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Best Papers in General Surgery
The five that matter, every day.
Transection of the round ligament of the uterus (RLU) during minimally invasive groin hernia repair in women reduces operative time with no difference in postoperative complication rates. Preserving the RLU does not impact chronic pain, paresthesia, recurrence rates, or complications. Further randomized studies are needed…
Long-term mesh-related complications from minimally invasive intraperitoneal onlay mesh for small to medium-sized ventral hernias are extremely low, with only a 0.62% rate of reoperation due to mesh complications up to 6 years postoperatively. This study of 325 patients showed that intraperitoneal mesh remains a…
Comparing laparoscopic and open surgery in obstructive colorectal cancer patients following stent placement, a meta-analysis of 12 cohort studies found no difference in 30-day mortality rates. While laparoscopic surgery had less blood loss, longer operation time, and shorter hospital stay, open surgery had more complications.…
Trainees with higher composite scores at Irish selection had higher odds of progressing to higher specialist training. Technical aptitude scores were positively correlated with future operative performance in both workplace and simulated environments. Interpersonal skills assessed during selection were associated with future performance in communication…
CRC incidence is significantly higher in patients with high-risk adenomas (HRAs) diagnosed at colonoscopy, with a 1.53-fold increase in risk. However, patients with only distal pedunculated polyps without high-grade dysplasia do not have an increased CRC risk. The presence of certain risk factors explains most…
Gasless endoscopic thyroidectomy through an axillary approach shows better postoperative physical quality of life, cosmetic satisfaction, and faster recovery in psychological and emotional aspects compared to traditional open thyroidectomy in female patients with differentiated thyroid carcinoma.
Robotic distal pancreatectomy (rdp) had longer operative times but shorter postoperative stays compared to laparoscopic distal pancreatectomy (ldp). RDP also had fewer pancreatic leaks and required fewer interventions. While RDP was more expensive than LDP, reduced hospital stays and lower reintervention rates partially offset this…
Analysis of 86 patients with hepatocellular carcinoma and portal vein tumor thrombosis showed no significant difference in overall survival and recurrence-free survival between laparoscopic and open liver resections. The only predictors of recurrence-free survival were specific pathological factors, not the type of surgery. Laparoscopic resection…
Endoscopic ultrasound-guided gastroenterostomy was found to be superior to enteral stenting in reducing treatment failure and prolonging time until treatment failure in a propensity score-matched cohort study of patients with malignant gastric outlet obstruction. The study showed a significantly higher treatment failure rate in the…
IFSO Worldwide Survey 2020-2021 shows a decrease in the number of metabolic and bariatric surgeries in 2020, but a positive trend in 2021, with sleeve gastrectomy remaining the most performed procedure. Regional protocols for surgery during COVID-19 were reported by 52% of national societies, with…
