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General Surgery

Best Papers in General Surgery

The five that matter, every day.

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J Am Coll Surg20 Oct 2023

Geographic Disparities in Esophageal Cancer Treatment in Michigan

This study delves into the uneven landscape of esophageal cancer treatment in Michigan. Analyzing data from over 8,600 patients, the researchers found that a mere 27.4% received esophageal surgery. Men, white individuals, the insured, and those in rural areas were more likely to get this…

Dis Colon Rectum20 Oct 2023

Preoperative Chemo Ups Survival in Nonmetastatic T4b Colon Cancer

A game-changer for colon cancer treatment! This study analyzed the impact of preoperative chemotherapy on nonmetastatic T4b colon cancer. Results showed that neoadjuvant chemotherapy significantly increased survival rates. Over the years, its use grew from 4% to 16%. Factors like younger age, male gender, recent…

Dis Colon Rectum20 Oct 2023

CT Scans Predict Feasibility of Intestinal Surgery in IBD Patients

Researchers at Cedars-Sinai have developed a groundbreaking technique using preoperative CT scans to predict whether a patient with inflammatory bowel disease (IBD) will be a suitable candidate for ileal pouch-anal anastomosis (IPAA). By measuring critical lengths related to the small bowel's mesentery, they identified that…

Surg Endosc20 Oct 2023

Laparoscopic Sandwich Technique: A Promising Option for Parastomal Hernia Repair

A study from Catalonia, Spain, examined the effectiveness of the laparoscopic sandwich technique for parastomal hernia repair, which uses a double intraperitoneal mesh. Out of 38 patients, the recurrence rate was 7.9%, and the most common complication leading to recurrence was postoperative issues like seroma,…

Surg Endosc20 Oct 2023

Gluing Away Pain: Laparoscopic Hernia Repair with Cyanoacrylate Mesh Fixation

A study on laparoscopic inguinal hernia repair tested the effectiveness of using cyanoacrylate glue (ifabond™) instead of traditional mesh fixation. Postoperative pain significantly decreased at 5 weeks and 12 months after surgery, and there was a noticeable improvement in patients' quality of life. The study…

Surg Endosc20 Oct 2023

Drain Output Timing Doesn’t Impact Post-op Outcomes in Hernia Repair

Surgeons often place retromuscular drains during hernia repair to reduce complications. This study analyzed 336 patients who had hernia repair with varying drain output levels at removal. Results show that the volume of drain output at removal didn't affect postoperative wound complications, length of stay,…

Surg Endosc20 Oct 2023

Revolutionizing Colon Surgery: Laser Speckle Imaging Enhances Perfusion Visualization

A game-changing tool has emerged in the world of colon surgery. Laparoscopic laser speckle contrast imaging (LSCI) provides real-time, dye-free visualization of intestinal perfusion. This study, involving 64 patients, revealed LSCI's potential to accurately image colonic perfusion without disrupting surgery. Operating surgeons found it easy…

Perspectives, Opinions and Curiosities19 Oct 2023

The Lancet: Two Centuries of Impact on Medicine and Society

The Lancet, celebrating its 200th anniversary in 2023, reflects on its historical journey of shaping the medical landscape in the UK and globally. This survey explores how the journal has championed "the best science for better lives" through pioneering articles on medical advancements and healthcare…

Ann Surg19 Oct 2023

Surgery Timing for Low-Risk Thyroid Microcarcinoma: Immediate or Delayed?

A study explored the outcomes of treating low-risk papillary thyroid microcarcinoma (PTMC) through immediate surgery (IOP) or delayed surgery after active surveillance (DOP). DOP was an alternative to immediate surgery. Among the 516 patients undergoing surgery, DOP patients had larger tumors, more lymphatic invasion, and…