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Best Papers in General Surgery
The five that matter, every day.
Antimicrobial prophylaxis with ampicillin-sulbactam was associated with significantly lower rates of surgical site infection, anastomotic leakage, and respiratory failure compared to cefazolin in esophagectomy patients. This choice of antibiotic also led to reduced respiratory complications, shorter hospital stays, and lower total hospitalization costs, with no…
The study analyzed pre-surgical factors affecting latent trajectories of 5-year weight loss in a bariatric surgery population. Researchers identified three distinct trajectories of weight loss for gastric sleeve and bypass operations, influenced by factors such as BMI, environmental factors, comorbidity burden, race, and weight control…
Patients with BCLC-A/B HCC beyond Milan criteria and tumor burden beyond the up-to-7 criteria but within 3 tumors showed better overall survival with surgical resection compared to transarterial chemoembolization. The seven-eleven criteria can help identify candidates for surgical resection in this patient population, emphasizing the…
In a randomized clinical trial (SIRIRALS), patients with stage 1-3 colon cancer underwent robot-assisted or laparoscopic surgery. The laparoscopic group exhibited a higher postoperative C-reactive protein response on the first day, but no significant differences on subsequent days. Robot-assisted surgery was associated with reduced surgical…
Robotic surgery is increasingly utilized in emergency general surgery cases, showing significant year-over-year increases for cholecystectomy, colectomy, inguinal hernia, and ventral hernia repair. It is associated with a lower risk of conversion to open surgery and shorter postoperative lengths of stay compared to laparoscopic surgery.…
Firearm violence in American schools has increased significantly over 53 years, with a total of 2,056 school shooting incidents involving 3,083 victims analyzed. Most victims and shooters were male, with rifles showing a higher fatality-to-wounded ratio. Linear regression analysis revealed a significant increase in rates…
Analyzing a national cancer database, researchers found that adjuvant chemoradiation in resected extrahepatic bile duct or gallbladder adenocarcinoma, following the SWOG S0809 protocol, yielded a median overall survival of 36.9 months. A propensity score-matched cohort revealed a survival benefit for those receiving adjuvant chemoradiation over…
Competitive surgeon compensation is crucial for successful faculty recruitment and retention in academic medicine. An optimal compensation system should support patient care, encourage teamwork, recruit and retain faculty, and be viewed as fair and transparent. Ensuring compensation remains a background issue for academic surgeons requires…
After reviewing trauma admissions from 2018 to 2021, researchers found an overall loss to follow-up rate of 36.9%. Non-white patients, those who underwent operations, and individuals discharged to rehabilitation facilities were more likely to attend follow-up appointments within 30 days. Patients with substance use disorder…
Generative AI chatbots like ChatGPT-3.5, ChatGPT-4, Bard, and Claude-2 were assessed for content and quality on appendicitis information. Results showed favorable quality scores for all but Claude-2, which had significantly lower quality. Bard was the only platform providing verifiable sources, while others advised consulting a…
