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Robotic 8-mm Trocar Fascial Wounds: Patient Comorbidities Influence Complications, Not Trocar Position

Results show a low rate of 8-mm trocar site hernia (0.31%) and a slightly higher rate of wound infection (4.68%) and haematoma (6.87%). Trocar-related complications were linked to patient comorbidities, not trocar position. Findings suggest no need for 8-mm fascial wound closure, emphasizing the importance of managing patient metabolic state and perioperative therapy to reduce risks in high-risk individuals.

Journal Article by Milone M, Anoldo P (…) De Palma GD et 6 al. in Int J Med Robot

© 2024 The Authors. The International Journal of Medical Robotics and Computer Assisted Surgery published by John Wiley & Sons Ltd.

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High Recurrence Rates in Contaminated Hernia Repair with Bio-A Mesh

Researchers evaluated the long-term outcomes of using bio-A biosynthetic mesh in ventral hernia repairs, finding a 17.4% overall recurrence rate. Contaminated cases had a higher recurrence rate of 28.8% compared to 10.4% in clean cases. Despite this, the study confirms the cost-effective use of biosynthetic mesh in all wound classifications, with good outcomes, limited long-term complications, and low recurrence rates.

Journal Article by Huang EY, Broderick RC (…) Jacobsen GR et 6 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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Identifying Genetic and Biologic Risk Factors for Hernia Formation

Genetic and biologic markers associated with hernia formation were investigated, with 65 studies selected from a total of 5946. Notable findings include 92 susceptible loci across 66 genes in inguinal hernias, elevated MMP-2 levels in direct versus indirect inguinal hernias, unique gene-expression profiles in incisional hernias, and genetic risk loci in hiatal hernias. Collagen ratios were consistently lower in all hernia types. Further research is needed to understand genetic and biological complexities for personalized patient care.

Review by Amro C, Niu EF (…) Fischer JP et 8 al. in Am J Surg

Published by Elsevier Inc.

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Reduced Risk of Esophageal Adenocarcinoma in Patients with Obesity After Bariatric Surgery

Meta-analysis of 14 studies demonstrates a significantly reduced risk of esophageal adenocarcinoma in patients with obesity undergoing metabolic and bariatric surgery, with an overall incidence reduction (OR=0.69) and particularly lower risk in European populations (OR: 0.60) and studies with larger sample sizes (OR: 0.59). Articles published before and in 2020, as well as those with follow-up under 5 years, also show a reduced risk, suggesting bariatric surgery may lower the likelihood of esophageal cancer development.

Journal Article by Zhu C, Liu W, Hu D and Peng L in Obes Surg

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

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Relative Muscle Strength Improves Post-Bariatric Surgery

Findings from a randomized controlled trial on an 11-month multicomponent exercise program after bariatric surgery showed no significant improvements in absolute muscle strength in knee and trunk regions, but significant enhancements in relative muscle strength, particularly in dominant knee flexion. Further exploration of different exercise intensities and frequencies is suggested to optimize postoperative muscle recovery.

Journal Article by Boppre G, Diniz-Sousa F (…) Fonseca H et 6 al. in Obes Surg

© 2024. The Author(s).

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High Rate of Malnutrition Found After Single Anastomosis Sleeve Ileal Bypass

Researchers conducted a study on 30 patients who underwent single anastomosis sleeve ileal bypass (SASI) and found that despite good short-term weight loss and improvement in obesity-related complications, there was a high alarming rate of malnutrition observed, even in the short-term follow-up. This highlights the importance of evaluating novel metabolic and bariatric surgeries for their long-term effects and comparing them to established standard procedures before widespread adoption in clinical practice.

Journal Article by Wafa A, Bashir A, Cohen RV and Haddad A in Obes Surg

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

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Proximal gastrectomy may be an alternative approach for well-selected patients with proximal gastric cancer following neoadjuvant chemotherapy

Study comparing total and proximal gastrectomy for proximal gastric cancer found that more patients underwent proximal gastrectomy, with a higher likelihood of receiving neoadjuvant chemotherapy. Pathologically, total gastrectomy patients had more advanced tumors and fewer evaluated lymph nodes, but lower margin negativity. Long-term survival did not differ between the two procedures, but neoadjuvant chemotherapy was associated with improved overall survival in both groups. Proximal gastrectomy may be a viable option after systemic chemotherapy for selected proximal gastric cancer cases.

Journal Article by Rawicz-Pruszyński K, Endo Y (…) Pawlik TM et 5 al. in J Gastrointest Surg

Copyright © 2024 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.

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Impact of Preoperative Anemia on Outcomes in GEP-NET Resections

Patients with preoperative anemia undergoing curative-intent resection for gastroenteropancreatic neuroendocrine tumors (GEP-NETs) had higher rates of major complications and poorer long-term outcomes. Anemia was associated with worse overall survival, while postoperative transfusions were linked to lower overall survival and recurrence-free survival rates. Preoperative anemia affected around one-third of patients and significantly increased the risk of postoperative morbidity and mortality in this cohort.

Journal Article by Xiang JX, Nan YL (…) Pawlik TM et 11 al. in J Gastrointest Surg

Copyright © 2024 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.

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Transmesocolic reconstruction reduces delayed gastric emptying after pancreaticoduodenectomy.

Antecolic reconstruction after pancreaticoduodenectomy significantly increases the risk of delayed gastric emptying compared to transmesocolic reconstruction. Patients who underwent antecolic reconstruction had a higher incidence of severe delayed gastric emptying and a 2-fold increase in severe cases. Tmc reconstruction may be superior in minimizing the development and severity of delayed gastric emptying following pancreaticoduodenectomy.

Journal Article by Geng AL, Thota B (…) Nevler A et 6 al. in J Gastrointest Surg

Copyright © 2024 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.

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ERAS Protocol Reduces Hospital Stay in Gastric Cancer Surgery

Implementation of enhanced recovery after surgery (ERAS) protocol in distal gastrectomy for gastric cancer significantly reduces adjusted hospital stay without increasing complications. However, no significant differences were observed in long-term nutritional outcomes and quality of life between ERAS and conventional care groups

Journal Article by Choi CI, Park JK (…) Kim DH et 4 al. in J Gastrointest Surg

Copyright © 2024. Published by Elsevier Inc.

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