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Best Papers in General Surgery
The five that matter, every day.
Total pancreatectomy with islet autotransplant (TPIAT) for pancreatitis patients has a 10-year survival rate of 85.2% and a 15-year rate of 76.2%. Most deaths (53 out of 89) were possibly related to TPIAT, with causes including chronic gastrointestinal issues, malnutrition, and diabetes. Younger age, longer…
In colorectal liver metastases (CRLM), the review investigates the association between KRAS status, histopathological growth patterns (HGPs), and their impact on resection margins around major vasculature and bile ducts. The study emphasizes the importance of balancing negative margins and preserving vascular and biliary structures during…
Among patients under 40 undergoing cholecystectomy, 1.9% exhibited symptoms suggestive of low phospholipid associated cholelithiasis (lpac). Family and obstetric history may aid in its diagnosis, as none of the lpac cases were initially recognized by clinicians. This study highlights the importance of considering lpac in…
Endoscopic gallbladder stenting (ETGS) significantly reduces recurrent cholecystitis in patients with deferred cholecystectomy, demonstrating 0% recurrence at 3 months compared to 18.3% in the non-ETGS group. Although not statistically significant, ETGS also shows a trend towards lower recurrence (0% vs. 10%) at 3-6 months. Technical…
Surgeons in the US decreased opioid prescriptions post-surgery from 2013 to 2017, with 81.6% of counties showing a decreasing trend. Factors such as lower median population age, higher education levels, insufficient sleep rates, healthcare costs, fewer mental health providers, and uninsured adults were linked to…
Patients with primary hyperparathyroidism experience significant improvements in mood and sleep quality after parathyroidectomy. Depression scores significantly decreased at 3 and 12 months post-surgery compared to preoperative levels. Sleep quality showed improvement at 12 months, particularly in daytime dysfunction. These findings highlight the importance of…
Studies on chronic antibiotic refractory pouchitis highlight limited evidence for non-pharmacologic therapies while demonstrating efficacy of biologic therapies such as mesalamine, budesonide, anti-tumor necrosis factor alpha therapies, ustekinumab, and vedolizumab in managing the condition. Biologic therapies offer a steroid-sparing option, with vedolizumab showing favorable results…
Exposure to surgical smoke from electrocautery in operating rooms poses minimal health risks to personnel, with low levels of pollutants and particulate matter. Virus transmission through electrocautery remains uncertain. Current mandates for smoke evacuators are deemed unnecessary based on the limited health hazards associated with…
In a comparison of nine trauma registries in Canada, researchers found significant variability in the abstraction and definitions of complications reported. Of the 53 identified complications, 40% were recorded by only one registry, and 56% of those collected by more than one registry had different…
Results from a retrospective chart review show that 96% of pediatric assault trauma patients had at least one trauma-informed element documented, compared to 82.5% of adult patients. Social workers were the most likely to document trauma-informed elements, with pain assessment and social support being the…
