In a comparison of nine trauma registries in Canada, researchers found significant variability in the abstraction and definitions of complications reported. Of the 53 identified complications, 40% were recorded by only one registry, and 56% of those collected by more than one registry had different definitions. This diversity in reporting complicates reliable benchmarking, emphasizing the […]
Category: Appendix, Gallbladder and Surgical Emergencies
Key findings from documentation of trauma-informed care for young assault trauma patients
Results from a retrospective chart review show that 96% of pediatric assault trauma patients had at least one trauma-informed element documented, compared to 82.5% of adult patients. Social workers were the most likely to document trauma-informed elements, with pain assessment and social support being the most frequently documented. However, safety assessments for suicidal ideation, retaliatory […]
EUS-Guided Gallbladder Drainage Outshines Cholecystostomy Tubes
EUS-guided gallbladder drainage using lumen-apposing metal stents (EUS-GBD-LAMS) is safer and associated with shorter hospital stays compared to percutaneous cholecystostomy tubes in nonsurgical candidates with acute cholecystitis. A systematic review and meta-analysis showed EUS-GBD-LAMS had lower rates of delayed and overall adverse events, making it a preferred option for high-risk surgical patients. Journal Article by […]
Higher Severity and Costs of Scooter Injuries Compared to Bicycle Injuries in the US: 2016 to 2020
Researchers found that scooter-related injuries have significantly increased, with patients more likely to be under 18 and require major operations compared to bicycle-related injuries. Scooter injuries were associated with higher risks of long bone fractures and paralysis. Both types of injuries had similar hospitalization durations and costs. These findings highlight the need for targeted interventions […]
Incidence and Patterns of Hollow Viscus Perforation in Blunt Abdominal Trauma
Isolated hollow viscus (HV) perforations in blunt abdominal trauma (BAT) are rare but increasing in incidence. A retrospective study at a trauma center found that 6.04% of BAT patients undergoing emergency surgery had HV perforations, mostly involving grade II-III jejunum and grade I transverse colon. Despite a trend towards delayed diagnosis, a systematic approach based […]
What are the predictors of 30-day postoperative complications following cholecystectomy for benign gallbladder disease?
Researchers conducted a multinational study including 21,706 surgical patients from 57 countries to assess 30-day morbidity and mortality rates after cholecystectomy for benign gallbladder disease. They found that patient age, ASA physical status class, surgical setting, operative approach, and Nassar operative difficulty grade were the top predictors of postoperative complications. They also identified a need […]
High Success Rate of Laparoscopic Curative Surgical Treatment for Common Bile Duct Stones
Curative laparoscopic surgical treatment for symptomatic common bile duct stones showed a 93.1% success rate, with low immediate postoperative morbidity (24.4%) and reintervention rate (5.3%). Mortality rates were zero and 0.4% at immediate and 6-week postoperative, respectively, with an average length of stay of 11.3 days. Factors contributing to procedure failure included early postoperative complications […]
HIPEC in Appendiceal Adenocarcinoma After Perforated Appendicitis: Encouraging 5-Year Survival
Among patients diagnosed with appendiceal adenocarcinoma after acute perforated appendicitis, half may have peritoneal metastasis. Prophylactic cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) in cases without identified metastasis during CRS may lead to an encouraging rate of disease-free survival at 5 years, with a recurrence rate of 12.5% and 100% overall survival. Surgical complications […]
Laparoscopic appendectomy with single port has a longer operative time compared to conventional access
The systematic review and meta-analysis of randomized clinical trials compared laparoscopic appendectomy with single port (SILA) to the conventional three-access laparoscopic appendectomy (CLA). The analysis included 21 studies with 2646 patients. The results showed that SILA had a significantly longer operative time, especially in pediatric cases, but no statistically significant difference in postoperative morbidity. SILA […]
Outcomes of Laparoscopic Subtotal Cholecystectomy: Safe Strategy for Difficult Gallbladders
Laparoscopic subtotal cholecystectomy is a safe bailout strategy for difficult gallbladders when the critical view of safety cannot be achieved. In this retrospective cohort study, researchers compared postoperative outcomes of laparoscopic cholecystectomy and laparoscopic subtotal cholecystectomy in patients with severe cholecystitis. They found that the laparoscopic subtotal cholecystectomy group had higher rates of bile leaks, […]