A deep learning model, RenotrNet, demonstrated high accuracy in detecting kidney trauma on CT scans, achieving 0.88 accuracy in internal testing and 0.93 in external validation with RSNA data. The model showed robust performance metrics, including 0.75 sensitivity and 0.95 specificity internally, and 0.73 sensitivity and 0.94 specificity externally. Its high negative predictive value of […]
Category: Appendix, Gallbladder and Surgical Emergencies
Predictive model identifies factors for ERCP post-cholecystectomy
A machine learning-based predictive model has been developed to estimate the incidence of endoscopic retrograde cholangiopancreatography (ERCP) after emergency laparoscopic cholecystectomy. Analyzing data from 8,854 patients, the model revealed a postoperative ERCP incidence of 5.7% in training and 6.4% in testing datasets. The gradient-boosting decision tree model excelled, with common bile duct dilatation, serum albumin, […]
Acute care surgery could improve South Korea’s emergency care.
Implementing acute care surgery (ACS) in South Korea enhances both trauma and non-trauma emergency services. The model addresses the critical shortage of trauma surgeons and promotes efficient resource allocation, ultimately improving patient outcomes. Research highlights that ACS not only bolsters emergency surgical management but also creates more training opportunities for residents and increases job satisfaction […]
Antibiotics provide a safe alternative to surgery for appendicitis
Antibiotic treatment is a viable alternative to appendicectomy for adults with imaging-confirmed acute appendicitis, as evidenced by a one-year complication rate of 5.4% for antibiotics compared to 8.3% for surgery. Approximately 66% of patients treated with antibiotics avoided surgery within the first year. However, patients with appendicolith experienced higher complications with antibiotics, prompting a substantial […]
Laparoscopic repair outperforms traditional methods for gastric ulcers.
The study reveals that laparoscopic omental patch repair (LOPR) offers significant advantages for treating Helicobacter pylori-associated gastric ulcers with perforations. Patients undergoing LOPR demonstrated reduced operative time, less intraoperative blood loss, and quicker postoperative recovery compared to those receiving the Graham patch technique. Additionally, LOPR resulted in lower rates of postoperative complications and recurrence. Overall, […]
Fluorescent cholangiography enhances visualization during acute cholecystitis surgery
A prospective study involving 81 patients demonstrated the efficacy of near-infrared fluorescent cholangiography (NIRF-C) in emergency laparoscopic cholecystectomy for acute cholecystitis. The cystic duct was successfully identified in 56.8% and 95.1% of patients before and after calot’s dissection, respectively. Significant differences in visualization rates of biliary structures were observed between non-gangrenous and more severe cases. […]
AI coaching enhances performance in laparoscopic cholecystectomy
An AI-assisted coaching program significantly improved novice surgeons’ performance in laparoscopic cholecystectomy, raising evaluation scores from 31 to 40 (p=0.008) and surpassing self-learning group scores by the study’s end (40 vs. 38, p=0.032). The coaching group also achieved a notable increase in the critical view of safety, from 11% to 78% (p=0.021). Participants expressed high […]
Elderly trauma patients face higher mortality and costs.
A retrospective study of 1,743 elderly trauma patients revealed a concerning trend: they exhibited longer hospital stays, higher complication rates, and increased medical expenses compared to younger counterparts. Accidental falls predominated among these cases, particularly impacting women. Key mortality predictors included age, trauma severity, and initial hypotension. The findings suggest a critical need for healthcare […]
Paralytic ileus and intestinal obstruction burdens are growing globally.
The global burden of paralytic ileus and intestinal obstruction (PIAIO) has been evaluated, showing alarming trends from 1990 to 2021. Prevalence and incidence rates remain high, particularly in males and among those under five years and the elderly. Despite potential improvements in mortality rates, health disparities persist across socio-demographic indices. Analysts predict that with population […]
BIG score outperforms traditional methods in trauma mortality prediction
In a retrospective study with 563 adult patients, the BIG score proved to be an independent predictor of in-hospital mortality in trauma cases, significantly outperforming the Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), and Injury Severity Score (ISS). With a cutoff value of 10.65, it achieved 67.7% sensitivity and 86.5% specificity, predicting mortality risks […]