Prehospital first responders in low- and middle-income countries lack adequate training and education, hindering emergency medical services. Programs vary widely in content and evaluation methods, lacking international consensus. The training of trainers model and modular curricula offer potential solutions for adapting training to local contexts and improving program effectiveness. Opportunities exist for further development in […]
Category: General Surgery
Enhancing Emergency Response in LMICs through Dispatch Technologies
Addressing communication challenges, this study emphasizes the importance of standardized Emergency Medical Dispatch (EMD) systems in coordinating emergency response in low and middle-income countries (LMICs). While relying on layperson first responders (LFRs) equipped with mobile phones, EMD implementation becomes crucial to ensure timely prehospital intervention, especially in regions lacking formal Emergency Medical Services (EMS). The […]
Development of nomogram for Survival Prediction in Gastric Cancer Patients with Liver Metastasis
A nomogram was developed to predict overall survival and cancer-specific survival in patients with gastric cancer and liver metastasis, showing satisfactory performance. Factors influencing survival included age, chemotherapy, grade, metastasis sites, and treatment received. The nomogram can assist clinicians in planning follow-up and rehabilitation strategies for better outcomes and provide support to high-risk patient groups. […]
Surgery improves quality of life in patients with recurrent diverticulitis
This systematic review and meta-analysis suggest that surgery for recurrent diverticulitis may enhance long-term quality of life compared to conservative treatment. Although associated with risks, surgical intervention resulted in higher SF-36 and GIQLI scores and fewer recurrences. These findings advocate for considering surgery in patients with ongoing or recurrent diverticulitis to potentially alleviate symptoms and […]
Factors Predicting Complications After Oesophagectomy
This study, analyzing over 2000 oesophagectomies across multiple countries, identifies predictors of anastomotic leak (AL) and conduit necrosis (CN). While AL remains challenging to predict using preoperative factors, a risk-scoring model for CN shows promise, with factors like BMI, performance status, myocardial infarction history, and smoking status contributing to its prediction. This model offers a […]
Need for Trauma Intervention and Cribari Indices for Triage in Injured Patients
Study compares the performance of Need for Trauma Intervention (NFTI) and Cribari Methods (CM) for triaging injured patients. Results show NFTI has higher sensitivity, specificity, PPV, and NPV compared to CM. However, both methods have poor sensitivity in identifying severely injured trauma patients. Under-triage increases with patient age. Further research is needed to enhance triage […]
Impact of Hazard Function Analysis on Prognosis After Colorectal Cancer Recurrence
Hazard function analysis provided new insights into patient prognosis post colorectal cancer recurrence, revealing a peak risk of death at 2.9 years post-recurrence. Factors like metastatic organs, treatment type, and recurrence interval influenced short-term survival. The method offers an alternative to mean survival time and helps predict mortality risk changes over time. Journal Article by […]
Role of High-Resolution Manometry in Antireflux Surgery: The Padova Consensus
High-resolution manometry (HRM) plays a crucial role in the diagnostic assessment of foregut symptoms before and after antireflux surgery (ARS). A collaborative initiative by surgeons and gastroenterologists developed a postoperative classification for interpreting HRM findings, providing key insights into patient management post-ARS. Journal Article by Salvador R, Pandolfino JE (…) Yadlapati R et 13 al. […]
Factors influencing treatment strategies for small pancreatic neuroendocrine neoplasms
Study evaluates optimal treatment strategies for nonfunctioning small pancreatic neuroendocrine neoplasms, highlighting the impact of tumor size and grade on lymph node metastasis, recurrence, and survival. Personalized treatment approaches considering tumor grading are recommended for heterogeneous nf-spnens. Tumor size >20 mm for net-g1 and >10 mm for net-g2 or higher are suggested thresholds for surgical […]
Guidelines for Cultural Competency and Ethical Behavior in Global Surgery Collaborations
Key concepts for cultural competency and ethical behavior were generated by the academic global surgery committee of the Society for University Surgeons in collaboration with the Association for Academic Global Surgery. The guidelines provide a framework for high-income country members when collaborating with low-middle income country partners, addressing preparation, standardization, community engagement, limits of practice, […]