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Optimal Parameters for Tissue Welding in Small Bowel Anastomosis

High-frequency electric welding technology for intestinal end-to-end anastomosis shows promise. In vitro and in vivo experiments revealed that a compression pressure of 250 kpa, voltage of 60 V, and 15-second duration resulted in the highest anastomotic strength with minimal thermal damage. Experimental pigs showed no adverse reactions, achieving a 100% survival rate. This technology could potentially replace stapler anastomosis in the future.

Journal Article by Zhu C, Na Y (…) Liu K et 8 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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Medium-Term Outcomes of One Anastomosis Gastric Bypass in Australia

This case series of 1000 patients undergoing one anastomosis gastric bypass in Australia showed a mean total weight loss of 33.6% with 74% achieving type 2 diabetes remission at 1-year post-op. Complication rates, including bile reflux and marginal ulceration, were low, with no cases of internal herniation reported. Results support the efficacy and safety of this procedure in the short-medium term.

Journal Article by Hailstone L, Tovmassian D (…) Taylor C et 4 al. in Obes Surg

© 2024. Crown.

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Incidence of Venous Thromboembolic Events After Metabolic and Bariatric Surgery

Systematic review/meta-analysis of 87 studies and 2,731,797 patients shows low cumulative incidence of VTE after metabolic and bariatric surgery. In-hospital VTE rates were 0.15%, increasing to 0.78% at 12 months. Open approach surgeries had higher incidence than laparoscopic. 60% of VTE occurred within first month post-discharge. North American and earlier studies had higher incidence. Extended surveillance and detailed estimates are needed for VTE post-MBS.

Review by El Ansari W, El-Menyar A (…) Lock M et 2 al. in Obes Surg

© 2024. The Author(s).

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Radiofrequency Ablation Combined with Sorafenib for Liver Cancer with Portal Hypertension

Radiofrequency ablation combined with sorafenib significantly improves liver function and survival rates in liver cancer patients with portal hypertension. Among 100 patients, the combined therapy group showed a higher total effective rate (82.00%) compared to the control group (56.00%). Prognostic factors include Child-Pugh grade, tumor size (6-10 cm), hepatitis history, sorafenib use, cancer stage (IIIC), and prior splenectomy. This approach offers promise for managing the complex challenges posed by liver cancer in patients with portal hypertension.

Journal Article by Yang LM, Wang HJ (…) Zhang LF et 4 al. in World J Gastroenterol

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

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High Rate of Emergency Surgery for Sigmoid Diverticulitis in France

This study from 41 French hospitals reveals a 33% rate of emergency surgery for sigmoid diverticulitis, significantly associated with patient age, BMI <18.5 kg/m², and initial diverticulitis episode. The urgent nature of surgery correlated with patient characteristics and disease severity. These findings underscore the importance of identifying risk factors to optimize management and potentially reduce the incidence of emergency surgeries for diverticulitis.

Journal Article by Godet C, Sabbagh C (…) Alves A et 42 al. in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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Improved Surgical Site Infection Identification using Explainable Long Short-term Memory Network

A long short-term memory network with an attention layer was proposed for surgical site infection identification, achieving higher sensitivity and area under the receiver operating characteristic curve compared to traditional models. The model’s top features included procedure codes and laboratory values, offering explainability. This innovative approach could enhance automated surveillance and replace manual chart review processes for improved infection control.

Journal Article by Kiser AC, Shi J and Bucher BT in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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Addressing Gaps in Prehospital Emergency Training in LMICs

Prehospital first responders in low- and middle-income countries lack adequate training and education, hindering emergency medical services. Programs vary widely in content and evaluation methods, lacking international consensus. The training of trainers model and modular curricula offer potential solutions for adapting training to local contexts and improving program effectiveness. Opportunities exist for further development in resource-limited settings.

Journal Article by Eisner ZJ, Diango K and Sun JH in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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Enhancing Emergency Response in LMICs through Dispatch Technologies

Addressing communication challenges, this study emphasizes the importance of standardized Emergency Medical Dispatch (EMD) systems in coordinating emergency response in low and middle-income countries (LMICs). While relying on layperson first responders (LFRs) equipped with mobile phones, EMD implementation becomes crucial to ensure timely prehospital intervention, especially in regions lacking formal Emergency Medical Services (EMS). The paper discusses current dispatch technologies, communication approaches, challenges, and proposes strategies for future development to improve emergency response in LMICs.

Journal Article by Friesen J, Kharel R and Delaney PG in BMC Surg

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

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Development of nomogram for Survival Prediction in Gastric Cancer Patients with Liver Metastasis

A nomogram was developed to predict overall survival and cancer-specific survival in patients with gastric cancer and liver metastasis, showing satisfactory performance. Factors influencing survival included age, chemotherapy, grade, metastasis sites, and treatment received. The nomogram can assist clinicians in planning follow-up and rehabilitation strategies for better outcomes and provide support to high-risk patient groups.

Journal Article by Wu Y, Guo Y and Luo W in J Gastrointest Surg

Copyright © 2024. Published by Elsevier Inc.

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Surgery improves quality of life in patients with recurrent diverticulitis

This systematic review and meta-analysis suggest that surgery for recurrent diverticulitis may enhance long-term quality of life compared to conservative treatment. Although associated with risks, surgical intervention resulted in higher SF-36 and GIQLI scores and fewer recurrences. These findings advocate for considering surgery in patients with ongoing or recurrent diverticulitis to potentially alleviate symptoms and enhance overall well-being.

Review by Kertzman BAJ, Amelung FJ (…) Draaisma WA et 2 al. in Scand J Gastroenterol

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