Perioperative DNR Status Linked to Higher Early Mortality
Continuing a non-full code status during surgery is associated with increased early postoperative mortality, indicating a need to reassess code status decisions in this vulnerable population.
Newsletter
General Surgery
Best Papers in General Surgery
The five that matter, every day.
Durability of the Posterior Rectus Sheath Flap for Hiatal Repair
Vascularized posterior rectus sheath flap (PORSHA) shows promising results for complex paraesophageal hernia repair, with low recurrence rates and minimal donor-site morbidity.
Digital Training Reduces Anastomotic Leak After Right Colectomy
A brief digital training program for surgeons is associated with a significant reduction in anastomotic leak rates following right colectomy, suggesting a crucial role in quality improvement initiatives.
Prophylactic Mesh Reduces Incisional Hernias in Hepatobiliary Surgery
Placing prophylactic synthetic mesh during abdominal closure significantly lowers incisional hernia rates after hepatobiliopancreatic surgery.
Disparities in Liver Resection for Colorectal Metastases
Patients with colorectal liver metastases (CRLM) in New York City are significantly less likely to undergo potentially curative liver resection compared to those in New York State.
Five-Year Survival After Neoadjuvant Therapy for PDAC Is 34.5%
Actual 5-year survival after neoadjuvant therapy and resection for localized pancreatic ductal adenocarcinoma is 34.5%, with early recurrence as the leading cause of treatment failure.
Hospital Management Ratios Affect Older Adult Outcomes
Higher operative-to-nonoperative management ratios in emergency general surgery are linked to better home discharge rates for older patients.
Clinical Guidance on Ampullary Neoplasms: Key Recommendations
This expert review provides crucial best practice guidance for managing ampullary adenomas, emphasizing improved endoscopic assessment and resection strategies to optimize patient outcomes.
Thoracoscopic Repair of Chronic Diaphragmatic Hernias is Safe and Effective
Thoracoscopic repair of chronic post-traumatic diaphragmatic hernia shows promising outcomes with significant advantages over open surgery for defect sizes up to 100 mm.
Bowel-Sparing Procedures for Small Bowel Tumors Show Promise
A novel approach to small bowel tumors using artery-specific resections allows for effective lymphadenectomy while preserving bowel length, reporting no short-term mortality.