Researchers conducted a retrospective study on 40 patients with right-sided diverticulitis in a North African surgical center. They found that conservative management was successful in 14 cases, while 26 patients underwent operative procedures with no postoperative events and a short hospital stay. Follow-up showed no recurrences, indicating that right-sided diverticulitis has a lower complication rate […]
Category: General Surgery
Appendectomy is associated with a milder clinical course in Crohn’s disease
In a nationwide cohort study, Crohn’s disease patients who had previously undergone appendectomy had a lower rate of CD-related hospital admissions and were less likely to initiate treatment with biologics or undergo colorectal resections compared to those without appendectomy. Rates of small bowel resections were comparable between the two groups. Appendectomy performed after CD diagnosis […]
Preoperative Ureteral Stent Placement and Intraoperative Ureteral Injury
Preoperative ureteral stent placement during colorectal surgery did not lead to earlier detection of ureteral injury. Of 6481 patients, 15% had stents placed, with 0.4% experiencing a ureteral injury. Hematuria and UTI risk increased with stent use, but intraoperative identification of injury was not associated with stent placement. Iatrogenic ureteral injury was rare, contrasting with […]
Survival Outcomes Suggest Consideration of Additional Lymph Node Dissection for Incidentally Diagnosed Intrahepatic Cholangiocarcinoma Patients
Survival outcomes of incidental intrahepatic cholangiocarcinoma patients who did not undergo lymph node dissection were similar to those who underwent dissection in T1 stage, but poorer in T2 and T3+4 stages. Patients incidentally diagnosed with T2 or above T stage may benefit from additional lymph node dissection based on the study’s retrospective analysis of 284 […]
Factors influencing one-year mortality in elderly patients undergoing surgery for clinical T4 and locally recurrent rectal cancer
Higher one-year mortality rates were observed in elderly patients undergoing surgery for clinical T4 and locally recurrent rectal cancer. Factors associated with increased mortality included preoperative anemia, total pelvic exenteration, pulmonary complications, and higher grade complications. The main causes of death were failure to recover and disease recurrence. Tailoring treatment for these patients should consider […]
Self-Expanding Metallic Stenting Emerges as Safe Alternative for Left-Sided Colonic Obstruction
Emergency colonic resection has long been the standard treatment for left-sided malignant colonic obstruction, but self-expanding metallic stenting and decompressing stomas are emerging as viable alternatives. A systematic review and network meta-analysis of randomized controlled trials and propensity score matching studies found that stenting and stomas both significantly reduced permanent stoma rates, with stenting also […]
Middle Eastern Study Highlights Non-Operative Management of Epiploic Appendagitis
Epiploic appendagitis (EPA) is a rare, self-limiting acute abdominal disorder that is mostly treated non-operatively. A retrospective analysis of 156 cases in a Middle Eastern country showed that EPA primarily affects males with a mean age of 33 years. Computerized tomographic scans were the main diagnostic tool, with surgery required in only a few cases. […]
Resection Improves Survival in Patients with Local Recurrence of Esophageal Cancer
Patients with local recurrence of esophageal cancer following Ivor-Lewis esophagectomy have a significantly decreased overall survival. A retrospective study at a high-volume center showed that patients who underwent resection had better survival outcomes compared to those who did not. Chemoradiotherapy also showed promise in selected cases. Best supportive care was associated with shorter survival. These […]
Salvage Surgery Vital for Primary Ileal Pouch Leaks
Primary ileal pouch leaks after IPAA procedures are infrequent but challenging complications. Despite attempts at nonoperative management, success rates are limited. Salvage surgery has a high pouch retention rate, emphasizing its importance in leak management. A retrospective study at Cleveland Clinic over 27 years found that patients diagnosed with leaks after IPAA procedures had an […]
Significant Risk Factors for Nonalcoholic Fatty Liver Disease Post-Pancreatic Resection
After analyzing 26 studies with 4055 patients, the pooled incidence of nonalcoholic fatty liver disease after pancreatectomy was 29%. Female sex, pancreatic ductal adenocarcinoma, portal vein or superior mesenteric vein resection, dissection of nerve plexus around the superior mesenteric artery, and adjuvant chemotherapy were significantly associated with nonalcoholic fatty liver disease. Pancreatic enzyme replacement therapy […]