Laparoscopic lavage for non-feculent perforated diverticulitis shows lower mortality, shorter hospital stays, and fewer subsequent surgeries, compared to sigmoid resection. It is a safe alternative for select patients, especially those younger, healthier, and with less previous abdominal surgeries. Laparoscopic lavage offers promising outcomes as a treatment option. Research Support, Non-U.S. Gov’t by Christos K, Filip […]
Category: Appendix, Gallbladder and Surgical Emergencies
Deep Learning Algorithm for Abdominal Trauma Diagnosis on CT Imaging
Deep learning algorithms demonstrate high accuracy in detecting renal, liver, and spleen injuries on abdominal CT scans. With a notable performance in renal injury detection (accuracy: 0.932), the model exhibits potential for rapid preliminary screening and adjunctive diagnosis of traumatic abdominal injuries. The results suggest promising applicability in emergency settings, aiding clinicians in timely and […]
Evolution of Common Bile Duct Stone Management
Comparing treatments for common bile duct stones (CBD), historical data and recent studies reveal a shift towards laparoscopic-endoscopic rendezvous (LER) technique. Before 1990, endoscopic sphincterotomy (ES) and surgery showed similar efficacy. Since 1991, LER emerged as effective, with fewer complications and shorter hospital stays. It’s favored, especially in younger, healthier patients, though its superiority over […]
Guidelines for Laparoscopy in Pregnancy
SAGES guidelines provide evidence-based recommendations for managing common surgical pathologies in pregnant patients, including appendicitis, biliary disease, and inflammatory bowel disease. Recommendations favor laparoscopic procedures for appendicitis and biliary disease, with expert opinion guiding treatment for different trimesters and disease severity. Multidisciplinary management is advised for pregnant patients with active inflammatory bowel disease flares. Journal […]
Improved Management of Suspected Gallbladder Cancer Through Intraoperative Frozen Section Analysis
Using intraoperative frozen section analysis during cholecystectomy, surgeons can decide on a single-stage management approach for suspected gallbladder cancer (GBC). A retrospective cohort study of 37 consecutive cholecystectomies found that frozen section analysis had a sensitivity of 100% and a specificity of 100% for detecting GBC. This one-stage approach reduced the need for a second […]
Risk Factors Analysis for Motorcycle Crashes in Barcelona
Alcoholism, poor road conditions, and speeding contribute to severe injuries in motorcycle crashes in Barcelona. Elderly riders are less at risk, while those aged 25-40 face higher odds of injury. Both supervised and unsupervised techniques effectively identify these risk factors, emphasizing the need for enhanced road maintenance and speed enforcement to improve motorcyclists’ safety. Journal […]
Transversus Abdominis Plane Block vs. Wound Infiltration for Pain Control After Laparoscopic Cholecystectomy
Ultrasound-guided subcostal approach of transversus abdominis plane (STAP) blocks offers superior postoperative analgesia compared to wound infiltration (WI) in patients undergoing laparoscopic cholecystectomy (LC). A meta-analysis of 6 randomized controlled trials (RCTs) with 314 participants showed significantly lower 24-hour opioid consumption and reduced pain scores in the STAP group. The incidence of postoperative nausea and […]
Liver Pucker Sign as a Predictor of Difficult Laparoscopic Cholecystectomy
The liver pucker sign, a depression in the region of the gallbladder caused by chronic contractive inflammation, indicates a challenging laparoscopic cholecystectomy. A case series reports three instances where the pucker sign was discovered during surgery, suggesting it can be used to anticipate complications. This sign typically arises in cases of chronic cholecystitis with delayed […]
Safe Postoperative Outcomes Following Early Cholecystectomy for Acute Calculus Cholecystitis
Early cholecystectomy for acute calculus cholecystitis shows safe postoperative outcomes, regardless of symptom onset timing. Operative time was longest for patients with delayed surgery, but bile leaks and conversion rates were similar across groups. Hospital stay was slightly longer for those operated on within 72 hours of symptoms. Surgeons can confidently perform early cholecystectomy for […]
Scoring Systems for Predicting Outcomes of Acute Lower Gastrointestinal Bleeding
The oakland and Glasgow-Blatchford scores demonstrated excellent performance in predicting severe LGIB, need for blood transfusion, and mortality, outperforming the AIMS65 score. Hemostatic interventions and rebleeding prediction by all scores were suboptimal. These results suggest Glasgow-Blatchford score as an alternative for risk stratification in patients with acute lower GI bleeding. Research Support, Non-U.S. Gov’t by […]