Standardizing process in acute biliary disease, researchers identified modifiable factors impacting patients’ time to theater, intraoperative time, and time to discharge. Implementing a perioperative management protocol based on imaging selection, operative grade identification, and drain placement could lead to significant cost savings and improved patient outcomes. Journal Article by Tranter-Entwistle I, Eglinton T and Connor […]
Category: Appendix, Gallbladder and Surgical Emergencies
Association Between Social Vulnerability and Outpatient Management of Symptomatic Cholelithiasis
Patients with symptomatic cholelithiasis from vulnerable regions are more likely to fail outpatient management, leading to recurrent ED visits. Socially vulnerable status, especially in terms of socioeconomic and minority groups, significantly increases the odds of management failure. Timely follow-up and elective cholecystectomy can help reduce overutilization of ED resources for these patients. Journal Article by […]
Whole Blood Hemostatic Resuscitation in Geriatric Trauma: Impact on Mortality
A nationwide study examined the impact of whole blood (WB) hemostatic resuscitation on geriatric trauma patients with severe hemorrhagic shock. Among 1,194 patients identified, 141 (12%) received WB in addition to component therapy (CT). Multivariable analysis revealed that WB use was associated with reduced 24-hour mortality (odds ratio 0.62, 95% CI 0.41-0.94, p = 0.024) […]
Triage Score for Identifying Trauma Patients in Need of Emergency Surgery
Study analyzed prehospital factors associated with the need for emergent procedures within 6 hours of hospital admission. A triage score was developed from predictors such as age, penetrating injury, and vital signs, showing good predictive power in identifying patients requiring immediate surgical or non-surgical procedures. This tool could enhance prehospital triage accuracy and resource allocation […]
Age-based Prediction of Neoplastic Gallbladder Polyps Using Ultrasound Features
The prevalence of neoplastic polyps in gallbladder polyps increases with age. Linear scoring models based on ultrasound features effectively predicted neoplastic polyps in different age groups. Independent risk factors included number and size of polyps. The models outperformed using polyp size alone. This study provides valuable insights for tailored treatment strategies in patients with gallbladder […]
Factors influencing operative time for laparoscopic cholecystectomy by trainee surgeons
Operative time for laparoscopic cholecystectomy by trainee surgeons is affected by factors such as surgeon experience, patient characteristics, and certification. Male sex, higher BMI, and lack of endoscopic skill certification in attending surgeons were associated with longer operative times. Skilled attending surgeons can help reduce operative time and improve outcomes in laparoscopic cholecystectomy. Journal Article […]
Factors Predicting Readmission and Mortality in Patients Admitted for Malignant Bowel Obstruction
Non-English speaking patients had a higher risk of readmission for malignant bowel obstruction, with patient age, primary language, and palliative care consultation serving as predictors for readmission and potentially impacting 90-day mortality. Modifiable factors such as palliative care consultation and multidisciplinary goals of care discussions should be emphasized to reduce readmissions and improve quality of […]
Accuracy and Clinical Correlation of AI-based Computer Vision in Laparoscopic Appendectomy
Implementation of an AI-based computer-vision model in laparoscopic appendectomy accurately assesses complexity grading and safety adherence, predicting operative time and intraoperative course. However, no clinical correlation is found regarding postoperative outcomes. Surgeons and inter-surgeons agreements were high for complexity grading and safety adherence. Further studies are needed to validate these findings. Journal Article by Dayan […]
Improved Outcomes With Prioritization of Circulation Over Intubation in Exsanguinating Injuries
Comparing outcomes in patients with exsanguinating injuries, a study found prioritizing circulation over intubation led to significantly lower 24-hour mortality (11.1% vs. 69.2%), reduced odds of mortality within 24h (91%), and at 30 days (89%), along with lower rates of renal failure and higher ARDS incidence. These results highlight the potential benefits of prioritizing circulation […]
Management of Nontraumatic Spontaneous Renal Hemorrhage through Robotic-Assisted Laparoscopic Nephrectomy
Researchers described three cases of Wünderlich Syndrome (nontraumatic spontaneous renal hemorrhage) treated with robot-assisted laparoscopic nephrectomy. The patients, aged 44 to 53, presented with flank pain and were diagnosed with Wünderlich Syndrome via CT scan. Each patient underwent a retroperitoneal robotic-assisted nephrectomy after conservative treatment failed. Pathological examination revealed angiomyolipoma in one case and renal […]