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Long-term outcomes of ventral hernia repair with sandwich mesh

Long-term follow-up of patients who underwent primary ventral hernia repair or midline incisional hernia repair with sandwich mesh showed minimal pain, normal activities, and favorable patient-reported outcomes. Most patients had an extra-peritoneal sandwich mesh repair, with a low recurrence rate (9.3%). The study suggests that the open sandwich mesh technique is safe and effective in repairing ventral hernias, highlighting the importance of long-term patient-reported outcomes in evaluating surgical interventions.

Journal Article by Mills JMZ, Luscombe GM and Hugh TJ in ANZ J Surg

© 2024 The Author(s). ANZ Journal of Surgery published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Surgeons.

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EUS-FNA Biopsy Techniques for Pancreatic Lesions

Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) accurately diagnosed pancreatic masses in 64 patients, with 46 cases of adenocarcinoma and favorable outcomes for patients negative for malignancy. EUS-FNA showed superior results compared to CT scans, highlighting its effectiveness in tissue sampling for preoperative management of pancreatic masses.

Journal Article by Altinkaya E, Akay E, Koc A and Caglar E in J Coll Physicians Surg Pak

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Subcutaneous Drain Reduces Surgical Site Infections in Abdominal Wound Closure

Patients with secondary peritonitis who received a subcutaneous drain post-laparotomy had a significantly lower incidence of incisional surgical site infections (20% vs. 68%) and shorter hospital stays (8.96 days vs. 14.04 days) compared to those without the drain. Although not statistically significant, the drain also reduced the risk of wound dehiscence. Subcutaneous suction drainage is beneficial in abdominal wall closure for peritonitis cases as it effectively decreases infection rates and shortens postoperative hospital stays.

Comparative Study by Tagar E, Kpolugbo J (…) Irabor D et 3 al. in Ghana Med J

Copyright © The Author(s).

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Dedicated Trauma Center Increases Revenue and Patient Care

Establishing a dedicated center for trauma survivorship generates increased revenue and significantly boosts follow-up visits and necessary procedures for severely injured patients. Financial data from a pre and post-cohort study showed that patients treated in the specialized center not only had higher subsequent visits and underwent more surgeries but also contributed a substantial net revenue increase per patient. Contrary to assumptions, the financial burden of establishing such centers is outweighed by the positive impact on patients’ outcomes and the institution’s financial performance.

Journal Article by Gore A, Huck G (…) Livingston DH et 4 al. in Ann Surg

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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Bariatric Surgery Decreases PAI-1 Levels and Improves Metabolic Markers

Bariatric surgery significantly lowers PAI-1 levels, which correlate with improvements in lipids, glucose, and insulin resistance. The surgery also induces a decrease in body weight and BMI, and helps reverse type 2 diabetes. PAI-1 acts as a regulator of PCSK9, TG, and BMI, while PCSK9 modulates LDL-C, HDL-C, and PAI-1. These changes suggest an improved balance in cholesterol and a reduction in factors contributing to atherosclerosis and cardiovascular disease in obesity.

Journal Article by Castro-Leyva V, Manuel-Apolinar L (…) Martínez-Murillo C et 4 al. in Arch Med Res

Copyright © 2024. Published by Elsevier Inc.

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Circulating tumor cells predict poorer survival outcomes in colorectal cancer patients with peritoneal metastases

Circulating tumor cells (CTCs) detected in 37% of colorectal cancer patients with peritoneal metastases were associated with shorter recurrence-free and overall survival after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy. Patients with CTCs post-neoadjuvant treatment had significantly worse outcomes. Adjuvant therapy improved prognosis in CTC-positive patients but not in CTC-negative ones. CTCs may serve as a personalized biomarker for monitoring disease progression and predicting therapy response in this patient population.

Journal Article by Frühling P, Moberg L (…) Cashin PH et 4 al. in Int J Surg

Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.

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Laparoscopic treatment of extrahepatic choledochal cyst

A novel classification system for extrahepatic choledochal cyst (ecc) has been developed, consisting of type a, type b, type c, and type d. The incidence of comorbidities and postoperative biliary stricture varies significantly among the types. Factors like age, BMI > 30, classification, and presence of combined stones are associated with prolonged operative time. The new classification system, combined with machine learning-driven cluster analysis, offers valuable insights for improved laparoscopic surgical treatment of ecc.

Journal Article by Tao M, Wang X (…) Zheng S et 3 al. in Clin Res Hepatol Gastroenterol

Copyright © 2024 Elsevier Masson SAS. All rights reserved.

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Abdominal wound length impacts postoperative recovery in colorectal cancer patients

Abdominal wound length significantly affects the time of first flatus passage, hospital stay length, and cytokine levels among colorectal cancer patients. Smaller wounds and lower postoperative interleukin-6 levels are associated with quicker recovery and shorter hospital stays. This study highlights the intricate relationship between wound length, cytokine levels, and patient outcomes, emphasizing the importance of wound size in postoperative recovery for colorectal cancer patients.

Journal Article by Tsai PL, Chen JS (…) Chen MJ et 3 al. in Front Surg

© 2024 Tsai, Chen, Lin, Hsu, Lin and Chen.

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Low Socioeconomic Status Linked to Worse Colorectal Cancer Outcomes in Young Adults

Low neighborhood socioeconomic status is associated with poor outcomes in young adults with colorectal cancer. Patients in the lowest quintile were more likely to present with metastases and had lower survival rates compared to those in the highest quintile. Racial disparities were also observed, with non-Hispanic black patients facing higher risks and lower survival rates than non-Hispanic white patients. Interventions targeting early diagnosis and access to surgery are crucial for improving outcomes among minorities and individuals with low neighborhood socioeconomic status in the face of increasing early-onset colorectal cancer cases.

Journal Article by Ko TM, Laraia KN (…) Eskander MF et 8 al. in BMC Surg

Published by Elsevier Inc.

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Damage-Control Laparotomy Lowers Surgical-Site Infection Risks

Damage-control laparotomy and primary fascial closure were associated with lower superficial, but not organ-space, surgical-site infection risks compared to primary fascial and skin closure. Body mass index increased superficial infection risk, while frailty increased organ-space infection risk. Interestingly, the number of operations did not impact surgical-site infection risks in patients who underwent damage-control laparotomy. This study, spanning 2006 to 2021 and including 906 patients, sheds light on the benefits of damage-control laparotomy in reducing postoperative complications.

Journal Article by Ye M, Littlefield CP (…) Skeete D et 3 al. in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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