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General Surgery

Best Papers in General Surgery

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World J Gastroenterol24 Apr 2024

Radiofrequency Ablation Combined with Sorafenib for Liver Cancer with Portal Hypertension

Radiofrequency ablation combined with sorafenib significantly improves liver function and survival rates in liver cancer patients with portal hypertension. Among 100 patients, the combined therapy group showed a higher total effective rate (82.00%) compared to the control group (56.00%). Prognostic factors include Child-Pugh grade, tumor…

Perspectives, Opinions and Curiosities24 Apr 2024

Improved Surgical Site Infection Identification using Explainable Long Short-term Memory Network

A long short-term memory network with an attention layer was proposed for surgical site infection identification, achieving higher sensitivity and area under the receiver operating characteristic curve compared to traditional models. The model's top features included procedure codes and laboratory values, offering explainability. This innovative…

Appendix, Gallbladder and Surgical Emergencies24 Apr 2024

Addressing Gaps in Prehospital Emergency Training in LMICs

Prehospital first responders in low- and middle-income countries lack adequate training and education, hindering emergency medical services. Programs vary widely in content and evaluation methods, lacking international consensus. The training of trainers model and modular curricula offer potential solutions for adapting training to local contexts…

Appendix, Gallbladder and Surgical Emergencies24 Apr 2024

Enhancing Emergency Response in LMICs through Dispatch Technologies

Addressing communication challenges, this study emphasizes the importance of standardized Emergency Medical Dispatch (EMD) systems in coordinating emergency response in low and middle-income countries (LMICs). While relying on layperson first responders (LFRs) equipped with mobile phones, EMD implementation becomes crucial to ensure timely prehospital intervention,…

HPB & Spleen24 Apr 2024

Development of nomogram for Survival Prediction in Gastric Cancer Patients with Liver Metastasis

A nomogram was developed to predict overall survival and cancer-specific survival in patients with gastric cancer and liver metastasis, showing satisfactory performance. Factors influencing survival included age, chemotherapy, grade, metastasis sites, and treatment received. The nomogram can assist clinicians in planning follow-up and rehabilitation strategies…

Scand J Gastroenterol24 Apr 2024

Surgery improves quality of life in patients with recurrent diverticulitis

This systematic review and meta-analysis suggest that surgery for recurrent diverticulitis may enhance long-term quality of life compared to conservative treatment. Although associated with risks, surgical intervention resulted in higher SF-36 and GIQLI scores and fewer recurrences. These findings advocate for considering surgery in patients…

Upper Gastrointestinal Tract24 Apr 2024

Factors Predicting Complications After Oesophagectomy

This study, analyzing over 2000 oesophagectomies across multiple countries, identifies predictors of anastomotic leak (AL) and conduit necrosis (CN). While AL remains challenging to predict using preoperative factors, a risk-scoring model for CN shows promise, with factors like BMI, performance status, myocardial infarction history, and…

Am Surg24 Apr 2024

Need for Trauma Intervention and Cribari Indices for Triage in Injured Patients

Study compares the performance of Need for Trauma Intervention (NFTI) and Cribari Methods (CM) for triaging injured patients. Results show NFTI has higher sensitivity, specificity, PPV, and NPV compared to CM. However, both methods have poor sensitivity in identifying severely injured trauma patients. Under-triage increases…

Langenbecks Arch Surg24 Apr 2024

Impact of Hazard Function Analysis on Prognosis After Colorectal Cancer Recurrence

Hazard function analysis provided new insights into patient prognosis post colorectal cancer recurrence, revealing a peak risk of death at 2.9 years post-recurrence. Factors like metastatic organs, treatment type, and recurrence interval influenced short-term survival. The method offers an alternative to mean survival time and…