Newsletter
Best Papers in General Surgery
The five that matter, every day.
A study shows that single-shot intrathecal morphine (ITM) is non-inferior to continuous wound infiltration (CWI) for pain management after open pancreatoduodenectomy, with a significant advantage in early pain control.
A nationwide protocol in the Netherlands led to a significant increase in surgical resections for locally advanced pancreatic cancer (LAPC) while maintaining safety standards.
Initial treatment of traumatic pneumothorax with water seal leads to significantly shorter chest tube durations compared to suction, without increased complications.
Hybrid Advanced Trauma Life Support (ATLS) courses provide equivalent educational effectiveness and learner satisfaction compared to traditional formats, potentially improving access to trauma training.
Ligation and adhesive-based techniques for complex anal fistulas show reduced fecal incontinence and pain, along with improved quality of life, compared to traditional seton methods.
In resected pancreatic ductal adenocarcinoma (PDAC), preoperative circulating tumor DNA (ctDNA) positivity is a strong predictor of poor overall and recurrence-free survival.
In patients with perforated appendicitis, delaying appendectomy leads to significantly worse clinical outcomes compared to performing it at the time of admission.
An increased area deprivation index (ADI) correlates with a higher risk of 90-day mortality after major hepatectomy, particularly due to posthepatectomy liver failure.
Complete versus partial mesh removal in cases of mesh infection after inguinal hernia repair shows no significant difference in outcomes, but complete removal may lead to higher rates of organ injury.
Transanal total mesorectal excision (TATME) offers promising long-term oncologic outcomes for rectal cancer patients, with a low local recurrence rate of 4.55% at five years.
