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Best Papers in General Surgery
The five that matter, every day.
Results show a low rate of 8-mm trocar site hernia (0.31%) and a slightly higher rate of wound infection (4.68%) and haematoma (6.87%). Trocar-related complications were linked to patient comorbidities, not trocar position. Findings suggest no need for 8-mm fascial wound closure, emphasizing the importance…
Researchers evaluated the long-term outcomes of using bio-A biosynthetic mesh in ventral hernia repairs, finding a 17.4% overall recurrence rate. Contaminated cases had a higher recurrence rate of 28.8% compared to 10.4% in clean cases. Despite this, the study confirms the cost-effective use of biosynthetic…
Genetic and biologic markers associated with hernia formation were investigated, with 65 studies selected from a total of 5946. Notable findings include 92 susceptible loci across 66 genes in inguinal hernias, elevated MMP-2 levels in direct versus indirect inguinal hernias, unique gene-expression profiles in incisional…
Meta-analysis of 14 studies demonstrates a significantly reduced risk of esophageal adenocarcinoma in patients with obesity undergoing metabolic and bariatric surgery, with an overall incidence reduction (OR=0.69) and particularly lower risk in European populations (OR: 0.60) and studies with larger sample sizes (OR: 0.59). Articles…
Findings from a randomized controlled trial on an 11-month multicomponent exercise program after bariatric surgery showed no significant improvements in absolute muscle strength in knee and trunk regions, but significant enhancements in relative muscle strength, particularly in dominant knee flexion. Further exploration of different exercise…
Researchers conducted a study on 30 patients who underwent single anastomosis sleeve ileal bypass (SASI) and found that despite good short-term weight loss and improvement in obesity-related complications, there was a high alarming rate of malnutrition observed, even in the short-term follow-up. This highlights the…
Study comparing total and proximal gastrectomy for proximal gastric cancer found that more patients underwent proximal gastrectomy, with a higher likelihood of receiving neoadjuvant chemotherapy. Pathologically, total gastrectomy patients had more advanced tumors and fewer evaluated lymph nodes, but lower margin negativity. Long-term survival did…
Patients with preoperative anemia undergoing curative-intent resection for gastroenteropancreatic neuroendocrine tumors (GEP-NETs) had higher rates of major complications and poorer long-term outcomes. Anemia was associated with worse overall survival, while postoperative transfusions were linked to lower overall survival and recurrence-free survival rates. Preoperative anemia affected…
Antecolic reconstruction after pancreaticoduodenectomy significantly increases the risk of delayed gastric emptying compared to transmesocolic reconstruction. Patients who underwent antecolic reconstruction had a higher incidence of severe delayed gastric emptying and a 2-fold increase in severe cases. Tmc reconstruction may be superior in minimizing the…
Implementation of enhanced recovery after surgery (ERAS) protocol in distal gastrectomy for gastric cancer significantly reduces adjusted hospital stay without increasing complications. However, no significant differences were observed in long-term nutritional outcomes and quality of life between ERAS and conventional care groups
