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Improving adherence to antithrombotic management in endoscopy

A review highlights that inconsistent adherence to guidelines for peri-endoscopic management of antithrombotic agents poses significant challenges. Identified barriers include insufficient education, delayed updates, and unclear responsibilities. Strategies proposed for improvement encompass enhanced education for healthcare providers and patients, digital clinical decision tools, unified management teams, and international collaboration. These initiatives aim to reduce discrepancies in practice and advance the standardization of antithrombotic use, potentially lowering thromboembolic and hemorrhagic complications in at-risk patients.

Review by Zuo J, Jiang W (…) Cheng R et 4 al. in Therap Adv Gastroenterol

© The Author(s), 2025.
© The Author(s), 2025.

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A dynamic nomogram for predicting intraoperative blood transfusion needs

A dynamic nomogram model has been developed to aid in intraoperative blood transfusion decision-making, demonstrating strong predictive capabilities. Utilizing data from 1,410 surgical patients, the model identifies key independent risk factors such as surgical grading, estimated blood loss, and preoperative hemoglobin levels. With a remarkable area under the curve (AUC) of 0.983, it provides timely insights to support healthcare providers in optimizing transfusion strategies, ultimately enhancing patient safety and resource management.

Journal Article by Li M, Jiang W (…) Qin L et 3 al. in Front Med (Lausanne)

Copyright © 2025 Li, Jiang, Lin, Du, Shan and Qin.

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Nomogram predicts survival benefit from chemotherapy in liver cancer patients

A nomogram developed from a retrospective study of 11,721 early-stage hepatocellular carcinoma (HCC) patients reveals significant survival benefits from neoadjuvant chemotherapy (NAC) for those classified as high-risk. The model predicts 3-, 5-, and 10-year cancer-specific survival rates based on clinical and demographic factors. Risk stratification effectively identifies patients who may benefit from NAC, supporting personalized treatment decisions, though the findings require external validation for broader application.

Journal Article by Xu S, Duan L (…) Ma L et 2 al. in J Gastrointest Cancer

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

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Low preoperative serum protein concentration increases staple-line leak risk.

In a study involving 1,669 patients undergoing sleeve gastrectomy, staple-line leaks were significantly associated with low preoperative serum protein concentrations (spc). Patients with leaks had a median spc of 6.8 g/L compared to 7.1 g/L in those without leaks. Higher spc values reduced leak risk (odds ratio of 0.20). Additionally, major intraoperative bleeding and blood transfusion needs were linked to increased leak rates. Improving nutritional assessment could help mitigate these complications.

Journal Article by Arolfo S, Mantova S (…) Morino M et 2 al. in Updates Surg

© 2025. Italian Society of Surgery (SIC).

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Robotic surgery shows advantages in mid-low rectal cancer treatment

A predictive model developed for anastomotic complications in mid-low rectal cancer highlights robotic surgery’s advantages over laparoscopic methods. Although robotic surgery entails longer operative times, patients experience earlier recovery milestones such as first flatus and liquid diets without ileostomy. Oncological outcomes and overall complication rates remain comparable between both techniques. The model, incorporating seven clinical factors, demonstrates strong predictive capabilities, aiding clinicians in identifying patients at risk for complications.

Validation Study by Huang Y, Li LM (…) Wei W et 3 al. in J Robot Surg

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

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Dementia linked to worse surgical outcomes in older patients

In emergent hernia repair, patients with dementia, constituting 8.2% of 137,755 analyzed, face significantly higher risks. Older individuals with dementia experience increased in-hospital mortality (odds ratio 1.29), greater perioperative complications (1.41), and are more likely to be discharged non-home (2.98) compared to those without dementia. Additionally, readmission rates rise (1.11) for this vulnerable population. The findings underscore the urgent need for enhanced perioperative strategies to improve care for elderly patients facing surgery.

Journal Article by Hinks S, Aguayo E (…) Benharash P et 6 al. in BMC Surg

Copyright © 2025 The Author(s). Published by Elsevier Inc. All rights reserved.

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Harmonic scalpel’s impact on liver surgery to be assessed

A forthcoming randomized controlled trial aims to evaluate the harmonic scalpel (hs) and cavitron ultrasonic surgical aspirator (cusa) for liver parenchymal transection during laparoscopic liver resections. The study will assess intraoperative blood loss, transection speed, operative time, and postoperative outcomes among patients at West China Hospital. By comparing these two techniques, the trial seeks to clarify the safety and efficiency of hs, potentially influencing clinical practices in liver surgery.

Journal Article by Liang B, Peng Y (…) Liu F et 4 al. in Therap Adv Gastroenterol

© The Author(s), 2025.

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Lidocaine outperforming nifedipine in hemorrhoid pain relief

A retrospective cohort study of 123 acute hemorrhoidal disease patients revealed that a treatment regimen including oral diosmin/hesperidin, bromelain, and topical lidocaine resulted in faster pain relief and improved symptom scores compared to a nifedipine-based regimen. Significant differences were noted by day 7 in pain scores (0.17 vs. 2.20, p < 0.001) and the hemorrhoidal disease symptom score (0.02 vs. 10.16, p < 0.001). Both treatments were well tolerated with no adverse events reported.

Journal Article by Schiano di Visconte M in Surgeon

Copyright © 2025 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.

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Midline extraction sites significantly increase hernia risk in surgery

A study involving 191 patients undergoing minimally invasive colorectal resection found a stark contrast in incisional hernia rates based on extraction site. Incisional hernias occurred in 30.9% of midline extractions compared to 0% in off-midline procedures. Multivariate analysis identified midline extraction as a major risk factor, with a relative risk of 29.1. These findings underscore the importance of selecting off-midline incisions to improve surgical outcomes and minimize complications such as incisional hernias.

Journal Article by Burgard M, Liot E (…) Meyer J et 4 al. in Updates Surg

© 2025. The Author(s).

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Boot camp significantly boosts surgical residents’ preparedness and confidence

A nationwide boot camp, the “First Touch course,” has proven effective in enhancing surgical residents’ preparedness and confidence as they transition into residency. Conducted over two editions in 2023 and 2024 with 84 participants, over 71% rated the course as excellent, with 100% stating it exceeded expectations. More than 75% felt better equipped for residency, and nearly all participants acknowledged the long-term benefits of having a personal laparoscopic simulator for ongoing skills development.

Journal Article by Reis SG, Gonçalves MR (…) de Matos JN et 10 al. in Updates Surg

© 2025. The Author(s).

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