Blog

Improving Perforated Appendicitis Classification with Data Mining Algorithms

Post author By STITCHES Newsletter
Post date 23/05/2024
Categories In Appendix, Gallbladder and Surgical Emergencies, General Surgery

Improving accuracy of administrative data for perforated appendicitis classification is crucial. Two data mining algorithms, leveraging icd-10-cm codes and length of stay, showed significantly higher accuracy than those relying solely on icd-10-cm codes. With sensitivity and specificity of 0.86-0.88 and 0.95-0.97, respectively, these algorithms offer a reliable method for better classification of perforated appendicitis, facilitating valid reporting and assessments in healthcare.

Journal Article by Ingram MC, Hu A (…) Raval MV et 13 al. in J Surg Res

read the whole article in J Surg Res

open it in PubMed

Genetic Risk Score Impact on Weight Loss After Bariatric Surgery

Post author By STITCHES Newsletter
Post date 23/05/2024
Categories In General Surgery, Metabolic and Bariatric Surgery

Genetic risk score based on 7 obesity-related genes significantly influences weight loss after bariatric surgery in patients with severe obesity. The study, conducted in Spain, revealed a substantial effect of the genetic risk score on the percentage of excess weight loss during a >60-month follow-up period. This underlines the importance of considering the polygenic nature of obesity in predicting outcomes post-bariatric surgery.

Journal Article by Mas-Bermejo P, Azcona-Granada N (…) Rosa A et 8 al. in Surg Obes Relat Dis

read the whole article in Surg Obes Relat Dis

open it in PubMed

Impact of Bariatric Surgery on Cardiovascular Events

Post author By STITCHES Newsletter
Post date 23/05/2024
Categories In General Surgery, Metabolic and Bariatric Surgery

Metabolic bariatric surgery significantly reduces the risk of acute myocardial infarction (AMI), including ST-elevation and non ST-elevation MI. Patients with a history of bariatric surgery have lower odds of AMI admission, coronary revascularization procedures, and in-hospital mortality compared to those without bariatric surgery. These findings suggest a strong association between metabolic bariatric surgery and cardiovascular risk reduction, highlighting its potential long-term benefits.

Journal Article by Esparham A, Roohi S (…) Khorgami Z et 3 al. in Surg Obes Relat Dis

read the whole article in Surg Obes Relat Dis

open it in PubMed

Impact of Direct-Acting Antivirals on Liver Resection Outcomes for Hepatitis C-Related Hepatocellular Carcinoma

Post author By STITCHES Newsletter
Post date 23/05/2024
Categories In General Surgery, HPB & Spleen

Direct-acting antivirals significantly improve outcomes of liver resection for hepatitis C-related hepatocellular carcinoma. Patients achieving sustained virological response (svr) had significantly better survival rates compared to those who did not. Introduction of direct-acting antivirals in the post-era resulted in superior survival outcomes. Svr was identified as an independent predictor of survival. The study highlights the crucial role of svr in enhancing hepatocellular carcinoma resection outcomes.

Journal Article by Rocha C, Di Norcia J (…) Schwartz M et 8 al. in HPB (Oxford)

read the whole article in HPB (Oxford)

open it in PubMed

Comparing Robotic and Laparoscopic Liver Resection for Hepatocellular Carcinoma

Post author By STITCHES Newsletter
Post date 23/05/2024
Categories In General Surgery, HPB & Spleen

Robotic liver resection (RLR) showcases longer operative times than laparoscopic liver resection (LLR) for hepatocellular carcinoma with no major disparities in other short-term outcomes. While overall survival remains alike, RLR promotes enhanced recurrence-free survival and a more proficient learning curve after the 11th case. RLR proves effective and safe, reducing recurrence rates significantly compared to LLR, highlighting its oncological advantages for resectable HCC.

Journal Article by Li H, Meng L (…) Zhu Z et 16 al. in Hepatol Int

read the whole article in Hepatol Int

open it in PubMed

Challenges in Caring for Patients with Enterocutaneous Fistulas

Post author By STITCHES Newsletter
Post date 23/05/2024
Categories In Appendix, Gallbladder and Surgical Emergencies, General Surgery, Perspectives, Opinions and Curiosities, Wounds

Exploring critical care nurses’ challenges in managing enterocutaneous fistulas reveals difficulties in nursing care and lack of resources. Collaborative multidisciplinary efforts can enhance patient management, nurse knowledge, and overall outcomes. Improved protocols are essential for quality patient care, focusing on fluid/electrolyte balance, nutrition, sepsis control, wound care, pain management, and emotional support. These efforts aim to alleviate challenges, promote healing, and reduce mortality rates.

Journal Article by Chipu MG, Kearns I and Modula MJ in Health Sci Rep

read the whole article in Health Sci Rep

open it in PubMed

Lymph Node Metastasis and Survival in T1b Esophageal Adenocarcinoma Patients

Post author By STITCHES Newsletter
Post date 22/05/2024
Categories In General Surgery, Surgical Endoscopy, Upper Gastrointestinal Tract

Notable risk factors for lymph node metastasis in T1b esophageal adenocarcinoma include tumor size ≥20mm and poor differentiation. Endoscopic therapy (ET) showed comparable cancer-specific survival outcomes to surgery for selected cases. Age ≥65 years, ET, and chemoradiation therapy were associated with poorer overall survival. However, further large-scale studies are needed to confirm the lack of survival benefit with chemoradiation therapy for these patients.

Journal Article by Mohapatra S, Ghamdi SSA (…) Ngamruengphong S et 3 al. in Gastrointest Endosc

read the whole article in Gastrointest Endosc

open it in PubMed

Optimal Indocyanine Green Dosage for Fluorescent Laparoscopic Cholecystectomy

Post author By STITCHES Newsletter
Post date 22/05/2024
Categories In Appendix, Gallbladder and Surgical Emergencies, General Surgery

Indocyanine green (ICG) dosage of 0.02 mg/bmi demonstrated better biliary structure detection rates in laparoscopic cholecystectomy compared to lower and higher doses. The medium and higher dose groups showed superior visualization of common bile duct structures. Medium dose was non-inferior to higher dose ICG, indicating its effectiveness in reducing intraoperative bile duct injuries.

Journal Article by Wang S, Yuan W (…) Zhang C et 4 al. in J Surg Oncol

read the whole article in J Surg Oncol

open it in PubMed

Predicting Surgical Aptitude

Post author By STITCHES Newsletter
Post date 22/05/2024
Categories In General Surgery, Perspectives, Opinions and Curiosities

Surgeons’ performance may be predicted by psychomotor skills, personality, and motivation. A randomized trial involving surgical residents, experts, and medical students revealed that psychomotor skills predominantly influenced physicians’ training outcomes, while motivation and personality played key roles for students. This suggests that identifying individuals with high surgical potential early on could enhance surgical quality and meet future healthcare demands.

Journal Article by Ruchay Z, Pape J (…) Alkatout I et 10 al. in Int J Surg

read the whole article in Int J Surg

open it in PubMed

Effectiveness of Magnetic Sphincter Augmentation in Gastro-Esophageal Reflux Disease

Post author By STITCHES Newsletter
Post date 22/05/2024
Categories In General Surgery, Upper Gastrointestinal Tract

Magnetic sphincter augmentation (MSA) showed higher rates of discontinuing proton-pump inhibitors, increased patient satisfaction, and better functional outcomes compared to fundoplication in managing gastro-esophageal reflux disease. However, MSA had higher rates of dysphagia. The erosion and removal rates were low, but no difference was observed in re-intervention rates. MSA is a safe and effective procedure, improving symptom burden and patient satisfaction, but further randomized controlled trials are needed to determine its place in GERD management.

Journal Article by Fadel MG, Tarazi M (…) Fehervari M et 5 al. in Int J Surg

read the whole article in Int J Surg

open it in PubMed