A single high dose of intravenous dexamethasone prior to emergency laparotomy significantly reduces postoperative inflammatory responses, as shown by lower C-reactive protein levels (median 170 vs. 220 mg/l, p = 0.015). This administration correlates with enhanced recovery indicators, such as improved hemodynamics and earlier mobilization. The dexamethasone group also experienced a notable decrease in 90-day […]

Among 42 patients with type I gallbladder perforations, 28 underwent laparoscopic cholecystectomy (LC) and 14 had conversion to open cholecystectomy (COC). Significant differences included the location of perforations, with LC more common for fundal perforations, while COC was often required for neck perforations. LC had shorter surgical times and younger surgeons compared to COC. Factors […]

Clinicians evaluated factors influencing performance scores of surgical trainees in laparoscopic appendectomies. Analysis of 142 procedures revealed that perforated appendicitis was strongly associated with procedure difficulty (OR 21.2). Experienced trainees were more proficient (OR 34.5), while difficult procedures negatively affected proficiency (OR 0.1). Challenging cases, particularly identifying the appendix, had lower proficiency (OR 0.4). Difficult […]

Implementation of a robotic acute care surgery program at a medical center led to a significant increase in robotic surgeries, with the operating capacity more than doubling in a year. Key stakeholders were involved, staff received training, and workflow was optimized. This successful multidisciplinary effort demonstrates the potential for expanded use of robotic surgery in […]

Establishing a dedicated center for trauma survivorship generates increased revenue and significantly boosts follow-up visits and necessary procedures for severely injured patients. Financial data from a pre and post-cohort study showed that patients treated in the specialized center not only had higher subsequent visits and underwent more surgeries but also contributed a substantial net revenue […]

Damage-control laparotomy and primary fascial closure were associated with lower superficial, but not organ-space, surgical-site infection risks compared to primary fascial and skin closure. Body mass index increased superficial infection risk, while frailty increased organ-space infection risk. Interestingly, the number of operations did not impact surgical-site infection risks in patients who underwent damage-control laparotomy. This […]

Serum hepcidin levels were significantly elevated in patients with acute appendicitis (1750±285 pg/ml) compared to healthy controls (1066±225 pg/ml, p

A prospective multicentre study aims to identify biomarker combinations that can accurately diagnose acute mesenteric ischaemia (AMI) and distinguish between reversible and irreversible bowel ischaemia. Serum biomarkers including I-FABP, Alpha-GST, IL-6, PCT, IMA, D-lactate, D-dimer, SCUBE-1, and LBP will be measured in adult patients with suspected AMI. The study will develop a practical score for […]