Newsletter
Best Papers in General Surgery
The five that matter, every day.
Angioembolization for high-grade splenic injuries leads to significantly lower venous thromboembolism rates compared to splenectomy. Despite less chemoprophylaxis use and delayed initiation, angioembolization is associated with decreased VTE, shorter hospital stays, and lower mortality. Therefore, considering angioembolization as the initial management for stable patients with…
Retrospective study develops a machine learning model to predict permanent stoma formation post rectal cancer surgery. Utilizing support vector machine algorithm, the model shows high accuracy (AUC: 0.854) in training, testing, and external validation sets, aiding in preoperative patient stratification and personalized treatment plans. Results…
Study reveals black patients with inflammatory bowel disease have higher rates of postoperative infections, morbidity, mortality, and longer hospital stays compared to white or Hispanic patients, despite having fewer comorbidities. This highlights significant racial disparities in postoperative outcomes, emphasizing the need to address social determinants…
Patients with obesity undergoing surgery face higher risks, mitigated by preoperative weight loss strategies like very low-energy diets (VLEDs) commonly used in bariatric surgery. However, VLEDs' application in non-bariatric surgery is understudied. A pilot trial is needed to assess feasibility and safety for a larger…
Patients who undergo pancreatic resection face a 2.4-fold increase in pathological fractures, a 1.4-1.5 fold increase in osteoporosis/osteomalacia, and vitamin-D deficiency. Post-surgery, bone mineral density declines more rapidly compared to historical controls. Older age, pancreatic cancer, and specific surgical procedures contribute to higher rates of…
Postoperative antibiotic prophylaxis in pancreaticoduodenectomy bile duct stenting patients significantly reduced major complications such as reoperation and intensive care unit readmission. Targeted antibiotic treatment based on the biliary microbiome decreased the likelihood of developing wound infections. The study emphasizes the importance of appropriate antibiotic prophylaxis…
Developed predictive model using a nomogram to predict anastomotic stricture post anterior resection for rectal cancer. Key predictors include radiotherapy, diverting stoma, anastomotic leakage, and anastomotic distance. The model demonstrated high accuracy with AUC of 0.889 for training set and 0.930 for validation set. Nomogram…
Meta-analysis identifies that sigmoid esophagus, type of achalasia, and prior treatments impact the success of peroral endoscopic myotomy (POEM) for achalasia. Specifically, type I and III achalasia, sigmoid esophagus, and past heller myotomy or balloon dilation correlate with higher failure rates. Conversely, type II achalasia…
Experts in India reached a consensus on laparoscopic ventral hernia repair (LVHR) techniques to improve patient safety and outcomes. Key recommendations include intraperitoneal onlay mesh (IPOM) and various minimally invasive approaches. These standardized practices aim to enhance decision-making and guide minimal access surgery for ventral…
Autofluorescence-guided total thyroidectomy significantly reduced immediate and permanent hypoparathyroidism rates in low-volume, nonparathyroid institutions. Introduction of autofluorescence decreased immediate hypoparathyroidism from 37% to 19% and permanent hypoparathyroidism from 32% to 6%, eventually reaching 0%. More parathyroid glands were identified and fewer inadvertently excised with autofluorescence.…
