Newsletter
Best Papers in General Surgery
The five that matter, every day.
This study aimed to analyze the connection between surgeon opioid prescribing intensity and patients' subsequent persistent opioid use post-surgery. The results indicate that patients with surgeons in the highest intensity quartile were more likely to fill opioid prescriptions within 7 days after surgery compared to…
Researchers conducted a population-based study to determine if the publication of the STOP-IT randomized controlled trial influenced antibiotic prescribing for patients with complicated intraabdominal infection (CIAI). The study analyzed data from four hospitals in Calgary, Canada, between July 2012 and December 2018. The results showed…
Based on a population dataset analysis, this study compared the outcomes of trainee-led emergency laparotomy surgeries with consultant-led surgeries. The study included 111,583 patients and found that mortality rates at discharge were equivalent between the two groups after adjusting for various factors. Trainee-led operations reported…
A randomized controlled trial evaluated the effectiveness of a postdischarge mobile app in reducing 30-day readmissions and improving patient-reported outcomes after elective colorectal surgery. The app did not significantly reduce readmissions or emergency room visits, but it led to significant improvements in patient satisfaction, well-being,…
In a meta-analysis of 11 randomized controlled trials involving 3,185 rectal cancer patients, researchers compared total neoadjuvant therapy (TNT) to standard long course chemoradiotherapy (LCRT). TNT did not significantly differ in mortality or major complications but increased the risk of breached total mesorectal excision (TME).…
Analyzing 72,376 patients with colorectal liver metastases (CRLM) from the National Cancer Database, researchers found that liver-only CRLM patients undergoing perioperative chemotherapy had a superior median overall survival (OS) of 44.7 months. Resection of both primary and metastatic sites also correlated with better OS (38.9…
Analyzing 1,112 surgical ICU patients, researchers identified congestive heart failure, high SOFA-hepatic score, carbapenem use, and pre-discharge factors (inadequate glycemic control, positive fluid balance, low PaO2/FiO2 ratio, and total parenteral nutrition) as predictors for unplanned ICU readmission. The developed scoring model showed good discrimination, with…
In a retrospective study spanning 25 years, researchers evaluated laparoscopic surgery's role in diagnosing and treating anterior abdominal stab wounds (AASWs). Among 142 surgical patients, laparoscopy (62.7%) proved safe, with only 2 cases of overlooked injuries. For stable patients without significant injuries, laparoscopy demonstrated advantages,…
In cirrhotic patients with portal hypertension undergoing splenectomy with esophagogastric devascularization (SED), portal vein system thrombosis (PVST) is a serious concern. This study involving 562 patients revealed that low preoperative portal vein velocity (PVV) was the strongest independent risk factor for PVST. Patients with PVV…
In assessing competency for the Versius surgical robot, researchers developed a virtual reality simulator-based test. Participants, categorized by experience, underwent exercises on the Versius trainer. Discriminatory analysis revealed parameters distinguishing novices and experienced surgeons but not intermediates. Test-retest reliability analysis showed moderate reliability for selected…
