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Best Papers in General Surgery
The five that matter, every day.
Researchers delved into minimally invasive liver resections (MILR) and what happens when they switch to open procedures. Out of 1,675 patients, 6.1% required a switch due to unfavorable findings or intraoperative issues. Those needing a conversion experienced higher complications, blood loss, and mortality. Intraoperative conversions…
This study explored the impact of surgical tele-mentoring, where remote experts guide local surgeons via robotic technology. They conducted a feasibility study in fields like general, urology, gynecology, and thoracic surgery, with 15 cases. The results were impressive; participants reported enhanced procedural competence, timely interventions,…
A study on 141 patients with duodenal submucosal tumors (SMTs) explored the outcomes of endoscopic resection (ER). Results showed that 78.7% achieved complete resection, but 6.4% faced complications. High-risk factors for complications included SMTs near the duodenal papilla and those with a diameter exceeding 15mm.…
The study delves into work-related musculoskeletal disorders (WRMD) among pregnant surgeons, an understudied area. Surveying 53 pregnant surgeons, it revealed that almost all of them (94.7%) experienced an exacerbation of WRMD symptoms due to workplace activities. Over 13% had to take unplanned time off work.…
In the INCH-trial, researchers conducted a multicenter randomized controlled trial comparing open and laparoscopic surgery for incisional hernia repair. They initially believed laparoscopic surgery would offer advantages, but after studying 88 patients, found no significant differences in hospital stay, quality of life, or recurrence rates.…
Understanding why patients might not fully engage in pre-surgery prehabilitation programs is vital. In a study connected to the "Perioperative Optimization with Enhanced Recovery" (POWER) trial, barriers and motivators to prehabilitation adherence were examined. While common barriers included health issues and lack of motivation, these…
This mapping review addresses a pressing issue: pain during chronic wound dressing changes. Existing UK guidelines prioritize wound healing over pain management during these procedures. The review aims to gather, assess, and describe current research on strategies for assessing and reducing pain during chronic wound…
When it comes to treating troublesome hemorrhoids (grade 2-3), this study pits two methods against each other: laser hemorrhoidoplasty (LH) and the classic Milligan-Morgan hemorrhoidectomy (MM). Researchers conducted a clinical trial involving 85 patients. Surprisingly, LH didn't shine; it didn't offer a significant advantage over…
In patients with nonmetastatic medullary thyroid cancer, researchers examined the use of hemithyroidectomy, a less extensive surgery, instead of total thyroidectomy. They identified two types of tumors, desmoplasia-negative and desmoplasia-positive, based on markers in the tumor tissue. The results showed that patients with desmoplasia-negative tumors…
This study highlights the importance of financial stability for surgical leaders. It outlines key strategies employed over six years to increase revenue and manage expenses. By expanding faculty, advocating for more resources, and seeking external funding, the department raised revenue by 66%. While expenses also…
