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Best Papers in General Surgery
The five that matter, every day.
Patients with obesity overwhelmingly prefer metabolic bariatric surgery (MBS) options that offer significant weight loss without recurrence, no risk of complications, and minimal adverse effects. Two main patient groups emerged: those prioritizing weight loss and those prioritizing avoidance of complications. Attributes like out-of-pocket costs and…
Skin-only closure (SC) showed significantly higher rates of primary fascial closure (PFC) compared to Bogota bag closure (BBC) in patients with peritonitis or abdominal trauma undergoing temporary abdominal closure (TAC). SC patients had lower rates of fascial dehiscence and wound infections. Multivariate analysis confirmed SC's…
Among cancers, carcinoma gallbladder presents a poor prognosis. A study developed a risk score based on key clinical and imaging factors to predict malignancy in patients with suspicious gallbladder lesions. The model demonstrated a sensitivity of 78% and specificity of 70.4%, aiding in early identification…
Implementing a standardized handoff protocol for surgical technicians in the operating room significantly improved communication during staff changes. The pilot study showed a substantial increase in the completion of critical handoff elements, with 100% of observed cases including handoffs and addressing all elements 99.6% of…
Combining C-reactive protein-to-albumin ratio and comprehensive risk score is independently associated with better overall and recurrence-free survival in colorectal cancer patients across all disease stages. The combined score outperforms individual risk factors, offering a potent prognostic tool for patient management post-surgery, with potential implications for…
Minimally invasive liver surgery (MILS) has doubled in incidence from 2013 to 2022, now representing 25.2% of liver resections in France. Major liver resections, primary, and secondary malignant tumors show the highest annual increases. University hospitals and high-volume centers are leading the adoption of MILS.…
Patients undergoing major oncological abdominal surgery can benefit from continuous vital sign monitoring using wireless patches, which detected clinical deterioration earlier than nurse measurements. Among 227 patients, 22% experienced complications, with discrepancies in measurements largely due to respiratory rate. The sensium® patch identified elevated respiratory…
Study reveals that patients with lower polygenic risk scores for high BMI experience better weight loss outcomes after bariatric surgery. Genetic background, along with individual factors such as biological sex and age, plays a significant role in determining the success of surgical interventions for severe…
Analysis of American College of Surgeons data revealed a 1.98% 30-day mortality rate in patients undergoing pancreatoduodenectomy according to International Study Group of Pancreatic Surgery criteria. Postoperative pancreatic fistula (POPF) correlated with higher complications, readmission, and mortality rates, with males at higher risk than females…
Recent changes in the residency matching process, such as the shift to a pass/fail USMLE Step 1 scoring system, have raised concerns among surgical specialties. Research productivity, virtual interviews, and preference signaling play crucial roles in residency match outcomes. Despite these changes improving accessibility, the…
