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 […]
Category: Appendix, Gallbladder and Surgical Emergencies
Subtotal cholecystectomy (LSTC) shows better outcomes than open cholecystectomy (COC) as a bailout procedure for severe cholecystitis.
Subtotal cholecystectomy (LSTC) is associated with better outcomes compared to open cholecystectomy (COC) as bailout procedures for severe cholecystitis. LSTC resulted in shorter operative time, fewer ICU admissions, and shorter length of stay. It also had fewer complications, such as biliary injury, bleeding, ileus, and ICU admission. COC, on the other hand, had higher rates […]
Incidence and Distribution of Appendiceal Tumors in Acute Appendicitis Patients
During a study of 1694 appendectomies performed between January 2001 and December 2019, researchers identified 24 appendiceal neoplasms (1.43%). These neoplasms included low-grade appendiceal mucinous neoplasms (LAMNs), neuroendocrine tumors (NETs), mucoceles, adenocarcinoma, endometrioma, and neurofibroma. Two age peaks were observed with LAMNs being prominent in individuals over the age of 50. The findings suggest that […]
Hyper-Realistic Surgical Simulator Enhances Trainee Surgeon Confidence in Operating on Trauma Patients
Researchers introduced a hyper-realistic surgical simulator, the cut suit, with an advanced skills package to improve trainee surgeon confidence in managing operative trauma. The study involved 123 surgery residents from six trauma centers in New York City. After the simulation, 68% of participants agreed that the simulation resembled actual surgery, and the percentage of residents […]
Higher State Trauma Funding Reduces In-Hospital Mortality among Injured Patients
Increased state trauma funding is associated with a lower risk of in-hospital mortality among injured adult patients. The study analyzed data from 17 states and found that patients in states with more than $1.00 per capita state trauma funding had a 0.82 decreased adjusted odds of in-hospital mortality compared to those in states with less […]
Minimum of Ten Regional Lymph Nodes Needed to Adequately Stage Adenocarcinoma of the Appendix
The study aimed to determine the minimum number of regional lymph nodes (LNs) required to accurately stage adenocarcinoma of the appendix (AC). The researchers analyzed data from 3,602 AC patients and found that harvesting at least ten LNs was necessary to minimize the risk of missing LN-positive disease. Examining fewer than ten LNs was an […]
Intra-Abdominal Abscesses After Major Liver Trauma: Unraveling Risk Factors
The study investigated risk factors associated with intra-abdominal abscesses (IAA) following major operative liver trauma. Based on a retrospective multi-center study involving 372 patients, it was found that patients with penetrating trauma, activation of intraoperative massive transfusion protocol, biloma/bile leak, longer hospital length of stay, and additional intra-abdominal injuries had a higher risk of developing […]
Emergence of Predictive Models and Gallbladder-Preserving Polypectomy Procedures in the Management of Gallbladder Polyps
Researchers have made advances in the management of gallbladder polyps through the establishment of predictive models and the use of gallbladder-preserving polypectomy procedures. These procedures allow for the eradication of lesions while preserving a functional gallbladder, providing benefits to patients with benign polyps. However, further large-scale clinical studies are needed to address limitations such as […]
Progressive Reduction in Preventable Mortality in Arkansas Trauma System Through Provider Education
In analyzing 1,979 trauma deaths from 2015 to 2022, researchers assessed the impact of quarterly preventable mortality reviews (PMR) on reducing preventable or potentially preventable deaths in the Arkansas Trauma System (ATS). Results showed a progressive decrease in preventable deaths and opportunities for improvement (OFIs). Education targeting five specific OFI types accounted for a significant […]
Empiric cryoprecipitate transfusion does not improve survival or reduce transfusion requirements in severely injured bleeding trauma patients
Empiric cryoprecipitate transfusion as an adjunct to a balanced transfusion strategy did not improve survival or reduce transfusion requirements in severely injured bleeding trauma patients. The study found no significant differences in demographics, arrival physiology, laboratory values, or injury severity between the groups receiving cryoprecipitate and standard treatment. There were also no differences in post-transfusion […]