journal
https://read.qxmd.com/read/39031947/long-term-follow-up-after-incisional-hernia-repair-dynamics-of-recurrence-and-patient-reported-outcome
#1
JOURNAL ARTICLE
Samuel Karlsson, Ida Björklund, Anna Burman, Leif A Israelsson, Yücel Cengiz
BACKGROUND: Incisional hernia (IH) is common and recurrence rates remain high. Although the goal of treatment should be to improve quality of life, studies addressing this aspect are notably absent. We aimed to evaluate the long-term recurrence rate of open mesh repair of IH, investigate the burden of persisting discomfort, explore patient satisfaction, and identify risk factors for negative outcomes. METHODS: A single-center, retrospective study was conducted on all open mesh repairs of IH performed between January 2002 and October 2013...
July 19, 2024: World Journal of Surgery
https://read.qxmd.com/read/39031939/time-from-injury-to-operative-intervention-in-traumatic-intracranial-hematoma-a-systematic-literature-review-and-meta-analysis
#2
JOURNAL ARTICLE
Michael Merakis, Daniel P Lewis, Natasha Weaver, Zsolt J Balogh
BACKGROUND: The outcomes in traumatic intracranial hematoma (TICH) have not improved significantly despite advances in trauma care. A modifiable factor in TICH management is time to operation room (TOR ). TOR has become a key marker in Traumatic brain injury care despite a lack of contemporary evidence. This study aimed to determine the timing of TICH evacuation and its association with mortality and neurological outcomes. METHODS: A systematic review of PubMed, OVID MEDLINE, CINAHL, and Web of Science...
July 19, 2024: World Journal of Surgery
https://read.qxmd.com/read/39030768/making-minimally-invasive-procedures-more-sustainable-a-systematic-review-comparing-the-environmental-footprint-of-single-use-versus-multi-use-instruments
#3
JOURNAL ARTICLE
Russell Seth Martins, Hashim Salar, Musa Salar, Jeffrey Luo, Kostantinos Poulikidis, Syed Shahzad Razi, M Jawad Latif, Kyle Tafuri, Faiz Y Bhora
BACKGROUND: Healthcare systems contribute 5%-10% of the global carbon footprint. Given the detrimental impact of climate change on population health, health systems must seek to address this environmental responsibility. This is especially relevant in the modern era of minimally invasive procedures (MIP) where single-use instruments are increasingly popular. We compared the environmental footprint of single-use versus multi-use instruments in MIP. METHODS: We conducted a systematic review across five databases to identify relevant original studies, following the PRISMA guidelines...
July 18, 2024: World Journal of Surgery
https://read.qxmd.com/read/39019775/artificial-intelligence-in-cardiac-surgery-a-systematic-review
#4
JOURNAL ARTICLE
Ralf Martz Sulague, Francis Joshua Beloy, Jillian Reeze Medina, Edward Daniel Mortalla, Thea Danielle Cartojano, Sharina Macapagal, Jacques Kpodonu
BACKGROUND: Artificial intelligence (AI) has emerged as a tool to potentially increase the efficiency and efficacy of cardiovascular care and improve clinical outcomes. This study aims to provide an overview of applications of AI in cardiac surgery. METHODS: A systematic literature search on AI applications in cardiac surgery from inception to February 2024 was conducted. Articles were then filtered based on the inclusion and exclusion criteria and the risk of bias was assessed...
July 17, 2024: World Journal of Surgery
https://read.qxmd.com/read/39019772/we-asked-the-experts-ensuring-the-quality-and-security-of-surgical-teleconsultation-in-low-resource-conflict-settings
#5
JOURNAL ARTICLE
Abbygale Willging, Hannah Wild
No abstract text is available yet for this article.
July 17, 2024: World Journal of Surgery
https://read.qxmd.com/read/39019650/unveiling-perceptions-regarding-post-mastectomy-breast-reconstruction-a-questionnaire-based-survey-of-patients-from-central-india
#6
JOURNAL ARTICLE
Rohit Shrivastava, Ashish Gupta, S Bharath, Sanjay Kumar Yadav, Pawan Agarwal, Dhananjaya Sharma, Saket Shekhar
INTRODUCTION: Post mastectomy breast reconstruction uptake remains low in the developing countries. We examined patient perspectives about it in a cohort of Indian breast cancer patients. METHODS: This prospective study was conducted at a tertiary care center in central India. All post mastectomy patients for breast cancer were interviewed via a survey questionnaire to assess their perspective regarding post mastectomy breast reconstruction. RESULTS: None of the 192 patients underwent immediate or delayed reconstruction by the end of 24 months follow-up...
July 17, 2024: World Journal of Surgery
https://read.qxmd.com/read/39019646/prophylactic-muscle-flaps-in-high-risk-for-poor-healing-patients-with-prosthetic-bypasses-increases-deep-wound-complications
#7
JOURNAL ARTICLE
Samyuktha Ravikumar, Renxi Li, Jamie Thompson, Emanuela C Peshel, Melina Recarey, Richard Amdur, Salim Lala, John Ricotta, Anton Sidawy, Bao-Ngoc Nguyen
BACKGROUND: Incisional complications of groin after inflow or infrainguinal bypasses with prosthetic conduits can result in major morbidities that require reoperation, infected graft removal, and limb loss. Muscle flaps are typically performed to treat groin wound complications, but they are also done prophylactically at the time of index procedures in certain high-risk-for-poor-healing patients to mitigate anticipated groin wound complications. We used a nationwide multi-institutional database to investigate outcomes of prophylactic muscle flaps in high-risk patients who underwent prosthetic bypasses involving femoral anastomosis...
July 17, 2024: World Journal of Surgery
https://read.qxmd.com/read/39014471/assessment-of-surgical-anesthesia-and-obstetric-workforce-in-somalia
#8
JOURNAL ARTICLE
Mohamed Abdinor Omar, Marian Muse Osman, Abdullahi Mohamed Mohamud, Abdullahi Said Hashi, Suleyman Abdullahi Mohamed, Fitsum Kifle, Scott Corlew, Salome Maswime
BACKGROUND: One of the core indicators recommended by the Lancet Commission is surgical workforce density, aiming to improve the number of surgery, anesthetists, and obstetric (SAO) providers to 20 per 100,000 population by 2030. We assessed SAO workforce capacity in Somalia and made recommendations for improvement. METHOD: A cross-sectional study was conducted using a structured questionnaire from the WHO Program for Global Surgery and Social Change (PGSSC) Surgical Assessment Tool...
July 16, 2024: World Journal of Surgery
https://read.qxmd.com/read/39010272/invited-commentary-to-strengths-and-opportunities-for-improvement-in-surgical-education-in-ukraine-a-qualitative-study
#9
JOURNAL ARTICLE
Christine Gaarder, Pål Aksel Naess
No abstract text is available yet for this article.
July 15, 2024: World Journal of Surgery
https://read.qxmd.com/read/39010242/authors-response-postoperative-pancreatic-fistula-after-pancreaticogastrostomy-versus-pancreatojejunostomy-after-pancreatic-resection-a-comparative-systematic-review-and-meta-analysis
#10
LETTER
Mohamed AbdAlla Salman, Ahmed Elewa, Mohammed Elsherbiny, Mohamed Tourkey, Evelyn Nkem Emechap, Stewart Chikukuza, Ahmed Salman
No abstract text is available yet for this article.
July 15, 2024: World Journal of Surgery
https://read.qxmd.com/read/39010237/author-s-reply-conflict-of-interest-disclosure-by-us-cardiothoracic-surgeons
#11
LETTER
Simon R Turner, Dyanna Melo, Eric L R Bédard
No abstract text is available yet for this article.
July 15, 2024: World Journal of Surgery
https://read.qxmd.com/read/39004613/risk-of-neuropsychiatric-disorders-in-primary-hyperparathyroidism-parathyroidectomy-versus-nonoperative-management
#12
JOURNAL ARTICLE
Zhixing Song, Sanjana Balachandra, Christopher Wu, Rongzhi Wang, Polina Zmijewski, Andrea Gillis, Jessica Fazendin, Brenessa Lindeman, Herbert Chen
BACKGROUND: Neuropsychiatric disorders frequently manifest in primary hyperparathyroidism (PHPT), yet evidence of parathyroidectomy's benefit remains mixed. We sought to compare the incidence of neuropsychiatric disorders among patients treated with parathyroidectomy versus nonoperative management. METHODS: We retrospectively reviewed our institutional administrative database for patients with PHPT. Patients with secondary hyperparathyroidism were excluded. The date of biochemical diagnosis of PHPT was designated as day 0 and new-onset neuropsychiatric disorders were defined as conditions diagnosed after this date...
July 14, 2024: World Journal of Surgery
https://read.qxmd.com/read/38973012/preoperative-metabolic-syndrome-and-prognosis-after-pancreatectomy-for-pancreatic-cancer-a-retrospective-study
#13
JOURNAL ARTICLE
Fenglin Gu, Xiaoding Shen, Ziyao Wang, Zerong Xie, Nengwen Ke
BACKGROUND: We conducted a retrospective study to investigate the impact of metabolic syndrome (MetS), its individual components, and the number of metabolic risk factors on the prognosis of pancreatic cancer (PC) following pancreatectomy. METHODS: MetS was defined as meeting any three of the following criteria: (1) waist circumference ≥85 cm in men or ≥80 cm in women; (2) triglycerides ≥150 mg/dL or receiving drug treatment for elevated triglycerides; (3) high-density lipoprotein cholesterol <40 mg/dL in men or <50 mg/dL in women or receiving drug treatment for reduced HDL-C; (4) systolic blood pressure ≥130 mmHg and/or diastolic blood pressure ≥85 mmHg or receiving drug treatment for hypertension; and (5) fasting glucose, (FG) ≥100 mg/dL or receiving drug treatment for elevated glucose...
July 7, 2024: World Journal of Surgery
https://read.qxmd.com/read/38972990/adrenal-cysts-less-than-10%C3%A2-cm-can-be-safely-observed
#14
JOURNAL ARTICLE
Emily Rodriguez, Tatiana Fedorova, Maria Daskam, Ezra Baraban, Darci C Foote, Roberto Salvatori, Nirmish Singla, Elliot K Fishman, Stanley M Chen Cardenas, Douglas W Ball, Amir H Hamrahian, Aarti Mathur, Lilah F Morris-Wiseman
BACKGROUND: Adrenal cysts are rare and appropriate management is unclear due to a lack of data on their natural history. Understanding adrenal cyst growth patterns would assist in clinical management. METHODS: This single-institution study included all adult patients diagnosed with simple adrenal cysts between 2004 and 2021. Baseline characteristics and outcomes of those who underwent resection (ADX) or observation (OBS) were compared using the chi-squared test, student's t-test, and Wilcoxon rank-sum test...
July 7, 2024: World Journal of Surgery
https://read.qxmd.com/read/38972979/long-term-oncological-outcomes-of-follicular-thyroid-cancer-in-adolescents-and-young-adults-a-nationwide-population-based-study
#15
JOURNAL ARTICLE
Daniël J van de Berg, Christiaan F Mooij, A S Paul van Trotsenburg, Hanneke M van Santen, Sheila C E J Terwisscha van Scheltinga, Menno R Vriens, Schelto Kruijff, Els J M Nieveen van Dijkum, Anton F Engelsman, Joep P M Derikx
BACKGROUND: Follicular thyroid carcinoma (FTC) in adolescents and young adults (AYAs) is rare and data on long-term oncological outcomes are scarce. This study aimed to describe the long-term recurrence and survival rates of AYAs with FTC, and identify risk factors for recurrence. METHODS: This is a retrospective cohort study combining two national databases, including all patients aged 15-39 years, diagnosed with FTC in The Netherlands between 2000 and 2016...
July 7, 2024: World Journal of Surgery
https://read.qxmd.com/read/38972978/a-plea-for-urgent-action-addressing-the-critical-shortage-of-cardiothoracic-surgical-workforce-in-the-cosecsa-region
#16
JOURNAL ARTICLE
Abebe Bekele, Barnabas Tobi Alayande, Dereje Gulilat, Russell E White, Girma Tefera, Eric Borgstein
BACKGROUND: The College of Surgeons of East, Central, and Southern Africa (COSECSA) comprises 14 countries, many of which currently grapple with an increasing burden of cardiothoracic surgical (CTS) diseases. Health and economic implications of unaddressed CTS conditions are profound and require a robust regional response. This study aimed to define the status of CTS specialist training in the region (including the density of specialists, facilities, and active training posts), examine implications, and proffer recommendations...
July 7, 2024: World Journal of Surgery
https://read.qxmd.com/read/38970237/impact-of-injury-mechanism-on-early-wound-closure-in-patients-with-acute-conflict-related-extremity-wounds-a-prospective-cohort-analysis-from-two-civilian-hospitals-in-iraq-and-jordan
#17
JOURNAL ARTICLE
Ghazal Haque, Rawand Haweizy, Khaldoon Bashaireh, Jonas Malmstedt, Andreas Älgå
BACKGROUND: Gunshots and bomb blasts are important causes of extremity injuries in conflict zones, yet little research exists on the characteristics and outcomes of these injuries in civilian populations. METHODS: We performed a prospective cohort analysis utilizing data from a randomized trial conducted at two civilian hospitals in Jordan and Iraq in 2015-2019. Adults who presented ≤72 h of sustaining an extremity injury were included. We used mechanism of injury (gunshot/bomb blast) as the exposure and wound closure by day 5 as the primary outcome measure...
July 5, 2024: World Journal of Surgery
https://read.qxmd.com/read/38970213/the-effect-of-tranexamic-acid-on-blood-transfusion-in-lower-gastrointestinal-bleeding-a-double-blind-prospective-randomised-controlled-trial
#18
JOURNAL ARTICLE
Avihai Moscovici, Ahmad Nasasra, Jonathan Hammerschlag, Rafael Zaharov, Anna Kirshtein, Daniel Dykman, Ron Lavy, Oded Zmora
PURPOSE: Acute gastrointestinal bleeding is a common emergency. Tranexamic acid (TXA) reduces clot breakdown by inhibiting the action of plasmin and has been shown to reduce the need for blood transfusion in trauma, surgical procedures, and upper gastrointestinal bleeding. This study examined the efficiency of intravenous TXA in patients with acute lower gastrointestinal bleeding. METHODS: Eighty-one patients aged >18 years with lower GI hemorrhage, presenting as active rectal bleeding and anemia (hemoglobin lower than 11 g/dL or a decrease of 2 gr/dl from the patient's base level), were enrolled in this single center, double blind prospective research...
July 5, 2024: World Journal of Surgery
https://read.qxmd.com/read/38964867/associations-between-hollow-viscus-injury-and-acute-kidney-injury-in-blunt-abdominal-trauma-a-national-trauma-data-bank-analysis
#19
JOURNAL ARTICLE
Pei-Hua Li, Chih-Yuan Fu, Faran Bokhari
PURPOSE: It is well established that hollow viscus perforation leads to sepsis and acute kidney injury (AKI) in non-trauma patients. However, the relationship between traumatic hollow viscus injury (HVI) and AKI is not well understood. Utilizing data from the National Trauma Data Bank, we investigated whether HVI serves as a risk factor for AKI. Additionally, we examined the characteristics of AKI in stable patients who underwent conservative treatment. METHODS: We reviewed blunt abdominal trauma (BAT) cases from 2012 to 2015, comparing patients with and without AKI...
July 4, 2024: World Journal of Surgery
https://read.qxmd.com/read/38960604/analysis-of-the-effect-of-staple-line-reinforcement-on-leaking-and-bleeding-after-sleeve-gastrectomy-from-the-uk-national-bariatric-surgery-registry
#20
JOURNAL ARTICLE
Osamah Niaz, Alan Askari, Andrew Currie, Emma Rose Mcglone, Roxanna Zakeri, Omar Khan, Richard Welbourn, Chris Pring, Peter Small, Omer Al-Taan, Kamal Mahawar, Ravikrishna Mamidanna
INTRODUCTION: Sleeve gastrectomy (SG) is currently the most frequently performed procedure for obesity worldwide. Staple line reinforcement (SLR) has been suggested as a strategy to reduce the risk of staple line leak or bleeding; however, its use for SG in the United Kingdom (UK) is unknown. This study examined the effect of SLR on the development of postoperative complications from SG using a large national dataset from the UK. METHODS: Patients undergoing either primary or revision SG over 10 years from Jan 2012 to Dec 2021 were identified by the National Bariatric Surgery Registry...
July 3, 2024: World Journal of Surgery
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