A nationwide study examined the impact of whole blood (WB) hemostatic resuscitation on geriatric trauma patients with severe hemorrhagic shock. Among 1,194 patients identified, 141 (12%) received WB in addition to component therapy (CT). Multivariable analysis revealed that WB use was associated with reduced 24-hour mortality (odds ratio 0.62, 95% CI 0.41-0.94, p = 0.024) […]
Category: General Surgery
Management of Recurrent Laryngeal Nerve Infiltrated by Thyroid Carcinoma
Novel intraoperative phonosurgical management significantly improved voice quality post-surgery in patients with thyroid carcinoma infiltrating the recurrent laryngeal nerve. Resection and arytenoid adduction for medullary thyroid cancer, resection and ansa cervicalis-to-rln anastomosis for well-differentiated thyroid cancer with preoperative paralysis, and rln preservation for patients with normal vocal fold mobility showed promising outcomes. Journal Article by […]
A Novel Groin Hernia Classification Incorporating Clinical Parameters
Researchers have developed a new groin hernia classification system that integrates clinical elements with anatomical details, providing a comprehensive framework to stratify patients by disease severity. This system consists of nine grades and allows more precise data collection for future audits, monitoring disease progression, and assessing the impact of different management strategies. Initial evaluation involved […]
Triage Score for Identifying Trauma Patients in Need of Emergency Surgery
Study analyzed prehospital factors associated with the need for emergent procedures within 6 hours of hospital admission. A triage score was developed from predictors such as age, penetrating injury, and vital signs, showing good predictive power in identifying patients requiring immediate surgical or non-surgical procedures. This tool could enhance prehospital triage accuracy and resource allocation […]
Efficacy of Fibrin Sealants in Thyroidectomy
Researchers conducted a systematic review and meta-analysis of seven randomized controlled trials to evaluate the safety and efficacy of fibrin sealants (FS) in thyroid surgery. The analysis included 652 patients who underwent thyroidectomy with FS and compared them with conventionally treated patients. The primary outcomes were total wound drainage, length of hospitalization, and operative time. […]
Laparoscopic Total Extraperitoneal Hernia Repair in Patients with Previous Abdominopelvic Surgery
Retrospective cohort study on laparoscopic inguinal hernia repair comparing short- and long-term outcomes in patients with and without previous abdominopelvic surgery history showed no significant difference in perioperative outcomes. Laparoscopic totally extraperitoneal (TEP) repair was deemed feasible and associated with low rates of complications, making it a standard option for all patients, regardless of abdominopelvic […]
Prophylactic Mesh Reduces Stoma Site Hernia Rates
Prophylactic biosynthetic mesh placement during stoma reversal significantly reduces stoma site incisional hernia rates compared to primary stoma closure without mesh. Observation of 174 cases showed a 1.0% incidence in the treatment group versus 17.8% in the control group, with mesh proving to be a protective factor. Body mass index and chronic kidney disease were […]
Feasibility of Robotic Liver Resection in Limited Resource Settings
Transitioning to robotic liver resection in a limited resource setting may offer feasible surgical outcomes, with no conversions to open surgery, low complication rates, and decreased operative time based on a retrospective study of 67 cases. Major hepatectomies and complex procedures were successfully performed, indicating that robotic technology in skilled hands can be effective even […]
Development and Validation of Risk Score Model for Assessing Lymph Node Metastasis in Early Gastric Cancer
Endoscopic ultrasonography (EUS) offers 85.3% accuracy in detecting lymph node metastasis in early gastric cancer. A risk score model based on preoperative factors, such as tumor size, lymph nodes, and BMI, provides guidance for treatment selection, despite low sensitivity and PPV. This tool aids clinicians in predicting lymph node involvement and choosing optimal management strategies […]
Predicting Early Recurrence of Hepatocellular Carcinoma in Cirrhotic Patients Post-Hepatectomy
Radiomics and clinical-radiologic features were integrated to develop a machine learning model for predicting early recurrence of hepatocellular carcinoma in cirrhotic patients post-hepatectomy. The model showed excellent predictive performance, with an AUC of 0.844 in the training cohort and 0.790 in the validation cohort, facilitating risk stratification and exhibiting significant discriminatory ability for overall survival. […]