Newsletter
Best Papers in General Surgery
The five that matter, every day.
Erector spinae plane block (ESPB) effectively reduces postoperative opioid consumption, intraoperative opioid consumption, nausea, vomiting, and pain scores in laparoscopic abdominal surgeries. Subgroup analysis on laparoscopic colorectal surgeries further supports these findings. The study concludes that ESPB is a valuable technique for optimizing pain control,…
Primary suturing after microincision of the cystic duct confluence is safe and effective for treating CBD stones in patients with a normal CBD diameter. A retrospective study on 104 patients with gallstone complications showed no significant differences in perioperative outcomes between normal and dilated CBD…
Patients undergoing laparoscopic distal gastrectomy with billroth-ii braun reconstruction had a shorter hospital stay and quicker post-op recovery compared to billroth-ii reconstruction. Additionally, they experienced fewer complications, weight loss, and postoperative syndrome symptoms such as reflux esophagitis. This technique offers better nutritional status, electrolyte balance,…
Preoperative education significantly increases adherence to enhanced recovery program components among colorectal surgery patients, leading to improved surgical outcomes. A retrospective cohort study of 997 patients revealed higher adherence rates in those who received preoperative education, particularly in areas like fasting protocols. This study underscores…
Stigma surrounding parental leave impacts non-childbearing general surgery resident parents' experiences. Interviews with 20 participants revealed themes of policy, cultural climate, support, and dissatisfaction with leave experiences. Participants underused leave due to perceived lack of access and stigma, potentially leading to negative outcomes. Urgent need…
Post-bariatric surgery statin discontinuation poses significant risks for ASCVD events, particularly in patients with prior ASCVD and certain demographics like Hispanics. Primary prevention patients have an 82% reduced risk of post-statin cessation ASCVD events compared to secondary prevention patients. Individualized healthcare strategies are needed, especially…
Adjuvant chemotherapy significantly improves overall survival in rectal cancer patients who achieve a pathological complete response after neoadjuvant chemoradiotherapy and surgery. A meta-analysis of 31,558 patients showed favorable outcomes with adjuvant therapy compared to those without it. The findings support the recommendation for clinicians to…
Patients achieving preoperative weight loss goals before laparoscopic hiatal hernia repair experienced lower symptom burden and higher resolution of common symptoms postoperatively. High achievers demonstrated significantly better outcomes one month after surgery compared to low achievers, indicating active patient engagement can positively impact surgical results…
Dynamic high-strength sutures and tapes were compared to conventional options in a biomechanical study. Results showed that the novel sutures required fewer securing throws for knot security, with nice-knot configurations having higher ultimate force and lower slippage compared to cow-hitch knots. The study highlights the…
Robotic rectal cancer surgery (rrcs) is superior to laparoscopic rectal cancer surgery (lrcs) in maintaining urinary and sexual function postoperatively, as seen in a meta-analysis of 13 studies with 1964 patients. Patients who underwent rrcs had significantly better urinary function and male/female sexual function scores…
