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Best Papers in General Surgery
The five that matter, every day.
A penicillin allergy protocol significantly enhanced the use of β-lactam prophylaxis in patients undergoing open abdominal wall reconstruction. Following protocol implementation, surgical site infections, wound complications, reoperations, and readmissions decreased. Of the 315 patients identified, 250 were treated pre-protocol and 65 post-protocol, with the latter…
A study on octogenarians found that 19.8% remained in non-home facilities by postoperative day 30. Key risk factors for not returning home included a preoperative history of falls (odds ratio 2.92) and the development of new postoperative pressure ulcers (odds ratio 2.66). Other significant factors…
Analysis of 861 older patients undergoing emergency laparotomy revealed frailty significantly affects long-term outcomes. Both the 11-item and 5-item modified frailty indices correlated with a two-fold increased risk of one-year mortality and major complications. However, the 11-item index was more strongly linked to early mortality,…
The study highlights that telemedicine-based preoperative consultations for inguinal hernia repairs yielded comparable postoperative outcomes to traditional in-person visits. Among the 265 patients analyzed, those receiving telemedicine consultation faced no increased risk of complications and required fewer preoperative encounters (p
A recent study highlighted that robotic-assisted laparoscopic cholecystectomy with transcystic common bile duct exploration enables quicker duct clearance and shorter hospital stays. Patients undergoing this one-stage approach experienced significantly lower times for CBD clearance (45.2 hours vs. 47.0 hours), reduced length of stay (3.9 days…
A population-based study in Catalonia analyzed 5,249 rectal cancer patients, revealing that those whose cases were discussed in preoperative multidisciplinary team meetings (MTMs) exhibited better 2-year survival rates. Specifically, the MTM group had a 22% increase in survival compared to those not discussed in such…
A novel lateral pelvic lymph node positivity (LPLNP) score was developed to predict lymph node involvement in western rectal cancer patients. The score was validated on a cohort where 40 patients above a threshold of 0.23 underwent dissection, revealing a 55% positive confirmation rate. It…
Kono-S anastomosis shows promising results in lowering recurrence rates for Crohn's disease patients undergoing surgery. In a systematic review and meta-analysis of 1,501 patients, endoscopic recurrence rates were 41% for Kono-S compared to 48% for conventional techniques, while surgical recurrence rates were remarkably lower at…
An international Delphi consensus has established 139 standardized statements for robotic surgical training curricula across 15 key themes. The expert agreement emphasizes that consistent training frameworks enhance patient safety. Key recommendations advocate for multiplatform curricula, inclusion of non-technical skills, the use of clinically relevant performance…
A prospective multicenter study tracked outcomes in patients with GERD after transoral incisionless fundoplication (TIF 2.0). Clinical success was achieved in 94% of participants, with improvements in GERD-specific health scores for 89% and a normalization of elevated reflux symptom index (RSI) in 85%. Patient satisfaction…
