Robotic surgery is increasingly utilized in emergency general surgery cases, showing significant year-over-year increases for cholecystectomy, colectomy, inguinal hernia, and ventral hernia repair. It is associated with a lower risk of conversion to open surgery and shorter postoperative lengths of stay compared to laparoscopic surgery. This suggests that robotic surgery may offer better outcomes for […]

Firearm violence in American schools has increased significantly over 53 years, with a total of 2,056 school shooting incidents involving 3,083 victims analyzed. Most victims and shooters were male, with rifles showing a higher fatality-to-wounded ratio. Linear regression analysis revealed a significant increase in rates of school shooting victims, wounded, and fatalities among children over […]

After reviewing trauma admissions from 2018 to 2021, researchers found an overall loss to follow-up rate of 36.9%. Non-white patients, those who underwent operations, and individuals discharged to rehabilitation facilities were more likely to attend follow-up appointments within 30 days. Patients with substance use disorder and those with public insurance had higher loss to follow-up […]

Patients undergoing emergency general surgery felt they had no choice and were often excluded from decision-making. Females reported this more commonly. Patients with minor complications expressed less trust and communication issues, while those with major complications showed more confidence in their team. Patients not admitted to the ICU highlighted good communication. The severity of complications […]

Physical impairment and mental health symptoms are prevalent in trauma survivors who spent significant time in the ICU. ICU patients had higher rates of new ADL limitations, worse SF-12 mental and physical scores, with factors like age, gender, race, education level, polytrauma, ventilator use, psychiatric illnesses, and delirium during ICU stay contributing to poor outcomes. […]

Surgeons in training in East Denmark lack knowledge and utilization of clinical decision rules for diagnosing appendicitis. 48% knew one rule, but 72% never used them. While most found appendicitis diagnosis challenging, they primarily relied on symptoms, physical exams, and c-reactive protein. Surgeons were divided on the necessity of implementing clinical decision rules and stressed […]

A clinical model was developed to predict postsurgical intra-abdominal infection in blunt abdominal trauma patients based on a retrospective analysis of 553 patients from 7 medical centers. Independent risk factors were identified, including age, prehospital time, c-reactive protein, injury severity score, operation duration, intestinal injury, neutrophils, and antibiotic use. The nomogram showed good predictive performance […]