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Best Papers in General Surgery
The five that matter, every day.
A multicenter randomized controlled trial evaluated the efficacy of transrectal drainage tubes (TDTS) in preventing postendoscopic submucosal dissection (PECS) in 224 patients. The results showed a significantly lower incidence of PECS in the TDT group (6.25%) compared to the non-TDT group (17.86%), with a relative…
The pancreas-guided splenic flexure mobilization technique demonstrated significant benefits during laparoscopic left hemicolectomy compared to the classic approach. The mean surgical duration and intraoperative blood loss were notably lower in the pancreas-guided group (p < 0.01). Additionally, no retro-pancreatic space penetrations occurred in this group,…
A thematic analysis revealed three primary themes regarding non-emergency EMS management: the reality of EMS workloads, the need for clear direction in policy without a simple solution, and defining EMS's future societal role. Participants proposed 16 policy suggestions, with 10 gaining broad support, including enhancing…
A meta-analysis of 13 studies indicates that preoperative vibration-controlled transient elastography (vcte) is valuable for predicting postoperative complications and recurrence in hepatocellular carcinoma (HCC) patients. High vcte scores correlated with a significantly increased HCC recurrence rate (hazard ratio 2.14) and a notable risk of surgical…
A novel technique using bilateral rectus muscle turning-over was developed for addressing large midline abdominal wall hernias. In a study of 22 patients, this method achieved significant improvements in quality of life (from 23 ± 13 to 47 ± 6, p = 0.0013) with only…
In a study involving 72 patients with high anal fistula, cutting of the intersphincteric space (cois) significantly reduced wound healing time to 35.75 days compared to 55.69 days for cutting seton (cs) (p
A multi-center study involving 1,021 patients with solitary papillary thyroid microcarcinoma compared image-guided thermal ablation to lobectomy. Median follow-up of 96.5 months revealed no significant differences in disease progression or disease-free survival between groups (4.7% vs. 3.4% and 95.5% vs. 97.1%, respectively). However, the ablation…
A systematic review and meta-analysis of 14 randomized controlled trials demonstrated that chlorhexidine-alcohol significantly reduces the incidence of post-operative surgical site infections (SSIs) compared to aqueous/alcoholic iodine solutions (risk ratio 0.30). This effectiveness spans various surgical procedures, with specific RR values of 0.25 for general…
The study revealed that the combined assessment of frailty, using the modified frailty index 5 (mfi-5), and hypoalbuminemia significantly improves surgical outcome predictions. Analyzing data from 9.8 million patients, researchers found that this combined metric outperformed each factor independently regarding morbidity and mortality risks. Specifically,…
A meta-analysis of 12 articles involving 5,704 patients revealed that frailty, assessed via the Clinical Frailty Scale, significantly correlates with both short- (30-day mortality odds ratio 3.84) and long-term (1-year mortality odds ratio 3.03) mortality after emergency laparotomy. Frailty prevalence was found to be 25%…
