A systematic review was conducted to assess the presentation, diagnosis, optimal surgical approach, and post-operative outcomes of abdominal catastrophes secondary to intestinal lymphomas. A total of 95 patients were identified, with Burkitt’s lymphoma and diffuse large B-cell lymphoma being the most common types. Small bowel resections had a 25% complication rate and a 13.8% 30-day […]
Category: Appendix, Gallbladder and Surgical Emergencies
Outpatient appendectomy for uncomplicated acute appendicitis: Safe, effective, and cost-saving
The PENDI-CSI Randomized Clinical Trial assessed the safety, efficacy, and cost-effectiveness of outpatient appendectomy for uncomplicated acute appendicitis. With 85.9% of patients discharged without admission, the study found that outpatient surgery is safe and effective. Predictors for admission included age over 31 years, hypertension, high anesthetic risk, previous abdominal surgery, postoperative pain, and fear. There […]
Delaying surgery until the morning shown to be non-inferior for acute appendicitis patients presenting at night
Delaying appendectomy until the following morning is non-inferior to immediate surgery in adults with acute appendicitis presenting at night, according to a randomized controlled trial. The study found that delaying surgery did not increase the risk of postoperative complications, meeting the noninferiority criteria. However, the mean time between the decision to operate and surgery was […]
Long-Term Results of Conservative Management for Complicated Colonic Diverticulitis: Effective and Safe Option for Selected Patients
The study investigated the long-term outcomes of conservative management for complicated colonic diverticulitis. The results showed that non-operative treatment is effective and safe for selected patients, with recurrence rates of 38.1% and high severity recurrence rates of 11.1%. Lower CT stages and grade III diverticulitis were associated with higher recurrence rates. Chronic NSAID use was […]
High incidence of bile duct injuries during laparoscopic cholecystectomies highlights need for improved techniques
The 11-year population-based study on bile duct injuries (BDIs) during laparoscopic cholecystectomies (LC) revealed an overall BDI incidence rate of 0.81%, with minor and major BDI rates of 0.68% and 0.13%, respectively. No significant decline in BDI incidence was observed over the study period, contradicting the hypothesis. Drainage and ERCP stent placement were the most […]
Nonoperative Management of Appendicitis in Multi-Morbid Patients: Concerns About Generalizability
The study compared outcomes of operative and nonoperative management of acute appendicitis in multi-morbid patients. Using national inpatient data, researchers found that nonoperative management was associated with a 3.5% decrease in complications for multi-morbid patients, but it resulted in a 1.5% increase in mortality. Costs and length of stay were lower for all patients treated […]
Postoperative Ambulation Predicts Emergency Department (ED) Utilization in Outpatient Surgery
The study examined postoperative ambulation using accelerometers in outpatient abdominal surgeries and its impact on 30-day readmissions and ED utilization. Out of 106 patients, those who failed to reach their preoperative step count within one week were 6× more likely to visit the ED. Geriatric patients had a lower likelihood of meeting their preoperative baseline […]
Remote Triage of General Surgery Patients in Freestanding Emergency Departments: Low Undertriage and Overtriage Rates
During a 6-year analysis, this study examined the outcomes of general surgery patients who received remote triage and disposition in freestanding emergency departments. Of the 1,105 patients, 15% were discharged home, 27% were transferred to trauma centers, and 58% were transferred to community hospitals. Patients admitted to trauma centers were older and had higher acuity […]
Increased Incidence of Gastrostomy Tube Placement in Surgical Necrotizing Enterocolitis
Approximately 56.3% of infants with surgical necrotizing enterocolitis (NEC) required gastrostomy tube (GT) placement after ostomy reversal. GT placement may be safely performed concurrently with ostomy reversal, reducing the need for an additional procedure. Gestational age and birth weight did not significantly differ between patients who did and did not require GT placement. The hospital […]
No significant difference in patient outcomes between trainee-led and consultant-led emergency laparotomy
Based on a population dataset analysis, this study compared the outcomes of trainee-led emergency laparotomy surgeries with consultant-led surgeries. The study included 111,583 patients and found that mortality rates at discharge were equivalent between the two groups after adjusting for various factors. Trainee-led operations reported fewer cases of significant blood loss, and the length of […]