Blog

Appendicoscopy as a novel alternative for acute obstructive appendicitis

Appendicoscopy using a single-operator cholangioscope demonstrated a technical success rate of 96.4% and a clinical success rate of 91.8% in managing acute obstructive appendicitis. The procedure was effective, with 99.1% of patients experiencing pain relief within 6 hours and an average postoperative hospital stay of 3.5 days. No adverse events were reported, suggesting it is a feasible and safe alternative for diagnosis and treatment.

Journal Article by Tao L, Wang H (…) Liu S et 3 al. in Gastrointest Endosc

Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

read the whole article in Gastrointest Endosc

open it in PubMed

NESTS Pathway Enhances Recovery for Spanish-Speaking Trauma Survivors

Spanish-speaking trauma and burn patients face unique challenges post-discharge, including mental health and socioeconomic needs. The NESTS pathway successfully identified and addressed these needs, connecting patients with community resources and improving access to mental healthcare. Food support was a prevalent need, with more patients connected to mental health resources than initially reported. This initiative highlights the importance of tailored support for this vulnerable population.

Journal Article by Antunez AG, Herrera-Escobar JP (…) Anderson GA et 12 al. in J Am Coll Surg

Copyright © 2024 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.

read the whole article in J Am Coll Surg

open it in PubMed

Robotic Surgery in Emergency General Surgery in the US

Robotic emergency general surgery in the US increased significantly, with lower blood transfusion rates in large bowel resections and cholecystectomies. Costs were higher but postoperative complications were reduced, suggesting safety and efficacy. Robotic techniques are a valuable adjunct to laparoscopy, offering potential benefits in selected emergency operations. Increased adoption may be due to improved outcomes, despite cost considerations.

Journal Article by Charland N, Hadaya J (…) Benharash P et 6 al. in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

read the whole article in BMC Surg

open it in PubMed

Bariatric Surgery Improves Outcomes Post-Liver Transplantation

Bariatric surgery post-liver transplantation, particularly sleeve gastrectomy, resulted in significant and sustained weight loss, improved liver health, and reduced metabolic dysfunction in a Belgian nationwide study. Patients experienced a decrease in body mass index and notable reductions in liver enzyme and HbA1c levels post-surgery. The study highlights the safety and feasibility of sleeve gastrectomy in this population and its potential benefits for metabolic dysfunction-associated liver disease post-transplantation.

Journal Article by Onghena L, Geerts A (…) van Nieuwenhove Y et 9 al. in Liver Transpl

Copyright © 2024 American Association for the Study of Liver Diseases.

read the whole article in Liver Transpl

open it in PubMed

Changes in J-Pouch Phenotypes Over Time

Endoscopic pouch phenotypes in patients with inflammatory bowel disease can transition over time, with normalization of pouches associated with favorable outcomes. Subsequent development of diffuse inflammation, pouch-related fistulas, and afferent limb/inlet stenoses significantly worsen pouch outcomes. Patients with pouch inflammation who achieve subsequent normalization have lower pouch excision risks. Understanding these changes is crucial for managing patients post-proctocolectomy with ileal pouch-anal anastomosis.

Journal Article by Akiyama S, Ollech JE (…) Rubin DT et 17 al. in Inflamm Bowel Dis

© The Author(s) 2024. Published by Oxford University Press on behalf of Crohn’s & Colitis Foundation. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.
© The Author(s) 2024. Published by Oxford University Press on behalf of Crohn’s & Colitis Foundation. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.

read the whole article in Inflamm Bowel Dis

open it in PubMed

Omentoplasty Reduces Complications in Various Surgeries

Omentoplasty significantly lowers overall complications, particularly in gastrointestinal and liver surgery. It reduces postoperative infection in thoracic and liver surgery. Patients with a BMI over 25 undergoing esophageal or gastrointestinal surgery benefit the most. No significant differences in pelvi-perineal surgery were found, except for specific cases. Overall, omentoplasty effectively prevents postoperative infection and decreases complications in gastrointestinal and liver surgeries.

Meta-Analysis by Peng Y, Xiong S (…) Deng T et 5 al. in Int J Surg

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

read the whole article in Int J Surg

open it in PubMed

Shock Index Predicts Outcomes in Major Abdominal Emergency Surgery Patients

Shock index (SI) is a valuable tool for predicting postoperative mortality, acute kidney injury (AKI), ICU admission, and ICU length of stay in major abdominal emergency surgery patients. Significant associations were found between SI and mortality at 1 month, 3 months, and 2 years. Multivariate analysis confirmed the relationship between SI and 1-month and 3-month mortality. SI does not significantly impact 2-year mortality, highlighting its relevance in short-term outcomes.

Journal Article by Loh CJL, Cheng MH (…) Ke Y et 3 al. in Ann Acad Med Singap

read the whole article in Ann Acad Med Singap

open it in PubMed

Positive reaction to immersive robotic surgical training

Researchers found that using 3D visors for immersive robotic surgery training garnered positive feedback from medical students and residents. Nearly 90% of participants expressed high engagement and intention to use the technology. The median System Usability Scale score was 80, and the median Simulator Sickness Questionnaire score was 44.88. These results suggest that immersive reality could be an effective tool for enhancing surgical training, with trainees reacting favorably to the enhanced intracorporeal vision and overall experience.

Journal Article by La Raja C, Carvello M (…) Spinelli A et 3 al. in J Robot Surg

© 2024. 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

High Incidence of Aberrant Hepatic Artery in Patients with Hepatocellular Carcinoma

Aberrant hepatic artery is common in patients with hepatocellular carcinoma, with complex variations impacting treatment. A retrospective study of 1250 patients showed a high incidence of aberrant hepatic artery (21.3%), affecting operation duration and postoperative outcomes. Variations included aberrant left and right hepatic artery origins. Differences in tace operation duration, nausea, vomiting, and laboratory results were significant between patients with and without aberrant hepatic artery.

Comparative Study by Du D, Zhang Z (…) Wu N et 2 al. in Ann Ital Chir

read the whole article in Ann Ital Chir

open it in PubMed

Preoperative Chemotherapy Enables Resection in Advanced Pancreatic Cancer

Establishing preoperative chemotherapy (PCT) with FOLFIRINOX and gemcitabine/nab-paclitaxel enabled resectability in 61.2% of 139 patients with initially unresectable locally advanced pancreatic cancer. PCT did not increase perioperative mortality or morbidity, with 92.9% achieving R0 resection. Median postoperative survival was 31 months, highlighting the significant potential of PCT in extending recurrence-free and overall survival for resected patients.

Journal Article by Petrikowski M, Fahlbusch T (…) Belyaev O et 4 al. in Hepatobiliary Surg Nutr

2024 Hepatobiliary Surgery and Nutrition. All rights reserved.

read the whole article in Hepatobiliary Surg Nutr

open it in PubMed