Onlay hernia mesh linked to foreign-body sensation
After elective incisional hernia repair, patients with onlay mesh more often felt a foreign body than those with retromuscular mesh; other reported outcomes were similar.
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General Surgery
Best Papers in General Surgery
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Social vulnerability tracks ventral hernia wound problems
After ventral hernia repair, patients from more socially vulnerable communities had more wound complications, though differences between vulnerability groups were small.
Smoking linked to weaker rectal cancer response
Patients smoking at diagnosis were less likely to have a favorable response to treatment before rectal cancer surgery; former smokers were not.
Pancreatic ductoscopy guides tissue preservation
In two older patients having robotic surgery for a pancreatic growth, ductoscopy and checks of the cut edge let surgeons leave the remaining pancreas in place.
High symptom burden after oesophagectomy
On postoperative day 3, about one in five patients had high symptom burden, and the symptoms most linked to others differed between patient groups.
Intrahepatic cholangiocarcinoma has more options
Resection remains central, but care now includes preoperative therapy, liver-directed treatments and drugs matched to tumor changes.
Days at home track cancer surgery recovery
A 90-day count of days alive and outside care tracked major complications and one-year mortality after elective gastrointestinal cancer surgery.
Subtotal colectomy matches total for constipation
For severe slow-transit constipation, removing less colon gave similar symptom relief at one year, with less early incontinence.
Emergency status reshapes colon infection rankings
Accounting for emergency colon surgery changed infection-risk rankings: safety-net hospitals were no longer more likely to land in the highest-risk group.
Enhanced recovery after gastrointestinal lesion resection
An enhanced-recovery pathway after endoscopic removal of small upper gastrointestinal lesions shortened hospital stays without increasing complications.