Ultrasound-guided TAP block is often preferred, but laparoscopic-assisted TAP (LTAP) shows shorter administration time. Post-operative pain management, analgesic requirements, and nausea were similar between LTAP and ultrasound-assisted TAP (UTAP) groups. However, UTAP group had reduced nausea and vomiting instances. LTAP block is a viable alternative in the absence of ultrasound guidance, offering quick and efficient […]
Category: Appendix, Gallbladder and Surgical Emergencies
Prognostic Value of Lymphocyte-to-C-Reactive Protein Ratio in Fournier’s Gangrene
Younger patients with low lymphocyte-to-C-reactive protein ratio had better survival rates in Fournier’s gangrene. Higher hospital costs correlate with increased mortality risk. The Fournier’s Gangrene Severity Index, lymphocyte-to-C-reactive protein ratio, and neutrophil-lymphocyte ratio were effective at predicting patient outcomes. A low lymphocyte-to-C-reactive protein ratio was identified as a potential marker for assessing mortality and disease […]
Relationship Between Cholecystitis and Sudden Death Risk Factors
Mendelian randomization study reveals an inverse association between cholecystitis and ventricular arrhythmias, aortic aneurysms, indicating a potential decrease in sudden death risk. Despite a lack of direct causal link with cerebrovascular accidents, pulmonary embolism, acute myocardial infarction, cholecystitis shows a protective effect against certain cardiac conditions. Large-scale genetic data analysis supports the mitigating impact of […]
Angioembolization Reduces VTE Risk in Severe Splenic Injuries.
Angioembolization for high-grade splenic injuries leads to significantly lower venous thromboembolism rates compared to splenectomy. Despite less chemoprophylaxis use and delayed initiation, angioembolization is associated with decreased VTE, shorter hospital stays, and lower mortality. Therefore, considering angioembolization as the initial management for stable patients with severe splenic injuries could reduce VTE risk and improve overall […]
Addressing the Global Emergency Burden in Low and Middle-Income Countries
In low and middle-income countries, injuries are a significant cause of surgical disease, outweighing the mortality rates of HIV/AIDS, tuberculosis, and malaria combined. With road traffic injuries as the leading cause of death among young individuals, the lack of robust trauma systems and emergency medical services poses a challenge. The World Health Organization recommends the […]
1-stage and 2-stage Management for Common Bile Duct Stones and Gallstones
2-stage management with laparoscopic common bile duct exploration (LCBDE) showed the shortest operation duration, lowest long-term complications, and lowest costs compared to 1-stage and preoperative endoscopic retrograde cholangiopancreatography (ERCP) strategies. All groups achieved successful stone clearance, with group 3 demonstrating superior outcomes in terms of hospital stays, complications, and cost-effectiveness. Both management approaches were effective, […]
Improving Perforated Appendicitis Classification with Data Mining Algorithms
Improving accuracy of administrative data for perforated appendicitis classification is crucial. Two data mining algorithms, leveraging icd-10-cm codes and length of stay, showed significantly higher accuracy than those relying solely on icd-10-cm codes. With sensitivity and specificity of 0.86-0.88 and 0.95-0.97, respectively, these algorithms offer a reliable method for better classification of perforated appendicitis, facilitating […]
Challenges in Caring for Patients with Enterocutaneous Fistulas
Exploring critical care nurses’ challenges in managing enterocutaneous fistulas reveals difficulties in nursing care and lack of resources. Collaborative multidisciplinary efforts can enhance patient management, nurse knowledge, and overall outcomes. Improved protocols are essential for quality patient care, focusing on fluid/electrolyte balance, nutrition, sepsis control, wound care, pain management, and emotional support. These efforts aim […]
Optimal Indocyanine Green Dosage for Fluorescent Laparoscopic Cholecystectomy
Indocyanine green (ICG) dosage of 0.02 mg/bmi demonstrated better biliary structure detection rates in laparoscopic cholecystectomy compared to lower and higher doses. The medium and higher dose groups showed superior visualization of common bile duct structures. Medium dose was non-inferior to higher dose ICG, indicating its effectiveness in reducing intraoperative bile duct injuries. Journal Article by […]
Comparing Oxycodone and Sufentanil for Postoperative Pain Management
Patients undergoing laparoscopic gallbladder-preserving cholecystolithotomy were divided into oxycodone and sufentanil groups. Oxycodone group showed lower pain scores postoperatively, indicating better analgesic effects and reduced inflammatory responses compared to sufentanil group. This prospective randomized controlled trial highlights the superior postoperative analgesia induced by oxycodone in this patient population, as well as its potential to minimize […]