A study examined the impact of patient transfer for definitive surgical intervention in cases of perforated peptic ulcer disease (PPUD). The analysis found that transferred patients had a significantly longer length of stay compared to non-transfer patients. The average length of hospital stay for transferred patients was over twice as long, with an average of […]
Category: General Surgery
Efficacy of Nissen Sleeve Gastrectomy in Long-Term Barrett’s Esophagus Regression
Results of a bicentric retrospective study involving 692 patients who underwent Nissen Sleeve Gastrectomy (NSG) demonstrated that NSG led to the healing of known Barrett’s Esophagus (BE) in approximately 64.1% of patients at a 2-year follow-up. The incidence of de novo BE post NSG was found to be nil among the 234 patients who underwent […]
Hiatal hernia significantly increases the risk of Barrett’s esophagus, particularly long-segment Barrett’s esophagus
This meta-analysis examined the association between hiatal hernia and Barrett’s esophagus (BE) using 47 studies involving 131,517 participants. The unadjusted data showed that hiatal hernia was significantly associated with an increased risk of any length BE. Furthermore, hiatal hernia was found to be a significant risk factor for BE, particularly long-segment Barrett’s esophagus. These findings […]
Association between Neutrophil to Lymphocyte Ratio and Anastomotic Leak after Gastrointestinal Surgeries
Patients who developed an anastomotic leak (AL) after gastrointestinal surgeries had significantly higher neutrophil to lymphocyte ratio (NLR) levels compared to those who did not. This association was observed in retrospective studies and among white patients, but not consistently in prospective studies and among East Asian patients. These findings suggest a potential link between preoperative […]
Study Finds No Association Between Perioperative Hypothermia and Surgical Site Infections in Liver Resection Patients
Perioperative hypothermia is not significantly correlated with surgical site infections (SSI) in patients undergoing liver resection, according to a retrospective cohort study. Researchers analyzed data from 4,000 patients and found that among those with hypothermia, 6.8% developed SSI. However, after propensity score matching, there were no substantial differences in SSI rates between the hypothermia and […]
Successful Iterative Revisions of Clinical Pathways Led to 32% Decrease in Pancreatectomy Costs
Iterative revisions of risk-stratified pancreatectomy clinical pathways were associated with a 32% decrease in 90-day perioperative costs. The study included 814 patients with three iterations of the pathways, and each iteration showed a decrease in accordion grade 3+ complications and median hospital stays without an increase in readmissions. The greatest savings were seen in the […]
Impact of Tumor Subclassifications on Surgical Strategy for Intrahepatic Cholangiocarcinoma
This study compared the impact of subclassifying intrahepatic cholangiocarcinoma (ICC) into small and large duct types, on the selection of appropriate surgical strategies. By analyzing 118 patients who underwent liver resection, researchers found that patients with small duct-type ICC had better outcomes with hepatectomy alone, while those with large duct-type ICC benefited from advanced procedures […]
Significant Increase in Use of Acute Laparoscopic Surgery for General Surgical Conditions
Over a 10-year period, researchers assessed the utilization of acute laparoscopic surgery for common general surgical conditions in New Zealand. The study found that laparoscopic appendicectomy, cholecystectomy, adhesiolysis, and inguinal hernia repair significantly increased, with the highest rise observed in appendicectomy and adhesiolysis. Laparoscopic surgery cohorts had shorter hospital stays and lower costs compared to […]
Family Perspectives on End-of-Life Care After Surgery: Unresolved Narratives & Disempowerment
Researchers analyzed 936 open-text responses from bereaved families to explore their experiences with end-of-life care after surgery. The results revealed a belief in unnecessary pain and distrust in treatment decisions among respondents. Limited communication about disease severity and surgical risks led to conflicting narratives about the cause of death. Families expressed feelings of disempowerment when […]
Effects of Endovac Therapy on Gastric Conduit Perfusion: Porcine Model Study
The study aimed to assess the effects of endoluminal vacuum sponge therapy (endovac) on gastric conduit perfusion in a porcine model for esophagectomy. The researchers induced ischemia in the gastric conduit and measured tissue perfusion over time. The findings showed that endovac therapy with a pressure of -125 mmHg significantly increased tissue oxygenation and improved […]