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Best Papers in General Surgery
The five that matter, every day.
Initiating pharmacologic VTE prophylaxis within 24 hours of major trauma reduces the risk of venous thromboembolism (VTE) by 42% compared to later initiation. In a study comparing 3,369 early initiation patients with 3,200 late initiators, VTE incidence was 2.8% versus 7.8%, respectively. Additionally, early initiation…
A network meta-analysis of 38 randomized controlled trials reveals that acute pain services (APS) significantly alleviate postoperative pain compared to traditional doctor-nurse models. Nurse-based anesthesiologist specialist-supervised APS (NBASS-APS) achieved the highest effectiveness, with a 98% probability of optimal pain relief, followed by nurse-based anesthesiologist-supervised APS,…
A comparative analysis reveals ARMS as a preferable option for treating gastroesophageal reflux disease (GERD) due to shorter procedure times and reduced complications, specifically dysphagia and bleeding. While TIF shows higher rates of recurrence and reoperation, it offers better long-term efficacy in medication reduction and…
Postsurgical endoscopy emerges as a vital diagnostic tool in gastrointestinal surgery. It significantly aids in early complication detection, healing assessment, symptom management, and monitoring for cancer recurrence. As endoscopic techniques advance, their integration into clinical practice and surgical training is crucial for improving postoperative care.…
Enhancing the future liver remnant (FLR) before major hepatectomy significantly boosts patient outcomes, addressing post-operative liver failure risks. Various techniques such as portal vein embolization, ligation, and liver venous deprivation show distinct advantages and limitations for FLR hypertrophy. While comparative studies exist, controlled trials are…
A systematic review of 23 studies highlights a significant correlation between ICU readmission and increased mortality risk in surgical patients, with an odds ratio of 8.44. The overall readmission rate stood at 6%, notably higher in gastrointestinal (9%) and thoracic (8%) surgeries. Respiratory complications emerged…
A recent study evaluated the efficacy of Chen's pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy among 112 patients with soft pancreatic texture and small main pancreatic ducts. The procedure yielded a low postoperative pancreatic fistula rate of 7.1%, all classified as grade B, with no grade C occurrences.…
Surgical site infections (SSIs) in sub-Saharan Africa (SSA) reach alarming rates, with occurrences as high as 41.9% in Tanzania, compared to 2.5% in Europe. Lack of resources and inadequate adherence to sterilization protocols contribute significantly to this disparity. Effective prevention strategies, such as antimicrobial-coated sutures…
A novel four-tier surgical strategy (R0-R3) for small bowel Crohn's disease has been proposed, emphasizing individualized treatment based on lesion severity and bowel function preservation. R0 involves complete resection for mild lesions, while R1 and R2 focus on preserving certain lesions during resection. R3 indicates…
A novel device, the vas guide, significantly enhances blood vessel handling in robot-assisted surgeries. In a study of 83 patients, the vas guide group demonstrated faster looping times (31 seconds vs. 90 seconds), fewer complications (0% vs. 30%), and no additional instrument usage, contrasting sharply…
