SAGES implements updates to its guidelines development process to address health equity issues, aiming to minimize downstream health disparities. These updates ensure an evidence-based, standardized approach that considers health equity throughout the guideline development process, facilitating better patient counseling and research recommendations to mitigate disparities. By intentionally addressing disparities, SAGES aims to prevent the widening […]
Category: General Surgery
Long-Term Weight Loss After Revisional Bariatric Surgery
This systematic review and meta-analysis of 28 observational studies involving 2213 patients revealed a mean total weight loss (%TWL) of 27.2% and a decrease in BMI of 10.2 kg/m² after revisional bariatric surgery. These findings underscore the effectiveness of revisional procedures in achieving sustained weight loss over medium to long-term follow-up periods (>2 years). Review […]
Identifying Risk Factors for Chronic Abdominal Pain After RYGB
Postoperative complications and depression diagnosis increase the risk of chronic abdominal pain after RYGB, while being an ex-smoker and older age are protective factors. The study underscores the importance of the bariatric multidisciplinary team in adequately selecting patients before surgery to mitigate this complication. Journal Article by Ortega PM, Scholtz S (…) Ahmed AR et […]
Multiple Disease-Modifying Drugs Increase Surgical Risk in Ulcerative Colitis
Study finds using multiple disease-modifying drugs in ulcerative colitis increases risk of surgical resection. Each additional drug significantly raises likelihood of surgery, highlighting importance of patient counseling. However, postoperative risk of complications, ER visits, and readmissions remain unaffected by number of drugs used. Findings offer crucial prognostic insights for clinicians managing UC patients. Journal Article […]
APRI Predicts Adverse Outcomes in Minor Hepatectomy
Aspartate transaminase to platelet ratio index (APRI) ≥0.7 is independently associated with perioperative transfusion, overall morbidity, and 30-day mortality following minor hepatectomy. This suggests APRI could serve as a noninvasive tool for risk stratification in elective hepatectomy patients. Journal Article by Patel DJ, LeCompte MT, Jin Kim H and Gleeson EM in Am Surg read […]
Improving Outcomes in Emergency Surgery for Bowel Obstruction
Implementing a multidisciplinary intraoperative model significantly reduced 30-day mortality in bowel obstruction surgery by favoring definitive over palliative procedures. The strategy also increased laparoscopic interventions and decreased stoma creations, indicating improved surgical outcomes. Journal Article by Tolstrup MB, Skovsen AP and Gögenur I in Langenbecks Arch Surg © 2024. The Author(s), under exclusive licence to […]
Impact of Operative Approach on Recurrence and Survival in Esophageal Cancer
Minimally invasive esophagectomy (TMIE) was associated with improved disease-free survival (DFS) postoperatively compared to open esophagectomy (OE), while both TMIE and hybrid minimally invasive esophagectomy (HMIE) were linked to enhanced overall survival (OS). TMIE showed increased rates of R0 resection and nodal yield, suggesting improved surgical quality. This European multicenter study suggests TMIE as a […]
Advancements in Autonomous Suturing Technology
A systematic review of 41 articles on autonomous suturing revealed significant progress in robotic technology, showcasing a variety of engineering solutions to enhance accuracy and efficiency in surgical tasks. Most studies focused on different suturing subtasks, indicating a growing interest in surgical automation and notable technological advancements post-2014. Review by Ostrander BT, Massillon D (…) […]
Reinforcing Hiatal Hernia Repair to Reduce Recurrence Rates
Revision procedures for recurrent hiatal hernia revealed that most recurrences occurred in the left-anterior quadrant of the hiatus. Posterior recurrences were also notable. Both anterior and posterior hiatal reinforcement may be necessary to decrease recurrence rates. A randomized controlled trial using a circular, bio-absorbable mesh is underway to validate this hypothesis. Review by Geerts JH, […]
Comparable Outcomes of Junior Surgeon Minimally Invasive Pancreatoduodenectomy
Initial outcomes of minimally invasive pancreatoduodenectomy (MIPD) by a well-trained junior surgeon were comparable to a veteran surgeon, despite longer operation times. Both groups showed similar results in blood loss, complications, pancreatic fistula, and hospital stay length. This suggests that junior surgeons may achieve comparable MIPD outcomes with appropriate training. Journal Article by Kim SH, […]