Newsletter
Best Papers in General Surgery
The five that matter, every day.
Analysis of 120 gastrectomies for appendiceal pseudomyxoma peritonei (PMP) over 20 years revealed a median survival of 104 months and a 10-year overall survival rate of 47%. While complications were observed in 32% of cases, 90-day mortality was low at 1.75%. Outcomes improved over decades,…
Adopting an initial conservative management strategy for clinically stable patients with incarcerated paraesophageal hernias allows 66% to resolve their conditions without urgent surgery. Among the 35 patients studied, one experienced unplanned readmission before planned interval repair. Complication rates remained similar between those who underwent conservative…
A meta-analysis of 11 studies involving 1,020 rectal cancer patients revealed no significant differences in functional outcomes between transanal total mesorectal excision (taTME) and laparoscopic total mesorectal excision (LaTME). Measures of bowel, anorectal, and urogenital function, assessed through various scales like LARS and EORTC QLQ-C30/29,…
A systematic review and meta-analysis of 33 studies revealed a pooled prevalence of pouch fistulas at 0.05, with pouch failure rates in fistula patients at 0.24. The prevalence of developing a pouch fistula at 3, 5, and more than 5 years was similarly low, at…
Findings indicate that fidaxomicin and vancomycin have no significant differences in overall treatment efficacy for Clostridium difficile infection (CDI). However, fidaxomicin significantly reduced recurrence rates at 40-day (RR=0.52), 60-day (RR=0.38), and 90-day (RR=0.62) intervals compared to vancomycin. Vancomycin was shown to be more effective for…
A study involving 138 pancreatic cancer patients revealed that increases in muscle mass (over 5%) and adipose tissue (over 15%) during neoadjuvant therapy were linked to improved survival rates (hazard ratios of 0.352 and 0.375, respectively). Conversely, a loss of visceral fat exceeding 15% adversely…
A consensus-derived synoptic operative report for rectal prolapse surgery was developed through a Delphi process involving 176 surgeons worldwide. Out of 30 initial descriptors, 16 reached over 70% agreement, including key variables such as surgery type and mesh used. This accomplishment will standardize operative reporting,…
In a study of 287 patients with insulin-treated type 2 diabetes, metabolic and bariatric surgery (MBS) showed remarkable efficacy. At five years post-surgery, insulin dependence dropped from complete dependency to 36.2%, and the use of non-insulin antidiabetic drugs decreased from 79.4% to 26.1%. Additionally, type…
A structured self-care approach focusing on sleep, nutrition, and exercise can significantly reduce stress among surgeons, improving overall well-being and life quality. Key findings highlight the importance of consistent sleep for hormonal balance, balanced nutrition for metabolic health, and a regimen of 80% low-intensity and…
A study examining total mesogastric excision (TME) for gastric cancer found that it results in significantly lower mean blood loss and a higher number of metastatic lymph nodes compared to standard D2 lymphadenectomy. With 37 patients involved, initial findings suggest TME offers advantages in peroperative…
