Results from a prospective cohort study conducted at a highly specialized pelvic exenteration referral center revealed distinct trajectories of quality of life following surgery for advanced cancers within the pelvis. Two trajectory classes were identified for physical component score, three for mental component score, and three for functional assessment of cancer therapy-colorectal total score. Patients […]
Category: General Surgery
Telehealth Follow-Up After General Surgery Procedures is Safe and Effective: Study Highlights Lower Complication Rates
Telehealth utilization for postoperative care in general surgery has rapidly increased during the pandemic, but its usage among the veteran surgical population remains limited. A retrospective review of veterans undergoing general surgery found that telehealth follow-up after qualifying procedures was safe and effective. Among the 1075 patients included in the study, 56% followed up in-person […]
Availability and Variation of Parental Leave Policies for General Surgery Residency Programs
Only 6% of general surgery residency program websites and 52% of graduate medical education (GME) websites provide information about parental leave policies. Family Medical Leave Act policies are most commonly reported, followed by maternity, paternity, and adoption/other clauses. The study found that academic programs, program location in the southeastern US, and larger program size were […]
Development and Evaluation of the Kenya Hospital Assessment Tool (K-HAT) for Surgical Capacity in Kenyan Hospitals
The study developed and tested the Kenya Hospital Assessment Tool (K-HAT) to assess surgical capacity in Kenyan hospitals. The K-HAT collected comprehensive and detailed information, presenting a significant improvement over the World Health Organization’s tools. The pilot test team found the K-HAT easy to administer and understand, taking approximately 1 hour to collect data from […]
Impaired liver function after major hepatectomy affects feasibility of adjuvant chemotherapy for biliary tract cancers
The study explored the feasibility of S-1 adjuvant chemotherapy after major hepatectomy for biliary tract cancers. Comparing major hepatectomy (mh) with non-major hepatectomy (nmh), researchers found that mh had a lower treatment completion proportion and dose intensity. Additionally, caution should be exercised to prevent biliary tract infections and gastrointestinal disorders during adjuvant S-1 chemotherapy after […]
Robot-assisted retromuscular repair offers superior short-term outcomes for ventral hernias compared to laparoscopic IPOM
Robot-assisted retromuscular repair of ventral hernias yields better short-term outcomes compared to laparoscopic intraperitoneal onlay mesh (IPOM) repair. A nationwide study found that patients who underwent robot-assisted repair had significantly lower rates of hospitalization for more than 2 days and 90-day readmission compared to those who underwent laparoscopic IPOM. However, there was no difference in […]
Synthetic Mesh Shows Cost Advantage and Pain Reduction in Hernia Repair
The study compared patient-reported quality of life scores and costs after ventral hernia repair surgeries using either biologic or synthetic mesh. There were no significant differences between the two mesh types in terms of overall quality of life measures. However, the synthetic mesh group showed a greater reduction in disability, specifically in the physical role […]
Validation of a New Silicone Model for Robotic TAPP Inguinal Hernia Repair
The study aimed to validate a new low-cost silicone model for simulating robotic TAPP inguinal hernia repair. A TAPP-specific fidelity questionnaire and assessment scale were developed to compare the performance of novices and experts in the simulated procedure. The participants included residents and specialists from across the country. The study found that seniors outperformed juniors […]
Preoperative prediction model identifies risk factors for gallbladder adenoma
Researchers conducted a retrospective analysis to identify risk factors for gallbladder adenoma, a precancerous lesion. They analyzed data from patients who underwent cholecystectomy and found that age, gallbladder wall thickness, polyp size, echogenicity, pedunculation, and adenosine deaminase (ada) levels were independent predictors of gallbladder adenoma. Using these factors, they developed a preoperative prediction model with […]
Comparative Study Shows Comparable FLR Growth with RPVL and RPVE for Bilobar Liver Metastases
The results of a comparative study using a propensity score between right portal vein ligation (RPVL) and embolization (RPVE) for bilobar liver metastases from colorectal cancer show that RPVL and RPVE are both effective in providing left hemi-liver hypertrophy before right hepatectomy. There was no significant difference in future liver remnant (FLR) growth between the […]