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Best Papers in General Surgery
The five that matter, every day.
A novel nomogram was developed to predict severe intra-abdominal adhesions prior to definitive surgery for anastomotic fistula post-small intestine resection. Analyzing data from 414 patients, five key predictors emerged: SOFA score, early-stage abdominal infection duration, preoperative albumin levels, fat area ratio, and preoperative C-reactive protein…
Closure of the pelvic inlet with a bladder peritoneal flap during abdominoperineal resection significantly decreased the rate of postoperative ileus due to incarceration, showing a rate of 0% versus 17% in those without closure (p=0.03). Additionally, patients with pelvic inlet closure experienced a shorter hospital…
An active prescription of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) in diabetic patients undergoing surgery is linked to lower risks of 30-day readmission, postoperative wound dehiscence, and hematoma, according to a recent study. Out of 74,425 surgical procedures analyzed, the GLP-1 RA group demonstrated significant…
A newly implemented structured reservation pathway (PRP) at Renji Hospital in Shanghai has improved access to specialist appointments for patients. Analysis of 58,271 applicants over two years revealed an overall pass rate of 34.8%, with significant demographic influences on outcomes. Age emerged as the primary…
Simulation training significantly improved medical students' knowledge and confidence regarding endoscopic procedures. After engaging with a simulator for gastroscopy and endoscopic retrograde cholangiopancreatography (ERCP), participants reported enhanced understanding of gastrointestinal and biliary system anatomy. Self-perceived knowledge regarding the purpose and steps of endoscopy increased notably…
Healthcare professionals and patient representatives have reached a consensus on safe practices for bariatric and metabolic surgery tourism (BMT) in Europe. Key recommendations emphasize the importance of pre-operative evaluations, management of psychological health, and regulatory standards like surgeon accreditation. With input from 119 healthcare professionals…
A systematic review and meta-analysis of 11 case-control studies involving 1,907 patients demonstrated that intraoperative nerve monitoring (IONM) significantly reduces recurrent laryngeal nerve palsy (OR = 0.47, p
Clinicians face numerous challenges incorporating advances in hepatocellular carcinoma (HCC) treatment into practice. Revised EASL guidelines highlight personalized surveillance based on risk assessment, standardized imaging procedures, and minimally invasive surgery for complex cases. They emphasize the critical role of liver transplantation, therapeutic transitions, and the…
Lean methodology effectively reduced violations of work-hour restrictions among surgical residents, decreasing the average number of residents logging over 80 hours weekly from 4.4 to 0.8. The study involved multifactorial interventions that enhanced scheduling and workflows. Perceived compliance improved significantly from 72% to 88% over…
Sleeve gastrectomy has shown profound benefits for metabolic health in a cohort of 199 patients, revealing significant reductions in weight, BMI, and abdominal circumference. Notable improvements in diabetic patients included decreases in fasting blood sugar and glycosylated hemoglobin levels, alongside a marked reduction in insulin…
