In cholecystectomy patients with small common bile duct stones (≤5 mm) identified by intraoperative ultrasound, a short-term expectant management approach, avoiding immediate duct clearance, proved safe. Among 51 patients, 46 underwent expectant management, with 89.1% not requiring postoperative interventions. Over 3 years, none presented with residual stones, and hospital length of stay was significantly reduced. […]
Category: Appendix, Gallbladder and Surgical Emergencies
Electric Bicycle Injuries on the Rise in the US from 2017 to 2022
Surge in Electric Bicycle Injuries: US Cases Soar 30-Fold from 2017 to 2022, with Head Trauma Incidence Surging 49 Times. Hospitalizations reach 5462, a 43-fold increase, with injuries in children rising to 13%. Head injuries rise sharply, while helmet use declines by 5.6% annually, worn by only 44% of injured e-bicyclists. Odds of head injury […]
Effectiveness of REBOA as a Bridge to Hemostasis in Massive Gastrointestinal Bleeding
Resuscitative endovascular balloon occlusion of the aorta (REBOA) was used in five cases of severe gastrointestinal bleeding, providing temporary hemorrhage control and enabling additional hemostatic maneuvers. Systolic blood pressure increased post-REBOA placement, and three patients survived beyond 24 hours. Although all patients ultimately succumbed to hemorrhagic shock, REBOA proved effective as a bridging tool for […]
Vacuum External Fixation Outperforms Chest Strap in Treating Multiple Rib Fractures in Polytrauma Patients
Vacuum external fixation showed superior therapeutic efficacy compared to chest strap in polytrauma patients with multiple rib fractures. Patients with vacuum external fixation had significantly lower pain scores, reduced pleural drainage, lower risk of complications, improved lung function, and shorter hospital stays. Overall, vacuum external fixation demonstrated benefits in reducing complications and improving clinical outcomes […]
Identifying Low Phospholipid Associated Cholelithiasis as an Under-Recognized Cause of Post-Cholecystectomy Pain
Among patients under 40 undergoing cholecystectomy, 1.9% exhibited symptoms suggestive of low phospholipid associated cholelithiasis (lpac). Family and obstetric history may aid in its diagnosis, as none of the lpac cases were initially recognized by clinicians. This study highlights the importance of considering lpac in cases of post-cholecystectomy pain, as timely treatment can prevent long-term […]
Endoscopic gallbladder stenting reduces recurrent cholecystitis in deferred cholecystectomy patients
Endoscopic gallbladder stenting (ETGS) significantly reduces recurrent cholecystitis in patients with deferred cholecystectomy, demonstrating 0% recurrence at 3 months compared to 18.3% in the non-ETGS group. Although not statistically significant, ETGS also shows a trend towards lower recurrence (0% vs. 10%) at 3-6 months. Technical and clinical success rates for ETGS are 90% and 100%, […]
Variable Complication Reporting in Canadian Trauma Registries
In a comparison of nine trauma registries in Canada, researchers found significant variability in the abstraction and definitions of complications reported. Of the 53 identified complications, 40% were recorded by only one registry, and 56% of those collected by more than one registry had different definitions. This diversity in reporting complicates reliable benchmarking, emphasizing the […]
Key findings from documentation of trauma-informed care for young assault trauma patients
Results from a retrospective chart review show that 96% of pediatric assault trauma patients had at least one trauma-informed element documented, compared to 82.5% of adult patients. Social workers were the most likely to document trauma-informed elements, with pain assessment and social support being the most frequently documented. However, safety assessments for suicidal ideation, retaliatory […]
EUS-Guided Gallbladder Drainage Outshines Cholecystostomy Tubes
EUS-guided gallbladder drainage using lumen-apposing metal stents (EUS-GBD-LAMS) is safer and associated with shorter hospital stays compared to percutaneous cholecystostomy tubes in nonsurgical candidates with acute cholecystitis. A systematic review and meta-analysis showed EUS-GBD-LAMS had lower rates of delayed and overall adverse events, making it a preferred option for high-risk surgical patients. Journal Article by […]
Higher Severity and Costs of Scooter Injuries Compared to Bicycle Injuries in the US: 2016 to 2020
Researchers found that scooter-related injuries have significantly increased, with patients more likely to be under 18 and require major operations compared to bicycle-related injuries. Scooter injuries were associated with higher risks of long bone fractures and paralysis. Both types of injuries had similar hospitalization durations and costs. These findings highlight the need for targeted interventions […]