In the No.2-Trial, comparing sacral neuromodulation (SNM) to personalized conservative treatment (PCT) for refractory idiopathic slow-transit constipation, SNM demonstrated significant success (53.7%) compared to PCT (3.8%) after six months. SNM patients reported lower constipation severity and fatigue, along with improved quality of life. Serious adverse events were minimal (6 SNM, 2 PCT), supporting SNM as […]
Category: General Surgery
Logica Trial’s Impact: Evolution of Laparoscopic Gastrectomy in the Netherlands
Analyzing data from the Logica randomized controlled trial (RCT) and the Dutch Upper Gastrointestinal Cancer Audit (DUCA), researchers explored the influence of the Logica RCT on laparoscopic gastrectomy practice in the Netherlands (2012-2021). While the Logica RCT showed no significant impact on outcomes, the DUCA nationally revealed a shift, indicating laparoscopic gastrectomy’s benefits, significantly reducing […]
Optimal Timing for Surgery Post Cardiovascular Events
Examining 877,430 patients, this retrospective cohort study discerns that undergoing surgery within 11.3 months of a prior cardiovascular event escalates 30-day postoperative mortality risk. Subgroup analyses reveal specific intervals for elective (14.2 months) and emergency surgery (7.3 months). While stroke and myocardial infarction exhibit similar risk intervals, absolute risk is higher following a stroke. Clinicians […]
Optimal Outcomes in Emergency Intra-Abdominal Surgery: Surgeon Volume Trumps Hospital Volume
A meta-analysis scrutinizing 33 cohort studies explores the impact of hospital and surgeon volume on mortality in intra-abdominal emergency surgery. High hospital volume proves beneficial overall, except for low-complexity procedures, while high surgeon volume consistently associates with lower mortality. Notably, mortality is significantly lower when high-volume surgeons operate in low-volume hospitals. The findings advocate prioritizing […]
Enhanced Precision in Robotic Hepatectomy: Inflow Control and Liver Retraction Demystified
Researchers detail an improved version of Huang’s Loop for intracorporeal inflow control during minimally invasive hepatectomy. Utilizing a modified soft urinary catheter with an adjustable loop, the team ensures atraumatic and adaptable control around the porta hepatis. Additionally, they introduce a liver sling, crafted from a soft surgical sponge, for gentle yet effective retraction, enhancing […]
Unlocking Telenursing Potential: Scoping Review Protocol for Oncological Perioperative Care
Investigating the implementation of telenursing in surgical oncology, researchers unveil a scoping review protocol. Adhering to Joanna Briggs Institute guidelines, the study explores global evidence through databases and grey literature. Two independent reviewers, aided by Rayyan software, will extract data on program details, challenges, and potentials. Ethical approval is unnecessary, ensuring dissemination of results in […]
Equivalency in Colorectal Metastases Management: Liver vs. Peritoneum
Examining outcomes in metastatic colorectal cancer treatment, researchers conducted a review, analyzing six selected studies. Comparing surgical interventions on the liver and peritoneum, cytoreductive surgery with heated intraperitoneal chemotherapy showed comparable safety and survival outcomes to hepatectomy. This suggests a need for early integration of cytoreduction in the management algorithm for colorectal cancer patients with […]
Comparable Medium-Term Outcomes: Robotic vs. Laparoscopic Cholecystectomy
Researchers compared medium-term outcomes between robotic-assisted cholecystectomy (RC) and laparoscopic cholecystectomy (LC) using quality of life (QOL) and pain assessments. In a cohort from 2012 to 2017, 122 patients completed surveys in 2019. Both groups were similar in demographics. No overall QOL difference was found, but LC patients reported higher severity in specific pain categories. […]
Intraoperative Swab Impact in Appendectomy for Uncomplicated and Complicated Appendicitis
In a study of 1570 adult appendectomy patients, intraoperative swabs were taken in 29%, revealing a 51% bacterial isolation rate, higher in complicated appendicitis. A positive swab correlated significantly with worse postoperative outcomes, increased morbidity, re-surgery, and longer hospital stay. Positive swabs were independent risk factors for morbidity and the need to adjust postoperative antibiotics. […]
Virtual Reality for Colorectal Cancer Surgery Consent
In a pilot trial, colorectal cancer patients undergoing elective surgery were randomized to receive standard consent (CT images) or virtual reality (VR) consent (CT images and immersive VR models). While not statistically significant, VR showed a trend toward improved patient-reported understanding, with most patients preferring VR as an educational tool. Well-tolerated and enjoyable, VR’s feasibility […]