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Efficacy of Fibrin Sealants in Thyroidectomy

Researchers conducted a systematic review and meta-analysis of seven randomized controlled trials to evaluate the safety and efficacy of fibrin sealants (FS) in thyroid surgery. The analysis included 652 patients who underwent thyroidectomy with FS and compared them with conventionally treated patients. The primary outcomes were total wound drainage, length of hospitalization, and operative time. FS significantly reduced total drainage volume (mean deviation: -29.75), length of hospitalization (mean deviation: -0.84), and surgery duration (mean deviation: -7.60). Although FS did not significantly impact hypoparathyroidism risk or seroma formation, it showed a reduced need for invasive seroma treatment.

Meta-Analysis by Zheng X, Wang F (…) Wang MZ et 2 al. in BMC Surg

© 2024. The Author(s).

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Laparoscopic Total Extraperitoneal Hernia Repair in Patients with Previous Abdominopelvic Surgery

Retrospective cohort study on laparoscopic inguinal hernia repair comparing short- and long-term outcomes in patients with and without previous abdominopelvic surgery history showed no significant difference in perioperative outcomes. Laparoscopic totally extraperitoneal (TEP) repair was deemed feasible and associated with low rates of complications, making it a standard option for all patients, regardless of abdominopelvic surgical history.

Journal Article by Hayward R, Smith JJ (…) Warren OJ et 2 al. in Updates Surg

© 2024. The Author(s).

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Prophylactic Mesh Reduces Stoma Site Hernia Rates

Prophylactic biosynthetic mesh placement during stoma reversal significantly reduces stoma site incisional hernia rates compared to primary stoma closure without mesh. Observation of 174 cases showed a 1.0% incidence in the treatment group versus 17.8% in the control group, with mesh proving to be a protective factor. Body mass index and chronic kidney disease were identified as independent predictors of hernia formation.

Journal Article by Vu BK, Lam J, Sherman MJ and Tam MS in Perm J

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Feasibility of Robotic Liver Resection in Limited Resource Settings

Transitioning to robotic liver resection in a limited resource setting may offer feasible surgical outcomes, with no conversions to open surgery, low complication rates, and decreased operative time based on a retrospective study of 67 cases. Major hepatectomies and complex procedures were successfully performed, indicating that robotic technology in skilled hands can be effective even in smaller centers.

Journal Article by Jang EJ, Kang SH and Kim KW in J Robot Surg

© 2024. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.

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Development and Validation of Risk Score Model for Assessing Lymph Node Metastasis in Early Gastric Cancer

Endoscopic ultrasonography (EUS) offers 85.3% accuracy in detecting lymph node metastasis in early gastric cancer. A risk score model based on preoperative factors, such as tumor size, lymph nodes, and BMI, provides guidance for treatment selection, despite low sensitivity and PPV. This tool aids clinicians in predicting lymph node involvement and choosing optimal management strategies for early gastric cancer patients.

Journal Article by Liu S, Zhang M (…) Deng J et 8 al. in Gastrointest Endosc

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

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Predicting Early Recurrence of Hepatocellular Carcinoma in Cirrhotic Patients Post-Hepatectomy

Radiomics and clinical-radiologic features were integrated to develop a machine learning model for predicting early recurrence of hepatocellular carcinoma in cirrhotic patients post-hepatectomy. The model showed excellent predictive performance, with an AUC of 0.844 in the training cohort and 0.790 in the validation cohort, facilitating risk stratification and exhibiting significant discriminatory ability for overall survival.

Journal Article by Qian GX, Xu ZL (…) Jia WD et 4 al. in World J Gastroenterol

©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.

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Operating Room Inefficiencies and Their Impact on Case Duration

A study using a surgical app to track operating room (OR) inefficiencies found that incidents causing delays averaged 2.7 per procedure, contributing to an overall case duration of 109 minutes. On average, each incident caused a 2.8-minute delay, with some causing longer delays. The study, which observed 151 general surgery procedures, identified procedural steps most susceptible to incidents. Understanding these inefficiencies can guide targeted interventions to improve OR efficiency and reduce operative time.

Journal Article by Athanasiadis DI, Monfared S (…) Stefanidis D et 4 al. in Am J Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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Long-Term Effects of Physical Activity Following Bariatric Surgery

Regular physical activity post-bariatric surgery led to reduced blood pressure and lower type-2 diabetes recurrence in individuals with diabetes. Normoglycemic individuals experienced sustained BMI reduction and improved blood pressure control with physical activity throughout a 5-year follow-up. Integrating physical activity into post-bariatric care can enhance long-term outcomes.

Journal Article by Moriconi D, Manca L (…) Nannipieri M et 5 al. in Am J Surg

Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.

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Perceptions of General Surgery Faculty Towards Pregnant Residents

General surgery teaching faculty in the US generally support pregnant surgical residents, but acknowledge the need for institutional culture improvements. Despite positive perceptions, there is still evidence of discrimination and negative comments towards pregnant residents. More efforts are needed to normalize pregnancy and enhance policies for better support during training.

Journal Article by Freudenberger DC, Riner AN (…) Trevino JG et 4 al. in J Surg Res

Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.

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Robotic Surgery Reduces Ergonomic Risk in Minimally Invasive Colorectal Resections

Robotic-assisted surgery with the open-console versius® system significantly reduces surgeons’ ergonomic risks and cognitive strain during major colorectal resections compared to laparoscopic surgery, without compromising team communication or patient outcomes. This may be a safe and feasible solution to prevent work-related musculoskeletal injuries in surgeons.

Randomized Controlled Trial by Dixon F, Vitish-Sharma P, Khanna A and Keeler BD in Langenbecks Arch Surg

© 2024. The Author(s).

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