Patients with high-grade liver injuries and contrast extravasation managed initially with observation versus interventional radiology were compared. While interventional radiology patients had a higher rate of operation, there were similar rates of liver-related complications and mortality between the two groups. The results suggest that initial observation may be a reasonable approach for appropriately selected patients […]
Category: Appendix, Gallbladder and Surgical Emergencies
Which Diagnostic Pathway is Most Effective in Suspected Acute Appendicitis?
Combining clinical score and ultrasound outperformed CT scan or upfront surgery in diagnosing acute appendicitis, especially in equivocal cases. The study included 3,123 patients, with the best balance of sensitivity and specificity seen in the clinical evaluation + score + ultrasound group. Ultrasound was significantly associated with an increased probability of correctly diagnosing appendicitis, particularly […]
Video-Assisted Retroperitoneal Debridement Effective for Post-Trauma Abscesses
Researchers demonstrate the efficacy of video-assisted retroperitoneal debridement in two patients with retroperitoneal abscesses following penetrating trauma. Both patients showed rapid improvement and were discharged within days of the procedure. This minimally invasive approach is a viable option for surgical drainage when conservative measures fail, offering a successful treatment option for post-trauma retroperitoneal abscesses with […]
Gender-Specific Clinical Characteristics of Patients Undergoing Laparoscopic Cholecystectomy
Female patients undergoing laparoscopic cholecystectomy were more likely to be younger, obese, have cholelithiasis, and less likely to be smokers and have comorbidities compared to males. This trend was most prominent in younger age groups. These findings emphasize the importance of recognizing and addressing gender-specific differences in clinical characteristics when managing patients undergoing laparoscopic cholecystectomy. […]
Scoring System of Appendicitis Severity 2.0 Accurately Predicts Complicated Appendicitis
External validation of the Scoring System of Appendicitis Severity (SAS) fell short in distinguishing complicated appendicitis. The SAS 2.0 was developed and externally validated, showing high accuracy in predicting complicated appendicitis in patients. It provides individual probability estimates with a 95% confidence interval, aiding in decision-making for nonoperative treatment. Journal Article by Scheijmans JCG, Bom […]
Geriatric Nutritional Risk Index predicts postoperative infectious complications in older adults after emergency gastrointestinal surgery
The geriatric nutritional risk index (GNRI) was found to be a predictor of postoperative infectious complications in older adults after emergency gastrointestinal surgery. Low GNRI was associated with higher age, serum C-reactive protein levels, and sarcopenia proportion, as well as longer hospital stays. GNRI also had a positive correlation with skeletal mass index, suggesting its […]
Improved quality of life and successful outcomes in surgical management of right-sided colonic diverticulitis
Patients with right-sided colonic diverticulitis who underwent surgery showed satisfactory short and long-term outcomes, with no disease recurrence or colorectal cancer detected on colonoscopy. A significant improvement in quality of life (QOL) was observed at 24 months post-surgery. The study highlights the effectiveness of surgical management in improving QOL and achieving successful outcomes in patients […]
Factors influencing conversion to bailout procedures in interval cholecystectomy for cholecystitis with gallstones
Interval laparoscopic cholecystectomy for cholecystitis with gallstones poses challenges due to factors like impacted stones, post-choledocholithiasis, and older age. A study of 269 patients found that these factors were independent risk factors for conversion to bailout procedures. While bile duct injuries were rare (0.4%), caution is advised for patients with these risk factors during interval […]
High Mortality and Predictors of Death in Ileosigmoid Knotting: Insights from a Low-Resource Setting
Ileosigmoid knotting, a severe form of bowel obstruction, carries high mortality in low-resource settings. A retrospective cohort study at Jimma University Medical Center revealed a 27.5% death rate among 40 patients, with shock at presentation and comorbidities significantly impacting survival. Age and intra/postoperative pulse rates were also predictors of death. The study underscores the urgent […]
Protocolized care pathways in emergency general surgery associated with shorter hospital stay and reduced postoperative complications
Protocolized care pathways in emergency general surgery were found to be associated with a shorter hospital stay compared to standard care pathways, with no impact on postoperative mortality. Additionally, a reduction in specific postoperative complications such as postoperative pneumonia and surgical site infection was observed, highlighting short-term clinical benefits despite variable standardization and compliance levels. […]