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Factors influencing postoperative opioid use in ventral and incisional hernia repair patients

One in two ventral and incisional hernia repair (VIHR) patients had preoperative opioid prescriptions. The study found that preoperative opioid tolerance, superficial wound infection, current smoking status, and opioid dispensation within 45 days of admission were significant predictors of increased postoperative opioid use. Preoperative opioid use 45 days prior to admission strongly correlated with postoperative prescription filling in VIHR patients.

Journal Article by Yun DH, Plymale MA (…) Roth JS et 3 al. in Surg Endosc

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Reducing Seroma Incidence in Endoscopic-Assisted Repair

Introducing quilting in endoscopic-assisted repair of ventral hernias and diastasis recti significantly reduces postoperative seromas, a retrospective study of 176 patients revealed a lower incidence of type B seromas requiring multiple punctures or reoperation in the quilting group. Although operation duration slightly increased, this technique adaptation demonstrates efficacy in minimizing seroma occurrence and severity.

Journal Article by Cossa JP, Ngo P (…) Gillion JF et 2 al. in Surg Endosc

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Self-Gripping Mesh for Ventral Hernia Repair: 30-Day Outcomes

Self-gripping mesh for ventral hernia repair demonstrates similar 30-day rates of recurrence, surgical site infection, and surgical site occurrence compared to non-self-gripping mesh. However, self-gripping mesh is associated with significantly lower rates of surgical site occurrence requiring procedural intervention. Patient-reported outcomes at 30 days were comparable between the two groups.

Journal Article by Bahraini A, Hsu J (…) Perez A et 5 al. in Surg Endosc

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

read the whole article in Surg Endosc

open it in PubMed

Factors influencing postoperative opioid use in ventral and incisional hernia repair patients

One in two ventral and incisional hernia repair (VIHR) patients had preoperative opioid prescriptions. The study found that preoperative opioid tolerance, superficial wound infection, current smoking status, and opioid dispensation within 45 days of admission were significant predictors of increased postoperative opioid use. Preoperative opioid use 45 days prior to admission strongly correlated with postoperative prescription filling in VIHR patients.

Journal Article by Yun DH, Plymale MA (…) Roth JS et 3 al. in Surg Endosc

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

read the whole article in Surg Endosc

open it in PubMed

Reducing Seroma Incidence in Endoscopic-Assisted Repair

Introducing quilting in endoscopic-assisted repair of ventral hernias and diastasis recti significantly reduces postoperative seromas, a retrospective study of 176 patients revealed a lower incidence of type B seromas requiring multiple punctures or reoperation in the quilting group. Although operation duration slightly increased, this technique adaptation demonstrates efficacy in minimizing seroma occurrence and severity.

Journal Article by Cossa JP, Ngo P (…) Gillion JF et 2 al. in Surg Endosc

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

read the whole article in Surg Endosc

open it in PubMed

Improved Prediction of Cervical Lymph Node Metastasis in Papillary Thyroid Carcinoma Patients Using AI

AI trained by thyroid ultrasound improved prediction of lymph node metastasis in papillary thyroid carcinoma patients. The multi-scale, multi-frame, and dual-direction deep learning model achieved AUCs of 0.85 and 0.81 in the test and validation cohorts, respectively. Radiologists’ diagnostic accuracy and sensitivity significantly improved with AI assistance. This technology can enhance preoperative predictions and assist in individualized patient management.

Journal Article by Zhang MB, Meng ZL (…) Wang K et 6 al. in BMC Med

© 2024. The Author(s).

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Impact of Pheochromocytoma Size on Surgical Timing and Extent

Tumor size correlates with biochemical activity in pheochromocytomas, with lesions ≥2.3 cm more likely to produce levels 3 times upper limit of normal. Doubling tumor size or a ≥1 cm increase enhances biochemical activity. While paroxysmal symptoms are common, they don’t significantly correlate with tumor size or biochemical activity. These findings suggest tumor size can guide the timing of operative intervention for pheochromocytoma.

Journal Article by Abou Azar S, Stratton L (…) Keutgen XM et 4 al. in J Surg Res

Copyright © 2024 Elsevier Inc. All rights reserved.

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Effectiveness of Kono-S Anastomosis in Reducing Recurrence in Crohn’s Disease

A nationwide study with 433 patients undergoing ileocolonic resection, including 155 with Kono-S anastomosis, found no significant reduction in endoscopic recurrence compared to conventional side-to-side anastomosis. In a 1:2 propensity score-matched comparison, endoscopic recurrence (≥i2) occurred in 47.5% of patients with Kono-S and 44.3% with conventional anastomosis, showing no statistically significant difference (p = 0.6745). Further research is needed to explore potential benefits on surgical recurrence with longer follow-up.

Multicenter Study by Alibert L, Betton L (…) Lakkis Z et 11 al. in J Crohns Colitis

© The Author(s) 2023. Published by Oxford University Press on behalf of European Crohn’s and Colitis Organisation. All rights reserved. For permissions, please email: journals.permissions@oup.com.

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Optimizing Abdominal Wall Reconstruction: The Complex Hernia Bundle

A “Getting It Right First Time” approach to abdominal wall reconstruction (AWR) involves developing a comprehensive management pathway. The study outlines a detailed AWR pathway, integrating literature review and experiential knowledge, facilitating better patient outcomes. Referred to as the “complex hernia bundle,” this approach guides AWR teams, offering valuable insights for managing challenging hernia cases in other centers.

Review by Parker SG, Joyner J (…) Vig S et 9 al. in Am Surg

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Preservation Focus in Thyroidectomy and Neck Dissection Improves Outcomes and Minimizes Complications

Understanding the anatomy and surgical techniques of thyroidectomy and neck dissection is crucial for successful outcomes and minimizing complications. Emphasis is placed on preserving critical structures, like the parathyroid glands and recurrent laryngeal nerve, to ensure better survival rates. Evaluating various thyroidectomy techniques, including minimally invasive approaches, can offer potential benefits but require continuous surgical knowledge updates.

Review by Agcaoglu O, Sucu S, Toprak S and Tezelman S in J Clin Med

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