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Best Papers in General Surgery
The five that matter, every day.
Study reveals a non-linear, inverted U-shaped association between preoperative BMI and optimal weight loss outcomes post bariatric surgery. Setting a BMI threshold of 42.9 is critical in predicting optimal clinical responses in patients with obesity. Quartile odds ratios and restricted cubic spline analysis support this…
Effective management of intra-abdominal infections (IAIs) is crucial, with early diagnosis, proper source control, and timely antimicrobial therapy being key. Inappropriate antimicrobial treatment can lead to poor outcomes, including increased mortality. Optimizing antimicrobial prescriptions not only improves treatment effectiveness and patient safety but also helps…
ERAS protocol compliance at a model 4 hospital in Ireland was over 70%, with satisfactory adherence to elements like laparoscopic surgery and nutritional drinks. Areas needing improvement included postoperative antibiotics and preoperative gabapentin documentation. Educating and involving the multidisciplinary team can successfully implement ERAS protocol…
Side-branch intraductal papillary mucinous neoplasms (sb-ipmns) have a low rate (15.3%) of clinically relevant progression (CR-progression), leading to invasive cancer mainly due to size increase or main-duct involvement. Patients with CR-progression benefit from timely resection, but initial size alone is not a reliable indicator for…
Fast-track recovery post-surgery for perforated peptic ulcer significantly shortened hospital stays without raising postoperative complication risks. A meta-analysis of six trials and 356 patients saw quicker recovery with fewer infections and pulmonary issues in the fast-track group. Overall, fast-track management in this context proved safe…
Analysis of 6829 patients showed those receiving postoperative chemotherapy had significantly better overall survival rates compared to those who did not. Effective prognostic nomograms were developed, offering clinicians valuable tools for personalized treatment planning and promoting precision medicine for patients with colorectal mucinous adenocarcinoma. These…
Patients with acute colonic pseudo-obstruction (ACPO) who underwent surgery experienced lower mortality rates than previously reported. Surgical interventions, including colectomies and stomas, effectively treated refractory cases. Severe postoperative complications were observed in a minority of patients, with no recurrences or reoperations needed. Further research is…
Development of a nomogram using SEER database data for small-bowel adenocarcinoma patients shows superior predictive performance in cancer-specific survival over traditional staging systems. Factors like sex, age, tumor characteristics, and treatment modalities significantly impact survival outcomes. Nomogram offers enhanced predictive accuracy and clinical utility, highlighting…
Intra-abdominal infections cause significant morbidity and mortality in hospitals. Effective management involves rapid diagnostics, timely source control, and appropriate antimicrobial therapy. Key strategies include personalized treatment plans based on infection extent, pathogens, resistance risk, and patient condition. Hemodynamic and organ support with intravenous fluids and…
Study on 111 patients undergoing sinus laser therapy for pilonidal disease showed a healing rate of 78.4% with high patient satisfaction and minimal complications. No predictive factors for healing were identified. Results suggest sinus laser therapy is an efficient and safe treatment option, potentially warranting…
