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Best Papers in General Surgery
The five that matter, every day.
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.…
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…
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…
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…
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…
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…
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…
A study using a surgical app to track operating room (OR) inefficiencies found that incidents causing delays averaged 2.7 per procedure, contributing to an overall case duration of 109 minutes. On average, each incident caused a 2.8-minute delay, with some causing longer delays. The study,…
Regular physical activity post-bariatric surgery led to reduced blood pressure and lower type-2 diabetes recurrence in individuals with diabetes. Normoglycemic individuals experienced sustained BMI reduction and improved blood pressure control with physical activity throughout a 5-year follow-up. Integrating physical activity into post-bariatric care can enhance…
General surgery teaching faculty in the US generally support pregnant surgical residents, but acknowledge the need for institutional culture improvements. Despite positive perceptions, there is still evidence of discrimination and negative comments towards pregnant residents. More efforts are needed to normalize pregnancy and enhance policies…
