The study conducted a systematic review with meta-analyses to assess the inheritance of groin hernias. It included 22 studies and found that a positive family history, particularly between mothers and daughters and between sisters, significantly increased the risk of inguinal hernia in children. In adults, patients with inguinal hernia had higher odds of having a […]
Category: General Surgery
Optimal extent of lymphadenectomy in esophageal cancer surgery: Controversy and evidence
The current curative multimodal treatment of advanced esophageal cancers includes neoadjuvant or perioperative chemo(radio)therapy and radical surgical resection with a 2- or 3-field lymphadenectomy. Lymph node involvement is a significant predictor of long-term survival in esophageal cancer patients. The distribution pattern of lymph node metastases is unpredictable and depends on various factors. The extent of […]
Patients with Low Social Vulnerability More Likely to Receive Hernia Repair in Texas
The study aimed to assess the association between social vulnerability and the likelihood of receiving elective and emergency hernia repair in Texas. The results showed that patients with low social vulnerability were 36% more likely to receive surgery, while those with high social vulnerability were 14% less likely. This association remained significant after adjusting for […]
Surgical repair of hernias in patients with ascites is a rare event with increased adverse outcomes
Researchers conducted a retrospective review of 176 patients with ascites undergoing ventral or inguinal hernia repair. The study found that surgical repair of hernias in patients with ascites is rare (1.4% in ventral hernia cohort, 0.2% in inguinal hernia cohort). The post-operative 30-day adverse clinical outcomes were significantly higher in both cohorts compared to patients […]
Lack of Consensus on Quality-of-Life Assessments for Abdominal Wall Reconstruction
Surgeons employ a variety of quality-of-life instruments to track outcomes after abdominal wall reconstruction (AWR), but no universally agreed-upon tool exists. A scoping review identified six hernia-specific tools and six generic health tools used in AWR research. The most commonly used hernia-specific tools were the hernia-related quality-of-life survey and the Carolinas Comfort Scale, while the […]
New Guidelines Provide Comprehensive Non-Surgical Treatment Approach for Hepatocellular Carcinoma
Italian scientific societies have collaborated to develop updated multidisciplinary treatment guidelines for hepatocellular carcinoma (HCC). The second part of these guidelines focuses on the non-surgical treatment options and the role of multidisciplinary tumor boards. The document, produced using evidence-based grading methodology, addresses the increasing complexity of HCC management and aims to assist clinicians and researchers […]
Neoadjuvant Radiation and Pulmonary Complications in Esophagectomy: Impact only in Pre-existing Pulmonary Disease
Patients undergoing esophagectomy for malignancy often experience post-operative pulmonary complications (POPC), and this study aimed to investigate if neoadjuvant radiation therapy contributes to their incidence. The analysis of database files revealed no consistent association between neoadjuvant radiation and POPC in all patients. However, in those with pre-existing pulmonary disease (PEPD), neoadjuvant chemoradiotherapy resulted in a […]
Robocalls Reduce No-Show Rates in Surgical Clinics
Automated reminder calls (robocalls) were introduced in surgical clinics to reduce appointment no-show rates. A study conducted in a safety-net hospital analyzed data from two surgical clinics before and after the implementation of robocalls. The results showed that robocalls significantly decreased the no-show rates, providing an effective tool for enhancing appointment attendance. Furthermore, the study […]
Lidocaine Infusion Cuts Opioid Use in Laparoscopic Colectomy within ERAS
The study aimed to assess the impact of adding a lidocaine infusion for postoperative pain control in ERAS patients undergoing laparoscopic colectomy. The results of the retrospective review showed that patients who received the lidocaine infusion had a significant reduction in postoperative opioid use within the first 48 hours compared to those without it, with […]
Surgical Residents’ Poor Understanding of Operating Room Supply Costs and the Need for Education
Surgical residents have a poor understanding of the costs of common operating room supplies, and this does not improve with post-graduate training. A survey of 73 residents revealed that they accurately estimated costs for only 7 out of 21 items, with considerable error ranging from 26% to 5438%. They significantly underestimated the costs of the […]