Newsletter
Best Papers in General Surgery
The five that matter, every day.
This study delves into techniques used to reduce complications in esophagectomy, where blood flow issues often lead to problems. They compared three methods: one-step esophagectomy, laparoscopic gastric ischemic conditioning (lapgic), and angioembolization (angiogic). Results from 14 studies involving 1760 patients indicate that both lapgic and…
Researchers have successfully validated the accuracy of two fistula risk scores, "distal fistula risk scores" and "dispair," in predicting postoperative pancreatic fistula (POPF) after distal pancreatectomy. These scores are based on various patient factors like body mass index, diabetes, and pancreatic characteristics. With a 19.3%…
In a survey involving 440 surgeons and anesthesiologists, 55.2% of participants reported experiences of gender bias. Women faculty members, in particular, expressed the need to continually prove themselves, experienced less respect, had fewer opportunities and resources, faced more assumptions about their abilities, and felt the…
Exploring the impact of common channel (CC) length in duodenal switch (DS) surgeries on Type II diabetes mellitus (DM) remission, this study analyzed 341 DM patients with varying CC lengths (100 cm, 150 cm, and 200 cm). When stratified by insulin dependence, patients with shorter…
In the quest to understand 30-day readmission rates following laparoscopic sleeve gastrectomy, a study involving 235,563 patients identified several influential factors. These factors included age, gender, body mass index (BMI), payment source, length of hospital stay, comorbidities, and hospital characteristics. Older age, male gender, higher…
While penetrating trauma occurs less often in females, a study delving into this specific demographic reveals some intriguing findings. Females, on average, had less severe injuries than males, but the mortality rates were similar. Surprisingly, females underwent fewer surgical or interventional radiology interventions. After accounting…
Postoperative complications can lead to death, but what predicts this failure to rescue, especially after respiratory failure? In a study involving 13,047 adult patients, researchers pinpointed eight key predictors. These include age, sex, preoperative health status, conditions like ascites and cancer, and preoperative biochemical markers.…
Researchers delved into Medicare claims data from 2007-2015 to unveil the secrets of emergency parastomal hernia repair (PHR) in older adults. Among 6,658 patients, they discovered that this procedure comes with significant complications (62.3% within 30 days), but technique matters. Patients undergoing ostomy resiting had…
Researchers have introduced a groundbreaking recurrence prediction value (RPV) system for stage II colon cancer, offering a precise way to identify patients at high risk of cancer recurrence. Using a vast international dataset, they established that RPV successfully stratifies patients into low and high-risk categories.…
In the treatment of gastroesophageal reflux disease (GERD), repairing hiatal hernias alongside antireflux surgery is common. A 13-year follow-up of a randomized clinical trial reveals that using a nonabsorbable mesh for hiatal hernia repair doesn't significantly reduce hernia recurrence rates compared to crural sutures alone.…
