The study evaluated the safety and cost of outpatient laparoendoscopy for treating cholecystocholedocholithiasis. Data from patients treated between January 2015 and January 2019 were collected, and two groups were compared. The study found that outpatient treatment by laparoendoscopy was safe and viable for most cases, with lower costs. It also supports the reorientation of training […]
Category: Appendix, Gallbladder and Surgical Emergencies
Accessory Appendicular Artery is Absent in Majority of Cases
The systematic review of 604 cases revealed that the accessory appendicular artery (AAA) is absent in most cases (83.6%). When present, it commonly originates from the posterior cecal artery (12.4%), followed by the descending branch of the ileocolic artery (2%), and the ileal branch of the ileocolic artery (0.7%). Instances of origin from the anterior […]
Body Mass Index Does Not Predict Injury Pattern or Outcome After Motorcycle Crash
The study aimed to compare the injury severity, mortality, injury regions, and length of hospital and intensive care unit stay between obese and normal-weight motorcycle crash patients. The analysis of trauma registries from three Pennsylvania level 1 trauma centers on 1,164 adult motorcycle crash patients showed no significant difference in injury severity, mortality, or injury […]
Which Antibiotic Regimen Fails in Nonoperative Treatment of Diverticulitis and Appendicitis?
Empiric antibiotic treatment of appendicitis is more likely to be associated with the need for additional antibiotics or procedure within 90 days compared to diverticulitis. Cephalosporin + metronidazole (c + m) was the most commonly used antibiotic regimen for appendicitis, while quinolone + metronidazole was more commonly used for diverticulitis. Treatment with c + m […]
Comparison of Fenestrating and Reconstituting Approaches in Laparoscopic Subtotal Cholecystectomy: Higher Complication Rates with Fenestrating Technique
The study analyzed 170 cases of laparoscopic subtotal cholecystectomy (LSC) and compared the outcomes of fenestrating LSC (F-LSC) and reconstituting LSC (R-LSC). They found that F-LSC had higher complications, including bile leaks, the need for postoperative endoscopic retrograde cholangiopancreatography, and longer length of stay. The study suggests that if LSC is performed, the reconstituted technique […]
Early antibiotic treatment is superior to observation for avoiding surgical exploration in acute appendicitis
Acute appendicitis patients were randomly assigned to receive either antibiotic treatment with active observation or classic observation without antibiotic treatment. The study found that early antibiotic treatment was more effective in avoiding surgical exploration and appendectomy compared to the observation group. The antibiotic group had a lower rate of appendectomy at the first hospital stay […]
Active Gas Aspiration Reduces Postoperative Pain in Laparoscopic Cholecystectomy
Active gas aspiration was found to be more effective than passive gas aspiration in reducing postoperative pain and analgesic requirements in patients undergoing laparoscopic cholecystectomy. This systematic review and meta-analysis included 5 randomized clinical trials with 367 participants and found that active gas aspiration resulted in significantly lower residual gas volume and total analgesia requirements. […]
High Likelihood of Recent Cholecystectomy in Elderly Patients Diagnosed with Pancreatic Adenocarcinoma
Elderly patients diagnosed with pancreatic adenocarcinoma are more likely to have had a recent cholecystectomy compared to those without. The rate of cholecystectomy in the year prior to cancer diagnosis was 1.9% for the cancer group, significantly higher than the 0.4% observed in the non-cancer group. Differences between the two groups included a higher age […]
No Antibiotics Comparable to Antibiotics in Acute Diverticulitis: Level 1a Meta-Analysis
Researchers conducted a meta-analysis including 5 randomized controlled trials and 1934 patients to compare the use of antibiotics with no antibiotics in the management of acute uncomplicated diverticulitis (AUD). Their findings revealed that there is no significant difference in baseline characteristics, clinical presentation, and adverse health outcomes between AUD patients treated without antibiotics compared to […]
Disparities in Emergency General Surgical Procedures for HIV and HCV Patients in the US
People living with HIV (PLWHIV) and people living with hepatitis C virus (PLWHCV) are less likely to receive emergency general surgical procedures (EGS) than similar patients without these conditions. This is the main result of a study analyzing data from over 500,000 non-elective admissions in the United States between 2016 and 2019. Specifically, PLWHIV had […]