedback from 91% of trainees indicated strong approval of the […]
Primary repair leads to lower severe sepsis rates post-colon injury
Patients with complete spinal cord injury and colon injuries demonstrate reduced severe sepsis risk when undergoing primary repair or resection with primary anastomosis, compared to those receiving colostomy. In a study involving 99 colostomy patients matched with 215 undergoing primary repair, severe sepsis occurred in 13.1% versus 4.2%, respectively. This highlights the significance of surgical […]
Research highlights global trends in necrotizing pancreatitis studies
The analysis of 929 articles on necrotizing pancreatitis revealed China as the leading contributor, followed by the United States and India. Notable findings included a focus on minimally invasive treatments, with key publications in specialized journals like “Pancreatology.” Despite increased research efforts over the past decade, the mortality rate for pancreatic necrosis remains concerning, indicating […]
High prevalence of combat injuries in Ukraine demands better prevention
A qualitative assessment revealed that complex polytrauma is the norm among Ukrainian combatants, with significant injuries such as blast wounds, traumatic brain injuries, and spinal cord trauma prevalent. Limited injury prevention measures were identified, primarily relying on combat body armor. Despite the need, respondents noted a lack of formal processes to use data for injury […]
New guidelines enhance prehospital bleeding control strategies
A systematic review produced fourteen new consensus-based recommendations for prehospital bleeding control in patients with multiple and/or severe injuries. Analyzing fifteen studies on interventions such as tourniquets and pelvic binders, researchers highlighted the importance of bleeding control as a treatment objective. Despite the strong consensus on these recommendations, the review reveals a significant gap in […]
Management of Cholecystostomy Tubes Lacks Standardization
A systematic review encompassing 22,349 patients revealed substantial variability in postinsertion management of cholecystostomy tubes for acute cholecystitis. While 92.7% of studies utilized follow-up imaging, protocols varied significantly regarding timing and necessity. Tube removal averaged over four weeks post-insertion in many cases, and interval cholecystectomies were predominantly carried out after five weeks. The high clinical […]
Robotic cholecystectomy training proves effective for novice surgeons
A training program focused on robotic-assisted surgery (RAS) demonstrated significant enhancements in novice surgeons’ technical skills and confidence. An analysis of 300 robotic cholecystectomies revealed no major complications or conversions to other surgical methods. Additionally, the comprehensive RAST curriculum, employing a multimodal learning approach, emphasizes efficient skill transfer from traditional laparoscopic techniques to RAS. The […]
Balloon-assisted enteroscopy reduces surgical interventions for intussusception
A study of 53 patients with adult small-bowel intussusception reveals balloon-assisted enteroscopy (BAE) as a pivotal tool in management. Among patients diagnosed via CT, those receiving preoperative double-balloon enteroscopy had lower surgical resection rates (40% vs. 73.9%, p=0.037) and a more favorable diagnosis profile, with a higher percentage of benign cases. The findings suggest BAE […]
Cholangioscope-assisted therapy proves effective for chronic abdominal pain.
A single-center study evaluated 60 patients with chronic abdominal pain linked to the appendix, using cholangioscope-assisted endoscopic retrograde appendicitis therapy (ERAT). Findings revealed a 100% technical success rate and 90% clinical success. Post-procedure, 90% of patients reported an abdominal pain score of zero after an average follow-up of 6.6 months. Median procedure time was 5.4 […]