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Best Papers in General Surgery
The five that matter, every day.
Researchers demonstrate the efficacy of video-assisted retroperitoneal debridement in two patients with retroperitoneal abscesses following penetrating trauma. Both patients showed rapid improvement and were discharged within days of the procedure. This minimally invasive approach is a viable option for surgical drainage when conservative measures fail,…
Autotransplantation of cryopreserved parathyroid tissue was found to be cost-effective for treating permanent postoperative hypoparathyroidism, with a low reimplantation rate but positive functionality outcomes. The cost-utility analysis estimated an additional cost of $70,719.04 per quality-adjusted life-year, below the common willingness-to-pay threshold. Individual surgical centers are…
Obesity measures and abdominal adiposity indicators were evaluated using Mendelian randomization to determine their causal relationship with ventral hernia (VH) risk. Increased BMI, body fat percentage, body fat mass, visceral adiposity tissue, waist circumference, and hip circumference were found to be causally associated with a…
Female patients undergoing laparoscopic cholecystectomy were more likely to be younger, obese, have cholelithiasis, and less likely to be smokers and have comorbidities compared to males. This trend was most prominent in younger age groups. These findings emphasize the importance of recognizing and addressing gender-specific…
A novel dry simulator model was developed to train gastroenterology trainees in endoscopic retrograde cholangiopancreatography/endoscopic sphincterotomy procedures. The model, aligning with the components of a validated skill assessment tool, allowed for hands-on practice with real devices, resulting in improved learning expectations and increased satisfaction among…
Laparoscopic iliopubic tract repair effectively reduces the risk of metachronous contralateral inguinal hernia (MCIH) by treating contralateral occult inguinal hernia. The study found a lower incidence of indirect MCIH in patients with treated occult inguinal hernia compared to those without treatment. Postoperative complications, pain scores,…
Laparoscopic-guided transversus abdominis plane (TAP) block significantly reduced postoperative pain and analgesic requirements in patients undergoing laparoscopic IPOM plus compared to standard general anesthesia. Group I, receiving TAP block, had significantly lower pain scores at 6 and 24 hours postoperatively and required fewer additional analgesics…
Patients with advanced soft tissue sarcoma who receive sequential multimodal treatments with chemotherapy and surgery have better overall survival compared to those who only receive chemotherapy. Surgery appears to be more beneficial for patients who undergo chemotherapy first. These findings support the use of a…
Quantification of surgical workflow in robotic proctectomy revealed strong correlations between step times and console time (ct). Steps such as inferior mesenteric vein dissection, lateral-to-medial splenic flexure mobilisation, and rectal dissection showed significant associations with ct. Total operative time (tot) was also strongly correlated with…
Robotic liver resection for huge hepatocellular carcinoma (HCC) is feasible, with comparable perioperative outcomes to regular HCC cases. A single-surgeon study of 337 patients showed no significant differences in major perioperative indicators between regular and huge HCC groups. Effective perioperative risk management suggests potential benefits…
