Newsletter
Best Papers in General Surgery
The five that matter, every day.
Surge in Electric Bicycle Injuries: US Cases Soar 30-Fold from 2017 to 2022, with Head Trauma Incidence Surging 49 Times. Hospitalizations reach 5462, a 43-fold increase, with injuries in children rising to 13%. Head injuries rise sharply, while helmet use declines by 5.6% annually, worn…
Implementing enhanced recovery pathways in rectal cancer surgery decreased short-term morbidity and length of hospital stay. However, adherence to these protocols did not show an improvement in long-term overall survival, cancer-specific survival, or disease-free survival compared to non-enhanced care. Therefore, while enhanced recovery pathways reduce…
Peritoneal mesothelioma patients had a high venous thromboembolism (VTE) risk, with 21.7% experiencing VTE, mainly symptomatic pulmonary emboli. 4-week thromboprophylaxis post-surgery resulted in acceptable 90-day VTE rates. Surgical patients and those with low serum albumin had higher VTE risk, but overall survival did not significantly…
Surgeons and anesthesiologists at an academic medical center completed surveys revealing higher global well-being scores linked to workplace satisfaction and support. Anesthesiologists reported lower satisfaction and control than surgeons. Template analysis identified five intervention areas. Both specialties prioritized patient care, but differed in other priorities.…
Mapping the surgical discharge process in US hospitals revealed key components and challenges specific to surgical patients. Current care transition models do not address wound care education, pain control, non-home post-discharge locations, and follow-up plans. Challenges include social situations, team communication issues, and post-discharge care…
Patients with 1 metastatic lymph node had a median overall survival of 49.8 months, while those with 2 metastatic lymph nodes had an overall survival of 33.3 months. Survival was not significantly different between patients with 1 metastatic lymph node in 1 lymph node metastasis…
Proximal gastrectomy (PG) and total gastrectomy (TG) for upper-third advanced gastric cancer (AGC) and Siewert type II esophagogastric junction (EGJ) cancers yield similar overall survival rates (61.7% vs. 68.3%) and recurrence-free survival rates (86.7% vs. 83.3%). PG group had eight recurrences, but operation method was…
Researchers conducted a randomized trial comparing stapled hemorrhoidopexy alone to stapled hemorrhoidopexy plus ligation anopexy for grade III-IV hemorrhoids. Although short-term outcomes were similar, the combined approach showed significantly better long-term results. After 36 months, the stapled-only group had a 16% recurrence rate, requiring redo…
Researchers proposed a novel predictive model based on preoperative imaging parameters and stapler handling for postoperative pancreatic fistula (POPF) in distal pancreatectomy. Among 81 patients who underwent the procedure using a linear stapler, 38.2% developed POPF. The model identified computed tomography-measured pancreatic thickness and pancreas-to-muscle…
Researchers compared laparoscopic sleeve gastrectomy (LSG) with laparoscopic Roux-en-Y gastric bypass (LRYGB) in treating obesity. The meta-analysis of 20 studies involving 1270 patients showed that LRYGB was superior to LSG in terms of BMI loss at six months and short-term T2DM remission efficacy. However, LSG…
