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Best Papers in General Surgery
The five that matter, every day.
A systematic review and meta-analysis of seven randomized controlled trials involving 2,299 patients highlighted that the small bites technique for midline abdominal incision closure significantly reduced the incidence of ventral incisional hernia (RR: 0.46, p < 0.01) and surgical site infection (RR: 0.73, p <…
The study demonstrates that the CALLY Index and modified Glasgow Prognostic Score (MGPS) serve as significant predictors for intestinal ischemia in patients with strangulated abdominal wall hernias. Among 125 patients analyzed, a CALLY score below 2.5 was independently associated with higher ischemia risk. Receiver operating…
The study identified four postoperative quality of recovery (QoR) trajectories among 206 esophagectomy patients: poor QoR (18.4%), poor to moderate QoR (40.3%), moderate to good QoR (24.8%), and good QoR (16.5%). Key predictors of poor QoR included preoperative nutritional risk, lower QoR-15 scores, longer surgical…
A systematic review analyzed surgical outcomes for acute gastric volvulus due to large paraesophageal hernias, involving 15,178 patients across 171 studies. Despite advancements, 32% faced postoperative complications, 7.6% required reinterventions, and 30-day mortality reached 5.7%. The average hospital stay was 7.9 days. These concerning results…
A study of 652 patients undergoing emergency surgery for acute irreducible inguinal hernias revealed that 15% required bowel resection. Key preoperative risk factors for resection included femoral hernia and intestinal obstruction, with additional factors like female gender, older age, and comorbidities increasing likelihood of surgery.…
A novel procedure, reversible endoscopic gastroduodenal bypass (REGB), demonstrated 100% technical success in six patients with persistent post-surgical duodenal leaks. Patients experienced significant reductions in drain output and resumed oral intake within three days. Following a mean of 52.6 days, five patients successfully underwent REGB…
A meta-analysis of 1,500 acute pancreatitis patients demonstrated that lactated Ringer's solution significantly lowers the risk of developing moderate-to-severe pancreatitis compared to normal saline (odds ratio 0.48). Additionally, patients receiving lactated Ringer's experienced shorter hospital stays, reduced ICU admissions (relative risk 0.42), and fewer local…
An international consensus established practical guidelines for managing high-surgical-risk patients with acute cholecystitis. Early laparoscopic cholecystectomy is advised as first-line treatment for moderate cases failing conservative management. For high-risk patients with severe cholecystitis, percutaneous cholecystostomy is recommended to alleviate symptoms swiftly, followed by reassessment for…
A meta-analysis of 51 studies reveals a 32.84% failure rate for needle decompression in tension pneumothorax. Researchers suggest a 7 cm needle for right-sided decompression at either the 5th intercostal space along the midaxillary line or the 2nd intercostal space midclavicular line. For left-sided cases,…
Researchers introduced a novel liver retraction approach for laparoscopic right adrenalectomy using basic local tools, enhancing feasibility in resource-limited settings. This technique, featuring a unique port configuration and ergonomic support, was designed to prevent liver injury while ensuring optimal surgical exposure. Its simplicity and cost-effectiveness…
