Study finds that patients with previous abdominal surgery undergoing laparoscopic cholecystectomy and bile duct exploration had higher rates of adhesiolysis, difficult pedicles, and longer operative times. Specific surgeries like upper gastrointestinal and biliary procedures had the most significant risks. Modified access techniques were vital in mitigating complications for these patients. Previous open surgeries resulted in […]

Implementing enhanced recovery principles in emergency laparotomy for penetrating abdominal trauma led to a 39% decrease in length of hospital stay (LOS) with no increase in postoperative complications. Opioid consumption was significantly lower, and patients on the program had earlier resumption of oral intake and removal of tubes and drains. These results indicate that enhanced […]

Spanish-speaking trauma and burn patients face unique challenges post-discharge, including mental health and socioeconomic needs. The NESTS pathway successfully identified and addressed these needs, connecting patients with community resources and improving access to mental healthcare. Food support was a prevalent need, with more patients connected to mental health resources than initially reported. This initiative highlights […]

Robotic emergency general surgery in the US increased significantly, with lower blood transfusion rates in large bowel resections and cholecystectomies. Costs were higher but postoperative complications were reduced, suggesting safety and efficacy. Robotic techniques are a valuable adjunct to laparoscopy, offering potential benefits in selected emergency operations. Increased adoption may be due to improved outcomes, […]

Shock index (SI) is a valuable tool for predicting postoperative mortality, acute kidney injury (AKI), ICU admission, and ICU length of stay in major abdominal emergency surgery patients. Significant associations were found between SI and mortality at 1 month, 3 months, and 2 years. Multivariate analysis confirmed the relationship between SI and 1-month and 3-month […]

Introduction of decision support tool (DST) for appendicitis treatment led to reduced uncertainty in treatment choice, with significant shifts from undecided to antibiotic or surgery preference. Over half of users reported low decisional conflict levels post-DST, indicating enhanced clarity. The publicly available DST, appyornot.org, showed promise in aiding treatment decision-making and is now part of […]

Study determines that achieving textbook outcome after cholecystectomy is influenced by factors like age, sex, surgery type, and approach. Results show 72% attainment, with significant associations for favorable outcomes. Easy-to-use quality tool aids in assessing healthcare, including cholecystectomy procedures, offering valuable insights for healthcare quality improvement and comparison among facilities. Journal Article by Hernández-Bermejo D, […]