Patients treated for firearm injuries at non-violence intervention programs (VIPs) miss critical support services, affecting outcomes. Two-thirds of patients were at VIP facilities, but 81.5% did not receive VIP services. Assault-related injuries were the strongest predictor of VIP service use (OR 3.00; p=0.002). High-risk patients at non-VIP facilities are older and less likely to receive […]

In a study of 592 patients, no significant differences were found in intraoperative complications or secondary outcomes between robotic and laparoscopic cholecystectomy across all severity grades of acute cholecystitis. Laparoscopic surgery had a longer postoperative hospital stay for grade II-V cholecystitis patients (2 days vs. 1 day, p = .048), but it wasn’t an independent […]

Injured older adults face significant long-term physical and mental health decline, affecting surgical decisions and postoperative support. After major injuries, patients needed 1.1 more assistance with daily activities (p < .001). They had 70% higher odds of reporting poor health (OR 1.7) and increased depression (OR 1.5). Surgical teams should assess preinjury social health needs […]

Subtotal cholecystectomy leads to a 13.3% chance of remnant cholecystitis, impacting surgical decision-making for complex cases. Cumulative incidence of remnant cholecystitis was 13.3% within 2 years, with most cases appearing within the first 6 months. Only 2.6% of patients required completion cholecystectomy, which was often performed open and linked to a 7.1% bile duct injury […]

Older adults with sepsis undergoing emergency laparotomy show varied outcomes based on BMI, affecting surgical decision-making. 30-day mortality in this group is 31.6%. Obesity class II is linked to lower 30-day mortality (adjusted odds ratio 0.55) but increases risks of ventilator dependence >48 hours (1.48) and deep vein thrombosis (2.00). Obesity class III is tied […]

Perioperative antibiotics did not significantly lower infectious complications: 9% with antibiotics vs. 12% without. Surgical site infections were also similar: 5% vs. 8%. Surgeons can consider forgoing antibiotics in healthy patients with mild-moderate acute cholecystitis. No differences in length of hospital stay or mortality were observed. Further research is needed for high-risk patient populations. Review […]

Antibiotic-only management for acute appendicitis is generally safe, but requires vigilance for missed tumors. In a study of 2,293 appendectomies, only 1.6% had malignant lesions, most being low-grade neuroendocrine tumors under 2 cm. Aggressive tumors were mostly found in older patients with prolonged symptoms and larger appendiceal diameters. Surgical criteria can help identify low-risk candidates […]

Training for acute appendicitis is inconsistent across hospitals, impacting surgeon readiness. 85% of trainees lack structured competency assessments. Surgeons increasingly opt for laparoscopic techniques, rising significantly from 2022 to 2025. Consider implementing routine feedback and standardized assessments to improve surgical readiness. Only 55% of trainees used a simulator before their first laparoscopic appendectomy, highlighting a […]

Prehospital whole-blood transfusion does not improve outcomes for major traumatic hemorrhage compared to standard blood component therapy. In a study of 616 patients, 48.7% in the whole-blood group and 47.7% in standard care experienced death or massive transfusion within 24 hours (p=0.84). Serious adverse events occurred more frequently in the standard-care group (37 vs. 31 […]