Pelvic ultrasound in women with right iliac fossa pain led to 42% pathology detection, with appendicitis diagnosis in 4.8%. Ultrasound had 78% specificity for appendicitis. Preoperative imaging reduced negative appendicectomy rates to 21.3%. Results advocate for ultrasound as a useful tool alongside clinical assessment in managing these patients.
Journal Article by Standing HR, Boag KF (…) Peckham-Cooper A et 3 al. in Ann R Coll Surg Engl
Hospitals are significant contributors to global warming, with operating theatres generating 70% of hospital waste. This study explores the assignment of use-by dates to surgical equipment and the potential for reusing or re-sterilizing expired items to reduce waste. While incineration is common, alternative disposal methods, like re-processing, are emerging. Further research is needed to ensure patient safety and environmental benefits.
Journal Article by Downes A and Healy DG in Surgeon
Copyright © 2024. Published by Elsevier Ltd.
Duodenum-preserving pancreatic head resection for benign tumors, cystic neoplasms, and neuroendocrine tumors offers a cure with fewer complications compared to pancreatoduodenectomy. The meta-analysis showed lower mortality and reoperation rates with duodenum-preserving resection. It also demonstrated comparable rates of tumor recurrence between the two procedures. This suggests duodenum-preserving resection as a viable alternative to pancreatoduodenectomy for benign and premalignant neoplasms.
Journal Article by Beger HG, Mayer B and Poch B in Ann Surg Oncol
© 2024. The Author(s).
Consensus meeting of national experts led to national practice guidelines for hilar cholangiocarcinoma, highlighting the importance of a multidisciplinary approach for patient management. Diagnostic and staging workup includes imaging modalities and histopathologic confirmation may not always be necessary before resection. Surgical resection based on the Bismuth-Corlette classification remains the only curative option, with adjuvant chemotherapy recommended for high-risk patients. Palliative treatments such as biliary drainage and chemotherapy also play a crucial role in managing these patients.
Review by Dar FS, Abbas Z (…) Naveed A et 30 al. in World J Gastroenterol
©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
Double-nylon purse-string sutures effectively close wounds post-endoscopic full-thickness resection (EFTR) of large (≥ 3 cm) gastric submucosal tumors (SMTs). In a retrospective analysis of 85 patients, all tumors were completely resected using EFTR, with no serious adverse events reported. This technique is valuable, especially for large EFTR wounds in SMTs, ensuring successful closure without laparoscopic assistance or further surgical treatment.
Journal Article by Wang SS, Ji MY (…) Shen L et 4 al. in World J Gastroenterol
©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
Letters of recommendation are crucial for applicant selection in medical education. The shift to pass/fail USMLE scoring has increased their importance. Narratives may introduce bias and inflation. Standardized letters can address these issues. Interviews and focus groups informed the development of a new standardized letter for surgical residency applications. Researchers were also invited to revise existing standardized letters for a post-graduate training program.
Review by Zipf-Sigler C, Nguyen AL (…) Kumar AS et 4 al. in Am J Surg
Copyright © 2024 Elsevier Inc. All rights reserved.
SAGES implements updates to its guidelines development process to address health equity issues, aiming to minimize downstream health disparities. These updates ensure an evidence-based, standardized approach that considers health equity throughout the guideline development process, facilitating better patient counseling and research recommendations to mitigate disparities. By intentionally addressing disparities, SAGES aims to prevent the widening of health inequalities and provide specific recommendations to reduce them.
Journal Article by Kumar SS, Collings AT (…) Slater BJ et 3 al. in Surg Endosc
© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
This systematic review and meta-analysis of 28 observational studies involving 2213 patients revealed a mean total weight loss (%TWL) of 27.2% and a decrease in BMI of 10.2 kg/m² after revisional bariatric surgery. These findings underscore the effectiveness of revisional procedures in achieving sustained weight loss over medium to long-term follow-up periods (>2 years).
Review by Bastos ELS, Salgado W (…) Bernardo WM et 7 al. in Obes Surg
© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Postoperative complications and depression diagnosis increase the risk of chronic abdominal pain after RYGB, while being an ex-smoker and older age are protective factors. The study underscores the importance of the bariatric multidisciplinary team in adequately selecting patients before surgery to mitigate this complication.
Journal Article by Ortega PM, Scholtz S (…) Ahmed AR et 6 al. in Obes Surg
© 2024. Crown.
Study finds using multiple disease-modifying drugs in ulcerative colitis increases risk of surgical resection. Each additional drug significantly raises likelihood of surgery, highlighting importance of patient counseling. However, postoperative risk of complications, ER visits, and readmissions remain unaffected by number of drugs used. Findings offer crucial prognostic insights for clinicians managing UC patients.
Journal Article by Mankarious MM, Greene AC (…) Kulaylat AS et 5 al. in J Gastrointest Surg
Copyright © 2024 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.