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Best Papers in General Surgery
The five that matter, every day.
Chewing 2.8g of gum prior to total thyroidectomy surgery can significantly decrease the incidence of moderate/severe postoperative sore throat within 48 hours after the procedure. This finding was established through a randomized controlled trial involving 148 patients, with the 2.8g gum group demonstrating a lower…
Mortality rates among patients undergoing acute high-risk abdominal surgery were significantly higher among those with myocardial injury after surgery (MINS), defined as elevated troponin I (TNI) levels. The incidence of MINS was 23.8%, and these patients had a 30-day mortality rate of 19.8%, compared to…
The use of negative pressure wound therapy (NPWT) during intestinal anastomosis has been controversial. A single-center cohort study was conducted to identify risk factors for anastomotic dehiscence in patients who received NPWT therapy. The study found that females, delayed fascial closure, use of vasopressors, and…
Researchers conducted a study to evaluate the perioperative outcomes of retroperitoneoscopic adrenalectomy (RPA) before and after expert intensive trainings (EITs), and compared it to other laparoscopic adrenalectomy approaches. They found that RPA, in addition to offering direct surgical access, had shorter procedure duration, hospital stay,…
This study retrospectively analyzed consecutive patients who underwent surgery for hilar obstruction and aimed to determine factors distinguishing benign from malignant causes and long-term outcomes after resection. Among 182 patients, 14% had benign disease. Significant differences were found in ca19-9 levels and cross-sectional imaging features…
The study investigated prognostic factors in older patients (≥70 years) and younger patients (
A retrospective study analyzed the outcomes of patients with resectable locally advanced esophageal squamous cell carcinoma (LA-ESCC) who underwent neoadjuvant chemoradiotherapy. Researchers found that tumor shrinkage rate is an independent prognostic factor for progression-free survival (PFS). For patients who responded to treatment, extending the time-to-surgery…
Delaying sigmoid colectomy (>2 days) after decompression in geriatric patients with sigmoid volvulus is linked to reduced cardiac complications and a lower ostomy rate. However, it extends overall hospital length of stay and increases costs, showcasing the nuanced outcomes associated with the timing of surgical…
Researchers have developed a transumbilical stapling technique specifically tailored to the unique demands of one anastomosis gastric bypass (OAGB) procedures. The study builds upon previous work and addresses the challenge of creating a slender gastric tube spanning 25 cm for OAGB. The technique, called transumbilical…
The systematic review and meta-analysis of randomized clinical trials on enhanced recovery after surgery (ERAS) protocols in bariatric surgery revealed that ERAS programs significantly reduce postoperative nausea and vomiting, intraoperative time, time to mobilization, intensive care unit stays, hospital stay, and readmission rates compared to…
