In the realm of liver surgery, understanding the “condition(s) present at time of surgery” (PATOS) from the American College of Surgeons (ACS) database is crucial. Researchers explored postoperative complications, considering PATOS, and found that when these conditions were factored in, complication rates dropped across the board. Their study, covering data from 2015 to 2019, highlights […]
Category: General Surgery
Conversion to Open Surgery in Liver Resection: Risks and Consequences
Researchers delved into minimally invasive liver resections (MILR) and what happens when they switch to open procedures. Out of 1,675 patients, 6.1% required a switch due to unfavorable findings or intraoperative issues. Those needing a conversion experienced higher complications, blood loss, and mortality. Intraoperative conversions had even worse outcomes, emphasizing the need for cautious planning […]
Surgical Tele-Mentoring Enhances Robotic Surgery
This study explored the impact of surgical tele-mentoring, where remote experts guide local surgeons via robotic technology. They conducted a feasibility study in fields like general, urology, gynecology, and thoracic surgery, with 15 cases. The results were impressive; participants reported enhanced procedural competence, timely interventions, improved surgical efficiency, and better decision-making. Connectivity remained robust with […]
Endoscopic Resection for Duodenal Tumors: What to Watch For
A study on 141 patients with duodenal submucosal tumors (SMTs) explored the outcomes of endoscopic resection (ER). Results showed that 78.7% achieved complete resection, but 6.4% faced complications. High-risk factors for complications included SMTs near the duodenal papilla and those with a diameter exceeding 15mm. Additionally, submucosal fibrosis, SMTs near the duodenal papilla, and irregular […]
Pregnant Surgeons’ Musculoskeletal Pain
The study delves into work-related musculoskeletal disorders (WRMD) among pregnant surgeons, an understudied area. Surveying 53 pregnant surgeons, it revealed that almost all of them (94.7%) experienced an exacerbation of WRMD symptoms due to workplace activities. Over 13% had to take unplanned time off work. Strikingly, beyond 24 weeks of pregnancy, a majority continued surgeries, […]
Comparing Open and Laparoscopic Surgery for Hernia Repair
In the INCH-trial, researchers conducted a multicenter randomized controlled trial comparing open and laparoscopic surgery for incisional hernia repair. They initially believed laparoscopic surgery would offer advantages, but after studying 88 patients, found no significant differences in hospital stay, quality of life, or recurrence rates. Dissatisfaction was higher in the open surgery group. These results […]
Patient Perspectives on Surgical Prehabilitation: Unveiling Adherence Challenges and Motivational Factors
Understanding why patients might not fully engage in pre-surgery prehabilitation programs is vital. In a study connected to the “Perioperative Optimization with Enhanced Recovery” (POWER) trial, barriers and motivators to prehabilitation adherence were examined. While common barriers included health issues and lack of motivation, these didn’t significantly affect exercise adherence. However, higher barriers to healthy […]
Mapping Review Reveals Strategies for Reducing Pain in Chronic Wound Dressing Changes
This mapping review addresses a pressing issue: pain during chronic wound dressing changes. Existing UK guidelines prioritize wound healing over pain management during these procedures. The review aims to gather, assess, and describe current research on strategies for assessing and reducing pain during chronic wound dressing changes. By sifting through the available evidence, it seeks […]
Comparing Laser Hemorrhoidoplasty and Milligan-Morgan Hemorrhoidectomy
When it comes to treating troublesome hemorrhoids (grade 2-3), this study pits two methods against each other: laser hemorrhoidoplasty (LH) and the classic Milligan-Morgan hemorrhoidectomy (MM). Researchers conducted a clinical trial involving 85 patients. Surprisingly, LH didn’t shine; it didn’t offer a significant advantage over MM. LH is often touted as less painful, but this […]
Hemithyroidectomy Found Effective for Noninvasive Medullary Thyroid Tumors
In patients with nonmetastatic medullary thyroid cancer, researchers examined the use of hemithyroidectomy, a less extensive surgery, instead of total thyroidectomy. They identified two types of tumors, desmoplasia-negative and desmoplasia-positive, based on markers in the tumor tissue. The results showed that patients with desmoplasia-negative tumors who had hemithyroidectomy achieved a biochemical cure without compromising their […]