Acute appendicitis patients were randomly assigned to receive either antibiotic treatment with active observation or classic observation without antibiotic treatment. The study found that early antibiotic treatment was more effective in avoiding surgical exploration and appendectomy compared to the observation group. The antibiotic group had a lower rate of appendectomy at the first hospital stay […]
Category: Appendix, Gallbladder and Surgical Emergencies
Active Gas Aspiration Reduces Postoperative Pain in Laparoscopic Cholecystectomy
Active gas aspiration was found to be more effective than passive gas aspiration in reducing postoperative pain and analgesic requirements in patients undergoing laparoscopic cholecystectomy. This systematic review and meta-analysis included 5 randomized clinical trials with 367 participants and found that active gas aspiration resulted in significantly lower residual gas volume and total analgesia requirements. […]
High Likelihood of Recent Cholecystectomy in Elderly Patients Diagnosed with Pancreatic Adenocarcinoma
Elderly patients diagnosed with pancreatic adenocarcinoma are more likely to have had a recent cholecystectomy compared to those without. The rate of cholecystectomy in the year prior to cancer diagnosis was 1.9% for the cancer group, significantly higher than the 0.4% observed in the non-cancer group. Differences between the two groups included a higher age […]
No Antibiotics Comparable to Antibiotics in Acute Diverticulitis: Level 1a Meta-Analysis
Researchers conducted a meta-analysis including 5 randomized controlled trials and 1934 patients to compare the use of antibiotics with no antibiotics in the management of acute uncomplicated diverticulitis (AUD). Their findings revealed that there is no significant difference in baseline characteristics, clinical presentation, and adverse health outcomes between AUD patients treated without antibiotics compared to […]
Disparities in Emergency General Surgical Procedures for HIV and HCV Patients in the US
People living with HIV (PLWHIV) and people living with hepatitis C virus (PLWHCV) are less likely to receive emergency general surgical procedures (EGS) than similar patients without these conditions. This is the main result of a study analyzing data from over 500,000 non-elective admissions in the United States between 2016 and 2019. Specifically, PLWHIV had […]
Prehospital “x-ABC” Resuscitation Reduces Mortality in Patients with Severe Hemorrhage
The introduction of a prehospital advanced resuscitative care (ARC) bundle, focusing on the “x-ABC” sequence prioritizing hemorrhage control, led to a reduction in in-hospital mortality. A total of 93 patients with severe hemorrhage were included in the analysis, with 62 in the x-ABC group and 31 in the ABC group. Compared to the ABC group, […]
Impact of Patient Transfer on Perforated Peptic Ulcer Disease Outcomes: Prolonged Hospital Stay
A study examined the impact of patient transfer for definitive surgical intervention in cases of perforated peptic ulcer disease (PPUD). The analysis found that transferred patients had a significantly longer length of stay compared to non-transfer patients. The average length of hospital stay for transferred patients was over twice as long, with an average of […]
Impact of Patient Transfer on Perforated Peptic Ulcer Disease Outcomes: Prolonged Hospital Stay
A study examined the impact of patient transfer for definitive surgical intervention in cases of perforated peptic ulcer disease (PPUD). The analysis found that transferred patients had a significantly longer length of stay compared to non-transfer patients. The average length of hospital stay for transferred patients was over twice as long, with an average of […]
Comparison of Subtotal and Total Cholecystectomy for Difficult Gallbladders
Subtotal cholecystectomy (SC) is a reasonable alternative to total cholecystectomy (TC) for difficult gallbladders with severe inflammation. A meta-analysis of ten studies revealed that SC significantly reduces the risk of common bile duct (CBD) injuries compared to TC. However, it increases the risk of bile leaks, postoperative ERCP, intraabdominal collections, and reoperation. Understanding both approaches […]
Oral Antibiotics as Effective as Intravenous Antibiotics for Complicated Appendicitis
In a pilot noninferiority randomized trial, 104 patients with complicated appendicitis were randomly assigned to receive 24-hour intravenous or oral antibiotics after appendectomy. The study found that there were no significant differences in 30-day postoperative complications or hospital length of stay between the two groups. The findings suggest that oral administration of antibiotics is as […]