Out of 627 articles reporting surgical outcomes, only 1 met all quality criteria, while 356 articles fulfilled less than half. Cumulative morbidity burden and patient-reported outcomes were commonly missing. Higher impact medical journals had better reporting compared to surgical journals. There has been little improvement in the quality of outcome reporting over the past 20 […]
Category: General Surgery
Understanding Patient Decision-Making for Colectomy in Recurrent Diverticulitis
Patients’ perspectives on colectomy for recurrent diverticulitis were explored through focus groups. A conceptual framework was developed to capture major themes identified in the qualitative data. The study found that the decision to pursue colectomy is highly preference sensitive, influenced by patients’ beliefs about surgery, psychosocial context, and moderating factors. These factors included clinical history, […]
Intraoperative and Postoperative Complications in Antireflux and Hiatus Hernia Surgery
A comprehensive cohort study of 4,301 patients undergoing antireflux and hiatus hernia surgeries in Australia revealed a 12.6% incidence of intraoperative complications and a 13.3% incidence of postoperative complications. Independent predictors of complications included the Charlson comorbidity index, hernia size, revisional surgery, and baseline anticoagulant usage. These risk factors had distinct complication profiles and their […]
A Novel Serum Exosomal miRNA Signature Predicts Persistent Organ Failure in Acute Pancreatitis
This study aimed to identify potential biomarkers for early prediction of persistent organ failure (POF) in acute pancreatitis (AP) patients. Using serum exosomal miRNAs, researchers identified a classifier comprising three miRNAs (miR-4265, 1208, 3127-5p) that demonstrated high predictive value for POF. This classifier outperformed other clinical indicators and was effective in identifying prediagnostic POF in […]
CR/HIPEC Study Shows Decreased Opioid Use and Shortened Hospital Stay with Continuous Wound Irrigation and Intraoperative Methadone
Continuous wound irrigation and intraoperative methadone usage in cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) significantly reduced opioid use and shortened length of hospital stay compared to epidural analgesia. The combination of continuous wound infusion system (CWIS) and methadone resulted in lower total and daily opioid exposure. The CWIS-only group had lower oral opioid exposure […]
Embracing Minimally Invasive Coloproctology: Navigating the Future
The field of coloproctology is witnessing a paradigm shift towards less invasive treatments due to remarkable advancements in medical care. This shift is particularly notable in gastroenterology, specifically in colorectal surgery. Both benign and malignant colorectal conditions are now being treated with more conservative and less invasive approaches. The study highlights the avoidance of radical […]
Transanal Total Mesorectal Excision (TaTME) Shows High Local Recurrence-Free Survival in Rectal Cancer Patients
Researchers analyzed local recurrence and disease-free survival in patients treated with transanal total mesorectal excision (TaTME) for rectal cancer. The study included 279 patients treated at a high-volume tertiary center in Vancouver, Canada. The results showed that the local recurrence rate was 4.7%, and the estimated 2-year local recurrence-free survival was 95.0% with 94.5% at […]
Predicting Surgical Complications in Colonic Neoplasia Patients Using Machine Learning
A study investigated the utility of machine learning algorithms in predicting complications for patients undergoing colectomy for colonic neoplasia. The three machine learning models successfully identified patients who developed complications, with the neural network scoring highest in predicting anastomotic leak, prolonged length of stay, and inpatient mortality. Although differences in model performance were largely insignificant, […]
Internal Orifice Narrowing Reduces Seroma Formation in Laparoscopic Inguinoscrotal Hernia Repair
Internal orifice narrowing achieved by suturing the distal hernia sac in laparoscopic repair of inguinoscrotal hernias significantly reduces the incidence and volume of seroma formation. A double-blind randomized controlled trial with 58 patients showed a lower seroma incidence at 7 days and reduced seroma volume on postoperative day 7 in the experimental group. Neither chronic […]
Failed nonoperative management of appendicitis in older adults increases morbidity, length of stay, and costs
The study analyzed the risks and consequences of failed nonoperative management of appendicitis in older adults. Using data from the 2004-2017 national inpatient sample, the researchers found that nonoperative failure in patients under 65 was associated with increased morbidity, length of stay, costs, and discharges to skilled facilities. Similar outcomes were observed in patients aged […]