Newsletter
Best Papers in General Surgery
The five that matter, every day.
The surgical disaster response team from Ankara Etlik City Hospital addressed significant challenges following the February 6, 2023 earthquakes in Türkiye. Operating in Hatay-Reyhanlı, the team performed a total of 96 orthopedic procedures, representing 80% of interventions. Recommendations highlight the need for a comprehensive disaster…
A systematic review of 84 studies revealed that checklist interventions significantly reduced ICU length of stay and improved documentation without extending ward round duration. In contrast, structured interventions did not impact patient length of stay or 30-day readmission rates. This evidence synthesis, which included over…
A propensity score-matched analysis of 406 patients revealed that concomitant laparoscopic sleeve gastrectomy (LSG) with hiatal hernia repair (HHR) significantly improves outcomes for gastroesophageal reflux disease (GERD) compared to LSG alone. While operative time was longer with HHR, the only notable difference in complications was…
Access to surgical care poses significant challenges for roughly 100 million Americans, representing one in three individuals who face inadequate healthcare options. This disparity incurs a staggering $1 billion annually in preventable healthcare costs and contributes to higher morbidity and mortality rates. Key barriers include…
DeepGuide, a novel navigation system, significantly improved mesenteric integrity rates from 75% to 98% during laparoscopic radical resections in a study involving 60 patients. The system demonstrated superior signal-to-background ratios (2.30 ± 0.15) compared to conventional illumination (1.32 ± 0.16). Additionally, immunofluorescence analyses confirmed collagen…
A consensus led by ESTES has produced the first cohesive framework for polytrauma care in Europe. Experts evaluated 139 recommendations from the German S3 guidelines, resulting in 135 remaining proposals, of which 128 were deemed appropriate for implementation across diverse healthcare systems. This foundational tool…
An artificial intelligence model demonstrated a significant ability to predict the need for major surgery in trauma patients, achieving an ROC-AUC of 0.80-0.86. Specifically, predictions for neurosurgery reached an ROC-AUC of 0.90-0.95, while vascular and abdominal surgeries had scores of 0.69-0.88 and 0.77-0.84, respectively. This…
A randomized controlled trial found that splenic artery ligation significantly decreases the incidence of grades b and c posthepatectomy liver failure in patients with elevated portal venous pressure. Among 36 participants with high pressure, those receiving the intervention had a failure rate of 16.67% compared…
A systematic review and meta-analysis of 11 studies involving 402 patients revealed that computer-assisted navigation (CAN) significantly reduced local recurrence rates (p = 0.008) and increased the likelihood of negative margins (p = 0.0007) in pelvic tumor surgeries. Five-year overall survival for navigated surgeries averaged…
A population-based study of 71,014 gastric cancer patients revealed that lifestyle behaviors significantly impact long-term mortality after curative gastrectomy, despite not affecting late recurrence. Notably, current underweight status and continued smoking increased mortality risk, while regular physical activity and maintaining a higher BMI post-surgery correlated…
