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Best Papers in General Surgery
The five that matter, every day.
Omitting intraabdominal drains post peptic ulcer repair led to earlier recovery milestones, reduced pain severity, and shorter hospital stay. The no-drain group exhibited faster bowel function return, fluid and solid diet intake, along with decreased morbidity rates such as surgical site infections and respiratory complications…
Study finds that patients with previous abdominal surgery undergoing laparoscopic cholecystectomy and bile duct exploration had higher rates of adhesiolysis, difficult pedicles, and longer operative times. Specific surgeries like upper gastrointestinal and biliary procedures had the most significant risks. Modified access techniques were vital in…
Probiotic supplementation post-Roux-en-Y gastric bypass led to lower blood sugar levels (FBS and HbA1c) and increased vitamin B12 levels compared to a placebo. Both groups experienced reduced BMI, with improved gastrointestinal function based on the GIQLI questionnaire. The probiotic group showed significant enhancements in metabolic…
Endoscopic band ligation (EBL) and transoral incisionless fundoplication (TIF) show comparable efficacy in improving health-related quality of life in patients with GERD, outperforming other endoscopic interventions like Stretta, EFTP, and Endocinch. EBL and TIF also significantly decrease esophagitis incidence compared to PPIs. While TIF increases…
Enhanced Recovery after Surgery (ERAS) recommendations in minimal invasive liver surgery significantly reduce postoperative complications by 14% and prove cost-effective by offsetting the expenses associated with complications. Complications greater than Clavien-Dindo grade II incur the highest costs, reducing profit margins by a median of €…
Follow-up colonoscopies post colorectal cancer resection found 2.7% cancer and 13.2% advanced adenomas in initial procedures. Timely surveillance detected 4.4% cancer progression. Older age, stage IV cancer, and synchronous cancers increased the odds of finding advanced neoplasia. Subsequent colonoscopies revealed 1.8% cancer and 11.4% advanced…
Surgeons experiencing high workload during pregnancy have increased risks of major complications, preeclampsia/gestational hypertension, intra/post-partum complications, unplanned cesarean sections, and preterm deliveries. Most institutions lack policies for workload modification, leading to many surgeons not adjusting their workload. These findings highlight the importance of creating a…
Heparin was found to significantly reduce the risk of posthepatectomy liver failure in patients who underwent liver cancer hepatectomy. A study of 1388 patients showed that heparin administration was associated with a decreased occurrence of liver failure, indicating its potential as a preventive option. Statistical…
A single-center experience found that robotic-assisted minimally invasive esophagectomy with total mesoesophageal excision led to a significantly higher R0-resection rate compared to open transthoracic esophagectomy. This approach also reduced postoperative pneumonia rates, shortened ICU and hospital stays, with comparable mortality rates. The study suggests that…
Patients with rectal cancer who underwent robotic-assisted surgery (RAS) had a higher likelihood of ileostomy formation but experienced fewer complications, less bleeding, and improved recovery compared to laparoscopic and open surgery. RAS patients had lower rates of ileus, anastomotic leak, and reoperation, as well as…
