Blog

Enhanced Survival Benefit with Surgical Resection in BCLC-A/B HCC Beyond Milan Criteria

Post author By STITCHES Newsletter
Post date 16/03/2024
Categories In General Surgery, HPB & Spleen

Patients with BCLC-A/B HCC beyond Milan criteria and tumor burden beyond the up-to-7 criteria but within 3 tumors showed better overall survival with surgical resection compared to transarterial chemoembolization. The seven-eleven criteria can help identify candidates for surgical resection in this patient population, emphasizing the importance of considering SR in resectable patients for optimal treatment outcomes.

Journal Article by Huang CT, Chu YL (…) Kao JH et 10 al. in Liver Cancer

read the whole article in Liver Cancer

open it in PubMed

Robot-Assisted Surgery Reduces Surgical Stress Response in Colon Cancer

Post author By STITCHES Newsletter
Post date 15/03/2024
Categories In General Surgery, Intestine and Lower Gastrointestinal Tract

In a randomized clinical trial (SIRIRALS), patients with stage 1-3 colon cancer underwent robot-assisted or laparoscopic surgery. The laparoscopic group exhibited a higher postoperative C-reactive protein response on the first day, but no significant differences on subsequent days. Robot-assisted surgery was associated with reduced surgical stress response, providing evidence for its benefits in stage 1-3 colon cancer procedures.

Journal Article by Cuk P, Tiskus M (…) Bremholm Ellebæk M et 6 al. in Br J Surg

read the whole article in Br J Surg

open it in PubMed

Robotic Surgery in Emergency General Surgery Improves Outcomes

Post author By STITCHES Newsletter
Post date 15/03/2024
Categories In Appendix, Gallbladder and Surgical Emergencies, General Surgery

Robotic surgery is increasingly utilized in emergency general surgery cases, showing significant year-over-year increases for cholecystectomy, colectomy, inguinal hernia, and ventral hernia repair. It is associated with a lower risk of conversion to open surgery and shorter postoperative lengths of stay compared to laparoscopic surgery. This suggests that robotic surgery may offer better outcomes for emergency general surgery patients.

Journal Article by Lunardi N, Abou-Zamzam A (…) Sakran JV et 6 al. in JAMA Surg

read the whole article in JAMA Surg

open it in PubMed

Rising Incidence of School Shooting Victims: A 53-Year Analysis

Post author By STITCHES Newsletter
Post date 15/03/2024
Categories In Appendix, Gallbladder and Surgical Emergencies, General Surgery

Firearm violence in American schools has increased significantly over 53 years, with a total of 2,056 school shooting incidents involving 3,083 victims analyzed. Most victims and shooters were male, with rifles showing a higher fatality-to-wounded ratio. Linear regression analysis revealed a significant increase in rates of school shooting victims, wounded, and fatalities among children over time, highlighting the escalating public health problem and the need for preventive measures.

Journal Article by Joseph B, Hosseinpour H (…) Magnotti LJ et 7 al. in J Am Coll Surg

read the whole article in J Am Coll Surg

open it in PubMed

Adjuvant Chemoradiation Improves Survival in Resected Biliary Adenocarcinoma

Post author By STITCHES Newsletter
Post date 15/03/2024
Categories In General Surgery, HPB & Spleen

Analyzing a national cancer database, researchers found that adjuvant chemoradiation in resected extrahepatic bile duct or gallbladder adenocarcinoma, following the SWOG S0809 protocol, yielded a median overall survival of 36.9 months. A propensity score-matched cohort revealed a survival benefit for those receiving adjuvant chemoradiation over adjuvant chemotherapy alone, supporting the consideration of multimodal therapy in resected biliary cancers.

Journal Article by Dominguez DA, Wong P (…) Melstrom LG et 5 al. in Ann Surg Oncol

read the whole article in Ann Surg Oncol

open it in PubMed

Importance of Competitive Surgeon Compensation in Academic Medicine

Post author By STITCHES Newsletter
Post date 15/03/2024
Categories In General Surgery, Perspectives, Opinions and Curiosities

Competitive surgeon compensation is crucial for successful faculty recruitment and retention in academic medicine. An optimal compensation system should support patient care, encourage teamwork, recruit and retain faculty, and be viewed as fair and transparent. Ensuring compensation remains a background issue for academic surgeons requires leadership emphasis. Compensation plans can influence behaviors and contributions, making it a key variable in maximizing the productivity and engagement of surgical care providers in academic medicine.

Journal Article by Evans DB and Mayer JB in BMC Surg

read the whole article in BMC Surg

open it in PubMed

The Importance of Social Determinants and Primary Care Appointments in Traumatic Injury Follow-Up

Post author By STITCHES Newsletter
Post date 15/03/2024
Categories In Appendix, Gallbladder and Surgical Emergencies, General Surgery

After reviewing trauma admissions from 2018 to 2021, researchers found an overall loss to follow-up rate of 36.9%. Non-white patients, those who underwent operations, and individuals discharged to rehabilitation facilities were more likely to attend follow-up appointments within 30 days. Patients with substance use disorder and those with public insurance had higher loss to follow-up rates. Scheduling a follow-up appointment with a primary care provider was the most significant factor associated with attending follow-up appointments.

Journal Article by Smith SM, Zhao X (…) Sanchez SE et 3 al. in BMC Surg

read the whole article in BMC Surg

open it in PubMed

Assessment of AI-generated Medical Information on Appendicitis

Post author By STITCHES Newsletter
Post date 15/03/2024
Categories In Appendix, Gallbladder and Surgical Emergencies, Digital Surgery and Telemedicine, General Surgery

Generative AI chatbots like ChatGPT-3.5, ChatGPT-4, Bard, and Claude-2 were assessed for content and quality on appendicitis information. Results showed favorable quality scores for all but Claude-2, which had significantly lower quality. Bard was the only platform providing verifiable sources, while others advised consulting a physician. Readability levels exceeded public standards, indicating potential for patient education on appendicitis.

Journal Article by Ghanem YK, Rouhi AD (…) Kwiatt M et 8 al. in Surg Endosc

read the whole article in Surg Endosc

open it in PubMed

Optimal Round Ligament Management in Women’s Hernia Repair

Transection of the round ligament of the uterus (RLU) during minimally invasive groin hernia repair in women reduces operative time with no difference in postoperative complication rates. Preserving the RLU does not impact chronic pain, paresthesia, recurrence rates, or complications. Further randomized studies are needed for long-term outcomes and patient-reported results to determine the optimal management of RLU during minimally invasive groin hernia repair.

Review by Silveira CAB, de Figueiredo SMP (…) Lu R et 4 al. in Surg Endosc

read the whole article in Surg Endosc

open it in PubMed

Intraperitoneal Onlay Mesh for Ventral Hernias: Long-Term Safety and Rare Complications

Long-term mesh-related complications from minimally invasive intraperitoneal onlay mesh for small to medium-sized ventral hernias are extremely low, with only a 0.62% rate of reoperation due to mesh complications up to 6 years postoperatively. This study of 325 patients showed that intraperitoneal mesh remains a safe and durable option for hernia surgeons, with the majority of cases being elective non-recurrent, and having a very low rate of complications over a median follow-up of 3.6 years.

Journal Article by Maskal SM, Ellis RC (…) Beffa LRA et 8 al. in Surg Endosc

read the whole article in Surg Endosc

open it in PubMed