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Best Papers in General Surgery
The five that matter, every day.
Researchers introduced a novel hidden stitching technique for peritoneal closure in laparoscopic hernia repair to prevent complications associated with the use of barbed suture. The study retrospectively analyzed the data of patients undergoing laparoscopic transabdominal preperitoneal patch (TAPP) procedures. In the hidden stitch group, where…
Researchers evaluated factors contributing to surgical attrition in non-metastatic pancreatic cancer. Clinical trials showed 25-30% of patients did not undergo surgery, mainly due to disease progression. The overall surgical rate in the national cancer database was 49%, increasing to 67% in a cohort resembling clinical…
The study conducted a systematic review with meta-analyses to assess the inheritance of groin hernias. It included 22 studies and found that a positive family history, particularly between mothers and daughters and between sisters, significantly increased the risk of inguinal hernia in children. In adults,…
The current curative multimodal treatment of advanced esophageal cancers includes neoadjuvant or perioperative chemo(radio)therapy and radical surgical resection with a 2- or 3-field lymphadenectomy. Lymph node involvement is a significant predictor of long-term survival in esophageal cancer patients. The distribution pattern of lymph node metastases…
The study aimed to assess the association between social vulnerability and the likelihood of receiving elective and emergency hernia repair in Texas. The results showed that patients with low social vulnerability were 36% more likely to receive surgery, while those with high social vulnerability were…
Researchers conducted a retrospective review of 176 patients with ascites undergoing ventral or inguinal hernia repair. The study found that surgical repair of hernias in patients with ascites is rare (1.4% in ventral hernia cohort, 0.2% in inguinal hernia cohort). The post-operative 30-day adverse clinical…
Surgeons employ a variety of quality-of-life instruments to track outcomes after abdominal wall reconstruction (AWR), but no universally agreed-upon tool exists. A scoping review identified six hernia-specific tools and six generic health tools used in AWR research. The most commonly used hernia-specific tools were the…
Italian scientific societies have collaborated to develop updated multidisciplinary treatment guidelines for hepatocellular carcinoma (HCC). The second part of these guidelines focuses on the non-surgical treatment options and the role of multidisciplinary tumor boards. The document, produced using evidence-based grading methodology, addresses the increasing complexity…
Patients undergoing esophagectomy for malignancy often experience post-operative pulmonary complications (POPC), and this study aimed to investigate if neoadjuvant radiation therapy contributes to their incidence. The analysis of database files revealed no consistent association between neoadjuvant radiation and POPC in all patients. However, in those…
Automated reminder calls (robocalls) were introduced in surgical clinics to reduce appointment no-show rates. A study conducted in a safety-net hospital analyzed data from two surgical clinics before and after the implementation of robocalls. The results showed that robocalls significantly decreased the no-show rates, providing…
