Isolated hollow viscus (HV) perforations in blunt abdominal trauma (BAT) are rare but increasing in incidence. A retrospective study at a trauma center found that 6.04% of BAT patients undergoing emergency surgery had HV perforations, mostly involving grade II-III jejunum and grade I transverse colon. Despite a trend towards delayed diagnosis, a systematic approach based […]
Category: Appendix, Gallbladder and Surgical Emergencies
What are the predictors of 30-day postoperative complications following cholecystectomy for benign gallbladder disease?
Researchers conducted a multinational study including 21,706 surgical patients from 57 countries to assess 30-day morbidity and mortality rates after cholecystectomy for benign gallbladder disease. They found that patient age, ASA physical status class, surgical setting, operative approach, and Nassar operative difficulty grade were the top predictors of postoperative complications. They also identified a need […]
High Success Rate of Laparoscopic Curative Surgical Treatment for Common Bile Duct Stones
Curative laparoscopic surgical treatment for symptomatic common bile duct stones showed a 93.1% success rate, with low immediate postoperative morbidity (24.4%) and reintervention rate (5.3%). Mortality rates were zero and 0.4% at immediate and 6-week postoperative, respectively, with an average length of stay of 11.3 days. Factors contributing to procedure failure included early postoperative complications […]
HIPEC in Appendiceal Adenocarcinoma After Perforated Appendicitis: Encouraging 5-Year Survival
Among patients diagnosed with appendiceal adenocarcinoma after acute perforated appendicitis, half may have peritoneal metastasis. Prophylactic cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) in cases without identified metastasis during CRS may lead to an encouraging rate of disease-free survival at 5 years, with a recurrence rate of 12.5% and 100% overall survival. Surgical complications […]
Laparoscopic appendectomy with single port has a longer operative time compared to conventional access
The systematic review and meta-analysis of randomized clinical trials compared laparoscopic appendectomy with single port (SILA) to the conventional three-access laparoscopic appendectomy (CLA). The analysis included 21 studies with 2646 patients. The results showed that SILA had a significantly longer operative time, especially in pediatric cases, but no statistically significant difference in postoperative morbidity. SILA […]
Outcomes of Laparoscopic Subtotal Cholecystectomy: Safe Strategy for Difficult Gallbladders
Laparoscopic subtotal cholecystectomy is a safe bailout strategy for difficult gallbladders when the critical view of safety cannot be achieved. In this retrospective cohort study, researchers compared postoperative outcomes of laparoscopic cholecystectomy and laparoscopic subtotal cholecystectomy in patients with severe cholecystitis. They found that the laparoscopic subtotal cholecystectomy group had higher rates of bile leaks, […]
A Novel Serum Exosomal miRNA Signature Predicts Persistent Organ Failure in Acute Pancreatitis
This study aimed to identify potential biomarkers for early prediction of persistent organ failure (POF) in acute pancreatitis (AP) patients. Using serum exosomal miRNAs, researchers identified a classifier comprising three miRNAs (miR-4265, 1208, 3127-5p) that demonstrated high predictive value for POF. This classifier outperformed other clinical indicators and was effective in identifying prediagnostic POF in […]
Failed nonoperative management of appendicitis in older adults increases morbidity, length of stay, and costs
The study analyzed the risks and consequences of failed nonoperative management of appendicitis in older adults. Using data from the 2004-2017 national inpatient sample, the researchers found that nonoperative failure in patients under 65 was associated with increased morbidity, length of stay, costs, and discharges to skilled facilities. Similar outcomes were observed in patients aged […]
Laparoscopy’s Underutilization in Abdominal Stab Wound Management
Despite conflicting guidelines, this study found that laparoscopy is infrequently used in stable patients with abdominal stab wounds. Among the included patients, only 7% received therapeutic laparoscopy and 8% underwent laparoscopy converted to open surgery. However, patients who underwent therapeutic laparoscopy had better outcomes, including shorter ICU and hospital stays and fewer infection complications. This […]
Patterns of Trauma Deaths in Western Cape of South Africa
Death patterns and factors associated with trauma deaths in the Western Cape of South Africa were examined through a retrospective cross-sectional analysis. The study found that the majority of trauma deaths (94.0%) occurred on-scene, predominantly among young men. Firearms were the leading cause of injury (32.6%), followed by road traffic collisions (17.8%). On-scene deaths were […]