Blog

MCAPS score predicts conversion risk in laparoscopic appendectomy

A study of 445 patients undergoing laparoscopic appendectomy for acute appendicitis revealed a 3.8% conversion rate to open surgery. Statistical analyses identified a Malatya Complicated Appendicitis Prediction Score (MCAPS) of 6 or higher as the only significant independent risk factor for conversion during the procedure. Additional factors, such as age and clinical metrics, were associated in univariate analyses but not in multivariate analyses. This score can guide clinicians in anticipating conversion needs in surgical management.

Journal Article by Ceylan C, Elbistan İ and Barut B in Ulus Travma Acil Cerrahi Derg

read the whole article in Ulus Travma Acil Cerrahi Derg

open it in PubMed

AI Tool Enhances Prediction of Liver Resection Complexity

An advanced AI tool has been developed to predict intraoperative liver resection complexity (LRC) using preoperative CT scans. By generating 3D models of anatomy, including tumors and vascular structures, the tool outperforms traditional predictions made by surgeons. With an accuracy of 79.4% and an AUC of 85.1%, it provides significant improvements in forecasting surgical complexity. This innovation could streamline oncology surgery planning and guide patients to suitable medical centers based on anticipated LRC.

Journal Article by Ali O, Bône A (…) Vibert E et 7 al. in Ann Surg

Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved.

read the whole article in Ann Surg

open it in PubMed

Key Missing Firearm Laws Could Prevent Over 110,000 Suicides

A study identified that the implementation of specific firearm laws could significantly reduce suicide rates across the U.S. Child Access Prevention (CAP) laws and Concealed Carry Permitting (CCP) laws were highlighted as the most impactful missing regulations, with CAP associated with a 47% reduction in suicide rates. A staggering total of 114,106 suicides were linked to the absence of these critical laws from 2010 to 2019, underscoring the need for legislatures to consider these findings in policymaking.

Journal Article by Laudon AD, Franks JA (…) Scantling DR et 6 al. in Ann Surg

Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved.

read the whole article in Ann Surg

open it in PubMed

CPOE prompts lead to reduced use of extended-spectrum antibiotics

Implementing computerized provider order entry (CPOE) prompts significantly reduced the use of empiric extended-spectrum antibiotics for non-critically ill patients with abdominal infection. In a trial involving 198,480 patients across 92 hospitals, a 35% relative reduction in antibiotic days was observed with CPOE intervention compared to routine care, while hospital length of stay and ICU transfer rates remained stable. These findings suggest improved antibiotic stewardship practices can optimize treatment without compromising patient safety.

Journal Article by Gohil SK, Septimus E (…) Huang SS et 28 al. in JAMA Surg

read the whole article in JAMA Surg

open it in PubMed

Robotic surgery improves outcomes for hiatal and paraesophageal hernia repair

A study of 1,834 patients revealed a significant increase in the adoption of robotic surgery for hiatal and paraesophageal hernia repairs. Robotic techniques led to superior symptom resolution compared to open surgery, especially in larger hernias. Although overall rates for recurrence and reoperation remained low, robotic surgery exhibited a higher recurrence rate for large hernias without increasing reoperation rates. Additionally, a notable decrease in length of stay was observed, indicating improved recovery times with minimally invasive approaches.

Journal Article by Ueda G, Qaraqe T (…) Hubka M et 5 al. in J Robot Surg

© 2025. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.

read the whole article in J Robot Surg

open it in PubMed

Effective surgical response is crucial during disaster scenarios.

The surgical disaster response team from Ankara Etlik City Hospital addressed significant challenges following the February 6, 2023 earthquakes in Türkiye. Operating in Hatay-Reyhanlı, the team performed a total of 96 orthopedic procedures, representing 80% of interventions. Recommendations highlight the need for a comprehensive disaster preparedness plan, emphasizing integrated roles for various specialists, including pediatricians and emergency medicine experts. Ensuring robust team structure and clear management can enhance response efficiency in future disasters.

Journal Article by Özdemir Ü, Kaymakçı E (…) Ergil J et 5 al. in Ulus Travma Acil Cerrahi Derg

read the whole article in Ulus Travma Acil Cerrahi Derg

open it in PubMed

Checklist interventions enhance hospital ward rounds and patient outcomes

A systematic review of 84 studies revealed that checklist interventions significantly reduced ICU length of stay and improved documentation without extending ward round duration. In contrast, structured interventions did not impact patient length of stay or 30-day readmission rates. This evidence synthesis, which included over 43,000 patients across 18 countries and 23 specialties, presents the first comprehensive meta-analysis of ward round enhancements, suggesting that incorporating checklists can optimize patient care.

Review by Treloar EC, Ey JD (…) Maddern GJ et 4 al. in Br J Surg

© The Author(s) 2025. Published by Oxford University Press on behalf of BJS Foundation Ltd.
© The Author(s) 2025. Published by Oxford University Press on behalf of BJS Foundation Ltd.

read the whole article in Br J Surg

open it in PubMed

Concomitant surgery improves gastroesophageal reflux outcomes in obesity

A propensity score-matched analysis of 406 patients revealed that concomitant laparoscopic sleeve gastrectomy (LSG) with hiatal hernia repair (HHR) significantly improves outcomes for gastroesophageal reflux disease (GERD) compared to LSG alone. While operative time was longer with HHR, the only notable difference in complications was a reduced incidence of new GERD symptoms in patients receiving HHR. Therefore, pairing HHR with LSG effectively enhances postoperative GERD management in this population.

Journal Article by El Nakeeb A, Aldossary H (…) Attia M et 9 al. in Obes Surg

© 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

read the whole article in Obes Surg

open it in PubMed

Millions of Americans Lack Access to Quality Surgical Care

Access to surgical care poses significant challenges for roughly 100 million Americans, representing one in three individuals who face inadequate healthcare options. This disparity incurs a staggering $1 billion annually in preventable healthcare costs and contributes to higher morbidity and mortality rates. Key barriers include rural geography, hospital closures, and systemic issues affecting marginalized communities. Effective solutions must address these complex factors to enhance both accessibility and affordability of quality surgical services nationwide.

Journal Article by Johnson SM and Miller-Hammond K in Am Surg

read the whole article in Am Surg

open it in PubMed

DeepGuide enhances membrane visualization in surgery.

DeepGuide, a novel navigation system, significantly improved mesenteric integrity rates from 75% to 98% during laparoscopic radical resections in a study involving 60 patients. The system demonstrated superior signal-to-background ratios (2.30 ± 0.15) compared to conventional illumination (1.32 ± 0.16). Additionally, immunofluorescence analyses confirmed collagen enrichment aligned with 385 nm-excited autofluorescence properties. This innovative tool enhances surgical precision, reinforcing the significance of membrane anatomy in oncologic surgery.

Journal Article by Chen Z, Li X (…) Wei H et 5 al. in Int J Surg

Copyright © 2025 The Author(s). Published by Wolters Kluwer Health, Inc.

read the whole article in Int J Surg

open it in PubMed