Implementing a multidisciplinary intraoperative model significantly reduced 30-day mortality in bowel obstruction surgery by favoring definitive over palliative procedures. The strategy also increased laparoscopic interventions and decreased stoma creations, indicating improved surgical outcomes. Journal Article by Tolstrup MB, Skovsen AP and Gögenur I in Langenbecks Arch Surg © 2024. The Author(s), under exclusive licence to […]
Category: Appendix, Gallbladder and Surgical Emergencies
Laparoscopic Cholecystectomy Effective in Managing Gallbladder Dysmotility
Patients with gallbladder dysmotility who underwent laparoscopic cholecystectomy showed significant improvement in biliary pain symptoms and quality of life compared to those who did not undergo the procedure. This retrospective analysis supports the effectiveness of laparoscopic cholecystectomy in managing symptoms associated with gallbladder dysmotility. Journal Article by Alamin N, Iqbal S, Baumert A and Fernandes […]
Role of Neutrophil-to-Lymphocyte Ratio in Predicting Surgical Intervention in Abdominal Stab Wounds
Neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune inflammation index (SII) significantly predict the necessity for therapeutic surgery in patients with anterior abdominal stab wounds (AASW), aiding in clinical decision-making. NLR showed high accuracy in predicting therapeutic surgery, outperforming PLR and SII. Journal Article by Demirpolat MT and İslam MM in World J Surg […]
Cost-Effectiveness of Two Days vs. Five Days of Antibiotics for Complex Appendicitis
A study comparing costs for 2 days vs. 5 days of postoperative antibiotics after appendectomy for complex appendicitis found that two days resulted in a statistically significant cost reduction. The difference in overall societal costs was – €625 in favor of the 2-day group, largely due to reduced hospital stay. Restricting postoperative antibiotics to 2 […]
Predicting Postoperative Outcomes in Perforated Peptic Ulcers: Charlson’s Index Versus PULP Score
Comparing Charlson’s Weighted Index of Comorbidity (WIC) and other predictive scores in patients with perforated peptic ulcers revealed WIC’s valuable predictability for mortality. Both WIC and the Peptic Ulcer Perforation (PULP) score effectively predicted high comprehensive complication index (CCI) in these patients. Factors such as age, sex, comorbidities, and ASA score >2 were associated with […]
Risk Factors for Perforation in Gastric Endoscopic Submucosal Dissection
Study identified risk factors for intraoperative and delayed perforations in gastric endoscopic submucosal dissection for early gastric cancer. Intraoperative perforation occurred in 2.2% of patients, necessitating emergency surgery in 0.04% of cases, while delayed perforation occurred in 0.4% of patients, with emergency surgery required in 0.12% of cases. Factors like location in upper or middle […]
Management of Right-Sided Diverticulitis: North African Experience
Researchers conducted a retrospective study on 40 patients with right-sided diverticulitis in a North African surgical center. They found that conservative management was successful in 14 cases, while 26 patients underwent operative procedures with no postoperative events and a short hospital stay. Follow-up showed no recurrences, indicating that right-sided diverticulitis has a lower complication rate […]
Appendectomy is associated with a milder clinical course in Crohn’s disease
In a nationwide cohort study, Crohn’s disease patients who had previously undergone appendectomy had a lower rate of CD-related hospital admissions and were less likely to initiate treatment with biologics or undergo colorectal resections compared to those without appendectomy. Rates of small bowel resections were comparable between the two groups. Appendectomy performed after CD diagnosis […]
Middle Eastern Study Highlights Non-Operative Management of Epiploic Appendagitis
Epiploic appendagitis (EPA) is a rare, self-limiting acute abdominal disorder that is mostly treated non-operatively. A retrospective analysis of 156 cases in a Middle Eastern country showed that EPA primarily affects males with a mean age of 33 years. Computerized tomographic scans were the main diagnostic tool, with surgery required in only a few cases. […]
ABO Blood Type Does Not Impact Coagulopathy or Mortality in Exsanguinating Trauma Patients
Despite previous reports linking blood group O to increased hemorrhage complications, this study found no significant differences in coagulopathy or mortality between ABO blood types in patients with exsanguinating trauma. After adjusting for confounding factors, type A patients were more likely to be hypocoagulable than type O patients, suggesting factors other than von Willebrand factor […]