Researchers conducted a prospective observational study to develop a predictive risk model for the recurrence of acute diverticulitis (AD) after the first episode. They analyzed data from 368 patients with AD who had a good response to treatment and found that colonic perforation in the antimesenteric location and a CRP level greater than 100 mg/dL […]
Category: Appendix, Gallbladder and Surgical Emergencies
Noncompliance with Massive Transfusion Protocol Ratios Linked to Higher Mortality
A review of a hospital’s massive transfusion protocol found that failure to adhere to targeted plasma and platelet ratios was strongly associated with higher inpatient mortality. Patients who received fewer units of plasma and platelets than recommended had increased odds of mortality. The study also identified age, injury severity, INR levels, and total units transfused […]
Timing of First Whole Blood Transfusion Associated with Improved Survival in Trauma Patients
Earlier timing of whole blood transfusion as an adjunct to a massive transfusion protocol (MTP) is associated with improved survival at 24 hours and 30 days for trauma patients with severe hemorrhage. A retrospective cohort study analyzed data from 1394 adult trauma patients and found that receiving whole blood transfusion earlier within the first 24 […]
Endoscopic ultrasound-guided gallbladder drainage is a safe and effective option for patients with unsuccessful biliary drainage
This narrative review highlights the use of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) as a salvage approach for patients with unsuccessful conventional management. EUS-GBD is a minimally invasive technique with high technical and clinical success rates, low adverse event rates, and serves as a rescue option for patients who did not respond to other drainage methods. […]
Nonradiation-guided and Digital Cholangioscopy-assisted Endoscopic Intervention for Cholelithiasis Shows High Efficacy and Safety
This study evaluated the feasibility, efficacy, and safety of a digital cholangioscopy-assisted endoscopic intervention for cholelithiasis. The procedure achieved biliary access in 285 patients with a 100% success rate for exploring the common bile duct, cystic stump, hilar ducts, and secondary radicals. Stone clearance was successful for the majority of patients, including those with difficult-to-treat […]
Delayed Surgical Resection Reduces Complications and Ostomy Rate, but Increases Length of Stay and Costs in Geriatric Patients with Sigmoid Volvulus
Delaying sigmoid colectomy (>2 days) after decompression in geriatric patients with sigmoid volvulus is linked to reduced cardiac complications and a lower ostomy rate. However, it extends overall hospital length of stay and increases costs, showcasing the nuanced outcomes associated with the timing of surgical intervention. Journal Article by Arnold SC, Rafaqat W (…) Hwabejire […]
Implications of precursor lesions and early cancerous changes in the gallbladder and bile ducts
The study explores terminology, classification, and significance of dysplasia and early carcinoma in the gallbladder and bile ducts. Most precursor lesions and early cancerous changes are clinically undetectable. Low-grade dysplasia is challenging to define and lacks clinical significance, but additional sampling is required to exclude significant lesions. High-grade dysplasia (carcinoma in situ) necessitates complete sampling […]
The 6:1 SL-WL Ratio: Laparotomy Closure Study in Elective and Emergency Surgeries
The researchers conducted a study on laparotomy closure quality and short term complications in elective and emergency surgeries. They analyzed the suture-to-wound length ratio (SL/WL) and surgical site occurrence (SSO) of midline and transverse incisions. The results showed no difference in short stitch quality between elective and emergency operations. The SL/WL ratio was higher in […]
Improved Risk Models for Emergency Bowel Cancer Surgery Using Electronic Health Records
Linked electronic health records were used to develop a risk model for 90-day mortality in patients undergoing emergency colorectal cancer (CRC) surgery. The selected model, which included additional physiological and surgical measures along with patient and tumor characteristics, showed considerably better discrimination compared to the basic model. The inclusion of these measures improved the accuracy […]
Higher Mortality Rates and Complications Found in Cirrhotic Trauma Patients Undergoing Emergency Laparotomy
This retrospective cohort study analyzed the outcomes of adult trauma patients with liver cirrhosis (lc) who underwent laparotomy or non-operative management (nom). Among 929 patients, 38.2% underwent laparotomy and 61.7% received nom. Patients who underwent laparotomy had higher in-hospital mortality rates (52.3% vs 20.0%), increased rates of acute renal failure, required more blood transfusions, and […]