Following the implementation of a systemwide quality improvement (QI) program, researchers assessed the management of incidental adrenal masses (IAMS) in 437 patients from January 2018 to December 2019. The QI intervention included various strategies such as providing chart-based messages, emails to primary care providers (PCPs), standardized recommendations, and access to a multispecialty adrenal clinic. The […]
Category: General Surgery
No Significant Impact of Preoperative Midazolam on Patient Satisfaction in Older Surgical Patients
Despite its widespread use, the effect of preoperative oral midazolam on patient satisfaction in older surgical patients remained unclear. Researchers conducted a double-blind, placebo-controlled clinical trial on 607 patients aged 65 to 80 years undergoing elective inpatient surgery. The study found that a single low dose of oral midazolam did not significantly alter global perioperative […]
Preoperative 18F-FDG PET/CT Associated with Pathological Tumor Grade in Pseudomyxoma Peritonei
The clinical effectiveness of preoperative 18F-FDG PET/CT in predicting pathological tumor grade in patients with pseudomyxoma peritonei (PMP) originating from the appendix was evaluated in this retrospective cohort study. The study found that high-grade PMP patients had a significantly higher median standardized uptake value (SUVmax) on 18F-FDG PET/CT compared to low-grade patients. The highest area […]
Standardizing Indocyanine Green Fluorescence Angiography in Colorectal Surgery Impacts on Interpretation Consistency
The study aimed to assess the impact of a standardized protocol on interpretation consistency of indocyanine green fluorescence angiography (ICGFA) in colorectal surgery. Experienced and junior surgeons completed a questionnaire and interpreted nine ICGFA videos. Results showed good transection level concordance across all videos and expertise levels. However, poor agreement was observed with the standardized […]
Laparoscopic Cholecystectomy Effectively Alleviates Symptoms in Patients with Normal Ejection Fraction
Laparoscopic cholecystectomy is found to be effective in improving symptoms for patients with abdominal pain and biliary dyskinesia (low ejection fraction 35%). In a retrospective study of 117 patients with negative workup, including normal ejection fraction, who underwent laparoscopic cholecystectomy, 84% reported resolution of pre-operative symptoms. There was no significant correlation between pain during hida […]
Subtotal Cholecystectomy: Safe Approach with Postoperative ERCP for Bile Leak Resolution
This study examined 102 cases of subtotal cholecystectomy (STC) as a strategy for difficult cholecystectomies. Of all patients with STC, 47.1% underwent intra- or postoperative ERCP. Bile leak was the main indication for ERCP, with a higher resolution rate for postoperative ERCP (95.7%) compared to intraoperative ERCP (60.0%). No injuries to the central bile ducts […]
Optimal Surgical Management and Outcomes of Abdominal Catastrophes Secondary to Intestinal Lymphomas
A systematic review was conducted to assess the presentation, diagnosis, optimal surgical approach, and post-operative outcomes of abdominal catastrophes secondary to intestinal lymphomas. A total of 95 patients were identified, with Burkitt’s lymphoma and diffuse large B-cell lymphoma being the most common types. Small bowel resections had a 25% complication rate and a 13.8% 30-day […]
Extent of Surgery Found to Impact Gastrointestinal Function in Patients Undergoing CRS and HIPEC
This study investigated the impact of the extent of surgery on late adverse effects (LAEs) in patients undergoing cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). The study found that patients undergoing extensive CRS experienced persistent impaired gastrointestinal function in terms of diarrhea, compared to those undergoing less extensive surgery. However, the levels of other […]
Distal Fistula Risk Score: Preoperative Tool for Predicting Pancreatic Fistula in Distal Pancreatectomy
Researchers conducted a nationwide retrospective Dutch cohort study to validate the preoperative and intraoperative Distal Fistula Risk Score (D-FRS) for postoperative pancreatic fistula (POPF) prediction in distal pancreatectomy (DP) patients. The study included 896 patients, of which 152 (17%) developed POPF. The preoperative D-FRS, based on pancreatic neck thickness and pancreatic duct diameter, had an […]
Feasibility and Safety of Early Home Transfer for Surgical Patients
A cohort study evaluated the effectiveness and safety of a hospital at home (HAH) program for surgical patients. The study included 325 patients who underwent various surgeries and were transferred to the HAH unit. Results showed that overall escalation of care during HAH occurred in 7.3% of patients, with a 7% 30-day readmission rate. Most […]